A stapled S-shaped ileoanal reservoir.
An S-shaped ileoanal reservoir has the advantage of greater ease in obtaining adequate length for safe anastomosis vs. the J-pouch. The hand-sewn S-shaped pouch, however, takes considerably longer (70 vs. 20 minutes) to construct than either a hand-sewn or stapled J-pouch. Because of potential necrosis of the central bridge of tissue created between two longitudinal stapled lines in an S-pouch, the same techniques of stapling a J-pouch cannot be used in an S-pouch. The authors have developed a safe, rapid, stapling technique for construction of an S-pouch in the dog and have used it with success in four patients.
D001003:Anal Canal / Q000601:surgery*; D000818:Animals; D004285:Dogs; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008722:Methods; D013528:Surgical Staplers; D013997:Time Factors