Abstract Aim Midline incision was reported as the common site of incisional hernia (IH) after hand-assisted laparoscopic anterior resection (LAR). There is no consensus on ideal for specimen extraction. Our aim to compare rate IH at various extraction sites our institution. Method We retrospectively reviewed data 90 cases LAR from May 2015 February 2018. Patients were divided into three groups ...

INTRODUCTION Low anterior resection is usually the procedure of choice for rectal cancer, but a series of complications often accompany this procedure. This case report describes successful management of an intricate anastomotic leak after a low anterior resection. CASE PRESENTATION A 66-year-old Caucasian man was admitted to our hospital and diagnosed with a low rectal adenocarcinoma. He und...

To the Editor:Minsky,1 in his recent Editorial, suggested that "A well-functioning colostomy may offer a better quality of life than a poorly functioning sphincter". After this statement, he referred to Grumann et al’s study2 that concluded "Patients undergoing low AR [anterior resection] have a lower QoL [quality of life] than those undergoing APE [abdominoperineal extirpation]." First, Minsky...

A temporarily defunctioning stoma, while effective at reducing symptomatic anastomotic leakage after low anterior resection (LAR) of rectal cancer, and its subsequent closure, is associated with significant morbidity. Here, we devised a new tube ileostomy using a biofragmentable anastomosis ring (TIB) with no need for reversal.This is a retrospective cohort study. From June 2011 to March 2015, ...

fistula after low anterior resection for rectal cancer is difficult and requires reconstruction of the anastomotic site and fistula. The results of reconstructive operation are often unsatisfactory. Herein, we describe our reconstruction technique using the posterior approach through the vaginal lumen for a high rectovaginal fistula repair. This reconstructive operation is useful for postoperat...