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Pouch Perineal Rectosigmoidectomy: A Case Report

Domingo Galliano, MD

Jorge A. Larach, MD

Eric G. Weiss, MD

Steven D. Wexner, MD

Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL.

Juan J. Nogueras, MD

Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331 mcderme{at}ccf.org

Many surgical methods have been described for the treatment of full-thickness rectal prolapse. Rarely, unusually large lengths of colon must be excised, thus resulting in a significant loss of the absorptive function of the remaining colon. We present an unusual case in which an extraordinary length of the colon was excised and a perineal reservoir was created in the form of a colonic J-pouch to improve continence.

Key Words: perineal pouch • rectosigmoidectomy • rectal prolapse

Surgical Innovation, Vol. 12, No. 4, 373-375 (2005)
DOI: 10.1177/155335060501200414


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