The mobilization is extended to the root of the mesentery, and the inferior mesenteric artery is identified at its takeoff from the aorta (Fig. Perry WB, Connaughton JC. The skin and subcutaneous tissues are incised for 360 degrees.
For patients with sphincter involvement or adjacent organ involvement before neoadjuvant therapy, the surgeon should excise the clinically involved tissue en bloc.

You can pay by your bank card by using the Pay now link below! Perform deep breathing exercises every hour. Josephine van Helmond MD, Robert W. BeartJr. For obese people and smokers, there is more risk of wound infection leading to chest infection, thrombosis and also heart and lung complications. If Denonvilliers' fascia has been adequately dissected from above, the prostate should be free or nearly free at this time.

Carbon dioxide gas is blown into the abdomen. Low anterior resection (LAR) and abdominoperineal resection (APR) are the two primary operations for surgical resection of rectal cancer. MRI can provide extremely useful information on circumferential mesorectal margins or frank involvement of the pelvic side wall, sacrum, or anterior organs. The remaining part of the intestine is joined to the stoma. Harvey G. Moore MD, ... José G. Guillem MD, MPH, in Current Therapy in Colon and Rectal Surgery (Second Edition), 2005. LUT morbidity after abdominoperineal resection may be largely avoided by preservation of autonomic innervation, which allowed 88% of patients to void spontaneously within 10 days of surgery, as opposed to 78% of patients who remained in urinary retention by 2 months postoperatively after complete resection of the pelvic autonomic nerves (Hojo et al., 1991).

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