Skip to main content

Abstract

This chapter is about avoiding and treating complications of anal surgery. For many of the conditions requiring anal surgery, the surgeon has to choose between several surgical options. Proper planning of the operation means selection of the surgical procedure which best suits the individual situation of the patient. Case-specific risk factors must be identified, and the procedure must be tailored to the individual needs of the patient. Surgeons must have sufficient knowledge about different technical solutions. This will enable them to avoid the pitfalls which are likely to result in a complicated postoperative course. Preoperative bowel preparation and perioperative antibiotics should not be restricted to patients requiring a formal colorectal resection but should be used in all patients undergoing major proctological procedures requiring extensive dissection and suturing. A clear understanding of surgical anatomy, attention to technical details, and meticulous hemostasis are essential for a successful outcome of every anorectal operation.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abcarian H (1980) Surgical correction of chronic anal fissure: results of lateral internal sphincterotomy vs fissurectomy — midline sphincterotomy. Dis Colon Rectum 23:31–35

    Article  CAS  PubMed  Google Scholar 

  2. Arnold MW, Stewart WRC, Aguilar PS (1990) Rectocele repair: four year’s experience. Dis Colon Rectum 33:684–687

    Article  CAS  PubMed  Google Scholar 

  3. Asfar SK, Juma TH, Ala-Edeen T (1988) Hemorrhoidectomy and sphincterotomy. A prospective study comparing the effectiveness of anal stretch and sphincterotomy in reducing pain after hemorrhoidectomy. Dis Colon Rectum 31:181–185

    Article  CAS  PubMed  Google Scholar 

  4. Bayer I, Gordon PHH (1994) Selected operative management of fistula-in-ano in Crohn’s disease. Dis Colon Rectum 37:760–765

    Article  CAS  PubMed  Google Scholar 

  5. Bernard D, Morgan S, Tasse D, Wassef R (1989) Preliminary results of coloanal anastomosis. Dis Colon Rectum 32:580–584

    Article  CAS  PubMed  Google Scholar 

  6. Bleday R, Pena JP, Rothenberger DA, Goldberg SM, Buls G (1990) Symptomatic hemorrhoids: current incidence and complications of operative therapy. Dis Colon Rectum 35:477–481

    Article  Google Scholar 

  7. Blessing H (1993) Spatresultate nach individualisierter lat-eraler interner Sphinkterotomie. Helv Chir Acta 59:603–607

    CAS  PubMed  Google Scholar 

  8. Block IR (1986) Transrectal repair of rectocele using oblit-erative suture. Dis Colon Rectum 29:707–711

    Article  CAS  PubMed  Google Scholar 

  9. Brandt LJ, Bernstein LH, Boley SJ, Frank MS (1982) Metronidazole therapy for perianal Crohn’s disease: a follow-up study. Gastroenterology 83:383–387

    CAS  PubMed  Google Scholar 

  10. Brubacker LT, Fenner DE, Saclarides TJ (1996) Posterior vaginal support defects. In: Brubaker LT, Saclarides T J (eds) The female pelvic floor: disorders of function and support. Davis, Philadelphia, pp 255–261

    Google Scholar 

  11. Cali RL, Christensen MA, Blatchford GJ, Thorson AG (1992) Rectoceles. Semin Colon Rectum Surg 3:132–137

    Google Scholar 

  12. Carditello A (1991) L’hemorroidectomia secondo Arnous e Parnaud: il suo ruolo sull’entita del dolore post-operatorio. Chir Ital 43:200–205

    CAS  PubMed  Google Scholar 

  13. Cavaliere F, Pemberton JH, Cosimelli M, Fazio VW, Beart RW Jr (1995) Coloanal anastomosis for rectal cancer. Dis Colon Rectum 38:807–812

    Article  CAS  PubMed  Google Scholar 

  14. Chester JF, Stanford B, Gazet JC (1990) Analgesic benefit of locally injected bupivacaine after hemorrhoidectomy. Dis Colon Rektum 33:487–489

    Article  CAS  Google Scholar 

  15. Christiansen J, Sparso B (1992) Treatment of anal incontinence by an implantable prosthetic anal sphincter. Ann Surg 215:383–386

