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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: May 22, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Avoiding extraction site herniation after laparoscopic right colectomy.

G L Williams1, C Beaton, R Codd

  • 1Department of General and Colorectal Surgery, Royal Gwent Hospital, Cardiff Road, Newport, South Wales, NP20 2UB, UK. gethin.williams@gwent.wales.nhs.uk

Techniques in Coloproctology
|April 25, 2012
PubMed
Summary
This summary is machine-generated.

Rectus-preserving extraction site incisions (RAMES) in laparoscopic right colectomy minimize abdominal wall disruption. This technique showed no incisional herniation in patients up to 24 months post-surgery.

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Abdominal Surgery

Background:

  • Transverse abdominal incisions are standard in enhanced recovery after surgery (ERAS) protocols.
  • Minimizing abdominal wall disruption is crucial for patient recovery and long-term outcomes.
  • The rectus abdominis muscle extraction site (RAMES) offers a novel approach to specimen extraction.

Purpose of the Study:

  • To evaluate the safety and efficacy of the rectus abdominis muscle extraction site (RAMES) in laparoscopic right colectomy.
  • To assess the incidence of incisional herniation following RAMES.
  • To determine the long-term outcomes of this rectus-preserving technique.

Main Methods:

  • A prospective study involving 15 patients undergoing elective laparoscopic right colectomy for malignancy.
  • Utilized the rectus abdominis muscle extraction site (RAMES) for specimen retrieval.
  • Assessed patients for clinical and radiological evidence of incisional herniation at 12 and 24 months post-operatively.

Main Results:

  • The median wound length for the RAMES was 6 cm.
  • No clinical or radiological evidence of incisional herniation was observed in any of the 15 patients at 12-month follow-up.
  • No incisional herniation was detected in the 12 surviving patients at 24-month follow-up.

Conclusions:

  • The rectus abdominis muscle extraction site (RAMES) is a safe and effective technique for laparoscopic right colectomy.
  • This rectus-preserving approach significantly reduces the risk of early incisional herniation.
  • RAMES offers potential long-term benefits by preserving abdominal wall integrity.