Prediction of incontinence following low anterior resection for rectal carcinoma

Abstract

Continence following low anterior resection may be influenced by maximum resting pressure function of the internal anal sphincter; if it is injured during surgery, incontinence will occur. We may be able to foretell incontinence by using the predicted postoperative resting pressure formula, which is calculated by using preoperative resting pressure measurements and then determining the length of the remaining rectum.

Impact of lateral pelvic lymph node dissection on evacuatory and urinary functions following low anterior resection for advanced rectal carcinoma

“…Low level of anastomosis was reported to be a risk factor for postoperative poor bowel function [15,29]. Additionally, other factors such as specific large contractions in the neorectal pouch [14,30], hypermotility of the anal sphincter [31], or possible morphologic disorder after the pouch reconstruction [32,33], which were not measured in the present study, may affect evacuatory function following low anterior resection for mid and low rectal tumor.…”

Function after intersphincteric resection for low rectal cancer and its influence on quality of life

“…Matsushita et al. reported that postoperative continence after low anterior resection may be predicted by preoperative maximum resting anal canal pressure and length of the residual rectum [16]. This is of paramount importance in defaecatory function after anterior resection.…”

Prospective, Randomized Trial Comparing Sigmoid vs . Descending Colonic J-Pouch After Total Rectal Excision

“…This is in variance with a study by Jehle et al 16 who showed that RAIR was abolished in all 55 patients measured at three months after surgery. It is possible that re-establishment of traumatized neural pathways occurred early during the adaptive phase 17 and that recovery was complete at one year when all patients had RAIR present. Furthermore, RAIR preservation may also be explained partially by the preservation of the anal transitional zone because all patients in this study underwent double-stapling anastomosis without mucosectomy.…”