التفاصيل البيبلوغرافية
| العنوان: |
Transanal Endoscopic Repair of Rectal Anastomotic Defect. |
| المؤلفون: |
Machado, Gustavo R., Bojalian, Michael O., Reeves, Mark E. |
| المصدر: |
Archives of Surgery; Dec2005, Vol. 140 Issue 12, p1219-1222, 4p, 4 Color Photographs, 1 Chart |
| مصطلحات موضوعية: |
ENDOSCOPIC surgery, COLON (Anatomy), SURGICAL excision, COLOSTOMY, RADIATION, INFLAMMATION, PELVIS |
| مستخلص: |
Surgeons often encounter difficulty when constructing a colorectal anastomosis in the “hostile pelvis.” Examples include performing low anterior resection or colostomy takedown in the setting of prior radiation, severe inflammation, or a narrow pelvis. Circular staplers have made low anastomosis a viable alternative to permanent colostomy in these situations. However, the surgeon may occasionally be faced with the difficult decision of how to manage a gross disruption of a stapled anastomosis in a pelvis that will not permit anastomotic redo. The traditional approach to this would be creating a permanent colostomy. We describe an alternate approach: endoscopic suturing with protecting ileostomy. We have successfully applied this technique to 4 patients with gross anastomotic disruption in a hostile pelvis. All patients tolerated the procedure well and have maintained normal bowel function without the need for a permanent colostomy. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
