British journal of surgery · 1977 · 113 citations · 18 references
MedicineSurgeryUrologyGeneral SurgeryReconstructive SurgeryWound HealingAbdominal SurgeryColorectal SurgeryPelvic AnatomyPerineal SurgeryReconstructive Pelvic SurgerySurgical Wound HealingAnal SurgeryMale Sexual DysfunctionOperative MorbidityOperative TechniquePelvic Floor MusculaturePelvic NervesReconstructive Pelvic Floor SurgeryRectal Resection
Wide excision of the rectum in inflammatory bowel disease is unnecessary and undesirable because it damages the healthy pelvic floor and risks pelvic nerves. The study describes an operative technique that dissects the anal canal and rectum in the intersphincteric plane. The technique uses the intersphincteric plane between the visceral rectum and anal canal and somatic pelvic musculature, and was applied in 53 cases. Perineal wound healing rates were comparable to other resection methods, with only 1 of 14 men reporting partial sexual dysfunction.
Wide excision of the rectum in inflammatory bowel disease is both unnecessary and undesirable as the healthy pelvic floor is damaged and the pelvic nerves put at risk. An operative technique is described which includes dissection of the anal canal and rectum in the intersphincteric plane, i.e. the plane of fusion between the visceral rectum and anal canal and the somatic pelvic musculature, which minimizes these undesirable elements. Fifty-three cases are presented. Perineal wound healing rates are comparable with those of other methods of resection and only 1 of 14 men reported partial sexual dysfunction following this operation.
18