Surgical Technique and Difficult Situations from Karl-Hermann Fuchs (Laparoscopic Resection Rectopexy)

Abstract

A frequent problem in pelvic floor disorders is internal or external rectal prolapse situation. The operative treatment for these functional anatomic changes has been established by laparoscopic resection rectopexy. The selection of patients for these operations requires an extensive diagnostic workup to verify the indication for surgery precisely. The diagnostic workup should consist of a proctologic investigation; endosonography; to verify the status of the anal sphincter system, an anorectal manometry; a Hinton test; and, to verify a possible coexistence of a slow-transit constipation, dynamic MR defecography.