Robotic Assisted Redo Rectopexy and Low Anterior Resection

Robotic assisted redo rectopexy and low anterior resection.

IMA ligation and sigmoidectomy was performed to eliminate the redundancy in the left colon that contributed to the prolapse. Resection with rectopexy has the lowest recurrence rate for prolapse. Rectopexy done before the anastomosis ensures a more adequate suspension of the posterior pelvic floor. If the anastomoses is done first it covers the sacral promontory making the rectopexy more difficult to do. We have not had tearing of sutures.

rectal prolapse

N/A

Firefly
Robotic Stapler
Robotic Surgical System

Dorsal lithotomy position, preoperative cystoscopy and bilateral ureteral stents, robot docked to the left of the patient

Physical exam revealing rectal prolapse, colonoscopy

peritoneal reflection, sacral promontory, white line of Toldt

N/A

N/A

N/A