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Laparoscopic-assisted perineal rectosigmoidectomy for rectal prolapse

P Reissman¹, E Weiss, T A Teoh

¹Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale 33309, USA.

Surgical Laparoscopy & Endoscopy

|June 1, 1995

Summary

This study introduces a new laparoscopic-assisted technique for perineal rectosigmoidectomy (Altemeier's procedure). This method enhances the maximal mobilization and resection of the rectosigmoid colon, aiming to prevent rectal prolapse recurrence.

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Area of Science:

Surgical Innovation
Gastrointestinal Surgery
Colorectal Surgery

Background:

Full-thickness rectal prolapse requires complete resection of the rectosigmoid colon during Altemeier's procedure.
Incomplete resection can lead to prolapse recurrence, a significant surgical challenge.

Purpose of the Study:

To present a novel technique utilizing laparoscopic assistance for perineal rectosigmoidectomy.
To improve the maximal mobilization and resection of the prolapsed rectosigmoid colon.

Main Methods:

A new technique involving laparoscopic assistance during perineal rectosigmoidectomy was developed and applied.
The procedure focuses on achieving complete mobilization and resection of the redundant rectosigmoid colon.

Main Results:

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Laparoscopic assistance facilitates maximal mobilization of the rectosigmoid colon.
This approach aids in achieving complete resection, potentially reducing prolapse recurrence rates.

Conclusions:

Laparoscopic assistance is a valuable adjunct to perineal rectosigmoidectomy for full-thickness rectal prolapse.
The technique enhances surgical precision for complete rectosigmoid resection, aiming to improve patient outcomes.