Abstract

Introduction: 63 y/o female presented with the c/o obstructive defecation, pelvic and rectal pressure. Her past surgical history was significant for Laparoscopic sacral colpopexy one year ago. She underwent defecography which demonstrated rectal prolapse with enterocele extending down to the perineum. After consulting with the colorectal surgery and counseling with the patient, a surgical repair was warranted. This video presentation is designed to demonstrate the importance of minimally invasive surgery in the repair of enterocele and in rectifying the redundant recto-sigmoid colon by attaching it to the sacral promontory.

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