Rectal mobilization: the place of Denonvilliers' fascia and inconsistencies in the literature

2016 ◽  
Vol 18 (10) ◽  
pp. 939-948 ◽  
Author(s):  
P. H. Chapuis ◽  
A. Kaw ◽  
M. Zhang ◽  
G. Sinclair ◽  
L. Bokey
Keyword(s):  
Rectal Mobilization

Transanal single port access to facilitate distral rectal mobilization: a step towards colorectal NOTES surgery

Endoscopy ◽  
2012 ◽  
Vol 44 (10) ◽  
Author(s):  
AM Wolthuis ◽  
A D'Hoore
Keyword(s):  
Single Port ◽  
Single Port Access ◽  
Port Access ◽  
Rectal Mobilization

How to do a structured rectal mobilization in complex pelvic endometriosis

2017 ◽  
Vol 88 (4) ◽  
pp. 374-375
Author(s):  
Tegan Ormston ◽  
Russell Dalton ◽  
Bruce T. Stewart
Keyword(s):  
Pelvic Endometriosis ◽  
Rectal Mobilization

The Use of Spray Electrocautery to Control Presacral Bleeding: A Report of Four Cases

2007 ◽  
Vol 73 (4) ◽  
pp. 410-413 ◽  
Author(s):  
George M. Filippakis ◽  
Manolis Leandros ◽  
Kostas Albanopoulos ◽  
Michael Genetzakis ◽  
Emmanuel Lagoudianakis ◽  
...  
Keyword(s):  
High Frequency ◽  
Low Anterior Resection ◽  
Electrical Current ◽  
Venous Plexus ◽  
Novel Technique ◽  
Presacral Bleeding ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Rectal Mobilization ◽  
Presacral Fascia

Bleeding originating from the presacral venous plexus during pelvic operations is difficult to control, constituting a potentially life-threatening complication. Although suture ligatures, packing, and placement of tacks are established hemostatic techniques, they are often proved to be ineffective. We report a simple novel technique using spray diathermy for managing this severe complication. We have applied our method in four patients, two undergoing low anterior resection, and the others undergoing abdominoperineal resection for rectal cancer, that manifested severe presacral bleeding during rectal mobilization. Electrocautery at spray setting was applied slightly above the target bleeders at the presacral fascia, delivering a high-frequency electrical current in combination with drainage suction. In all cases, the method resulted in successful hemostasis. Applying spray electrocautery is a simple and effective method for controlling pre-sacral bleeding. The advantages of using such a method instead of conventional hemostatic techniques include the option of varying the degree of haemostatic effect by altering the frequency and the volume of electric current.

Transanal full thickness rectal mobilization with an ischiorectal fat pad to repair an H-Type rectovaginal fistula

CSurgeries ◽  
2017 ◽  
Author(s):  
Carlos Reck ◽  
Alejandra Vilanova ◽  
Richard Wood ◽  
Victoria Lane ◽  
Marc Levitt
Keyword(s):  
Rectovaginal Fistula ◽  
Full Thickness ◽  
Fat Pad ◽  
Rectal Mobilization

Transanal single port access to facilitate distal rectal mobilization in laparoscopic rectal sleeve resection with hand-sewn coloanal anastomosis

2011 ◽  
Vol 16 (2) ◽  
pp. 161-165 ◽  
Author(s):  
A. M. Wolthuis ◽  
C. Cini ◽  
F. Penninckx ◽  
A. D’Hoore
Keyword(s):  
Coloanal Anastomosis ◽  
Single Port ◽  
Sleeve Resection ◽  
Single Port Access ◽  
Port Access ◽  
Rectal Mobilization

What role does full rectal mobilization alone play in the treatment of rectal prolapse?

2001 ◽  
Vol 5 (1) ◽  
pp. 33-35 ◽  
Author(s):  
R. Nelson ◽  
J. Spitz ◽  
R.K. Pearl ◽  
H. Abcarian
Keyword(s):  
Rectal Prolapse ◽  
Rectal Mobilization

scholarly journals Assessment of incidence of recurrence and constipation in patients of rectal prolapse undergoing rectal mobilization only with division of lateral stalks

2020 ◽  
Vol 7 (9) ◽  
pp. 2859
Author(s):  
Devendra Chowdhary ◽  
Jyoti S. Maran ◽  
Gaurav Singh Rajput
Keyword(s):  
Rectal Prolapse ◽  
Prolapse Repair ◽  
Lateral Ligaments ◽  
High Incidence ◽  
Bleeding Per Rectum ◽  
Rectal Mobilization ◽  
Surgical Option ◽  
New Onset

Background: Rectal prolapse is a pelvic floor disorder that can occur in men and women of all ages. It results in pain, bleeding per rectum, seepage, diarrhoea or constipation and a disabled quality of life. With the advent of twentieth century, perineal operative procedures have become more common. Perineal procedures though have lower morbidities but have higher recurrence rate and high incidence of post-operative constipation. Novel abdominal approaches to rectal prolapse repair also became common during the first half of this century. Numerous types of surgical procedures have been attempted. Most techniques developed till now have some advantages and some short comings. CT Speakman and Pollen et al have shown in their studies   that division of lateral ligaments caused new onset constipation and they attributed this effect to denervation of rectum. As the issue of recurrence and post-operative constipation remained unsettled.Methods: This was an observational study to assess the incidence of recurrence and post-operative constipation in patients of rectal prolapse. In well selected patients, we performed complete rectal mobilization with division   of lateral ligaments. We assessed the patients on the basis of Clevland clinical constipation scoring system.Results: Out of 25 patients, 4 patients developed constipation, 2 had mild and 2 had moderate constipation and 2 patients had recurrence. Patients were kept under six monthly follow-up till a period of eighteen months.Conclusions: Only rectal mobilization with division of lateral ligaments can be a good surgical option in patients of rectal prolapse not having severe constipation.

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