Laparoscopic Abdominoperineal Resection and Total Proctocolectomy with End Ileostomy
The preoperative management is exactly the same as that for laparotomy. On the day before surgery, the patients are instructed to eat a light meal at lunch, have only clear liquids after lunch, and refrain from having anything to eat or drink after midnight. Bowel preparation is undertaken using a mechanical cathartic and both oral and parenteral antibiotics. The stoma site is preoperatively marked by an enterostomal therapist and heparin or low molecular weight heparin and sequential compression stockings are utilized for venous thrombosis prevention.
KeywordsAbdominoperineal Resection Harmonic Scalpel Mesenteric Vessel Perineal Wound Inferior Hypogastric Plexus
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