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Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy for Rectal Prolapse
Table of Contents
- 1. Introduction
- 2. Surgical Approach and Laparoscopic Access
- 3. Reduce Bowel out of Pelvis
- 4. Preparation of Sacral Promontory for Sutures
- 5. Rectum Mobilization
- 6. Suture
- 7. Review Progress
- 8. Approach to Culdoplasty
- 9. Culdoplasty
- 10. Reconstruct Pouch of Douglas
- 11. Finish Closing Peritoneum
- 12. Perineorrhaphy and Levator Plication
- 13. Cystoscopy
- 14. Post-op Remarks
1. Introduction
2. Surgical Approach and Laparoscopic Access
3. Reduce Bowel out of Pelvis
4. Preparation of Sacral Promontory for Sutures
- Locate Sacral Promontory
- Clear Sacral Promontory
5. Rectum Mobilization
- Lateral - Right
- Anterior
- Lateral Stalks - Right
- Lateral - Left
- Finish Posterior
- Review Dissection
6. Suture
- Approach
- Place Sutures
- Extracorporeal Tying
7. Review Progress
8. Approach to Culdoplasty
9. Culdoplasty
10. Reconstruct Pouch of Douglas
11. Finish Closing Peritoneum
12. Perineorrhaphy and Levator Plication
- Approach
- Inject Local Anesthetic
- Excise Epithelium
- Tag Apex
- Bring Together Levator Muscles
- Rebuild Perineal Body
- Close Epithelium
- Rectal Exam
13. Cystoscopy
14. Post-op Remarks
LIMITED ACCESS
Filmed At:Massachusetts General Hospital
Article Information
| Publication Date | 5/30/2022 |
| Article ID | 272 |
| Production ID | 0272 |
| Volume | 2022 |
| Issue | 272 |
| DOI | |
| https://doi.org/10.24296/jomi/272 | |
