Laparoscopic anterior resection in a patient with situs inversus – a video vignette

Abstract

A 40-year-old woman with long-standing faecal incontinence and occasional symptoms of obstructive defaecation was investigated using anorectal physiology tests (which demonstrated poor internal anal sphincter tone and poor external anal sphincter pressure responses) and endoanal ultrasound studies (which demonstrated an anterior sphincter defect). A cloacal defect was diagnosed, and an overlapping external sphincteroplasty of the cloacal defect was performed. This technique is demonstrated in a narrated video within this presentation.The preoperative Wexner score was 12 as a result of frequent solid and liquid stool incontinence. Following operative repair the patient's symptoms improved significantly with no further solid or liquid stool incontinence. The postoperative Wexner score improved to 2.