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 Table of Contents     
LETTER TO THE EDITOR
Year : 2012  |  Volume : 8  |  Issue : 4  |  Page : 166
 

Authors' reply


Department of Surgery, University Hospital Lewisham, London, SE13 6LH, United Kingdom

Date of Web Publication2-Nov-2012

Correspondence Address:
Rajaraman Durai
Specialist Registrar, Department of Surgery, University Hospital Lewisham, London, SE13 6LH
United Kingdom
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Durai R, Ng PC. Authors' reply. J Min Access Surg 2012;8:166

How to cite this URL:
Durai R, Ng PC. Authors' reply. J Min Access Surg [serial online] 2012 [cited 2019 May 23];8:166. Available from: http://www.journalofmas.com/text.asp?2012/8/4/166/103138


Dear Sir,

Re: Durai R, Ng PC. Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach. J Min Access Surg 2011;7:239-41.

Further to the letter of Vagholkar, [1] we are disappointed that the paper has been misrepresented.

The paper clearly states that the 3.5 mm polyp removed was pedunculated benign adenomatous but omits to confirm that the follow-up colonoscopy a year later was clear.

The description of the onset of the symptoms on the article is 'sudden.'

The perforation as illustrated is on the anti-mesenteric border, and we are at pains to point out that this method is not doable if the colon is not mobile enough to reach the anterior abdominal wall.

The article also points out that healthy bowel around the perforation allowed the formation of the stoma.

Laparoscopy as demonstrated in this case affords the best possible access to allow thorough lavage of the peritoneal cavity and rapid recovery as evidenced by the minimal in-patient stay of 48 hours.


  Acknowledgement Top


The authors are grateful to the patient for allowing us to publish the images relating to the procedure.

 
  References Top

1.Vagholkar K. Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach. J Min Access Surg 2012;8:65-6.  Back to cited text no. 1
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2004 Journal of Minimal Access Surgery
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