    Article  CAS  PubMed  Google Scholar 

  16. Deen KI, Wong WD (1996) Hemorrhoidal surgery. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 163–172

    Google Scholar 

  17. DeLaurier GA, Nelson H (1996) Ileal pouch-anal anastomosis. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 339–356

    Google Scholar 

  18. Devien CV (1994) A mort le Whitehead, vive le Toupet! ou l’hemorrhoidectomie totale circulaire revisitee. Sa technique, ses indications, ses resultats. Ann Chir 48:565–571

    CAS  PubMed  Google Scholar 

  19. Dolk A, Broden G, Holmstrom B, Johansson C, Nilsson BY (1990) Slow transit of the colon associated with severe constipation after the Ripstein operation. A clinical and physiologic study. Dis Colon Rectum, 33:786–790

    Article  CAS  PubMed  Google Scholar 

  20. Drake DB, Pemberton JH, Beart Jr RW, Dozois RR, Wolff BG (1987) Coloanal anastomosis in the management of benign and malignant rectal disease. Ann Surg 206:600–605

    Article  CAS  PubMed  Google Scholar 

  21. Eu KW, Teoh TA, Seow-Choen F, Goh HS (1995) Anal stricture following haemorrhoidectomy: early diagnosis and treatment. Aust NZ J Surg 65:101–103

    Article  CAS  Google Scholar 

  22. Fazio VW, Tjandra JJ (1992) Pouch advancement and neoileoanal anastomosis for anastomotic stricture and ano-vaginal fistula complicating restorative proctocolectomy. Br J Surg 79:694–696

    Article  CAS  PubMed  Google Scholar 

  23. Fazio VW, Wu JS (1997) Surgical therapy for Crohn’s disease of the colon and rectum. Surg Clin North Am 77:197–210

    Article  CAS  PubMed  Google Scholar 

  24. Felt-Bersma RJ, van-Baren R, Koorevaar M, Strijers RL, Cuesta MA (1995) Unsuspected sphincter defects shown by anal endosonography after anorectal surgery. A prospective study. Dis Colon Rectum 38:249–253

    Article  CAS  PubMed  Google Scholar 

  25. Fry RD, Shemesh EI, Kodner IJ, Timmcke A (1989) Techniques and results in the management of anal and perianal Crohn’s disease. Surg Gynecol Obstet 168:42–48

    CAS  PubMed  Google Scholar 

  26. Galandiuk S, Scott NA, Dozois RR, Kelly KA, Ilstrup DM et al (1990) Ileal pouch-anal anastomosis. Ann Surg 212:446–454

    Article  CAS  PubMed  Google Scholar 

  27. Goldstein ET, Williamson PR, Larach SW(1993) Subcutaneous morphine pump for postoperative hemorrhoidectomy pain management. Dis Colon Rectum 36:439–446

    Article  CAS  PubMed  Google Scholar 

  28. Groom JS, Nicholls RJ, Hawley PR, Phillips RKS (1993) Pouch-vaginal fistula. Br J Surg 80:936–940

    Article  CAS  PubMed  Google Scholar 

  29. Halme L, Sainio AP (1995) Factors related to frequency, type, and outcome of anal fistulas in Crohn’s disease. Dis Colon Rectum 38:55–59

    Article  CAS  PubMed  Google Scholar 

  30. Heuschen UA, Stern J, Herfarth C (1996) Komplikationen in der ileoanalen Pouchchirurgie. In: Hohenberger W, Gohl J (eds) Komplikationen der Viszerosynthese. Zuckschwerdt, Munich, pp 129–137

    Google Scholar 

  31. Hoff SD, Bailey HR, Butts DR et al (1994) Ambulatory surgical hemorrhoidectomy — a solution to postoperative urinary retention? Dis Colon Rectum 37:1242–1244

    Article  CAS  PubMed  Google Scholar 

  32. Horn HR, Schoetz DJ, Coller JA, Veidenheimer MC (1985) Sphincter repair with a silastic sling for anal incontinence and rectal procidentia. Dis Colon Rectum 11:868–872

