Avoidance of permanent colostomy in pelvic malignancy using the surgical stapler.
The potential for reducing the number of gynecologic oncology patients left with a permanent colostomy may be achieved by the use of the end-to-end anastomosis (EEA) automatic surgical stapler. This instrument allows a rectocolonic anastomosis at a very low level (below the levator muscles), which is very difficult and poorly performed by hand-suture techniques. This report presents the author's experience with 6 patients in whom a low rectocolonic anastomosis was performed with the EEA surgical stapler.
D000328:Adult; D000368:Aged; D002369:Castration; D003106:Colon / Q000601:surgery*; D003125:Colostomy; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008722:Methods; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000601:surgery*; D012006:Rectovaginal Fistula / Q000601:surgery; D012007:Rectum / Q000601:surgery*; D013528:Surgical Staplers; D002583:Uterine Cervical Neoplasms / Q000601:surgery*