Abdominal Key

Fig. 4.1 Medial aspect of the rectosigmoid mesentery Fig. 4.2 Atraumatic bowel grasper is placed on the rectosigmoid mesentery at the level of the sacral promontory Fig. 4.3 Cautery used…

Different surgical techniques for Rectourethral fistula (RUF) repair Investigator Year Procedure Patients (n) Ryan et al. [21] 1979 Perineal 1 Trippitelli et al. [22] 1985 Abdominoperineal 9 Pieretti et al….

Fig. 9.1 Modified lithotomy position. Arms are bilaterally tucked to the side and all bony prominences are padded and supported appropriately. The use of straps or commercially available antislide devices…

Fig. 7.1 Port placement for Hybrid LAR/APR . Circle: 12 mm laparoscopic trocars. Star: 8 mm robotic trocars. Rectangle: 5 mm assistant trocare Laparoscopic Mobilization The laparoscopic portion of the…

Fig. 6.1 Photograph of distal part of “traditional” APR specimen with “waisting” in the region of the levator muscle In response to such reports, Miles’ original description has recently been…

Fig. 15.1 shows trocar size and positions for robotic rectosigmoidectomy Fig. 15.2 shows pelvic site with uterine manipulator elevating the uterus and presenting a complex endometriotic lesion comprising the vagina…

Fig. 3.1 Utilizing a hybrid technique allows the surgeon all of the benefits of TAMIS for even the most distal lesions. The photo demonstrates a large villous adenoma extending from…

Fig. 12.1 Laparoscopic Orr-Loygue rectopexy: After a limited posterior and lateral rectal dissection, the rectum is fixed to the sacrum using a polypropylene trouser-shaped mesh Fig. 12.2 Laparoscopic Orr-Loygue rectopexy:…

Fig. 13.1 Port placement. Yellow ports are robotic ports with numbers corresponding to the robotic arm in the port. The blue ports are assistant ports. The red port is the…

Fig. 5.1 SILS port in use (GelPOINT® platform, Applied Medical, Rancho Santa Margarita, California, USA) Technical Pearls In the standardized approach, instruments are labeled as one, two, or three. The…