Transposition of anorectum to the abdominal wall

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 p...

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Bibliographic Details
Published in:British journal of surgery 1996-12, Vol.83 (12), p.1739-1740
Main Authors: Williams, N. S., Corry, D. G., Abercrombie, J. F., Powell-Tuck, J.
Format: Article
Language:English
Subjects:
Abdominal Muscles
Aged
Aged, 80 and over
Anal Canal - physiopathology
Anal Canal - surgery
Biological and medical sciences
Chronic Disease
Diarrhea - surgery
Female
Humans
Infarction - surgery
Intestines - blood supply
Manometry
Medical sciences
Middle Aged
Pressure
Rectum - physiopathology
Rectum - surgery
Sensation
Short Bowel Syndrome - surgery
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
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Summary: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.
ISSN:0007-1323
1365-2168
DOI:10.1002/bjs.1800831224