What is the rectosigmoid?

The rectosigmoid is that portion of the large intestine in which the narrow sigmoid colon undergoes a gradual enlargement before joining the rectum. Its exact position is variable. By some it has been estimated to be about 2 inches (5 cm.) above the superior valve of Houston.

What causes anastomotic?

The cause may vary from person to person. It may be caused by a problem with the tool or materials used to close the anastomosis during surgery. It may be because of problems with the blood flow in the area after surgery. Or it may be linked to other reasons for poor wound healing, such as diabetes or smoking.

What is meant by anastomosis?

An anastomosis is a surgical connection between two structures. It usually means a connection that is created between tubular structures, such as blood vessels or loops of intestine. For example, when part of an intestine is surgically removed, the two remaining ends are sewn or stapled together (anastomosed).

When to use a side to side anastomosis?

A side-to-side (Baker) anastomosis should be considered when there is considerable discrepancy between the sizes of the two lumina or an excess of fat that may encroach unduly upon the lumen of an end-to-end anastomosis. Most prefer a stapling device for the anastomosis ( Chapter 62 ).

How is the rectosigmoid area of the bowel treated?

This may be the operation of choice in selected individuals with malignant lesions in the rectosigmoid or low sigmoid area in order to re-establish the continuity of the bowel.

How to reduce the consequences of anastomotic leakage?

An earlier relaparotomy instead of a CT scan and improved postoperative surveillance could possibly reduce the consequences of the anastomotic leakage. Keywords: Anastomotic leakage; Colrectal surgery; Postoperative complications.

Where can I find information about anastomotic surgery?

1Department of Surgery, Scandinavian Surgical Outcomes Research Group (SSORG), Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg, Sweden. [email protected].

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