[Technical pitfalls and failures in ileo-anal anastomosis].
During past nine years, our Department performed 115 J-pouch ileoanal anastomosis in a three stage procedure, of whom 7 (6.1%) experienced pouch failure. Pelvic or intra-abdominal sepsis was the major cause of pouch failure. Our current technique, the technical pitfalls of this procedure and possible countermeasures are described. Most of the septic complications can and should be prevented by careful patient management and proper surgical techniques.
Yamamura
T
T
Second Department of Surgery, Hyogo College of Medicine, Nishinomyia, Japan.
Utsunomiya
J
J
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology; D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents; D016470:Bacteremia / Q000188:drug therapy / Q000209:etiology* / Q000517:prevention & control; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D003093:Colitis, Ulcerative / Q000601:surgery*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D016737:Proctocolectomy, Restorative / Q000379:methods*; D011859:Radiography; D012307:Risk Factors
D000900:Anti-Bacterial Agents
Pièges et écueils techniques de l'anastomose iléo-anale.