Vascular trauma

✍ Scribed by R. N. Baird

• Publisher: John Wiley and Sons
• Year: 1988
• Tongue: English
• Weight: 134 KB
• Volume: 75
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800750538

✦ Synopsis

34-7) on their excellent paper and would agree that abdominal rectopexy should continue to form the basis of surgical treatment and that lesser procedures which are advocated on grounds of safety are not justified, except in the most extreme circumstances. Nevertheless, there are simpler forms of abdominai rectopexy which also give good results'. Mann and Hoffman had no mortality in their series and this is a considerable achievement. Nevertheless they did have a considerable number of postoperative complications and a long hospital stay of 19 days. This is only to be expected when using quite a complicated operation in an elderly population. Less mobilization of the rectum with the insertion of four sutures posteriorly between the sacral fascia and the posterior wall of the rectum has, in our experience, proved suficient to prevent any recurrence with much lower morbidity and no mortality.