Microvascular reconstruction of a devascularized ileal segment during ileo-anal anastomosis.
Endorectal ileo-anal anastomosis has become a mainstay of continent bowel reconstruction after total colectomy. However, the procedure is often aborted because of lack of vessel length for the formation of the ileal pouch. The use of microsurgical techniques to lengthen mesenteric vessels and to allow completion of this valuable procedure is reported.
Chick
L R
LR
Division of Plastic Surgery, University of Massachusetts Medical Center, Worcester 01605.
Brown
R E
RE
Walton
R L
RL
D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D003093:Colitis, Ulcerative / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000098:blood supply / Q000601:surgery*; D008297:Male; D008638:Mesenteric Arteries / Q000601:surgery; D008642:Mesenteric Veins / Q000601:surgery; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*