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Assessment of Bowel Vascularity and Adjuncts to Anastomotic Healing

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Coloproctology

Abstract

Correct assessment and judgement of vascularity is a core component of the craft of colorectal surgery most especially in terms of constructing an anastomosis. Despite technological advancement in the way surgery is performed, perfusion assessment has largely remained rooted in empiric practice with generalised principles as a guide. Implementation of advanced preoperative and intraoperative systems which build on established perioperative modalities of computerised tomogram imaging and laparoscopic tissue analysis with light energy seem close to widespread usage and are the focus of this chapter along with a detailed background explanation of their utility and usefulness.

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Authors and Affiliations

  1. Department of Surgery, Mater Misericordiae University Hospital, Section of Surgery and Surgical Specialities, University College Dublin, Catharine Macauley Centre, 47 Eccles Street, Dublin, Ireland

    Matthew Cassar MD,MRCS(Edin),ChM(Edin),FRCSEd & Ronan A. Cahill MB, BAO, BCh, MD, FRCS

  2. Department of Colorectal Surgery, Mater Misericordiae University Hospital, Dublin, Ireland

    Ghazi Yahya Ismael MBBS, MRCS

  3. Catharine Macauley Centre, 47 Eccles Street, Dublin 7, Ireland

    Ronan A. Cahill MB, BAO, BCh, MD, FRCS

Authors
  1. Matthew Cassar MD,MRCS(Edin),ChM(Edin),FRCSEd
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  2. Ghazi Yahya Ismael MBBS, MRCS
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  3. Ronan A. Cahill MB, BAO, BCh, MD, FRCS
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Correspondence to Ronan A. Cahill MB, BAO, BCh, MD, FRCS .

Editor information

Editors and Affiliations

  1. Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    John Beynon

  2. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Dean Anthony Harris

  3. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Mark Davies

  4. Department of Colorectal Surgery, Singleton Hospital, Swansea, United Kingdom

    Martyn Evans

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Cassar, M., Ismael, G.Y., Cahill, R.A. (2017). Assessment of Bowel Vascularity and Adjuncts to Anastomotic Healing. In: Beynon, J., Harris, D., Davies, M., Evans, M. (eds) Coloproctology. Springer, Cham. https://doi.org/10.1007/978-3-319-55957-5_7

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