    Article  Google Scholar 

  33. Jacobs PPM, Scheurer M, Kuijpers JHC, Vingerhoets MH (1990) Obstetric fecal incontinence: role of pelvic floor denervation and results of delayed sphincter repair. Dis Colon Rectum 33:494–497

    Article  CAS  PubMed  Google Scholar 

  34. Janssen LW, van Dijke CF (1994) Selection criteria for anterior rectal wall repair in symptomatic rectocele and anterior rectal wall prolapse. Dis Colon Rectum 37:1100–1107

    Article  CAS  PubMed  Google Scholar 

  35. Jones IT, Fazio VW, Jagelman DG (1987) The use of transanal rectal advancement flaps in the management of fistulas involving the anorectum. Dis Colon Rectum 30:919–923

    Article  CAS  PubMed  Google Scholar 

  36. Keighley MRB, Grobler S (1993) Fistula complicating restorative proctocolectomy. Br J Surg 80:1065–1067

    Article  CAS  PubMed  Google Scholar 

  37. Keighley MRB, Grobler S, Bain I (1993) An audit of restorative proctocolectomy. Gut 34:680–684

    Article  CAS  PubMed  Google Scholar 

  38. Khubchandani IT (1985) Mucosal advancement anoplasty. Dis Colon Rectum 28:194–196

    Article  CAS  PubMed  Google Scholar 

  39. Khubchandani IT (1994) Anal stenosis. Surg Clin North Am 74:1353–1360

    CAS  Google Scholar 

  40. Khubchandani IT, Sheets JA, Stasik J J, Hakki AR (1983) Endorectal repair of rectocele. Dis Colon Rectum 26:792–796

    Article  CAS  PubMed  Google Scholar 

  41. Larach SW, Cataldo TE, Beck DE (1996) Nonoperative treatment of hemorrhoidal disease. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 173–180

    Google Scholar 

  42. Lavery IC, Tuckson WB, Easley KA (1989) Internal anal sphincter function after total abdominal colectomy and stapled ileal pouch-anal anastomosis without mucosal proctectomy. Dis Colon Rectum 32:950–953

    Article  CAS  PubMed  Google Scholar 

  43. Lazorthes F, Fages P, Chiotasso P, Lemozy J, Bloom E (1986) Resection of the rectum with construction of a colonic reservoir and colo-anal anastomosis for carcinoma of the rectum. Br J Surg 73:136–138

    Article  CAS  PubMed  Google Scholar 

  44. Lewis P, Bartolo CC (1990) Treatment of trans-sphincteric fistulae by full thickness anorectal advancement flaps. Br J Surg 77:1187–1189

    Article  CAS  PubMed  Google Scholar 

  45. Lewis TH, Corman ML, Prager ED, Robertson WG (1988) Long-term results of open and closed sphincterotomy for anal fissure. Dis Colon Rectum 31:368–371

    Article  CAS  PubMed  Google Scholar 

  46. Lucas JD, Landy LB (1992) The gynecologist’s approach to anterior rectoceles. Semin Colon Rectum Surg 3:138–143

    Google Scholar 

  47. Lyngdorf P, Frimoidt-Moller C, Jeppesen N (1986) Voiding disturbances following anal surgery. Urol Int 41:67–69

    Article  CAS  PubMed  Google Scholar 

  48. Mann CV, Glass RE (1991) Surgical treatment of anal incontinence. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  49. Marcello PW, Roberts RL, Schoetz DJ, Coller JA, Murray JJ, Veidenheimer MC (1993) Obstruction after ileal pouch-anal anastomosis: a preventable complication? Dis Colon Rectum 36:1105–1111

    Article  CAS  PubMed  Google Scholar 

  50. Marcello RP, Roberts PL (1996) Surgery for rectal prolapse. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 237–262

    Google Scholar 

  51. Marsh GD, Huddy SP, Rutter KP (1993) Bupivacaine infiltration after haemorrhoidectomy. J R Coll Surg Edinb 38:41–42

    CAS  PubMed  Google Scholar 

  52. Mazier WP (1994) Hemorrhoids, fissures, and pruritus ani. Surg Clin North Am 74:1277–1292

    CAS  PubMed  Google Scholar 

  53. Mclntyre PB, Pemberton JH, Beart RW, Devine RM, Nivatvongs S (1994) Double-stapled vs handsewn ileal pouch-anal anastomosis in patients with chronic ulcerative colitis. Dis Colon Rectum 37:430–433

