title: [The abdominoendorectal resection with peranal anastomosis in the treatment of radiation injuries of the rectum (author's transl)].
abstract: During the period 1974-1980 39 patients underwent operations at the Prosper Hospital in Recklinghausen for radiation injuries to the rectum or rectosigmoid. They comprised 22 patients with rectovaginal fistulas, 6 with ulcers, 3 suffering from severe hemorrhagic proctitis, 5 with rectal strictures, 1 with necrosis, and 2 with radiation ulcers and carcinoma. A sphincter-saving operative method of treating postirradiation damage of the rectum is presented. The technique involves the peranal anastomosis of healthy colon to the midanal canal using a sleeve anastomosis. Technical and functional results of resectional surgery for the rectal complications of radiation therapy are reported. Subjectively, total continence was present in 78%, only 1 patient was incontinent because of flatus and watery stools.
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery; D003125:Colostomy; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery; D007415:Intestinal Obstruction / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011349:Proctitis / Q000601:surgery; D011832:Radiation Injuries / Q000601:surgery*; D011878:Radiotherapy / Q000009:adverse effects; D012007:Rectum / Q000528:radiation effects*; D013536:Suture Techniques; D014456:Ulcer / Q000601:surgery; D014565:Urogenital Neoplasms / Q000532:radiotherapy
vernacular_title: Die abdomino-endorectale Resektion mit peranaler Anastomose bei der Behandlung der radiogenen Rectumschäden.