Extracorporal resection of the rectum in the treatment of complete rectal prolapse using a circular stapling device

Background and Patients: The technique of the extracorporal resection of the rectum using a circular stapler in the treatment of complete rectal prolapse is described on the basis of 31 successfully applied operations at the Surgical Unit in Dusseldorf-Gerresheim. Results: The easy-to-perform operation does not require general anaesthesia, the incidence of peri-operative complications (5/31) and lethality (1/31) is acceptable and postoperative recovery is fast due to less physiologic insult as compared to transabdominal procedures. The recurrence rates (0/22) stand the comparison with transabdominal procedures. The operation can be re-performed in the case of a recurrent prolapse. Conclusions: Our good results show that the perineal rectosigmoidostomy using a circular stapler is a safe and efficient means of controlling rectal prolapse. Many advantages in comparison with transabdominal procedures make it an attractive option for many patients suffering from rectal prolapse. Copyright (C) 2001 S. Karger AG, Basel.