Laparoscopic Rectosigmoid Resection With Transvaginal Rectopexy and Extraction for Rectal Prolapse
Patricia Sylla*1, Samantha J. Pulliam2, May Wakamatsu2
1Surgery, Massachusetts General Hospital, Cambridge, MA; 2Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA
The patient is a 39 year-old G4P4 female with full-thickness rectal prolapse, constipation, symptomatic cystocele, rectocele, and stress urinary incontinence. Laparoscopic rectosigmoid mobilization was performed using 4 abdominal trocars and a 12mm port was inserted through a posterior colpotomy. The rectum was transected transvaginally with a stapler and suture rectopexy was performed through the vaginal trocar. The rectosigmoid was exteriorized transvaginally, the anvil was placed, and intracorporeal stapled anastomosis was completed. Anterior and posterior colporrhaphy with tension-free vaginal sling were performed perineally. The patient was discharged on postoperative day 4.
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