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  • 449
  • 2009-06-12

Ileorectal fistula after open total colectomy: laparoscopic re-operation

Epublication WebSurg.com, Jun 2009;09(06). URL:
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Total colectomy with an ileorectal anastomosis (IRA) is a commonly performed operation. Postoperative mortality and morbidity are reported to be low and functional outcome is generally rated as good to excellent. When a postoperative fistula occurs, the surgical management is very complex. The purpose of this video is to demonstrate the laparoscopic approaches available in a patient who has had multiple interventions via laparotomy and who may be prone to having numerous adhesions.