PubMed · 8668257
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H Obertop. 1996-04-06. [Preternatural anus?].. https://pubmed.ncbi.nlm.nih.gov/8668257/
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Perineal rectosigmoidectomy with a hand-sewn anastomosis is thought to be the most appropriate procedure for elderly patients deemed unfit to tolerate a major abdominal operation. However, the use of a circular stapling device to perform the coloanal anastomosis following rectosigmoidectomy shortens the operative time and provides a more secure anastomosis than the traditional hand-sewn technique.