Perineal Complications after Ileal Pouch-Anal Anastomosis
Despite the fact that the restorative proctocolectomy (RP) has become the therapy of choice in the surgical management of ulcerative colitis, there remains an appreciable complication rate following the operation of up to 50% (1–5). The development of a fistula or abscess in the perineal or vaginal areas following RP heralds a potentially serious problem in the patient, since such an event not only may lead to a significant amount of pain and discharge, but nearly always requires further corrective surgery, and implies some degree of failure of the ileal pouch-anal anastomosis. It also looms as one of the most common reasons for pouch “failure,” meaning that the pouch must be removed because of an inability to surgically correct this problem by other means (1,4).
KeywordsCatheter Syringe Hull Peri Epinephrine
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