Resection of rectal mucosa without proctectomy as an adjunct to abdominoperineal resection for nonmalignant conditions

Abstract

Summary An operative procedure consisting of excision of the rectal pouch and sigmoid end colostomy was performed in each of ten dogs to evaluate the fate of the rectal pouch. In each of the chronic survivors the lumen of the rectal pouch became obliterated within six to eight weeks, and abscess did not occur. Because of the frequent morbidity associated with abdominoperineal resection, it is believed that the described operation may warrant clinical trial in selected patients with ulcerative colitis and certain other nonmalignant conditions involving the rectum.