bandage-green

Laparoscopic Rectopexy

Anesthesia Implications
Position : Supine, Lithotomy, Trendelenburg, airplaned right, arms tucked
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Maintenance Paralytic : Yes

Anesthetic Approaches

1GETT
The Anesthesia:

Approach - GETT with paralytic. Antibiotic - Ertapenem 1g or surgeon preference Pain - This is a particularly painful procedure intraoperatively so consider using longer acting narcotics like dilaudid to curb the hemodynamic responses.

The Pathophysiology:

Rectopexy is performed to treat rectal prolapse. Rectal prolapse occurs when the rectum protrudes from the anus. This can be caused by weakening of pelvic floor muscles, increased intra-abdominal pressure  (chronic coughing, obesity, etc), or chronic constipation.