Dealing with Complications of Colorectal Surgery Using the Transanal Approach-When and How?

K. Talboom, P. J. Tanis*, W. A. Bemelman, R. Hompes

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The transanal approach is a new and exciting addition to the surgeons' repertoire to deal with complications after colorectal surgery. Improved exposure, accessibility, and visibility greatly facilitate adequate dissection of the affected area with potential increase in effectiveness and reduced morbidity. An essential component in salvaging anastomotic leaks of low colorectal, coloanal, or ileoanal anastomoses is early diagnosis and early treatment, especially when starting with endoscopic vacuum therapy, followed by early surgical closure (endoscopic vacuum-assisted surgical closure). Redo surgery using a transanal minimally invasive surgery platform for chronic leaks after total mesorectal excision surgery or surgical causes of pouch failure successfully mitigates limited visibility and exposure by using a bottom-up approach.
Original languageEnglish
Pages (from-to)155-164
Number of pages10
JournalClinics in Colon and Rectal Surgery
Volume35
Issue number2
DOIs
Publication statusPublished - 1 Mar 2022

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