Two‐Port Totally Laparoscopic Colonopexy for the Treatment of Recurrent Rectal Prolapse in a Cat: A Case Report

OBJECTIVE: To describe a modified totally laparoscopic colonopexy technique performed using only two ports for the treatment of recurrent rectal prolapse in a cat, aimed at minimizing surgical access and postoperative morbidity. STUDY DESIGN: Case report. ANIMALS OR SAMPLE POPULATION: One adult feral domestic shorthair cat. METHODS: A 3.4-kg adult male cat, with recurrent rectal prolapse following failure of conservative management, underwent a totally laparoscopic colonopexy using a two-port configuration. The procedure was performed through two 5-mm ports without colonic exteriorization. Serosal preparation of the descending colon and the left abdominal wall was achieved using monopolar electrocautery, followed by intracorporeal fixation with a continuous barbed polydioxanone suture. Surgical time, intraoperative findings, and postoperative outcome were recorded. Follow-up included clinical evaluation and abdominal ultrasonography. RESULTS: The procedure was completed without intraoperative complications, with a total surgical time of 43 min. Postoperative handling and medical management were limited due to the patient's aggressive behaviour. The cat resumed voluntary feeding within 6 h postoperatively and showed no signs of tenesmus or recurrence of rectal prolapse during short-term follow-up. Ultrasonographic evaluation at 30 days confirmed stable fibrous adhesion between the descending colon and the abdominal wall, with no evidence of recurrence or complications. CONCLUSIONS: A two-port totally laparoscopic colonopexy provided effective stabilization of the colon and successful resolution of recurrent rectal prolapse in this cat. This approach may represent a valuable minimally invasive alternative in selected feline patients, particularly those with behavioural limitations that restrict postoperative handling and medical management.