Perineal Stapled Prolapse Resection: A New Procedure for External Rectal Prolapse

Scherer, Roland; Marti, Lukas; Hetzer, Franc

doi:10.1007/s10350-008-9423-0

Cited by 68 publications

(73 citation statements)

References 9 publications

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“…Two out of three patients (66 %) improved as regards constipation after surgery and none developed de novo constipation (Table 1). This is in accordance with the PSPR study done by Hetzer et al (Table 2), who also found no new de novo constipation in any of the patients though constipation improved in 16.6 % of patients postoperatively [1,2]. The symptom of constipation continued in one patient postoperatively with some symptomatic improvement.…”

Section: Constipationsupporting

confidence: 91%

“…One patient continues to have severe incontinence that was managed conservatively with bulk forming agents. The improvement in continence after PSPR is in accordance with the PSPR study done by Hetzer et al (Table 2); in his study, severe fecal incontinence disappeared postoperatively in 90 % of patients [1,2]. Demibras et al [18] (2005) in their series of 40 cases of laparoscopic rectopexy reported improved continence in 71 % of patients.…”

Section: Incontinencesupporting

confidence: 86%

“…A new surgical technique for external rectal prolapse, the perineal stapled prolapse resection (PSPR), was introduced in 2007 [1,2]. The PSPR is completed in 12 patients with no major intraoperative complications in our department.…”

Section: Discussionmentioning

confidence: 99%

“…Most important advantage of PSPR in comparison to established perineal techniques like Delorme's procedure, perineal rectosigmoidectomy, or perineal rectosigmoidectomy with levatorplasty is short operating time, short hospital stay, and early recovery and equal cost as compared to open surgery [1,2]. The cost of staplers used in PSPR (Rs 20,000-35,000) turns out to be equivalent to cost of mesh (Rs 3000 ), tackers (Rs 18,000), anesthesia charges (higher for GA) and operative charges (higher for laparoscopic procedures) in abdominal surgery for rectal prolapse, though cost involved in abdominal rectopexy is slightly less if suture rectopexy is done.…”

Section: Discussionmentioning

confidence: 99%

“…A new surgical technique called perineal stapled prolapse resection (PSPR) for external prolapse was described by Roland et al in 2007 and showed good functional results [1,2]. PSPR is being carried out in our department since 2010.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Perineal Stapled Prolapse Resection

Bajaj¹,

Wani²,

Sheikh³

et al. 2014

Indian J Surg

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Perineal stapled prolapse resection is a new technique for external rectal prolapse introduced in 2007. We have done stapled perineal resection for 12 patients with full thickness rectal prolapse between January 2010 and April 2012. Elderly patients with comorbidities and young patients who want to avoid risk of nerve damage, with rectal prolapse up to 8-10 cms were included prospectively for perineal stapled rectal prolapse resection. Functional outcome, complications, operating time, and hospital stay were assessed in all patients. Perineal stapled prolapse resection was performed without major complications in a median operating time of 45 (range, 40-90)min and median Hospital stay was 3 days (3 to 11 days). Preoperative severe fecal incontinence and constipation improved postoperatively in 90 and 66 % of the patients, respectively, and there was no incidence of de novo onset or worsening of constipation in any of the patient. One patient developed small extra peritoneal collection which was managed by conservative treatment. No other complications occurred. At median follow-up of 36 months, all patients were well and showed no early recurrence of prolapse.Perineal stapled rectal prolapse resection is a new surgical procedure for external rectal prolapse, which is safe, easy, and quick to perform.

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Section: Constipationsupporting

confidence: 91%