You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Transanal Rectocele Repair Using Linear Stapler and Bioabsorbable Staple Line Reinforcement Material: Short-Term Results of a Prospective Study

de la Portilla, F Ph.D., M.A.E.C.P.1; Rada, R M.D.1; Vega, J M.D.1; Segovia-González, M M. Ph.D.2; Caro, F M.D3; Cisneros, N Ph.D.1; Maldonado, V H. M.D.1

Diseases of the Colon & Rectum:
doi: 10.1007/DCR.0b013e3181baec51
Original Contribution

PURPOSE: This study was designed to determine the short-term results of transanal rectocele repair with use of a linear stapler and Bioabsorbable Seamguard.

METHODS: Ten women (median age, 56.1 y) with obstructed defecation syndrome were enrolled in the study. The preoperative study consisted of a medical history, physical examination, anoscopy, endoanal ultrasound, and defecography. All patients completed a severity score and a visual analog scale for global quality of life, and provided the postoperative dates of complications.

RESULTS: Overall, the treatment significantly improved the obstructed defecation: the severity score improved from a median of 19.8 ± 4.2 at baseline to 6.10 ± 8.2 at one month (P < .005), 5.9 ± 8.3 at 6 months (P < .005), and 6 ± 8.3 at one year after the operation (P < .005). A significant improvement was observed in the visual analog scale, which improved from a median of 1.8 ± 1.4 at baseline to 6 ± 1.6 at one month (P < .005), 6.6 ± 2.1 at 6 months (P < .004), and 7 ± 2.5 at one year (P < .004). A significant improvement was also observed in various symptoms. Only 2 patients manifested urgent defecation.

CONCLUSIONS: The present study demonstrates that rectocele repair using a linear stapler and Seamguard is a safe, easy procedure, with a very low rate of complications and good immediate outcome.

Author Information

1 Coloproctology Unit, Gastrointestinal Surgery Department, Juan Ramón Jiménez, Huelva, Spain

2 Department of Economics, Quantitative Methods and Economic History, Pablo de Olavide University, Seville, Spain

3 Department of Radiology, Hospital Juan Ramón Jiménez, Huelva, Spain

Correspondence: Fernando de la Portilla, M.D., M.A.E.C.P., Coloproctology Unit, GI Surgery Department, Juan Ramón Jiménez Hospital, Huelva, Spain. E-mail: or

© The ASCRS 2010