Abstract
Procedures for treating rectal prolapse may constitute some of the best applications for colorectal laparoscopic techniques. Although the condition is benign, rectal prolapse is often debilitating and frequently progressive in terms of functional limitations. Moreover, many patients are elderly, medically unfit, or both. A technique that afforded relief of prolapse and of incontinence by laparoscopic rectal sacropexy, performed without sutures, using a newly designed laparoscopic sacral tacker and laparoscopic staples, is described. Indications, contraindications, technical details, and surgical implications are discussed. Laparoscopic pelvic suspension procedures are presented as realistic and appropriate objectives for colon and rectal surgeons.
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Dr. Berman has participated in the design, modifications, and commercialization of the laparoscopic sacral tacker (Laptack™) and the One Stop Procto Shop™.
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Berman, I.R. Sutureless laparoscopic rectopexy for procidentia. Dis Colon Rectum 35, 689–693 (1992). https://doi.org/10.1007/BF02053762
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DOI: https://doi.org/10.1007/BF02053762