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A New Technique for Mucosal Proctectomy

Tomas M. Heimann, MD; Robert J. Kurtz, MD; Arthur H. Aufses, Jr, MD

Arch Surg. 1985;120(10):1200-1203.

Abstract
• We report a new technique for mucosal proctectomy that does not require manual separation of the mucosa and submucosa from the underlying muscularis. Mucosal proctectomy using ultrasonic fragmentation of the rectal mucosa was performed in four patients. Three had severe ulcerative colitis, and one patient had radiation proctitis with a rectal stricture. In all cases an endorectal pullthrough with anastomosis to the area of the dentate line was performed. Healing after ultrasonic mucosal proctectomy occurred without infection or retraction. Ultrasonic fragmentation offers an alternative to the standard technique of mucosal proctectomy. This new method is useful in those patients in whom separation of the rectal mucosal layer is difficult to perform.

(Arch Surg 1985;120:1200-1203)

Author Affiliations
From the Department of Surgery, The Mount Sinai School of Medicine, The City University of New York.

Footnotes
Accepted for publication April 9, 1985.

Reprint requests to Department of Surgery, The Mount Sinai Hospital, 1 Gustave L. Levy Pl, New York, NY 10029 (Dr Heimann).

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