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ROBOTIC VENTRAL MESH RECTOPEXY: A VIDEO TECNIQUE
Andrea Balla
2, Alice Frontali
2, Claudio Missaglia
2, Andrea Vignali
2,1, Pierpaolo Sileri
*2,11Surgery, Universita Vita Salute San Raffaele, Milan, Milan, Italy; 2IRCCS San Raffaele Scientific Institute, Milan, Italy
Patient is in Lloyd-Davies position. Three robotic trocars are placed in line at umbilicus and in right and left flank. A 12 mm laparoscopic trocar is placed in right hypocondrium. By laparoscopy, the sacral promontory was exposed. Robot is at the patient's left side. Douglas space is opened starting from the sacral promontory up to the anterior wall of the rectum and the rectovaginal space is dissected. Rectum is mobilized down to the levator ani. Preshaped polypropylene mesh is fixed to the anterior wall of the rectum by two parallel running barbed sutures and anchor to the sacral promontory by 2-0 prolene stitches. Peritoneum is closed with barbed suture
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