Preservation and peeling of the inferior mesenteric artery in the anterior resection for complicated diverticular disease.
The authors, on the basis of 3 cases of complicated diverticular disease, discuss the indications to surgery, considering the advantages and disadvantages of the various surgical techniques and examining in particular the rules for a correct operation with resection and primary or secondary anastomosis. As they performed a rectosigmoidectomy with primary high colorectal anastomosis, they report the reasons why they adopted the preservation and peeling of the inferior mesenteric artery (IMA).
Messinetti
S
S
III Surgical Department, University of Rome La Sapienza.
Giacomelli
L
L
Manno
A
A
Finizio
R
R
Fabrizio
G
G
Granai
A V
AV
Busicchio
P
P
Lauria
V
V
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D012809:Colon, Sigmoid / Q000601:surgery; D004241:Diverticulum, Colon / Q000145:classification / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000601:surgery*; D008875:Middle Aged; D012007:Rectum / Q000601:surgery; D012810:Sigmoid Diseases / Q000145:classification / Q000150:complications* / Q000601:surgery*