20. Conclusion; anal dilatation
• NO reduced HAEC or postoperative
obstructive symptoms
• it may decrease the difficulties of
surgeries, so the operative time is shorten.
68. Effect on EC
• Routine postoperative dilatations no effect
on stricture incidence
• Routine postoperative rectal irrigations possible
reduced HAEC incidence).
• Posterior myotomy/myectomy : Not
recommended 25% incontinence!
69. • Botulinum toxin injection : short-term
response in 77.3% long-term
response in 43.0%
• Probiotic prophylaxis no reduction in
HAEC
73. Technical details
Not before
one month.
Preop
dilatation.
Short cuff
(Soave)
Divide the Spur
(Duhamel)
Stick to the wall
(Swenson)
Vascular colon
(Arcade)
Post OP
Rectal tube.