Specific Anatomical Considerations

During embryological life the mesentery of the primitive gut is oriented anteriorly. When the bowel re-enters the abdominal cavity, the mesentery of the

Fig. 5. Tr, ligament of Treitz; IMV, inferior mesenteric vein; Pa, pancreas
Fig. 6. Ao, aorta; IMA, inferior mesenteric artery; IMV, inferior mesenteric vein. The dotted line indicates the site of peritoneum incision to isolate the artery

Fig. 7. Position of trocars for laparoscopic rectal cancer surgery

Fig. 7. Position of trocars for laparoscopic rectal cancer surgery

origin of the inferior mesenteric artery. After vascular ligation, if the avascular plane behind the mesentery of the left colon is followed properly, it leads down to the pelvis into the vascular plane behind the mesorectum, which is mobilised together with the rectum. Here, the hypogastric nerves must be identified and spared.

Was this article helpful?

0 0
Dealing With Erectile Dysfunction

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.

Get My Free Ebook


Post a comment