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

general and visceral surgery

readingtime 08:56 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Skin incision and exposure
Freeing the left colon
Managing the inferior mesenteric vein
Managing the inferior mesenteric artery
Entering the lesser pelvis
Mesorectal dissection
Anterior rectal dissection
Rectal palpation
Exposing the puborectalis muscle
Mounting the Lone Star Retractor System™
Submucosal injection for hemostasis
Intersphincteric excision
Delivering the resectate
Pouch construction
Preplacing the interrupted sutures for the anastomosis
Pulling the oral stump through the lesser pelvis
Completing and tying the interrupted sutures
Removing the anal retractor

Authors

Skin incision and exposure

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Longitudinal laparotomy.

Freeing the left colon

Free the left colon up to the middle of the transverse colon with release of the splenic flexure. I

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general and visceral surgery

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After activation, you can expect the following content:

Skin incision and exposure
Freeing the left colon
Managing the inferior mesenteric vein
Managing the inferior mesenteric artery
Entering the lesser pelvis
Mesorectal dissection
Anterior rectal dissection
Rectal palpation
Exposing the puborectalis muscle
Mounting the Lone Star Retractor System™
Submucosal injection for hemostasis
Intersphincteric excision
Delivering the resectate
Pouch construction
Preplacing the interrupted sutures for the anastomosis
Pulling the oral stump through the lesser pelvis
Completing and tying the interrupted sutures
Removing the anal retractor