General anesthesia is used and the patient is deep asleep and pain-free. The surgeon makes an incision near the base of the spinal column (coccyx), and identifies the pelvic floor (perineal) support structures. The lower rectum is sutured to the puborectalis muscle for support, while the upper part of the rectum is pulled up and sutured to the sacrum.
Updated by: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington; and Joshua Kunin, MD, Consulting Colorectal Surgeon, Zichron Yaakov, Israel. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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