Which Part of the Colon Should be Used

Both sigmoid and descending colons have been used to construct the pouch and usually oncological and operative factors determine the choice [43]. The sig-moid colon tract may present three disadvantages: the presence of diverticular disease, a more propulsive motility than the descending colon and a fatty sigmoid mesentery [35, 38].

For these reasons some Authors believe that routine excision of the sigmoid colon is preferable and the use of the descending colon after full splenic mobilisation for pouch construction is the key factor in optimising functional outcome [17, 26].

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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.

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