Fig. 3

Combined transabdominal and trans-anal procedure. We pushed the mass, which is located distal of the peritoneal reflection, through the anus to the oral side. Subsequently, we used the Hutchinson maneuver
Combined transabdominal and trans-anal procedure. We pushed the mass, which is located distal of the peritoneal reflection, through the anus to the oral side. Subsequently, we used the Hutchinson maneuver