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Laparoscopic Rectal Prolapse Surgery

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Laparoscopic rectal prolapse surgery
Overview:
Laparoscopic rectopexy is one of the surgeries used to repair a rectal prolapse. In this surgery, the rectum is restored to its normal position in the pelvis, so that it no longer prolapses (protrudes) through the anus. Usually, stitches are used to secure the rectum, often along with mesh.
Causes:
Laparoscopic Rectal prolapse surgery is performed in people troubled by chronic symptoms, including difficulty pushing the rectum back in place, leakage of stool or inability to control bowel movements (fecal incontinence), or obstructed bowel movements. The problem is most common in elderly women.
Diagnosis:
Three types of rectal prolapse are recognized, as follows:
• Complete (or full-thickness) rectal …show more content…
Step 1: Positioning the laparoscope
Once you are under anesthesia, the surgeon will make a small cut (about 1/2 inch) near the bellybutton. A laparoscope will be inserted into the abdomen through this incision. Images taken by the laparoscope will be projected onto video monitors placed near the operating table.
Once the laparoscope is in place, the surgeon usually makes several more "keyhole" incisions in the abdomen (figure 2). The number and position of these incisions depends on the build of the patient, the preference of surgeon and various other factors. Surgical instruments will then be placed through these incisions to complete the surgery. Step 2: Repositioning the rectum
Your surgeon will begin the surgery by locating the sigmoid colon and rectum. Next, the rectum will be freed from its surrounding structures and gently lifted into its proper position inside the pelvis. Stitches will be placed around the rectum to secure it in place. Mesh may be used along with the sutures. In some cases, your surgeon may remove a portion of your sigmoid colon. He or she will discuss with you before the surgery whether this is a possibility. Finally, the pelvis will be rinsed out and the incisions will be stitched

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