Article

Diseases of the Colon & Rectum

, Volume 16, Issue 6, pp 485-489

Continuous sump-suction drainage of the pelvis after low anterior resection: A reappraisal

  • Sommai SehapayakAffiliated withDepartment of Colon and Rectal Surgery, Baylor University Medical Center
  • , Malcolm McNattAffiliated withDepartment of Colon and Rectal Surgery, Baylor University Medical Center
  • , H. Gray CarterAffiliated withDepartment of Colon and Rectal Surgery, Baylor University Medical Center
  • , Wallace BaileyAffiliated withDepartment of Colon and Rectal Surgery, Baylor University Medical Center
  • , Alvin BaldwinJr.Affiliated withDepartment of Colon and Rectal Surgery, Baylor University Medical Center

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Summary

In a series of 44 consecutive patients with low anterior resection, there was no pelvic abscess or fistula formation in the 22 patients for whom continuous sump-suction drainage was used, and the morbidity was low. In 22 patients without sump-suction drainage, three had pelvic abscesses: two drained spontaneously and one was drained surgically. All three patients required defunctioning colostomies, and there was one death in this group. With attention to the known and accepted principles of good bowel surgery, careful technic, and the use of continuous sump-suction drainage, low anterior resection can be performed safely with low morbidity.