Scheduled maturation in low colorectal and coloanal anastomoses

Detalhes bibliográficos
Autor(a) principal: Fernandes,Rubens Henrique Oleques
Data de Publicação: 2016
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632016000400273
Resumo: ABSTRACT Introduction: Anastomotic dehiscence is the main complication after low colorectal and coloanal anastomoses. The techniques commonly used are the double-stapling and hand-sewn anastomoses, both are made with immediate maturation. These techniques do not prevent pelvic sepsis in many patients and are not feasible in all cases. Objective: The study aim is to report the technical details and results with the use of scheduled maturation anastomosis in ten patients. Surgical technique: The scheduled maturation anastomosis is done in two steps. The first step is the closure of colonic stump in a way that keeps the mucosa layer in everted position. The second step is the union of the colon and rectum ends by transanal access. All the sutures are made with 2/0 polyglactin. A diverting stoma must be done in all cases. After 30 days, begins spontaneous opening of the anastomosis. Results: Ten patients underwent this technique. There were two cases of stenosis that were treated with digital dilatation in office. All patients had their diverting ostomy closed. Conclusion: The scheduled maturation anastomosis is feasible in difficult cases and may prevent pelvic sepsis in low colorectal and coloanal anastomoses.
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spelling Scheduled maturation in low colorectal and coloanal anastomosesRectal cancerColorectal anastomosisColoanal anastomosisABSTRACT Introduction: Anastomotic dehiscence is the main complication after low colorectal and coloanal anastomoses. The techniques commonly used are the double-stapling and hand-sewn anastomoses, both are made with immediate maturation. These techniques do not prevent pelvic sepsis in many patients and are not feasible in all cases. Objective: The study aim is to report the technical details and results with the use of scheduled maturation anastomosis in ten patients. Surgical technique: The scheduled maturation anastomosis is done in two steps. The first step is the closure of colonic stump in a way that keeps the mucosa layer in everted position. The second step is the union of the colon and rectum ends by transanal access. All the sutures are made with 2/0 polyglactin. A diverting stoma must be done in all cases. After 30 days, begins spontaneous opening of the anastomosis. Results: Ten patients underwent this technique. There were two cases of stenosis that were treated with digital dilatation in office. All patients had their diverting ostomy closed. Conclusion: The scheduled maturation anastomosis is feasible in difficult cases and may prevent pelvic sepsis in low colorectal and coloanal anastomoses.Sociedade Brasileira de Coloproctologia2016-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632016000400273Journal of Coloproctology (Rio de Janeiro) v.36 n.4 2016reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2016.10.001info:eu-repo/semantics/openAccessFernandes,Rubens Henrique Olequeseng2016-12-15T00:00:00Zoai:scielo:S2237-93632016000400273Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2016-12-15T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false
dc.title.none.fl_str_mv Scheduled maturation in low colorectal and coloanal anastomoses
title Scheduled maturation in low colorectal and coloanal anastomoses
spellingShingle Scheduled maturation in low colorectal and coloanal anastomoses
Fernandes,Rubens Henrique Oleques
Rectal cancer
Colorectal anastomosis
Coloanal anastomosis
title_short Scheduled maturation in low colorectal and coloanal anastomoses
title_full Scheduled maturation in low colorectal and coloanal anastomoses
title_fullStr Scheduled maturation in low colorectal and coloanal anastomoses
title_full_unstemmed Scheduled maturation in low colorectal and coloanal anastomoses
title_sort Scheduled maturation in low colorectal and coloanal anastomoses
author Fernandes,Rubens Henrique Oleques
author_facet Fernandes,Rubens Henrique Oleques
author_role author
dc.contributor.author.fl_str_mv Fernandes,Rubens Henrique Oleques
dc.subject.por.fl_str_mv Rectal cancer
Colorectal anastomosis
Coloanal anastomosis
topic Rectal cancer
Colorectal anastomosis
Coloanal anastomosis
description ABSTRACT Introduction: Anastomotic dehiscence is the main complication after low colorectal and coloanal anastomoses. The techniques commonly used are the double-stapling and hand-sewn anastomoses, both are made with immediate maturation. These techniques do not prevent pelvic sepsis in many patients and are not feasible in all cases. Objective: The study aim is to report the technical details and results with the use of scheduled maturation anastomosis in ten patients. Surgical technique: The scheduled maturation anastomosis is done in two steps. The first step is the closure of colonic stump in a way that keeps the mucosa layer in everted position. The second step is the union of the colon and rectum ends by transanal access. All the sutures are made with 2/0 polyglactin. A diverting stoma must be done in all cases. After 30 days, begins spontaneous opening of the anastomosis. Results: Ten patients underwent this technique. There were two cases of stenosis that were treated with digital dilatation in office. All patients had their diverting ostomy closed. Conclusion: The scheduled maturation anastomosis is feasible in difficult cases and may prevent pelvic sepsis in low colorectal and coloanal anastomoses.
publishDate 2016
dc.date.none.fl_str_mv 2016-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632016000400273
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1016/j.jcol.2016.10.001
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
publisher.none.fl_str_mv Sociedade Brasileira de Coloproctologia
dc.source.none.fl_str_mv Journal of Coloproctology (Rio de Janeiro) v.36 n.4 2016
reponame:Journal of Coloproctology (Rio de Janeiro. Online)
instname:Sociedade Brasileira de Coloproctologia (SBCP)
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reponame_str Journal of Coloproctology (Rio de Janeiro. Online)
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repository.name.fl_str_mv Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)
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