Technical Aspect of Stapled Transanal Rectal Resection. From PPH-01 to Contour to Both

Internal Delorme’s Procedure for Treating ODS Associated With Impaired Anal Continence

“…18,19,33,39 Furthermore, this procedure is proposed as a good choice in young adult males for whom an abdominal rectopexy may threaten sexual potency because of the potential damage to pelvic or hypogastric nerves. 14,40 In the present study, the reported improvement in the preoperative ODS symptoms and impaired continence symptoms is fairly high with values of 78% and 75.6%, respectively. Additionally, a concomitant improvement in the quality of life related to the specific functional disorder, as investigated through dedicated questionnaires (PAC-QoL and FIQLS), was observed.…”

“…Furthermore, this procedure is proposed as a good choice in young adult males for whom an abdominal rectopexy may threaten sexual potency because of the potential damage to pelvic or hypogastric nerves. 14,40…”

“…2,[10][11][12][13] Even if stapled transanal rectal resection has a good functional outcome, some studies have reported the likelihood to develop impaired anal continence after surgery, especially in patients with latent yet balanced preoperative impaired anal continence. 5,6,[14][15][16][17] Therefore, internal Delorme's procedure may be a surgical alternative for treating patients with both ODS and impaired anal continence.…”

Horizontal versus vertical plication of the rectovaginal septum in transperineal repair of anterior rectocele: a pilot randomized clinical trial

“…This study did not compare the vertical and horizontal plication techniques in detail, but it showed that horizontal plication of the rectovaginal septum can be a viable option in rectocele repair. 80% to 90% whatever the approach used [4,6,15,16]. Transanal transverse plication has also been reported to confer significant improvement in constipation in 65%-85% of patients [1].…”

Functional Disorders: Rectocele

“…Numerous modifications of the technique have been described including using a single PPH-01 stapler, two PPH-01 staplers, the semi-circular Contour 30 stapler, a Contour and a linear stapler, a Contour with two linear staplers, and a Contour with a PPH-01. 74 Overall, the early results seem promising, but some serious complications have been reported including rectal obliteration, rectal perforation, pelvic sepsis, staple-line hematoma, chronic proctalgia, and rectovaginal fistula. [75][76][77][78] Furthermore, there is no consensus on which technique should be applied to which patient or what factors are predictive of success.…”