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Laparoscopic Orr-Loygue rectopexy. Cadaver-based simulation and anatomical basis for a safe surgical technique - A Video Vignette.
Colorectal Dis
November 2024
Surgical Clinic 2, Hospital Maciel, Montevideo, Uruguay.
Transabdominal levatorplasty technique in laparoscopic mesh rectopexy for rectal prolapse.
Tech Coloproctol
August 2024
Department of Surgery, Japanese Red Cross Osaka Hospital, 5-30, Fudegasakicho, Tennouji-Ku, Osaka, 543-8555, Japan.
Rectal prolapse is characterized by a full-thickness intussusception of the rectal wall and is associated with a spectrum of coexisting anatomic abnormalities. We developed the transabdominal levatorplasty technique for laparoscopic rectopexy, inspired by Altemeier's procedure. In this method, following posterior mesorectum dissection, we expose the levator ani muscle just behind the anorectal junction.
View Article and Find Full Text PDFEvolution of male rectal prolapse surgery and initial experience of robotic rectopexy in men.
J Robot Surg
September 2017
Broomfield Hospital, Mid Essex NHS Trust, Chelmsford, Essex, CM1 7ET, UK.
Laparoscopic ventral mesh rectopexy (LVMR) has proven benefit in the treatment of external rectal prolapse and symptomatic internal rectal prolapse in women. However, there is a recurrence rate of 4-50% depending on indication. Some of this recurrence is attributable to persistent lateral and posterior prolapses.
View Article and Find Full Text PDFLaparoscopic modified Orr-Loygue mesh rectopexy for rectal prolapse in children.
J Pediatr Surg
February 2015
Department of Pediatric Surgery, H.U.S., Hautepierre Hospital, 67098 Strasbourg Cedex, France. Electronic address:
Aim: We present an operating technique inspired from the Orr-Loygue mesh rectopexy adapted for laparoscopy, and detail the technical steps that differ from laparoscopic posterior suture rectopexy more commonly described in the paediatric literature.
Method: We present a retrospective study of all children who underwent a modified Orr-Loygue procedure for recurrent complete rectal prolapse from 1999 to 2012 after failure of conservative treatment. Pathological conditions, technical details of the procedure (excision of the Douglas pouch, use of a prerectal non-absorbable mesh to suspend the rectum to the presacral fascia and promontory avoiding any tension on the rectal wall) and postoperative results were reviewed.
Laparoscopic ventral rectopexy in an elderly population with external rectal prolapse: clinical and anal manometric results.
Int J Colorectal Dis
October 2014
Digestive Disease Center, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400, Copenhagen, Denmark,
Aim: We report the clinical and anal manometric results of elderly patients treated with laparoscopic ventral rectopexy (LVR) for full-thickness rectal prolapse.
Method: From March 2009 to June 2012, patients were consecutively included. A modified laparoscopic Orr-Loygue procedure with posterior mobilisation was used.
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