PROGRESS IN HEMODIALYSIS – FROM EMERGENT BIOTECHNOLOGY TO CLINICAL PRACTICE
Nowadays most Authors agree that preserving the rectum is useless, so it is sectioned at the
level of anorectal junction. The preparation of the rectum toward anorectal junction is
usually intramesorectal, which rises the risk of bleeding but also reduces the risk of nerve
lesions. However mesorectal excision is mandatory in case of either severe dysplasia or
cancer.
After pouch construction, ileopouch-anal anastomosis can be either manual or stapled.
When mucosectomy is performed, it is necessary to fashion manual ileoanal anastomosis
intra-anally by suturing the pouch to the anus with some stiches between it and the
linea dentata....
