Double roticulator stapling technique for low-lying rectal tumors.

A method is described for achieving proper distal margins in low-lying rectal lesions after initial resection indicates that these may be inadequate. The roticulator is kept on the distal rectal stump until the specimen has been examined. If additional margins are required, a second roticulator is placed distal to the first so that an intervening amount of tissue can be safely resected for adequate margins.

Control of hemorrhage from a mucous fistula with Foley catheter tamponade.

Massive hemorrhage from the colon is always a problem. When that bleeding occurs in a defunctionalized colonic mucous fistula, the surgeon can approach the bleeding site from both ends simultaneously. Two methods of controlling hemorrhage from a mucous fistula with the assistance of Foley catheter tamponade are presented.