The procedure of inserting a spacer into the pelvic floor. (A) A polypropylene mesh implant 150 × 150 mm in size for the treatment of intestinal hernia was used. (B) After inverting the intestine, the lower portion of the abdominal cavity was examined; the sigmoid colon was mildly adherent to the retroperitoneum, but there was no direct adhesion to the tumor (red circle). (C) The mesh implant, folded 6 times and stitched together with sutures, was inserted into the pelvic floor as a spacer. (D) The inverted intestine was placed back on the spacer, and the operation was completed.