Colorectal

Delorme’s operation

INCISION: A single midline incision was made in the perineum.PROCEDURE:The prolapsed rectum was identified and mobilized.The rectal mucosa was resected leaving a cuff of 1cm of rectal wall remaining.The rectal cuff was then sutured to the sacral promontory using a non-absorbable suture and the rectal prolapse was corrected.Haemostasis was ensured.FINDINGS:CLOSURE:The skin incision was closed in …

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Laparoscopic Sigmoid Colectomy

INCISION: Primary port put in by open Hasson technique using blunt Hasson portSecondary ports under direct visualisationFour ports were used: one 12mm port in the umbilicus, and three 5mm ports in the left lower quadrant, right lower quadrant, and left mid-clavicular line.FINDINGS:PROCEDURE:The colon was mobilized and the sigmoid colon was identified.The mesentery was divided with …

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Laparoscopic Anterior Resection of the Rectum

INCISION: Primary port put in by open Hasson technique using blunt Hasson portSecondary ports under direct visualisationA 12mm port was placed in the umbilicus and three 5mm ports were placed in the left lower quadrant, right lower quadrant, and left mid-clavicular line.FINDINGS:PROCEDURE:The abdominal cavity was insufflated to 12mmHg with CO2.The colon was mobilized and the …

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Laparoscopic Right Hemicolectomy

INCISION:Ports: One 10mm blunt Hasson port introduced using open Hasson technique. Three 5mm ports introduced under direct visualisation, of which two in RUQ and one in RIF.FINDINGS:PROCEDURE:Left lateral position: Lateral to medial mobilisation of right colon with identification and preservation of the ureter and duodenum.Supine position: Right colic and right branch of middle colic artery …

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