Tech Coloproctol (2017) 21:583–585 DOI 10.1007/s10151-017-1632-x TRICK OF THE TRADE Laparoscopic ventral rectopexy with percutaneous surgical system 1 1 2 2 1 1 • • • • • • G. Panico G. Campagna C. Ratto A. Parello L. Vacca V. Gallucci 3 4 A. Ercoli G. Scambia Received: 1 March 2017 / Accepted: 21 March 2017 / Published online: 6 June 2017 Springer International Publishing AG 2017 Introduction Surgical technique Ventral rectopexy is an established surgical technique that The patient was positioned in the dorsal lithotomy position addresses functional bowel symptoms by correcting ana- with a Trendelenburg tilt. A 10-mm port was inserted at the tomic abnormalities in patients with internal (rectal intus- umbilicus for the telescope. The basis of the system is a susception) and external rectal prolapse and complex \3-mm-diameter shaft that, when connected to an intro- rectocele . ducer tool tip, can be inserted percutaneously through the We describe a case of laparoscopic ventral rectopexy skin. Two needlescopic PSS instruments were used as side (LVR) with percutaneous instruments PSS (The Percu- graspers for both the ﬁrst surgeon and the assistant. PSS TM vance System, Teleﬂex Incorporated, Wayne, PA). PSS shaft was percutaneously inserted using the Veress-like
Techniques in Coloproctology – Springer Journals
Published: Jun 6, 2017
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