Gökhan Özüner1, Çiğdem Benlice2

1New York Presbyterian, Cornell Brooklyn Methodist Hospital, New York, USA
2Department of Colorectal Surgery, Cleveland Clinic, Digestive Disease Institute, Cleveland, USA


Perineal stapled prolapse resection is a novel approach for treating rectal prolapse in elderly and frail patients. This study aimed to report a modified technique using only a straight linear stapler. A 94-year-old female with 15-cm full thickness rectal prolapse was treated using a linear cutter in the left and right lateral quadrants, and then resection was completed by using the same instrument in the anterior and posterior flaps. The procedure was performed under local anesthesia and in a prone jackknife position. There was no morbidity or mortality, and the patient was discharged on postoperative day 2. Follow-up at 9 months revealed no recurrent prolapse, and the patient was asymptomatic. This technique is easy, safe, and fast to perform without using contour transtar (Ethicon Endo-Surgery, Cincinnati, OH).

Keywords: Contour transtar, rectal prolapses, stapled resection

Cite this article as: Özüner G, Benlice Ç. Perineal stapled rectal resection without a contour transtar: a modified approach. Turk J Surg 2019; 35 (1) :70-73


Peer Review

Externally peer-reviewed.

Author Contributions

Concept - G.Ö.; Design - G.Ö.; Supervision - G.Ö.; Resource - G.Ö., Ç.B.; Materials - G.Ö., Ç.B.; Data Collection and/or Processing - G.Ö., Ç.B.; Analysis and/or Interpretation - G.Ö., Ç.B.; Literature Search - G.Ö., Ç.B.; Writing Manuscript - G.Ö., Ç.B.; Critical Reviews - G.Ö., Ç.B.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study has received no financial support.


The authors thank to Joe Pangrace.