[Perineo-transano-abdominal resection of the rectum (author's transl)]

The operative procedure described by the author, is a combined perineal and abdominal procedure for resection of the rectum. The first step is a perineal approach: patient placed in lithotomy position. The rectum is dissected free of the sphincter ani muscle. The second step perineal and abdominal: patient being placed in a semilithotomy position draped for work in the abdomen and at the same time, in perineum: the sigmoid brought down preferably if it found free of any pathology. On 18 cases of cancer, of the rectum, even some of large volume: when the inferior limit of the lesion was from 6 to 12 mc, above the anus, this procedure was carried on with good post-operative results.