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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Related Experiment Video

Updated: Apr 20, 2026

The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
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The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage

Published on: November 4, 2010

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[Risk factors for anastomotic leakage following rectal resection - multicenter study].

J Kotoč, K Kotočová, J Gatěk

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |December 5, 2014
    PubMed
    Summary

    Anastomotic leakage after rectal surgery is linked to male gender, low protein levels, and tumors closer to the anal verge. Laparoscopic and open surgery showed similar leakage rates in this study.

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    Creation of Colonic Anastomosis in Mice
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    Area of Science:

    • Colorectal Surgery
    • Surgical Oncology
    • Gastroenterology

    Background:

    • Anastomotic insufficiency is a severe complication of sphincter-saving rectal resections, impacting patient outcomes.
    • Risk factors include local tumor conditions, surgical technique, and patient-specific factors like malnutrition and smoking.

    Purpose of the Study:

    • To compare the incidence of anastomotic leakage between laparoscopic and open sphincter-saving rectal resections.
    • To identify significant risk factors for anastomotic leakage in this patient cohort.

    Main Methods:

    • A multicentric prospective study included all sphincter-saving rectal resections performed between September 2011 and April 2014.
    • Compares anastomotic leakage rates in laparoscopic, converted, and open surgery groups.
    • Analyzes patient data to identify risk factors for leakage.

    Main Results:

    • Anastomotic leakage occurred in 10.9% of 110 patients.
    • Leakage rates were 6.9% (laparoscopic), 17.6% (converted), and 14.3% (open surgery), with no significant difference.
    • Identified risk factors: male gender, lower pre-operative albumin and total protein levels, and lower tumor distance from the anal verge.

    Conclusions:

    • Male gender, low pre-operative albumin and total protein, and closer tumor proximity to the anal verge are risk factors for anastomotic insufficiency.
    • No statistically significant difference in anastomotic insufficiency incidence was found between laparoscopic and open surgery approaches.