What is a Ileosigmoid anastomosis?
Ileosigmoid anastomosis should be discussed when extended colectomy is required, providing the rectosigmoid junction and its vascular supply can be oncologically preserved. For tumours located in the transverse colon or at the splenic flexure, this procedure may be the best surgical option.
How do you Anastomose a colon?
In this technique, two cut ends of the bowel are placed side to side. The two forks of the stapling device are placed through open bowel ends or an enterotomy (made in the antimesenteric border if the bowel ends are stapled). Care should be taken to avoid inclusion of the mesentery between branches of the stapler.
What is subtotal colectomy with Ileosigmoid anastomosis?
Subtotal or total colectomy with primary ileosigmoid or ileorectal anastomosis is a one-step operation and enables patients to avoid temporary or permanent colostomy. PA is an acceptable treatment strategy for patients undergoing emergency surgery for left-sided colon cancer obstruction or perforation.
How is anastomotic leak treated?
The gold standard of surgical treatment of colorectal anastomotic leak is abdominal drainage of collected fluid and stoma formation. Conventional laparotomy has been the preferred approach for treatment.
What is right hemicolectomy with ileocolic anastomosis?
A right hemicolectomy (right colectomy) for benign disease involves the resection of the terminal ileum, right colon, and proximal transverse colon followed by ileocolic anastomosis.
What is Ileosigmoid knot?
The ileosigmoid knot (ISK) is a variant of midgut volvulus in which a loop of ileum wraps around the base of an elongated sigmoid colon and passes beneath itself forming a knot.
What is a sub colectomy?
What is a total or subtotal colectomy. This is the name of the operation to remove all (total) or part of (subtotal) the large bowel. The operation is performed to remove disease which affects all or part of the large bowel. A cut will be made in your abdomen (tummy) to remove the large bowel.
What is a colectomy with ileorectal anastomosis?
Colectomy with ileorectal anastomosis (IRA) for inflammatory bowel disease (IBD) This is an operation to remove the whole colon and join the ileum (the last part of the small intestines) directly to the rectum.
Which anastomotic techniques are used in the treatment of rectal suture?
Two other techniques can provide alternative anastomotic support to the suture line: a colorectal drain and a polyester stent, which can be utilized in ultra-low rectal excision and can negate the formation of a defunctioning stoma.
How is end-to-end colonic anastomosis performed?
More proximal tumors may allow end-to-end colonic anastomosis, a less radical procedure. During the surgical procedure the entire lesion is removed, analysis of the depth of invasion through the colonic wall is performed and lymphatic drainage is analyzed ( Sobrero & Guglielmi, 2004 ).
What is colorectal anastomotic leak?
Colorectal anastomotic leak remains one of the most feared post-operative complications, particularly after anterior resection of the rectum with, the shift from abdomino-peritoneal resections to total mesorectal excision and primary anastomosis.