Open AccessTransposition of anorectum to the abdominal wall
Author(s) -
Williams N. S.,
Corry D. G.,
Abercrombie J. F.,
PowellTuck J.
Publication year - 1996
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1002/bjs.1800831224
Subject(s) - medicine , rectum , transposition (logic) , anatomy , abdominal wall , short bowel syndrome , surgery , parenteral nutrition , linguistics , philosophy
A unique procedure is described in which the anorectum is mobilized on the inferior mesenteric vascular pedicle and transposed to the anterior abdominal wall. The aim is to preserve maximal intestinal length in patients with short bowel syndrome and intractable diarrhoea. Unique physiological data provided by the second case demonstrate that the specialized sensory functions of the rectum reside in the rectal wall and are subserved by an autonomic nervous supply that is independent of the pudendal nerves.