title: Conservative proctocolectomy with low transection of the anorectum is a poor alternative to conventional proctocolectomy in inflammatory bowel disease.
abstract: The perineal wound is a frequent source of morbidity following proctocolectomy for inflammatory bowel disease. In 8 patients low transection of the anorectum or conservative proctocolectomy has been performed as an alternative to proctocolectomy in order to avoid a perineal wound. All patients passed copious mucoid discharge per anum post-operatively. Five patients required a proctectomy, 2 remain symptomatic and 1 patient has undergone a restorative proctocolectomy. This small series suggests conservative proctocolectomy does not seem to offer any advantage over conventional proctocolectomy in the surgical management of inflammatory bowel disease.
authors.affiliation: Department of Surgery, Queen Elizabeth Hospital, Birmingham, UK.
authors.forename: M C
authors.initials: MC
authors.lastname: Winslet
authors.forename: J
authors.initials: J
authors.lastname: Alexander-Williams
authors.forename: M R
authors.initials: MR
authors.lastname: Keighley
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010502:Perineum; D011183:Postoperative Complications; D012007:Rectum / Q000601:surgery*; D014945:Wound Healing