What is colon anastomosis?

Listen to pronunciation. (KOH-loh-AY-nul uh-NAS-toh-MOH-sis) A surgical procedure in which the colon is attached to the anus after the rectum has been removed. Also called coloanal pull-through.

What is the purpose of an anastomosis?

Anastomosis in the vascular system creates a backup pathway for blood flow if a blood vessel becomes blocked. Vascular fistulae are abnormal anastomoses, where blood vessels join together through injury, inflammation, or disease.

How do they reconnect the colon?

If there is enough healthy large intestine left, the ends are stitched or stapled together. This is called an anastomosis. Most patients have this done. If there is not enough healthy large intestine to reconnect, the surgeon makes an opening called a stoma through the skin of your belly.

How long does it take to recover from a laparoscopic colectomy?

“Overall, the hospital stay for laparoscopic surgery is shorter than open. This is why patients prefer this procedure.” Once discharged from the hospital, recover will continue at home. A laparoscopic colectomy takes about two to four weeks to recover, compared to six to eight weeks for a traditional colectomy.

What are the long term side effects of colon resection?

These complications include urinary retention, erectile dysfunction, retrograde ejaculation, dyspareunia, infertility, and low anterior resection syndrome.

How do you get a bowel anastomosis?

In this technique, two cut ends of the bowel are placed side to side. The two forks of the stapling device are placed through open bowel ends or an enterotomy (made in the antimesenteric border if the bowel ends are stapled). Care should be taken to avoid inclusion of the mesentery between branches of the stapler.

What is another word for anastomosis?

In this page you can discover 12 synonyms, antonyms, idiomatic expressions, and related words for anastomosis, like: suture, esophagus, inosculation, jejunal, embolectomy, jejunum, mesentery, pedicle, pyloroplasty, perforation and ileal.

How to prepare the end of the colon for anastomosis?

After the colon has been divided, the ends must be prepared for anastomosis. One centimeter to 2 cm of each end should be débrided to provide a space sufficient for anastomosis without incorporating any fat 1,30 ( Fig. 24-7 ). Too much “clean out” will cause devascularization, which needs to be avoided.

Is anastomosis after right hemicolectomy for colon cancer safe?

An FEEA after right hemicolectomy for colon cancer is a safe and reliable anastomotic technique, resulting in a favorable outcome in selected patients with the right colon cancer. Keywords: anastomosis, colon cancer, right hemicolectomy Background Performing anastomosis after colectomy is one of the basic skills of a general surgeon [1].

Can a rectal anastomosis be done with proximal diversion?

For a sigmoid or rectal anastomosis, this would equate to a Hartmann’s colostomy. There are some reports of re-doing the anastomosis with proximal diversion, but this should be reserved for patients without symptoms of sepsis or other high-risk features.

What is low-colonic anastomosis and how is it performed?

A low-colonic anastomosis may then be performed using a double-staple, end-to-end anastomosis technique to minimize fecal contamination. The size of the stapling device should be based on the caliber of the anal opening, which must accommodate the stapler itself ( Fig. 14-6 ).