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. 2016 Jan 12;20:185–191. doi: 10.1007/s10151-015-1414-2

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© The Author(s) 2016

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Fig. 2 — Pursestring is placed on the open anorectal stump, and the long spindle of the circular EEA™ stapler is brought transanally through the centre of the pursestring suture (left image). The anvil is connected to the centre shaft of the stapler, and the pursestring is then tightened around the centre rod (right image)