Correspondence An improved means of faecal diversion: the trephine stoma
SirThe recent paper by Mr Anderson and colleagues ( R r J Surg 1992; 79: 1080-1) is clearly a step in the right direction to minimize an otherwise major surgical intervention. There is no doubt, however, that a great deal of skill and care is required to ensure that the correct loop GK 1 . McKirdy HC. Functional relationship of the longitudinal and circular layers of the muscularis externa of the rabbit large intestine. J Physiol (Lond) 1972; 227: 839-53. Creed KE, Cillespie JS, McCaffery H. The rabbit anococcygeus muscle and its response to field stimulation and to some drugs. J Pli~~.sio/ ( h i d ) 1977; 273: 121 -35. 3. Williams PL, Warwick R. Dyson M, Bannister LH. Grn.v'.y AiitrrortiJ,. 37th ed. Edinburgh: Churchill Livingstone, 1989: 1374. 4. Courtney H. Anatomy oF the pelvic diaphragm and anorectal musculature as related to sphincter preservation in anorectal surgery. ,4171 J Sirrig 1950; 79: 155-73. 2. Rectum l i 262 Br.
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