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Complications - Intersphincteric resection, open, with transanal colon pull-through and transverse coloplasty pouch

general and visceral surgery
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Anatomy Perioperative management Technique Complications Evidence Total Video

  1. Intraoperative complications

    • Ureteral injury

             Ureteral double-J stent, closure with interrupted sutures, Foley catheter or percutaneous suprapubic urinary bladder catheter for 10 days

    • Bladder injury

             Suture, Foley catheter or percutaneous suprapubic urinary bladder catheter for 10 days

  2. Postoperative complications

    • Anastomotic failure

             especially on postoperative days 6-9

    • Bladder voiding dysfunction

             Catheter for 5-7 days; urine specimen for microbiology; alpha-adrenoreceptor antagonists, if necessary

    • Anastomotic stricture

             Regular postoperative palpation and dilatation, if necessary

    • Fecal incontinence

             Control fecal consistency; pelvic floor exercises; biofeedback therapy; if not responding to treatment and with patient suffering correspondingly or in case of complications (e.g., sacral decubitus ulcer) consider conversion to an end colostomy