Laparoscopic-assisted perineal rectosigmoidectomy for rectal prolapse.
One of the important surgical principles in perineal rectosigmoidectomy (Altemeier's procedure) for full-thickness rectal prolapse is to ensure the complete resection of the redundant rectosigmoid colon to avoid recurrence of the prolapse. We present a new technique of laparoscopic assistance during this procedure, which helps achieve maximal mobilization and resection of the prolapsed portion.
Reissman
P
P
Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale 33309, USA.
Weiss
E
E
Teoh
T A
TA
Cohen
S M
SM
Wexner
S D
SD
D000714:Anastomosis, Surgical / Q000379:methods; D003106:Colon / Q000601:surgery; D012809:Colon, Sigmoid / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D010502:Perineum / Q000601:surgery; D010537:Peritoneum / Q000601:surgery; D016684:Prone Position; D012005:Rectal Prolapse / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D000267:Tissue Adhesions / Q000601:surgery