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Laparoscopic anterior rectopexy for rectal prolapse

Epublication WebSurg.com, Apr 2011;11(04). URL: http://websurg.com/doi/vd01en3242

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  • 2011-04-15
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This video demonstrates the technique and steps required to perform a laparoscopic anterior rectopexy for the successful treatment of rectal prolapse. The treatment of rectal prolapse with a laparoscopic trans-abdominal approach is well-established and has resulted in reduced morbidity and shorter hospital stay. It is also well-tolerated in the elderly and shows an improvement in incontinence and a low recurrence rate. This procedure can be enhanced by using a purely anterior (ventral) approach. The dissection is kept anterior to the rectum, by opening the rectovaginal septum and then continuing down to the pelvic floor where a mesh rectopexy is then performed. This avoids posterior rectal dissection and spares the autonomic pelvic nerves; it keeps morbidity low and improves constipation.