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Soave's procedure: the final sphincter-saving solution for iatrogenic rectal lesions
J L Faucheron1, R Rosso, E Tiret
1Department of Alimentary Tract Surgery, Hôpital Saint Antoine, Paris, France.
The British Journal of Surgery
|August 6, 1998
Summary
Soave's procedure offers a safe and effective method for restoring coloanal continuity, particularly in complex cases. This surgical approach demonstrates good long-term functional outcomes with minimal morbidity.
Area of Science:
- Colorectal surgery
- Surgical reconstruction
- Radiation-induced rectal lesions
Background:
- Restoring intestinal continuity after radiation-induced rectal lesions, low colorectal anastomotic complications, or Hartmann's procedure can be challenging.
- Soave's procedure is a technique that avoids extensive perirectal dissection.
Purpose of the Study:
- To evaluate the morbidity, mortality, and functional outcomes of Soave's procedure.
- To assess the efficacy of Soave's operation as a final attempt to restore coloanal continuity.
Main Methods:
- A consecutive series of 30 patients underwent Soave's operation between 1978 and 1994.
- Patients had various conditions including radiation-induced lesions, low colorectal anastomotic complications, and low Hartmann's reconstruction.
Main Results:
- No operative mortality was observed.
- Early complications included hemorrhage, small bowel obstruction, and sepsis. Late complications included incisional hernias and anastomotic strictures.
- Continence was normal in 19 of 23 evaluable patients.
Conclusions:
- Soave's procedure effectively restores coloanal continuity without extensive pelvic dissection.
- The technique provides favorable technical and functional results in both the short and long term.