Sutured rectal lift for obstructed defecation: Mesh-free sphincter-preserving transanal technique for Oxford grade II-III prolapse

Figure 3 Final stages of sutured rectal lift and multilayer reinforcement. A: Second semiloop positioned above the margin of the prolapse; B: Third semiloop placed below the first stitch; C: Resulting folding of the rectal wall after suture tightening; D: Second layer of deep muscular reinforcement using non-adsorbable monofilament suture; E: Final knot securing the reinforcement layed; F: Final result after repeating the procedure on all six quadrants.