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  • 1. Introduction
  • 2. Surgical Approach and Laparoscopic Access
  • 3. Reduce Bowel out of Pelvis
  • 4. Preparation of Sacral Promontory for Sutures
  • 5. Rectum Mobilization
  • 6. Suture
  • 7. Review Progress
  • 8. Approach to Culdoplasty
  • 9. Culdoplasty
  • 10. Reconstruct Pouch of Douglas
  • 11. Finish Closing Peritoneum
  • 12. Perineorrhaphy and Levator Plication
  • 13. Cystoscopy
  • 14. Post-op Remarks
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Laparoscopic Suture Rectopexy with Culdoplasty, Vaginal Wall Repair, and Perineorrhaphy for Rectal Prolapse

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Marcus V. Ortega, MD1,2; Emily C. Von Bargen, DO1,2*; Liliana G. Bordeianou, MD1,3*

1Pelvic Floor Disorders Center, Massachusetts General Hospital, Boston, MA
2Department of Obstetrics, Gynecology and Reproductive Biology, Massachusetts General Hospital, Boston, MA
3Section of Colorectal Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA
*Operating Surgeons