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Remedial Surgery Following Failed Colorectal or Coloanal Anastomosis

Chapter

Abstract

Low colorectal (CRA) and coloanal (CAA) anastomosis are associated with early complications such as anastomotic leakage and late complications including chronic anastomotic stricture, leakage and fistula. In these situations, redo surgery with the aim to perform a new CRA or CAA may represent the last surgical option to avoid a permanent stoma. However, these procedures are challenging and technical with potentially high intraoperative and postoperative morbidity. One of the biggest challenges is to bring down a sufficient length of healthy colon in a scarred pelvis to perform a well-vascularized and tension-free anastomosis. The aim of the chapter is to provide abdominal surgeons a general overview of the means to overcome these intraoperative problems and to review the available literature on this particular subject.

Keywords

Redo surgery Colorectal anastomosis Coloanal anastomosis Deloyers procedure Retroileal Soave procedure 

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Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  1. 1.Department of Digestive and Hepato-Pancreato-Biliary SurgeryPitié Salpêtrière University HospitalParisFrance
  2. 2.Department of Digestive and Hepato-Pancreato-Biliary SurgeryPitié-Salpêtrière University Hospital, Pierre & Marie Curie University (Paris VI)ParisFrance

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