The perfect ileal pouch–anal anastomosis.

Autor: Ecker, N., Woywod, A.-C., Ecker, K.-W.
Předmět:
Zdroj: Techniques in Coloproctology; Apr2023, Vol. 27 Issue 4, p339-342, 4p
Abstrakt: As the bowel content thickens, the ileostomy catheter is removed and continence training begins Exact digital height determination, additional purse-string suture in double-stapler technique, and transanal temporary decompression by means of an ileostomy catheter are recommended to avoid all pitfalls and therefore to produce a "perfect" anastomosis in a standardized way. If air bubbles rise in the water-filled pelvis, the anastomosis is inspected with a proctologic retractor and any leaks in the anastomosis line are sutured manually Graph: Fig. After completion of the anastomosis, a soft ileostomy catheter is inserted transanally and a bubble test is performed. [Extracted from the article]
Databáze: Complementary Index