{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:31:59Z","timestamp":1791329519707,"version":"4.3.1"},"reference-count":6,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[1986,4,1]],"date-time":"1986-04-01T00:00:00Z","timestamp":512697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1986,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Reconstruction of the rectum following irradiation injury may be achieved if the injury is localized. This type of injury may follow intracavity irradiation during which the rectum may have received an unexpectedly high dose. Heavily irradiated tissue heals poorly, and so a method that introduces nonirradiated tissue is necessary for a successful repair. Presacral infection following rectal resection is the other problem which determines the outcome. The pullthrough resection with delayed colorectal anastomosis fulfills these requirements. Four patients were treated by this operation successfully prior to 1975. Since then no further cases suitable for this type of repair have been seen due to modifications to the irradiation technique. The operation had been used in 223 patients with rectal cancer prior to 1975 with a mortality rate of 4.9%. The major cause of death was from failure of blood supply to the exteriorized colon, but with adequate mobilization of the left colon this complication can be avoided. Bowel function following pull\u2010through resection is slow to return, but after 12\u00a0months over 90% of patients have reached an acceptable level. The operation is, therefore, not recommended as a palliative procedure<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01658139","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T12:31:56Z","timestamp":1115555516000},"page":"228-236","source":"Crossref","is-referenced-by-count":11,"title":["Resection and pull\u2010through for rectovaginal fistula"],"prefix":"10.1002","volume":"10","author":[{"given":"Alan M.","family":"Cuthbertson","sequence":"first","affiliation":[{"name":"The Royal Melbourne Hospital Department of Surgery University of Melbourne Australia"},{"name":"Cabrini Medical Centre 177 Wattletree Road 3144 Malvern Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1986,4]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02627230"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.28.2.109"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1973.tb05678.x"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1975.tb05769.x"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800570811"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800590910"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01658139.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01658139\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01658139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T17:30:45Z","timestamp":1704994245000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF01658139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,4]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1986,4]]}},"alternative-id":["10.1007\/BF01658139"],"URL":"https:\/\/doi.org\/10.1007\/bf01658139","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1986,4]]}}}