Complications of very low anterior resections are anastomotic leak, stenosis and incontinence. Anastomotic leak is the most common and serious complication and the incidence increases with technical problems such as stump leak or insufficient purse string suture. Stenosis is more common after anastomotic leak. Various techniques have been determined for prevention of these complications. A method of replacement of the anvil in very low anterior resections is described. We had no complication in 15 patients that were operated by this tecnique. [Journal of Turgut Ozal Medical Center 1997;4(2):259-260]
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