Rogério Luizari Guedes I Marcella Teixeira Linhares II Ialo Ferro de Castro Junior II

ABSTRACT This report describes a two portals video-assistedcolopexy technique in a case of dog with recurrent rectalprolapse. After laparoscopic approach, the descending colonwas pulled in a caudocranial direction to promote the prolapsereduction. The prepubic laparoscopic access was enlarged forthe exteriorization of colon’s antimesenteric border, which wasincised in its seromuscular layer with a similar size of themuscular wall incision, creating a 2,5cm wound. The colopexyon the internal muscular sheath was performed using a simplecontinuous pattern with 2-0 polyglycolic acid. There were notransoperative complications, as well as evidence of recurrenceor episodes of tenesmus and dyschezia for at least six monthsafter surgery. The video-assisted colopexy described is analternative to the conventional technique of recurrent rectalprolapse treatment in dogs . Key words: canine, colon, colopexy, videosurgery . O prolapso retal e definido como a protrusaode mucosa a partir do ânus, sendo consideradocompleto aquele que envolve todas as camadas daparede retal em toda sua circunferencia (HEDLUND &FOSSUM, 2007). Esta associado principalmente aanimais jovens, com endoparasitismo ou enterites, maspode ocorrer em caes e gatos de qualquer idade, sexoou raca acometidos por afeccoes que provoquemtenesmo (WACHASK, 2002).O tratamento e o prognostico de prolapsosde reto dependem da causa, da extensao, cronicidade eda recorrencia, sendo que em casos agudos recomenda-se a reducao manual associada a sutura em bolsa detabaco (HEDLUND & FOSSUM, 2007). Nos casos derecidiva, e indicada a colopexia (WACHASK, 2002).Esta tecnica e utilizada com o intuito de evitar osmovimentos caudais do colon e do reto, criandoaderencias permanentes entre as superficies serosasdo colon descendente e a parede abdominal (HEDLUND& FOSSUM, 2007). Como procedimentos alternativos