Anastomotic Construction
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Anastomotic Construction- Key Concepts
- Introduction
- Physiology of Anastomotic Healing
- Fundamental Principles for Anastomotic Construction
- Operative Planning
- Mobilization
- Small Bowel Mobilization
- Colonic Mobilization
- Splenic Flexure Mobilization
- Special Mobilization Techniques
- Perfusion
- Anastomosis Configuration
- Low Pelvic Anastomosis
- Methods for Anastomotic Construction
- The Conundrum of Best Practice and Continuing Challenge
- References
Proctectomy for Rectal Cancer
Anastomotic Complications
Ulcerative Colitis: Surgical Management
Benign Disease- A 25-year-old man with a history of medically refractory ulcerative colitis (UC) and who has undergone a total abdominal colectomy with end ileostomy now presents for his second stage operation of a completion proctectomy, ileoanal pouch anastomosis, and diverting loop ileostomy. What is considered optimal J-pouch length?
- A 34-year-old woman undergoes total abdominal colectomy with an ileostomy for fulminant ulcerative colitis. She strongly desires to avoid a permanent stoma. She is counseled extensively regarding J pouch and she chooses to undergo completion proctectomy. After constructing a J-pouch, you find that the apex of the pouch does not reach the divided rectal cuff. Which is the most appropriate next step?
About ASCRS Textbook of Colon and Rectal Surgery
Crohn’s Disease: Surgical Management
Complications of the Pelvic Pouch
Surgical Management of Ulcerative Colitis (2021)
Ostomy Surgery (2022)
Enhanced Recovery After Colon and Rectal Surgery from ASCRS and SAGES (2023)




