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Rectum amputation with swing flap

Preparation

  • The patient is prepared for a permanent stoma and its location is marked on the skin.
  • Bowel emptying is not necessary if anastomosis is ruled out from the start.
  • Thrombosis prophylaxis
  • Antibiotic prophylaxis 
  • Epidural catheter is installed for postoperative pain treatment.
  • A bladder catheter is inserted (Foley catheter).
  • The patient lies horizontal on the operation table. When the perineal phase will be performed, the patient is turned over to his/her abdomen and the hips are elevated. 
  • The operation is carried out under general anesthesia.

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