Neues Verfahren zur Sicherung von Dickdarmanastomosen

Abstract

After examinaning the vascular supply of the parietal peritoneum helved peritoneal flaps were fixed in wound dehiscent colon anastomoses. If the vascular supply to the peritoneal flap was sufficient all animals survived without signs of stenosis. It was proved by microangiographic studies that there was an additional vascular supply to the anastomosed colon by the artery of the peritoneal flap.

Studies of the vascular anatomy of the mesorectum support the concept of the total mesorectal excision

“…Our aim was to study the vascular distribution pattern and the relationship between the mesorectal vessels and the mesorectal fascia [12][13][14][15]. Do the mesorectal vessels run inside or do they penetrate the fascia and does anastomosis occur with iliac vessels at any location other than the small supply area in the very distal rectum?…”