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An improved technique for Soave trans‐anal pull‐through
Author(s) -
Broadhurst J. F.,
Lamparelli M. J.,
Clarke A. D.,
Lewis M. C.
Publication year - 2011
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2010.02483.x
Subject(s) - medicine , retractor , pelvis , surgery
Aim To describe a new technique for the Soave trans‐anal pull‐through. Method After the mucosectomy during a Soave's procedure, a laparoscopic wound retractor was used to line the distal rectal segment to facilitate delivery of the proximal bowel through a narrow scarred pelvis. Results The technique greatly assisted delivery of the proximal bowel and helped prevent mesenteric injury. Conclusion Soave trans‐anal pull‐through is a difficult operation that is largely confined to specialist centres. We describe an improvement to the technique that greatly facilitates the procedure.