[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.146.176.30. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
September 1952

COMBINED ABDOMINOENDORECTAL RESECTIONTechnical Aspects and Indications

Author Affiliations

ROCHESTER, MINN.
From the Division of Surgery, Mayo Clinic.

AMA Arch Surg. 1952;65(3):406-416. doi:10.1001/archsurg.1952.01260020420008
Abstract

THIS METHOD of resecting the upper part of the rectum and rectosigmoid was reported in 1948.1 The anastomosis is achieved not by suturing, but by invaginating the sigmoid through the intact anal canal. The particular advantage of the procedure is that fecal continence, rather than only a sphincter capable of contracting, is preserved. At the time of the previous report seven patients had been treated. The increased experience with 41 patients serves as the basis for the present report.

Resections of the rectum with restoration of continuity of the bowel antedated radical amputations of the lower reaches of the bowel by almost a quarter of a century. Procedures of the Kraske2 type, in which continuity is restored by circular suture, proved quite unsatisfactory because of leakage of the anastomosis. Hochenegg,3 three years after the introduction of the Kraske method, attempted to avoid anastomosis by suturing, by use

First Page Preview View Large
First page PDF preview
First page PDF preview
×