Functional Aspects of Ano-Rectal Vascularity

Foster, Michael E.; Lancaster, John F.; Leaper, David

doi:10.1159/000146034

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…Based on his experience, Goligher pointed out that the long rectal stump is well vascularized even when, after the SRA is tied, the lateral ligaments are dissected (the author believed that the MRA ran through these ligaments). 23,24 Boxall et al, 25 Foster et al, 26 and Patricio et al 27 agreed with these concepts.…”

Section: Discussionmentioning

confidence: 89%

Vascular Anatomy of the Rectal Stump After Total Mesorectal Excision

Nano¹,

Marchisio²,

Ferronato³

et al. 2006

Diseases of the Colon &Amp; Rectum

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Section: Discussionmentioning

confidence: 89%

Vascular Anatomy of the Rectal Stump After Total Mesorectal Excision

Nano¹,

Marchisio²,

Ferronato³

et al. 2006

Diseases of the Colon &Amp; Rectum

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“…When the IMA is ligated, morphological and functional characteristics of middle and inferior hemorrhoidal arteries [30,31] do not always guarantee a prompt and effective compensation of blood flow to the proximal rectum, in particular for elderly patients with atherosclerotic insufficiency of hypogastric arteries [32,33]. In preserving natural blood flow to the rectum, IMA skeletonization allows the maintenance of a vital bowel and a reliable anastomosis with good functional results [34].…”

Section: Discussionmentioning

confidence: 99%

Surgical approach of complicated diverticulitis with colovesical fistula: technical note in a particular condition

et al. 2012

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AbstractBackground: Diverticular disease of the colon is common in the Western world. With the first episode of diverticulitis, most patients will benefit from medical therapy, but in 10% to 20% of cases some complications will develop, such as intra-abdominal abscesses, obstructions, fistulas. In these conditions it is important to define the most appropriate surgical approach. Discussion: The management of diverticular disease has been successful owing to the advances in diagnostic methods, intensive care and surgical experience, but there is debate about the best treatment for some conditions. Fistulas complicating diverticulitis are the result of a localized perforation into adjacent viscera. In particular, the connection between the colon and the urinary tract is a serious anatomical abnormality that must be urgently corrected before a serious urinary infection results. Indications, timing and surgical procedures are determined by the severity of the disease and the patient’s general condition. Summary: Diverticular disease can lead to many complications. One of the most difficult to correct is an internal fistula, such as a colo-vesical fistula. The correct approach in cases where the disorder is clinically suspected has always been controversial, and the guidelines for sigmoid diverticulitis have not established the most appropriate method for diagnosis and treatment. At present, the surgical strategy for these cases requires interruption of the fistula and resection to remove the inflamed colonic segment, with or without primary anastomosis, focusing attention on the construction of the anastomosis to well vascularized and anatomically healthy tissues. It is clear, therefore, that establishing guidelines is difficult, because many pathological situations may be related to diverticulitis, and so, as our experience shows, the surgical approach has to be tailored to the patient’s general and local condition.

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“…La anatomía vascular del recto es compleja y proviene de varias fuentes. 17 De acuerdo con Shafik, las dos ramas principales que irrigan el recto son las arterias rectales superiores y las arterias rectales inferiores, 18 lo que difiere de la concepción tradicional emitida por Drummond, en la cual la principal fuente vascular es la arterial rectal superior. 19 Según Didio, las arterias rectales medias tienen una presentación variable y se encuentran entre 12 y 56.7% de los pacientes 20,21 (Cuadro I).…”

Section: Consideraciones Anatómicas De La Vasculatura Del Rectounclassified

Fístula arteriovenosa iliaca-rectal como causa de rectorragia recurrente. Reporte de caso y breve revisión anatómica

Sánchez-Betancourt¹,

Sibaja-Álvarez²

2017

Cirujano General

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La rectorragia copiosa es un reto diagnóstico y terapéutico para los equipos quirúrgicos. Dentro de las causas de sangrado digestivo bajo encontramos que la más frecuente es la enfermedad diverticular, pero puede deberse a una gran cantidad de entidades patológicas. En este artículo se describe un caso de un paciente de 31 años que tuvo un sangrado digestivo bajo masivo y recurrente posterior a una embolización endoarterial a causa de una fístula arteriovenosa bilateral detectada que comunicaba las ramas pélvicas de la arteria iliaca interna con el plexo venoso rectal externo. El procedimiento resultó ser tanto diagnóstico como curativo.

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Functional Aspects of Ano-Rectal Vascularity

Cited by 9 publications

References 8 publications

Vascular Anatomy of the Rectal Stump After Total Mesorectal Excision

Vascular Anatomy of the Rectal Stump After Total Mesorectal Excision

Surgical approach of complicated diverticulitis with colovesical fistula: technical note in a particular condition

Fístula arteriovenosa iliaca-rectal como causa de rectorragia recurrente. Reporte de caso y breve revisión anatómica

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