    Article  Google Scholar 

  54. Mellgren A, Anzen B, Nilson BY, Johannson C, Dolk A, Gill-gren P (1995) Results of rectocele repair. A prospective study. Dis Colon Rectum 38:7–13

    Article  CAS  PubMed  Google Scholar 

  55. Miller AS, Lewis WG, Williamson ME, Holdsworth PJ, Johnston D, Finan PJ (1995) Factors that influence functional outcome after coloanal anastomosis for carcinoma of the rectum. Br J Surg 82:1327–1330

    Article  CAS  PubMed  Google Scholar 

  56. Milsom JW, Mazier WP (1986) Classification and management of postsurgical anal stenosis. Surg Gynecol Obstet 163:60–64

    CAS  PubMed  Google Scholar 

  57. Murthy VK, Orkin BA, Smith LE, Glassmann LM (1996) Excellent outcome using selective criteria for rectocele repair. Dis Colon Rectum 39:374–378

    Article  CAS  PubMed  Google Scholar 

  58. Nicholls RJ, Gilbert JM (1990) Surgical correction of the efferent ileal limb for disordered defaecation following restorative proctocolectomy with the S ileal reservoir. Br J Surg 77:152–154

    Article  CAS  PubMed  Google Scholar 

  59. Nivatvongs S, Fang DT (1986) The use of thumbtacks to stop massive presacral hemorrhage. Dis Colon Rectum 589–590

    Google Scholar 

  60. Notaras MJ (1988) Anal fissure and stenosis. Surg Clin North Am 68:1427–1440

    CAS  PubMed  Google Scholar 

  61. O’Donovan S, Ferrara A, Larach S, Williamson P (1994) Intraoperative use of Toradol facilitates outpatient hemorrhoidectomy. Dis Colon Rectum 37:793–799

    Article  PubMed  Google Scholar 

  62. Orkin BA (1996) Resection for colorectal cancer. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 295–311

    Google Scholar 

  63. Parc R, Tiret E, Frileux P, Moszkowski E, Loygue J (1986) Resection and colo-anal anastomosis with colonic reservoir for rectal carcinoma. Br J Surg 73:139–141

    Article  CAS  PubMed  Google Scholar 

  64. Parikh SR, Molinelli B, Dailey TH (1994) Liver abscess after hemorrhoidectomy. Report of two cases. Dis Colon Rectum 37:185–189

    Article  CAS  PubMed  Google Scholar 

  65. Pearl RK, Andrew JR, Orsay CP, Weisman RI, Prasad ML, Nelson RL, Cintron JR, Abcarian H (1993) Role of the seton in the management of anorectal fistulas. Dis Colon Rectum 36:573–579

    Article  CAS  PubMed  Google Scholar 

  66. Pezim ME, Barry A, Tayler MA, Davis CJ, Beart RW Jr (1987) Perforation of terminal ileal appendage of J-pelvic ileal reservoir. Dis Colon Rectum 30:161–163

    Article  CAS  PubMed  Google Scholar 

  67. Pfeifer J, Berner A, Uranus S (1994) Die chirurgische Thera-pie der chronischen Analfissur — beeintrachtigen proktolo-gische Zusatzoperationen die Kontinenzleistung? Chirurg 65:630–633

    CAS  PubMed  Google Scholar 

  68. Pinho M, Ortiz J, Oya M, Panagamuwa B, Asperer J, Keighly MR B (1992) Total pelvic floor repair for the treatment of neuropathic fecal incontinence. Am J Surg 163:340–343

    Article  CAS  PubMed  Google Scholar 

  69. Prasad ML, Pearl RK, Abcarian H, Orsay CP, Nelson RL (1986) Perineal proctectomy, posterior rectopexy, and postanal levator repair for the treatment of rectal prolapse. Dis Colon Rectum 29:547–552

    Article  CAS  PubMed  Google Scholar 

  70. Pryn SJ, Crosse MM, Murison MS, McGinn FP (1990) Postoperative analgesia for haemorrhoidectomy. A comparison between caudal and local infiltration. Anaesthesia 44:964–966

