title: Usefulness of the perineum pusher in performing rectal procedures.
abstract: We invented the Perineum Pusher to prevent excessive extension of the rectum by elevating the bottom of the pelvis. In the treatment of cancers of the middle and lower thirds of the rectum, a clear operative view can be maintained for a long time by using the Perineum Pusher. Consequently, a sphincter-saving rectal resection with coloanal anastomosis can be performed easily and safely. In addition, intraoperative rectal irrigation can be performed using the Perineum Pusher. No complications resulting from the Perineum Pusher have been experienced in 27 rectal cancer patients. As the Perineum Pusher can be used very simply and effectively in sphincter-saving rectal resections with coloanal anastomosis, this new surgical instrument is therefore highly recommended for use when performing various rectal procedures.
authors.affiliation: Department of Surgery, Tobu Chiiki Hospital, Tokyo Metropolitan Health and Medical Treatment Corporation, 5-14-1 Kameari, Katsushika-ku, 125-8512, Tokyo, Japan.
authors.forename: Takumi
authors.initials: T
authors.lastname: Ochiai
authors.forename: Michiharu
authors.initials: M
authors.lastname: Sugitani
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Nishimura
authors.forename: Hajime
authors.initials: H
authors.lastname: Noguchi
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Okada
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kitajima
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Kamiyama
mesh_terms: D000714:Anastomosis, Surgical / Q000295:instrumentation; D013505:Digestive System Surgical Procedures / Q000295:instrumentation*; D006801:Humans; D010502:Perineum / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery*