Open AccessPreserving the superior rectal artery in laparoscopic anterior resection for complete rectal prolapse
Author(s) -
Dejan Ignjatović,
Roberto Bergamaschi
Publication year - 2002
Publication title -
acta chirurgica iugoslavica
Language(s) - English
Resource type - Journals
eISSN - 2406-0887
pISSN - 0354-950X
DOI - 10.2298/aci0202025i
Subject(s) - medicine , diverticular disease , inferior mesenteric artery , surgery , anastomosis , mesorectum , colorectal cancer , leak , resection , rectal prolapse , sigmoid colon , rectum , cancer , total mesorectal excision , environmental engineering , engineering
Anterior resection for the treatment of full thickness rectal prolapse has been around for over four decades. 1 However, its use has been limited due to fear of anastomotic leakage and related morbidity. It has been shown that high anterior resection is preferable to its low counterpart as the latter increases complication rates. 2 Although sparing the inferior mesenteric artery in sigmoid resection for diverticular disease has been shown to decrease leak rates in a randomized setting, 3 vascular division is current practice. We shall challenged this current practice of dividing the mesorectum in anterior resection for complete rectal prolapse developing a technique that allows the preservation of the superior rectal artery.