PURPOSE: A technique to achieve sound anastomosis of a stiff irradiate
d rectum is described. METHOD: After application of the pursestring, m
anipulation of the rectal stump creates an inadequate doughnut anterio
rly after firing the circular stapler, which is conveniently repaired
manually. RESULTS: A sound anastomosis is achieved. CONCLUSION: This t
echnique is efficient and reliable for creating a sound anastomosis in
the rigid rectum.