c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Anterior Resection of Rectum: 1

A D V E R T I S E M E N T

   
 

A 52-year-old man was found to have invasive carcinoma in a sessile polyp discovered on the anterior rectal wall 12cm from the anal verge during routine colonoscopy. The majority of the lesion was removed with the snare, and the site was injected with dye for intraoperative localization. Pre-operative workup showed no evidence of metastatic or nodal disease. The patient was taken to the operating room for anterior resection (as opposed to the historical posterior resection) of the rectum. The patient was positioned in extended lithotomy position.     

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Anterior Resection of Rectum: 2

A D V E R T I S E M E N T

   
 

The abdomen was opened through a low midline incision (feet to right).       

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Anterior Resection of Rectum: 3

A D V E R T I S E M E N T

   
 

The injected dye is visible on the anterior rectal wall above the anterior pelvic peritoneal reflection in the pouch of Douglas.       

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This page was last modified on 1/7/2002.