Two portal video-assisted colopexy for treatment of recurrent rectal prolapse/ Colopexia videoassistida com dois portais para o tratamento de prolapso retal recidivante

• Published in: Ciência rural 2012-01, Vol.42 (1), p.112
• Main Authors: Guedes, Rogerio Luizari, Linhares, Marcella Teixeira, de Castro, Jr., Ialo Ferro, Simeoni, Caroline Posser, Cunha, Thiago de Oliveira, Gomes, Cristiano, Brun, Mauricio Veloso, Pippi, Ney Luis
• Format: Article
• Language: Spanish
• ISSN: 0103-8478

This report describes a two portals video-assisted colopexy technique in a case of dog with recurrent rectal prolapse. After laparoscopic approach, the descending colon was pulled in a caudocranial direction to promote the prolapse reduction. The prepubic laparoscopic access was enlarged for the exteriorization of colon's antimesenteric border, which was incised in its seromuscular layer with a similar size of the muscular wall incision, creating a 2,5cm wound. The colopexy on the internal muscular sheath was performed using a simple continuous pattern with 2-0 polyglycolic acid. There were no transoperative complications, as well as evidence of recurrence or episodes of tenesmus and dyschezia for at least six months after surgery. The video-assisted colopexy described is an alternative to the conventional technique of recurrent rectal prolapse treatment in dogs. Key words: canine, colon, colopexy, videosurgery. O presente relato descreve a utilizacao da colopexia videoassistida por meio de dois portais de acesso em um caso de cao com prolapso retal recidivante. Apos abordagem laparoscopica, o colon descendente foi tracionado em sentido caudocranial, promovendo-se a reducao do prolapso. O acesso pre-pubico foi ampliado, exteriorizando-se o bordo antimesenterico do colon, no qual se realizou incisao seromuscular de tamanho correspondente a realizada na parede muscular, criando uma ferida de aproximadamente 2,5cm de extensao. A fixacao a bainha muscular interna se deu atraves de sutura continua simples empregando fio de acido poliglicolico no 2-0. Nao houve complicacoes no transoperatorio, bem como indicios de recidiva ou episodios de tenesmo e disquesia apos seis meses da intervencao cirurgica. A colopexia videoassistida descrita e uma alternativa a tecnica convencional na correcao de prolapso retal recidivante em caes. Palavras-chave: canino, colon descendente, colopexia, videocirurgia.