Closure and Drains

The anterior edges of the sigmoid pouch are anastomosed using a running 3-0 polygly-conate suture. The 26 French rectal tube is used to instill 250 mL of sterile normal saline to check for any large leak from the pouch. Figure-of-eight interrupted 3-0 polygly-conate sutures reinforce any areas of leak. Once hemostasis is assured, a single Jackson-Pratt drain is placed into the pelvis through one of the lateral 5-mm trocar sites. Hemostasis is verified, and trocars are removed under direct vision. The port site incisions are closed in the normal fashion with deep fascial sutures for all port sites greater than or equal to 10 mm diameter.

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