Use of a New Rectal Probe in Laparoscopic Pelvic Surgery

Abstract

Pelvic surgical interventions that involve rectal dissection such as in endometriosis surgery, oncology procedures or adhesiolysis necessitate rectal identification. This can be done through trans anal introduction of a rectal probe to manipulate the rectum and identify its location. Rectal safety testing to check rectal parietal integrity is mandatory to diagnose rectosigmoid perforation and minimize the risk of fistula formation. These tests require air and coloured solution (blue dye or betadine) injection in the rectum through a transanal rectal catheter. Sterile manipulation and minimizing leakage of air and fluid through the anus are challenging issues in performing this procedure. We developed a disposable rectal probe that can be used for exposure and testing purposes paying attention to reduce manipulation in non sterile environment. This video shows the use of this probe with some tips and tricks to optimise its use compared to the classical rectal probe and rectal catheter. Pelvic surgical interventions that involve rectal dissection such as in endometriosis surgery, oncology procedures or adhesiolysis necessitate rectal identification. This can be done through trans anal introduction of a rectal probe to manipulate the rectum and identify its location. Rectal safety testing to check rectal parietal integrity is mandatory to diagnose rectosigmoid perforation and minimize the risk of fistula formation. These tests require air and coloured solution (blue dye or betadine) injection in the rectum through a transanal rectal catheter. Sterile manipulation and minimizing leakage of air and fluid through the anus are challenging issues in performing this procedure. We developed a disposable rectal probe that can be used for exposure and testing purposes paying attention to reduce manipulation in non sterile environment. This video shows the use of this probe with some tips and tricks to optimise its use compared to the classical rectal probe and rectal catheter.