I WISH to describe a modified technic for the low anterior rectosigmoid anastomosis which, although original, has probably been used at times by some of this audience yet to my knowledge has not been formally presented or published. The advantages that the side to end anastomosis offer at this level over the end to end anastomosis are (1) greater technical ease, (2) a more secure anastomosis and (3) a larger anastomotic lumen. These advantages are considered sufficiently convincing to justify their presentation for discussion.
It is not within the scope of this treatise to defend in principle the substitution of the low anastomosis (with preservation of normal anal function) for the Miles combined resection requiring colostomy. The answer to this controversial question may not have been easy for some to apply in individual cases. My views in this controversy have been published.1 For restoration of continuity, certain
BAKER JW. LOW END TO SIDE RECTOSIGMOIDAL ANASTOMOSISDescription of Technic. Arch Surg. 1950;61(1):143-157. doi:10.1001/archsurg.1950.01250020146016