{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T20:39:20Z","timestamp":1762375160179},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1988,10,1]],"date-time":"1988-10-01T00:00:00Z","timestamp":591667200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1988,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Forty consecutive patients scheduled for either low anterior resection or abdominoperineal resection of the rectum have been studied. After standard procedures, carried out by all grades of surgeons, the omentum was mobilized as a pedicle graft based on the left gastro-epiploic arcade and transposed to the pelvis or perineum. All wounds were closed primarily without drainage. Twenty-six patients had anterior resection, 11 abdominoperineal resection and 3 an extended Hartmann's operation. Patients were assessed clinically and radiographically by Gastrografin\u00ae enema and ultrasound for evidence of anastomotic leakage, pelvic collections and wound healing. After anterior resection there were three radiological leaks and no overt clinical leaks. One patient had a collection related to a leak. Of 11 perineal wounds 8 healed primarily in 2 weeks and all healed by 4 weeks. There was no frank wound breakdown. The three patients who had Hartmann's operations all healed without complication. There were no unavoidable complications of the procedure. Retrocolic omentoplasty is a simple, safe and effective adjunct to rectal surgery. The additional time taken (15\u201320 min) is well rewarded by sound healing of these operations.<\/jats:p>","DOI":"10.1002\/bjs.1800751020","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:47:16Z","timestamp":1172918836000},"page":"1012-1015","source":"Crossref","is-referenced-by-count":33,"title":["Abdominoperineal and anterior resection of the rectum with retrocolic omentoplasty and no drainage"],"prefix":"10.1093","volume":"75","author":[{"given":"S R G","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Surgery, Ashford Hospital , Ashford, Middlesex,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Swift","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ashford Hospital , Ashford, Middlesex,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Gompertz","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ashford Hospital , Ashford, Middlesex,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W N W","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ashford Hospital , Ashford, Middlesex,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1988,10,1]]},"reference":[{"key":"2024092719495059700_bib1","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1136\/bmj.281.6237.411","article-title":"Anastomotic integrity after operations for large bowel cancer: a multicentre study","volume":"281","author":"Fielding","year":"1980","journal-title":"Br Med J"},{"key":"2024092719495059700_bib2","first-page":"308","article-title":"Surgical drainage","volume":"33","author":"Smith","year":"1985","journal-title":"Br J Hosp Med"},{"key":"2024092719495059700_bib3","first-page":"306","article-title":"Anterior anastomosis of the rectosigmoid colon: an experimental study","volume":"80","author":"McLachlin","year":"1976","journal-title":"Surgery"},{"key":"2024092719495059700_bib4","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/BF02617675","article-title":"The detrimental effect of drains on colonic anastomoses. An experimental study","volume":"13","author":"Manz","year":"1970","journal-title":"Dis Colon Rectum"},{"key":"2024092719495059700_bib5","first-page":"567","article-title":"An experimental study of the effect of drains on colonic healing","volume":"39","author":"Crowson","year":"1973","journal-title":"Am Surg"},{"key":"2024092719495059700_bib6","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1002\/bjs.1800690313","article-title":"The effect of surgical drainage materials on colonic anastomotic healing","volume":"69","author":"Smith","year":"1982","journal-title":"Br J Surg"},{"key":"2024092719495059700_bib7","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1136\/bmj.1.2350.76","article-title":"Remarks on some functions of the omentum","volume":"1","author":"Morrison","year":"1906","journal-title":"Br Med J"},{"key":"2024092719495059700_bib8","first-page":"477","article-title":"L'utilisation du grand epiploon dans le traitement des fistules post radiotherapeutiques vesico-vaginales, recto-vesico-vaginales et dans les cystoplasties","volume":"89","author":"Kiricuta","year":"1965","journal-title":"J Chir (Paris)"},{"key":"2024092719495059700_bib9","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1002\/bjs.1800541013","article-title":"The use of mental pedicle graft in the repair and construction of the urinary tract","volume":"54","author":"Turner Warwick","year":"1967","journal-title":"Br J Surg"},{"key":"2024092719495059700_bib10","first-page":"585","article-title":"Protection of low rectal anastomoses with intact omentum","volume":"144","author":"Goldsmith","year":"1977","journal-title":"Surg Gynecol Obstet"},{"key":"2024092719495059700_bib11","first-page":"591","article-title":"Retrocolic omental pedicle flap for routine plication of abdominal aortic grafts","volume":"158","author":"Bunt","year":"1984","journal-title":"Surg Gynecol Obstet"},{"key":"2024092719495059700_bib12","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1002\/bjs.1800670203","article-title":"Intra-operative irrigation of the colon to permit primary anastomosis","volume":"67","author":"Dudley","year":"1980","journal-title":"Br