Abstract
We report here a case of rectal prosthesis for a patient with lower rectal carcinoma. The patient was a 43 years old male. He complained of bloody stool with tenesmus, which he had been suffering from for about one year. In our department lower rectal carcinoma with remarkable stenosis was revealed by enema and endoscopy. A plain abdominal X-ray also showed a large intestinal content in the entire large intestine. A prosthetic instrume-nt was placed in the stenosis of the rectum. Through the lumen of the instrument, irrigation was avalable in the entire colon for 3 to 4 days after twhich barium enema allowed us get information above the stenosis. As result of the irrigation, the operative maneuver was remarkab-ly fine, and there were no post operative complications. It has been found that flora in patients with cob-rectal cancer is abnormal. It has also been found in our experience the animal studies at incidence of anastomotic leakage without preoperative irrigation was 46.7 % too higher than for the irrigation group. Thus, for a preoprative patient with stenotic rectal cancer, a rectal prosthesis developed by us improves this situation very much. We recommend that preoperative irrigation should be performed for patients with stenotic lumen due to rectal carcinoma.
