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An improved technique for Soave trans-anal pull-through
J F Broadhurst1, M J Lamparelli, A D Clarke
1Department of General Surgery, Dorset County Hospital NHS Foundation Trust, Dorchester, UK. jackbroadhurst@doctors.org.uk
Aim:
To describe a new technique for the Soave trans-anal pull-through.
Method:
After the mucosectomy during a Soave's procedure, a laparoscopic wound retractor was used to line the distal rectal segment to facilitate delivery of the proximal bowel through a narrow scarred pelvis.
Results:
The technique greatly assisted delivery of the proximal bowel and helped prevent mesenteric injury.
Conclusion:
Soave trans-anal pull-through is a difficult operation that is largely confined to specialist centres. We describe an improvement to the technique that greatly facilitates the procedure.
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