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Laparoscopic Rectopexy

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Minimally Invasive Approaches to Colon and Rectal Disease

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Abstract

Rectal prolapse repairs are plagued, in part, by high recurrence rates despite several well-described operations. Patients should be aware that while the prolapse will resolve with operative therapy, functional results often continue to be problematic. Traditional open repairs add to the potential morbidity with wound healing issues. Minimally invasive approaches, with and without mesh, offer similar outcomes, with the additional advantage of smaller incisions, shorter length of stay, and lower wound complications. In this chapter, we will describe the technical aspects of a laparoscopic mobilization and rectopexy, as well as highlight various options including resection and mesh placement.

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Disclosures

Dr. Steele works as a consultant for Ethicon Endosurgery.

Author information

Authors and Affiliations

  1. Department of Surgery, Madigan Army Medical Center, Fort Lewis, WA, 98431, USA

    Mia DeBarros M.D. & Scott R. Steele M.D., F.A.C.S., F.A.S.C.R.S.

  2. University of Washington, Seattle, WA, 9606, USA

    Scott R. Steele M.D., F.A.C.S., F.A.S.C.R.S.

  3. Colon and Rectal Surgery, Madigan Army Medical Center, Tacoma, WA, USA

    Scott R. Steele M.D., F.A.C.S., F.A.S.C.R.S.

Authors
  1. Mia DeBarros M.D.
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  2. Scott R. Steele M.D., F.A.C.S., F.A.S.C.R.S.
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Corresponding author

Correspondence to Scott R. Steele M.D., F.A.C.S., F.A.S.C.R.S. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard M. Ross MD FACS FASCRS

  2. Division of Colon and Rectal Surgery, Department of Surgery, Weill-Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA

    Sang W. Lee MD, FACS, FASCRS

  3. Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Matthew G. Mutch MD, FACS, FASCRS

  4. North Shore-LIJ Health System, Huntington Hospital, Hofstra University School of Medicine, Huntington, New York, USA

    David E. Rivadeneira MD, MBA,FACS, FASCRS

  5. Department of Colon & Rectal Surgery, Madigan Army Medical Center, Olympia, Washington, USA

    Scott R. Steele M.D., FACS, FASCRS

Electronic Supplementary Materials

Below is the link to the electronic supplementary material.

Laparoscopic rectopexy with suture and tacking device (MP4 213023 kb)

Laparoscopic mesh rectopexy (Video by Conor Delaney, MD) (MP4 74941 kb)

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DeBarros, M., Steele, S.R. (2015). Laparoscopic Rectopexy. In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_14

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  • DOI: https://doi.org/10.1007/978-1-4939-1581-1_14

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1580-4

  • Online ISBN: 978-1-4939-1581-1

  • eBook Packages: MedicineMedicine (R0)

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