Transanal surgery for obstructed defecation syndrome: Literature review and a single-center experience

Figure 1 Surgical technique of Bresler procedure. A: The anterior wall of the defect in the rectum should be raised with two or three Allis clamps, and it should be ensured every time that it does not involve the posterior wall of the vagina to avoid further complications; B, C: A single use, reloadable endoscopic linear cutter is introduced, and one or two firings might be necessary depending on the extent of prolapse seen in the rectocele; D: A longitudinal locked running suture, including rectal mucosa, submucosa, and muscle, was made with 2-0 absorbable Vicryl suture along the staple line for the plication of the repaired anterior rectal wall to strengthen the stapled region.