Chicago 2012 – Robotic Resection of Anterior Sacral Meningocele
October 30, 2013
Giuseppe Spinoglio (Candiolo – Italy) L.M. Lenti, F. Ravazzoni, V. Maglione, R. Quarati, F. Priora, M. Vitali, A. Barbanera
Anterior sacral meningocele is a rare congenital malformation caused by anterior herniation of the dura and arachnoid through a sacral defect. We present a case of robotic resection of anterior sacral meningocele in a 14 year old female. Under general anesthesia, the patients is placed supine in a marked Trendelenburg position. The operation starts with the incision of the retroperitoneum . The meningocele is detached from the side wall of the rectum The cystic wall is then incised, and its entire content aspirated. After the complete dissection, the connection with the spinal sac is closed with two Hem-o-lock clips (Weck).