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Low anterior resection syndrome is a complication of lower anterior resection, a type of surgery performed to remove the rectum, typically for rectal cancer.It is characterized by changes to bowel function that affect quality of life, and includes symptoms such as fecal incontinence, incomplete defecation or the sensation of incomplete defecation (rectal tenesmus), changes in stool frequency ...
The symptoms collectively are referred to as low anterior resection syndrome (LARS) and adversely affect quality of life, sometimes so much so that some patients even prefer to have their stoma-reversal itself reversed, and to live with a permanent colonostomy or iliostomy. [11]
A lower anterior resection, formally known as anterior resection of the rectum and colon and anterior excision of the rectum or simply anterior resection (less precise), is a common surgery for rectal cancer and occasionally is performed to remove a diseased or ruptured portion of the intestine in cases of diverticulitis.
To reduce the incidence of death and suffering of the patients associated with the APR procedure, Henri Albert Hartmann introduced the anterior resection of the rectum by preserving the distal rectum and anal sphincters, while producing end-sigmoid colostomy. There were attempts to restore bowel continuity by joining the proximal colon with the ...
This complication is reported at a rate of 4.6% of cases. [5] The mesh can erode into the vagina (1.3% of cases), or into the rectum. The risk of mesh complications appears to be low regardless of what mesh material is used. [22] However, biologic mesh may have a lower risk of complications compared to synthetic mesh. [24]
Patients with female doctors have a lower risk of death or serious complications, research shows. Aria Bendix. May 15, 2024 at 12:55 PM. shapecharge.
By the mid 1880's, hundreds of colectomies had been performed, with a fatality rate between 50 and 60% (lower for those performed in cases of cancer). Dr. Robert Weir suggested in his 1886 case report on the resection of a rectal tumor that shock from the operation and leakage of intestinal contents both during and after surgery contributed to ...
A proctosigmoidectomy, Hartmann's operation or Hartmann's procedure is the surgical resection of the rectosigmoid colon with closure of the anorectal stump and formation of an end colostomy. It was used to treat colon cancer or inflammation (proctosigmoiditis, proctitis, diverticulitis, volvulus, etc.).