    Article  Google Scholar 

  71. Pucciarelh S, Toppan P, Pilati PL, Piccoli A, Chemello F, Lise M (1994) Efficacy of dilatations for anastomotic colorectal stenoses: prognostic factors. Int J Colorectal Dis 9:149–152

    Article  Google Scholar 

  72. Ramanujam PS, Venkatesh KS, Fietz MJ (1994) Perineal excision of rectal procidentia in elderly high-risk patients. A ten-year experience. Dis Colon Rectum 37:1027–1030

    Article  CAS  PubMed  Google Scholar 

  73. Ramos R, Bode W (1988) A simple technique for construction of a J-Pouch. Dis Colon Rectum 31:87–89

    Article  CAS  PubMed  Google Scholar 

  74. Roach MB, Donaldson DS (1996) Urologic complications of colorectal surgery. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 99–107

    Google Scholar 

  75. Rosen HR, Schiessel R (1995) Die koloanale Anastomose: Technik und Resultate. Chir Gastroenterol 11:369–374

    Article  Google Scholar 

  76. Rosen L, Sipe P, Stasik JJ, Riether RD, Trimpi HD (1993) Outcome of delayed hemorrhage following surgical hemorrhoidectomy. Dis Colon Rectum 36:743–746

    Article  CAS  PubMed  Google Scholar 

  77. Ross AH, Thomson JP (1989) Management of infection after prosthetic abdominal rectopexy (Wells’ procedure). Br J Surg 76:610–612

    Article  CAS  PubMed  Google Scholar 

  78. Rothenberger DA (1993) Role of the seton in the management of anorectal fistulas. Dis Colon Rectum 36:578

    Google Scholar 

  79. Russell TR, Donohue JH (1985) Hemorrhoidal banding. A warning. Dis Colon Rectum 28:291–293

    Article  CAS  PubMed  Google Scholar 

  80. Scaglia M, Fasth S, Hallgren T, Nordgren S, Oresland T, Hulten L (1994) Abdominal rectopexy for rectal prolapse. Influence of surgical technique on functional outcome. Dis Colon Rectum 37:805–813

    Article  CAS  PubMed  Google Scholar 

  81. Schouten WR, van Vroonhoven TJMV (1991) Treatment of anorectal abscess with or without primary fistulectomy: results of a prospective randomized trial. Dis Colon Rectum 34:60–63

    Article  CAS  PubMed  Google Scholar 

  82. Scott NA, Dozois RR, Beart RW Jr, Pemberton JH, Wolff BG, Ilstrup DM (1988) Postoperative intra-abdominal and pelvic sepsis complicating ileal pouch-anal anastomosis. Int J Colorectal Dis 3:149–152

    Article  CAS  PubMed  Google Scholar 

  83. Sehapayak S (1985) Transrectal repair of rectocele: an extended armamentarium of colorectal surgeons: a report of 355 cases. Dis Colon Rectum 28:422–433

    Article  CAS  PubMed  Google Scholar 

  84. Senagore AJ (1996) Surgery for chronic anal fissure and stenosis. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 193–202

    Google Scholar 

  85. Seow-Choen F, Leong AF, Goh HS (1993) Results of a policy of selective immediate fistulotomy for primary anal abscess. Aust NZ J Surg 63:485–489

    Article  CAS  Google Scholar 

  86. Shemesh EI, Kodner IJ, Fry RD, Neufeld DM (1986) Endorectal sliding flap repair of complicated anterior anoperineal fistulas. Dis Colon Rectum 31:22–24

    Article  Google Scholar 

  87. Sher ME, Bauer JJ, Gelernt I (1991) Surgical repair of rectovaginal fistulas in patients with Crohn’s disease: transvaginal approach. Dis Colon Rectum 34:641–648

    Article  CAS  PubMed  Google Scholar 

  88. Snooks SJ, Swash M, Path MRC, Henry M (1984) Electrophysiologic and manometric assessment of failed postanal repair for anorectal incontinence. Dis Colon Rectum 27:733–736

