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  • Title: [The abdominoendorectal resection with peranal anastomosis in the treatment of radiation injuries of the rectum (author's transl)].
    Author: Athanasiadis S, Girona J.
    Journal: Langenbecks Arch Chir; 1982; 356(1):51-9. PubMed ID: 7033698.
    Abstract:
    During the period 1974-1980 39 patients underwent operations at the Prosper Hospital in Recklinghausen for radiation injuries to the rectum or rectosigmoid. They comprised 22 patients with rectovaginal fistulas, 6 with ulcers, 3 suffering from severe hemorrhagic proctitis, 5 with rectal strictures, 1 with necrosis, and 2 with radiation ulcers and carcinoma. A sphincter-saving operative method of treating postirradiation damage of the rectum is presented. The technique involves the peranal anastomosis of healthy colon to the midanal canal using a sleeve anastomosis. Technical and functional results of resectional surgery for the rectal complications of radiation therapy are reported. Subjectively, total continence was present in 78%, only 1 patient was incontinent because of flatus and watery stools.
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