Laparoscopic Rectopexy
Anesthesia Implications
Updated On: December 2, 2024
Position : Supine, Lithotomy, Trendelenburg, airplaned right, arms tucked
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Maintenance Paralytic : Yes
Anesthetic Approaches
1GETT
The Anesthesia:
Approach - GETT with paralytic. Antibiotic - Ertapenem 1g or surgeon preference Pain - This is a particularly painful procedure intraoperatively so consider using longer acting narcotics like dilaudid to curb the hemodynamic responses.
The Pathophysiology:
Rectopexy is performed to treat rectal prolapse. Rectal prolapse occurs when the rectum protrudes from the anus. This can be caused by weakening of pelvic floor muscles, increased intra-abdominal pressure (chronic coughing, obesity, etc), or chronic constipation.