J Surg"},{"key":"2024092719495059700_bib13","first-page":"487","article-title":"The use of omental pedicled grafts in operations performed upon the colon and rectum","volume":"161","author":"Greenburg","year":"1985","journal-title":"Surg Gynecol Obstet"},{"key":"2024092719495059700_bib14","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/0002-9610(84)90342-8","article-title":"Obliteration of the pelvic space with pedicled omentum after excision of the rectum for cancer","volume":"148","author":"Moreaux","year":"1984","journal-title":"Am J Surg"},{"key":"2024092719495059700_bib15","first-page":"300","article-title":"Perineal closure by omental graft","volume":"131","author":"Ruckley","year":"1970","journal-title":"Surg Gynecol Obstet"},{"key":"2024092719495059700_bib16","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/BF02587192","article-title":"Closure of the pelvic and perineal wounds after removal of the rectum and anus","volume":"23","author":"Page","year":"1980","journal-title":"Dis Colon Rectum"},{"key":"2024092719495059700_bib17","first-page":"209","article-title":"Use of pedicled omentum in oesophagogastric anastomosis: analysis of 100 cases","volume":"69","author":"Zhang","year":"1987","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092719495059700_bib18","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1001\/archsurg.1981.01380190051011","article-title":"Enterorectal and colorectal anastomosis. Evaluation of techniques including midtransverse or left sided colon tube colostomy and pelvic drainage","volume":"116","author":"Hilsabeck","year":"1981","journal-title":"Arch Surg"},{"key":"2024092719495059700_bib19","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1001\/archsurg.1969.01340150099020","article-title":"Pelvic drainage after anterior resection of the rectum","volume":"99","author":"Collins","year":"1969","journal-title":"Arch Surg"},{"key":"2024092719495059700_bib20","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/0002-9610(69)90200-1","article-title":"Drainage of low anterior resection","volume":"118","author":"Schwaupp","year":"1969","journal-title":"Am J Surg"},{"key":"2024092719495059700_bib21","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1002\/bjs.1800721351","article-title":"Continuing experience with single layer appositional anastomosis in the large bowel","volume":"72","author":"Matheson","year":"1985","journal-title":"Br J Surg"},{"key":"2024092719495059700_bib22","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1001\/archsurg.1968.01340060050004","article-title":"Experimental protection of vascular prosthesis by omentum","volume":"97","author":"Goldsmith","year":"1968","journal-title":"Arch Surg"},{"key":"2024092719495059700_bib23","first-page":"176","article-title":"Primary closure of the perineal wound after proctectomy: a new technique","volume":"49","author":"Schwab","year":"1974","journal-title":"Mayo Clin Proc"},{"key":"2024092719495059700_bib24","first-page":"796","article-title":"Management of the perineal wound with constant irrigation and suction after abdomino-perineal excision of cancer of the rectum","volume":"56","author":"Elliot","year":"1979","journal-title":"S Afr Med J"},{"key":"2024092719495059700_bib25","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1002\/bjs.1800561014","article-title":"Perineal wound healing in ulcerative colitis","volume":"56","author":"Jalan","year":"1969","journal-title":"Br J Surg"},{"key":"2024092719495059700_bib26","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1002\/bjs.1800610204","article-title":"The pelvic space after proctectomy","volume":"61","author":"Broader","year":"1974","journal-title":"Br J Surg"},{"key":"2024092719495059700_bib27","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1002\/bjs.1800620409","article-title":"A controlled trial of three different methods of perineal wound management following excision of the rectum","volume":"62","author":"Irvin","year":"1975","journal-title":"Br J Surg"},{"key":"2024092719495059700_bib28","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1097\/00000658-197307000-00006","article-title":"Hartmann procedure for carcinoma of the sigmoid and rectum","volume":"178","author":"Gongaware","year":"1973","journal-title":"Ann Surg"},{"key":"2024092719495059700_bib29","volume-title":"Surgery of the Anus Rectum and Colon","author":"Goligher","year":"1983","edition":"5th"},{"key":"2024092719495059700_bib30","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1001\/archsurg.1981.01380170110020","article-title":"Harmann's procedure: its use with complicated carcinomas of sigmoid colon and rectum","volume":"116","author":"ReMine","year":"1981","journal-title":"Arch Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800751020","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/75\/10\/1012\/59384289\/bjs1800751020.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/75\/10\/1012\/59384289\/bjs1800751020.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T19:50:05Z","timestamp":1727466605000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/75\/10\/1012\/6183711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,10,1]]},"references-count":30,"journal-issue":{"issue":"10","published-online":{"date-parts":[[1988,10,1]]},"published-print":{"date-parts":[[1988,10,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800751020","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1988,10]]},"published":{"date-parts":[[1988,10,1]]}}}