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Case report highlights successful laparoscopic rectopexy after failed transanal repair in a patient with neorectal prolapse.
INTRODUCTION: Intersphincteric resection (ISR) is a sphincter-preserving procedure for lower rectal cancer; however, it can cause neorectal prolapse. Transanal repairs are commonly described but may fail, while transabdominal approaches are less frequently reported because of adhesions, bowel injury, and stoma risks. We present a patient with neorectal prolapse after robot-assisted ISR in whom transanal repair failed and subsequent laparoscopic rectopexy achieved a successful outcome, with a review of the literature.
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Harada et al. (2026) studied this question.
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