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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: Feb 18, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Intersphincteric Resection Pushing the Envelope for Sphincter Preservation.

Quentin Denost1, Eric Rullier1

  • 1Colorectal Unit, Department of Surgery, Centre Magellan, Haut Lévèque University Hospital, Bordeaux/Pessac, France.

Clinics in Colon and Rectal Surgery
|November 30, 2017
PubMed
Summary
This summary is machine-generated.

Intersphincteric resection offers sphincter preservation for low rectal cancer, improving bowel continuity. This surgical approach is oncologically safe when performed with adequate criteria.

Keywords:
intersphincteric resectionradiochemotherapyrectal cancer

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Area of Science:

  • Colorectal Surgery
  • Surgical Oncology

Background:

  • Rectal cancer treatment has evolved significantly over 15 years.
  • Traditionally, distal rectal cancer required abdominoperineal resection and end colostomy.
  • Restoration of bowel continuity is a primary goal in rectal cancer surgery.

Purpose of the Study:

  • To discuss the indications, technical aspects, and outcomes of intersphincteric resection.
  • To evaluate sphincter preservation in low rectal cancer management.
  • To assess the functional and oncological results of intersphincteric resection.

Main Methods:

  • Review of surgical techniques for intersphincteric resection.
  • Analysis of oncologic criteria for patient selection.
  • Evaluation of functional and oncological outcomes post-intersphincteric resection.

Main Results:

  • Intersphincteric resection enables sphincter preservation for low rectal cancer.
  • The procedure is oncologically sound when adhering to strict criteria.
  • Functional and oncological outcomes are favorable with appropriate execution.

Conclusions:

  • Intersphincteric resection is a viable option for selected low rectal cancer patients.
  • It allows for restoration of bowel continuity while preserving anal sphincter function.
  • Careful patient selection and surgical technique are crucial for optimal results.