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A technique for perineal rectosigmoidectomy using autosuture devices.

F D Vermeulen, S Nivatvongs, D T Fang

Surgery, Gynecology & Obstetrics

|January 1, 1983

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Perineal rectosigmoidectomy is a safe surgical option for elderly patients with procidentia. Advanced stapling devices ensure excellent anastomosis, simplifying complex colorectal procedures.

Area of Science:

Colorectal surgery
Geriatric surgery

Background:

Procidentia, or rectal prolapse, poses surgical challenges, especially in elderly, high-risk patients.
Traditional surgical approaches may carry significant risks for this demographic.

Purpose of the Study:

To evaluate the safety and efficacy of perineal rectosigmoidectomy in elderly, poor-risk patients with procidentia.
To assess the utility of specific anastomosis techniques in this procedure.

Main Methods:

Perineal rectosigmoidectomy performed in elderly, poor-risk patients.
Utilized intraluminal staplers or end-to-end anastomosis autosuture devices for anastomosis.
Application of the technique in colonic pull-through procedures.

Main Results:

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The perineal rectosigmoidectomy was performed safely in the target patient group.
An excellent anastomosis was consistently achieved using the described stapling devices.
The technique proved adaptable for perineal anastomosis in colonic pull-through surgery.

Conclusions:

Perineal rectosigmoidectomy is a viable and safe surgical option for elderly patients with procidentia.
Intraluminal staplers and end-to-end anastomosis devices facilitate secure and effective anastomoses.
This surgical approach offers versatility for complex colorectal reconstructions.