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  • Title: [Anal sphincter function following colorectal anastomosis with a stapler by transperineal-sphincter approach].
    Author: Tanzini G, Salvestrini F, Palasciano G, Setacci C, Papi F, Piccolotti T, Brunettini C.
    Journal: Boll Soc Ital Biol Sper; 1984 Nov 30; 60(11):2067-72. PubMed ID: 6525260.
    Abstract:
    In 4 patients who under went low anterior resection for cancer of mid and lower 1/3 of the rectum, with colo-rectal anastomosis by posterior transphinteric approach, anorectal pressure profiles have been studied by open tip technique 30 d. 6 months following operation. Bowel movements, gas and feces discrimination and anal continence were also controlled. Resting pressure, delta % pressure changes during recto-anal reflex, pressure in voluntary contraction, altered in the first post-operative period, become normal in 6 months. Although volume and pressure at urgent rectal sensation, volume and rectal sensation and compliance altered after surgery did not change after 6 months, suggesting that the reservoir function of the rectum is lost, patients achieved a good control of bowel movements, and a good gas and feces discrimination and anal continence within the first 6 months of operation.
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