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Anastomosis

Anastomosis is a surgery where two parts of the colon or rectum are stitched back together after a damaged or diseased section has been removed. It helps the intestines work normally again so stool can pass through the body like before.
Purpose of Colorectal Anastomosis
The main reason is to reconnect the digestive system after removing a part of the colon or rectum because of:
Cancer
Inflammatory bowel disease (IBD) like Crohn’s or ulcerative colitis
Diverticulitis
Injury or trauma
Types of Surgery:
End-to-End: The two ends of the colon or rectum are directly connected. This is the most common method.
Side-to-End: The side of one part is attached to the end of another. This is done if the two pieces are not the same size or need to be connected without pulling too much.
Side-to-Side: The sides of two sections are joined. This is used when a larger opening is needed, though it’s less common in colon surgery.
Common Surgeries That Use Anastomosis
Low Anterior Resection (LAR): Upper part of the rectum is removed, and the rest is connected to the colon.
Sigmoid Colectomy: The sigmoid colon is taken out, and the colon is joined to the rectum.
Total Proctocolectomy with IPAA: The whole colon and rectum are removed. A pouch is made from the small intestine and connected to the anus.
Hemicolectomy: One side of the colon is removed, and the remaining parts are stitched back together.