Skip to main content

Advertisement

Log in

Use of omental pedicle graft to protect low anterior colonic anastomosis

  • Published:
Diseases of the Colon & Rectum

Summary

We feel that a pedicle graft of omentum makes an excellent protective wrapping about low anterior resections. We do not propose the technique to cover sloppily constructed anastomoses. Good nutrition, proper timing, adequate bowel preparation, and good surgical technique are the keys to successful low anterior resection, while omental pedicle grafting adds a further dimension in helping to assure a complication-free postoperative course.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Goligher JC, Graham NG, De De Dombal FT: Anastomotic dehiscence after anterior resection of rectum and sigmoid. Br J Surg 57: 109, 1970

    Article  PubMed  CAS  Google Scholar 

  2. Morgenstern L, Yamakawa T, ben-Shoshan M, et al: Anastomotic leakage after low colonic anastomosis. Am J Surg 123: 104, 1972

    Article  PubMed  CAS  Google Scholar 

  3. Goldsmith HS: Protection of low rectal anastomosis with intact omentum. Surg Gynecol Obstet 144: 585, 1977

    Google Scholar 

  4. Johnstone JH, III, Barnett WO, Hilbun GR: The role of various abdominal surfaces in the absorption of toxic strangulation fluid. Surgery 61: 270, 1967

    Google Scholar 

  5. Goldsmith HS, de los Santos R, Vanamee P, et al: Experimental protection of vascular prosthesis by omentum. Arch Surg 97: 872, 1968

    PubMed  CAS  Google Scholar 

  6. McLachlin AD, Denton, DW: Omental protection of intestinal anastomoses. Am J Surg 125: 134, 1973

    Article  PubMed  CAS  Google Scholar 

  7. Schaupp WC: Drainage of low anterior anastomoses. Am J Surg 118: 627, 1969

    Article  PubMed  CAS  Google Scholar 

  8. Ravitch MM: Observations on the healing of wounds of the intestines. Surgery 77: 665, 1975

    PubMed  CAS  Google Scholar 

  9. Alday ES, Goldsmith HS: Surgical technique for omental lengthning based on arterial anatomy. Surg Gynecol Obstet 135: 103, 1972

    PubMed  CAS  Google Scholar 

  10. Goldsmith HS: Long term evaluation of omental transposition for chronic lymphedema. Ann Surg 180: 847, 1974

    Article  PubMed  CAS  Google Scholar 

  11. Nishimura A, Sano F, Nakanishi Y, et al: Omental transplantation for relief of limb ischemia. Surg Forum 28: 213, 1977

    PubMed  CAS  Google Scholar 

  12. Manz C, La Tendresse C, Sako Y: The detrimental effects of drains on colonic anastomoses: An experimental study. Dis Colon Rectum 13: 17, 1970

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Read at the meeting of the American Society of Colon and Rectal Surgeons, Atlanta, Georgia, June 10 to 14, 1979.

About this article

Cite this article

Lanter, B., Mason, R.A. Use of omental pedicle graft to protect low anterior colonic anastomosis. Dis Colon Rectum 22, 448–451 (1979). https://doi.org/10.1007/BF02586925

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02586925

Keywords

Navigation