How to save both transverse colon and continence after extensive left colon surgery: A case report of a new procedure

Abstract

HighlightsNowadays after wide left colectomy, it is necessary to choose among 3 procedures: a definitive transverse colostomy, an ileo-rectal anastomosis or a right colo-rectal anastomosis (Deloyers procedure).After an extensive left proctocolectomy, to achieve the intestinal continuity between the transverse colon and rectum we performed transposition and rotation of the right colon into the pelvis.After recanalization the patient never lost the functions of the large intestine and progressively restored continence.Saving the transverse colon and the right colon means achieving not only continence but also a better degree of reabsorption of liquids and vitamin K and group B production.

Firearm injury and the Deloyers procedure: case report and literature review

“…Antona et al 2016 [11] 1 patient 36 N/A Intraoperative left colon ischemia None 2 per day (male) after IMA ligation Otani et al 2017 [12] 1 patient 74 N/A Synchronous malignancy None 2 per day (male) Di Saverio et al 2021 [13] Intraoperative left colon ischemia after IMA ligation: 1 (25%) Grasso et al 2018 [2] 1 patient 63 N/A Malignancy N/A N/A (male)…”

“…In addition to enhancing the quality of life of patients by ensuring colonic continuity and preserving the integrity of the ileocecal valve, this procedure also positively impacts their metabolic and immune systems. [2,3] This study aims to evaluate the Deloyers procedure as performed during the restoration of a patient who underwent extensive colon resection and Hartmann's procedure due to firearm trauma, in conjunction with existing literature on the subject.…”

Spanish Translation, Face Validity, and Reliability of the ICIQ-B Questionnaire with Colorectal Cancer Patients

“…5 New surgical techniques for colorectal cancer have been proposed to prevent ostomy and maintain continence. 6,7 However, incontinence episodes might be a problem and impair QoL. Low anterior resection, in particular, which is one of the most indicated treatments for rectal cancer, has been associated with a 42% prevalence of low anterior resection syndrome (LARS).…”