Modern indications for pull-through procedure in colorectal surgery
DOI:
https://doi.org/10.11603/2414-4533.2017.3.8039Keywords:
pull-through technique, coloanal anastomosis, perianal colostomy, mesorectumectomy.Abstract
The article adduces the literature review of abdomino-anal resection of the rectum by pull-through and modern indication for pullthrough technique in colorectal surgery. There are two variants of pull-through procedures: abdomino-anal excision (eversion technique) and abdominoperianal proctosigmoidoectomy with perianal colostomy. They were alternative methods for transsacral rectal resection and Quenu-Miles procedure in 20 century and have only historical interest now. Low anterior resection with coloanal anastomosis “end to end” (mesorectumectomy) is a main surgical technique in 21 century. Pullthrough technique is used in such cases: leakage of anal stump, complicated by presacral granulations; altered pelvic anatomy after primary colorectal surgery; scars of anal stump; ano-vaginal fistula.References
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