Transanal rectocele repair using EndoGIA: short–term results of a prospective study

Abstract

Transanal rectocele repair with linear stapler applied in selected patients is safe and easy to perform. Short-term results are safisfactory. Complete investigations of impaired defecation and selection of patients are needed to achieve satisfactory results.

A transanal procedure using an endoscopic linear stapler for obstructed defecation syndrome: the first Chinese experience

“…They first reported the good results of transanal rectocele repair with a linear stapler in French patients in 2004. Similar results have recently been demonstrated by two European studies [15,16]. In all three studies, the authors emphasized that the transanal approach using a linear stapler was an easy, safe, and useful procedure for the correction of symptomatic rectocele.…”

“…In recent years, three studies confirmed the effectiveness of the Bresler procedure in the treatment of ODS [14][15][16]. D'Avolio et al reported their results of the Bresler procedure in 15 patients with a follow-up of 3 months.…”

“…The Altomare ODS severity score decreased from preoperative 19-6 at 1 year after the operation. Most interestingly, rectoceles were completely corrected on postoperative defecography in all patients [15]. So far, the largest retrospective study involved 21 patients with ODS who underwent the Bresler procedure between 1989 and 1999.…”

“…The modified procedure of transanal repair with an endoscopic linear stapler was performed [14,15]. Briefly, the operation was performed with general or spinal anesthesia after mechanical bowel preparation and antibiotic prophylaxis.…”

Measuring the space between vagina and rectum as it relates to rectocele

“…If conservative management failed to relieve symptoms, surgical treatment was advocated. Endorectal rectocele repair has been performed by colorectal surgeons [3][4][5] . However, after endorectal repair difficult evacuation has been reported [6,7] .…”