Anorectal reconstruction

Abstract

Surgical treatment of low rectal malignancies may necessitate an abdominal colostomy. The dream of most patients is to avoid a permanent colostomy. To this end, total anorectal reconstruction offers a possibility for the patient to avoid a permanent colostomy while having a potentially functional quality of life. This chapter provides an overview of the indications, limitations, technique, and outcomes of anorectal reconstruction.