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Ligation of the hypogastric arteries in combined abdominoperineal surgery

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Diseases of the Colon & Rectum

Summary and Conclusions

One of the major problems encountered in extensive operations for low-lying lesions of the rectum is hemorrhage occurring during pelvic and perineal dissection. An effective method of preventing such hemorrhage is provided by routine bilateral ligation of the hypogastric arteries prior to mobilizing the rectum and performing low pelvic dissection. A review of the anatomy and the principal blood supply to the pelvis and perineum and a study of the collateral circulation reveals the advantages of this procedure. Ligation of the hypogastric arteries has been done for many years in isolated cases and recently this method has been employed routinely in a large number of cases. Complications and increased morbidity have not been a problem following this procedure.

A satisfactory technic for ligation of the hypogastric arteries which includes the important aortopelvic lymph node dissection has been presented.

It is recommended that bilateral ligation of the hypogastric arteries be included routinely in combined abdominoperineal operations for removal of the rectum.

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Authors and Affiliations

  1. From the Departments of Proctology of the University of Texas Southwestern Medical School and Temple University Medical Center, Dallas, Texas

    Robert A. McGregor M.D.

Authors
  1. Robert A. McGregor M.D.
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Additional information

Read at the meeting of the American Proctologic Society, June 29 to July 3, 1958, Los Angeles, California.

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McGregor, R.A. Ligation of the hypogastric arteries in combined abdominoperineal surgery. Dis Colon Rectum 2, 166–168 (1959). https://doi.org/10.1007/BF02616710

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  • DOI: https://doi.org/10.1007/BF02616710

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