{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:49:20Z","timestamp":1790916560074,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,11,3]],"date-time":"2016-11-03T00:00:00Z","timestamp":1478131200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Many different surgical techniques have been reported for the surgical treatment of full\u2010thickness external rectal prolapse. Perianal stapled prolapse resection (<jats:styled-content style=\"fixed-case\">PSP<\/jats:styled-content>) is a relatively newly reported technique for full thickness external rectal prolapse. The aim of this prospective multicentre study was to evaluate the results of this procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Consecutive patients who underwent a <jats:styled-content style=\"fixed-case\">PSP<\/jats:styled-content> resection for full\u2010thickness external rectal prolapse at five centres were recruited to the study. Median operating time, hospital stay, complications, recurrence and functional results according to the Wexner Incontinence Scale and obstructive defaecation syndrome score were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 27 patients treated by <jats:styled-content style=\"fixed-case\">PSP<\/jats:styled-content>. The median Wexner incontinence score improved from 10 presurgery to 5 after surgery (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001); the median obstructed defaecation syndrome score improved from 12 presurgery to 5 (range 4\u201310) after surgery (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). A laparoscopically assisted procedure was performed in three patients (11.1%). The median number of cartridges used was six (range four to nine). The median operating time was 48\u00a0min. Early complications occurred in six patients (22.2%) and late complications in two (7.4%). The median length of hospital stay was 5\u00a0days. The recurrence rate at a median follow\u2010up of 30.3\u00a0months was 14.8%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">PSP<\/jats:styled-content> appears to be an easy, fast and safe procedure. Early functional results are good. The recurrence rate compares favourably with other perineal procedures like the Delorme or the Altemeier operations. Long\u2010term functional results need to be investigated further.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13328","type":"journal-article","created":{"date-parts":[[2016,3,12]],"date-time":"2016-03-12T19:54:19Z","timestamp":1457812459000},"page":"1094-1100","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Perineal stapled prolapse resection for full\u2010thickness external rectal prolapse: a multicentre prospective study"],"prefix":"10.1111","volume":"18","author":[{"given":"M.","family":"Mistrangelo","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences Centre of Minimal Invasive Surgery University of Turin Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Tonello","sequence":"additional","affiliation":[{"name":"Department of Surgery Koelliker Hospital Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Brachet 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