{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T16:08:29Z","timestamp":1789920509388,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Delayed coloanal anastomosis (DCAA) may be used in patients with complex rectal conditions, such as chronic pelvic sepsis, low recto\u2010vaginal and recto\u2010vesical fistula; however, limited data are available. The aim is to report the morbidity and functional results of DCAA in redo rectal surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients undergoing DCAA between January 2014 and August 2017 were retrospectively included. Success was defined as a functional anastomosis without stoma, evaluated using the Low Anterior Resection Syndrome (LARS) score and the Gastrointestinal Quality of Life Index (GIQLI) functional assessment tools.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 72 redo pelvic surgeries, 29 (40.3%) DCAA were performed over a 4\u2010year period. Indications for redo resection were chronic pelvic sepsis (<jats:italic>n<\/jats:italic>\u2009=\u200913, 44.8%), recto\u2010vaginal fistula (<jats:italic>n<\/jats:italic>\u2009=\u200911, 37.9%) and recto\u2010vesical fistula (<jats:italic>n<\/jats:italic>\u2009=\u20095, 17.2%). Mean interval period between the two procedures was 14\u2009\u00b1\u20093 days (8\u201321). Global major morbidity (Clavien\u2010Dindo III or IV) was seen in six patients (20.7%). Stoma closure was feasible for 22 (75.9%) patients after a median period of 78\u2009days (interquartile range 61\u201398). The 6\u2010month success rate was 79.3%. Mean LARS was 28.8\u2009\u00b1\u200910.2 (3\u201341) (minor LARS) for 18 patients with no stoma at the end of follow\u2010up. LARS score was significantly better with a follow\u2010up &gt;2 years (23.3\u2009\u00b1\u200912.2 versus 32.3\u2009\u00b1\u20097.9), <jats:italic>P<\/jats:italic>\u2009=\u20090.074. Mean GIQLI score was 79.2\u2009\u00b1\u200914.3 (48\u201398).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Transanal colonic pull through with delayed anastomosis for redo\u2010surgery in complex pelvic situations had low morbidity and avoided a permanent stoma in three out of four patients with an acceptable quality of life.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15144","type":"journal-article","created":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T00:15:41Z","timestamp":1554855341000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["What is the functional result of a delayed coloanal anastomosis in redo rectal surgery?"],"prefix":"10.1111","volume":"89","author":[{"given":"Hortense","family":"Boullenois","sequence":"first","affiliation":[{"name":"Department of Surgery Saint\u2010Antoine Hospital, AP\u2010HP  Sorbonne University, Paris 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