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Title
1. Introduction
2. Patient Preparation
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a. Patient Positioning
b. Preoperative Exam and Delivery of Prolapse
c. Exposure with Retractor
d. Examine Anatomy and Score Dissection Line Around Rectum
e. Inject Local Anesthetic Along Score Line for Hemostasis
3. Full-Thickness Rectal Dissection to the Mesentery on the Inside
4. Evert Rectum to See Entire Rectal Edge
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a. Make Windows into Mesentery and Divide with LigaSure to Deliver More Rectum
5. Open Pouch of Douglas to Enter Abdominal Cavity
6. Inspect Sigmoid Colon and Determine Level of Resection
7. Posterior Levatorplasty
8. Close Pouch of Douglas
9. Transection
10. Complete Anastomosis
11. Inject Marcaine for Pudendal Nerve Block
12. Examination of Specimen
13. Post-op Remarks
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Altemeier Perineal Proctosigmoidectomy for Rectal Prolapse
Madison S. McCarthy
;
Charlotte M. Rajasingh, MD
;
Brooke Gurland, MD, FACS
Stanford University School of Medicine
Tags:
General Surgery
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Authors
Madison S. McCarthy
Charlotte M. Rajasingh, MD
Brooke Gurland, MD, FACS
Filmed At:
Stanford University Medical Center
Article Information
Publication Date
8/4/2022
Article ID
356
Production ID
0356
Volume
2022
Issue
356
DOI
https://doi.org/10.24296/jomi/356