    Article  CAS  PubMed  Google Scholar 

  89. Speakman CTM, Burnett SJD, Kamm MA, Bartram CI (1991) Sphincter injury after anal dilatation by anal endosonography. Br J Surg 78:1429–1430

    Article  CAS  PubMed  Google Scholar 

  90. Speakman CT, Madden MV, Nicholls RJ, Kamm MA (1991) Lateral ligament division during rectopexy causes constipation but prevents recurrence: results of a prospective randomized study. Br J Surg 78:1431–1433

    Article  CAS  PubMed  Google Scholar 

  91. Stolfi VM, Milsom JW, Lavery IC, Oakley JR, Church JM, Fazio VW (1992) Newly designed occluder pin for presacral hemorrhage. Dis Colon Rectum 35:166–169

    Article  CAS  PubMed  Google Scholar 

  92. Stryker SJ (1996) Rectal prolapse. In: Brubaker LT, Saclarides TJ (eds) The female pelvic floor: disorders of function and support. Davis, Philadelphia, pp 289–295

    Google Scholar 

  93. Sugarbaker PH (1996) Rectovaginal fistula following low circular stapled anastomosis in women which rectal cancer. J Surg Oncol 61:155–158

    Article  CAS  PubMed  Google Scholar 

  94. Sullivan ES, Leaverton GH, Hardwick E (1968) Transrectal perineal repair: an adjunct to improved function after anorectal surgery. Dis Colon Rectum 11:106–114

    Article  CAS  PubMed  Google Scholar 

  95. Timmcke AE, Ng DA (1996) Surgery for fecal incontinence. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 222–236

    Google Scholar 

  96. Van-Tets WF, Kuijpers HC (1994) Continence disorders after anal fistulotomy. Dis Colon Rectum 37:1194–1197

    Article  CAS  PubMed  Google Scholar 

  97. Vasilevsky CA (1996) Surgery for abscess and fistula. In: Hicks TC, Beck DE, Opelka FG, Timmcke AE (eds) Complications of colon and rectal surgery. Williams and Wilkins, Baltimore, pp 181–192

    Google Scholar 

  98. Vernava AM, Longo WE (1992) Other applications of colorectal physiology. Semin Colon Rectum Surg 3:144–151

    Google Scholar 

  99. Villet R, Morice P, Bech A, Salet-Lizee D, Zafiropulo M (1993) Approche abdominale des rectoceles et des lytroceles. Ann Chir 47:626–630

    CAS  PubMed  Google Scholar 

  100. Wechter DG, Luna GK (1987) An unusual complication of rubber band ligation of hemorrhoids. Dis Colon Rectum 30:137–140

    Article  CAS  PubMed  Google Scholar 

  101. Wedell J, Schlageter M:Meier-zu-Eissen P, Banzhaf G, Castrup W, van-Calker H (1987) Die Problematik der pelvinen Sepsis nach Rectopexie mittels Kunststoff und ihre Behan-dlung. Chirurg 58:423–427

    CAS  PubMed  Google Scholar 

  102. Wexner SD, James K, Jagelman DG (1991) The double-stapled ileal reservoir and ileoanal anastomosis. Dis Colon Rectum 34:487–494

    Article  CAS  PubMed  Google Scholar 

  103. Williams JG, Rothenberger DA, Nemer FD, Goldberg SM (1991) Fistula-in-ano in Crohn’s disease: results of aggressive surgical treatment. Dis Colon Rectum 34:378–384

    Article  CAS  PubMed  Google Scholar 

  104. Williamson PR, Hellinger MD, Larach SW, Ferrara A (1995) Twenty-year review of the surgical management of perianal Crohn’s disease. Dis Colon Rectum 38:389–392

    Article  CAS  PubMed  Google Scholar 

  105. Wolff BG, Culp CE (1988) The Whitehead hemorrhoidectomy. An unjustly maligned procedure. Dis Colon Rectum 31:587–590

    Article  CAS  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Aeberhard, P. (1998). Complications of Anal Surgery. In: Marti, MC., Givel, JC. (eds) Surgical Management of Anorectal and Colonic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10169-8_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-10169-8_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-10171-1

  • Online ISBN: 978-3-662-10169-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics