PMC5994801_01
Ileo-transverse anastomosis, transverse-caecum anastomosis and right colon-rectum anastomosis.
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The surgical steps of the reconstruction were: closure of the transverse colostomy; median xypho-pubic laparotomy; appendectomy, because it would have been technically more difficult to perform after this procedure; section of the last ileal loop and the hepatic flexure with complete mobilization of the right tract, rotation on the ileocolic vascular axis and transposition in the pelvis; preparation of the splenic flexure and creation of three anastomosis (Fig. 1).