Colo Anal Mechanical Anastomosis

The rectum is sectioned with a mechanical linear stapler at levator muscle level or lower after beginning dissection between the external and internal sphincters. Anastomosis is performed with a circular sta pler inserted with a trans-anal approach according to the technique described by Knight and Griffen [15]. The further rectal section determined by circular stapler in some cases may move the anastomosis level to the dentate line realising a "real" colo-anal anastomosis. The functional results improve by associating a colonic reservoir with anastomosis [16].

Fig. 2. Colo-anal mechanical anastomosis

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Dealing With Erectile Dysfunction

Whether you call it erectile dysfunction, ED, impotence, or any number of slang terms, erection problems are something many men have to face during the course of their lifetimes.

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