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Abdominal perineal resection (APR): Open technique

John RT Monson, MD, FRCS, FACS
Fergal Fleming, MD, FRCS
Section Editor
Martin Weiser, MD
Deputy Editor
Wenliang Chen, MD, PhD


An abdominal perineal resection (APR) includes the resection of the sigmoid colon, rectum, and anus (figure 1), and the construction of a permanent end colostomy.


Benign and malignant conditions that can be treated by APR include, but are not limited to:

Crohn's proctitis with anal disease

Ulcerative colitis, not a candidate or amenable to an ileal pouch anal anastomosis

Fecal incontinence, not amenable to sphincter sparing procedures

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Literature review current through: Nov 2017. | This topic last updated: May 08, 2017.
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