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Pelvic collection drainage by Heald anal stent

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The use of the Heald anal stent has previously been described in the successful therapeutic decompression of the rectum following a leaking ileorectal anastomosis 1. The novel technique of using the Heald stent to drain a pelvic collection following rectal cancer surgery is presented. The Heald anal stent Fig 1 can be used to drain pelvic collections on the ward after any surgery that leaves a short rectal stump. The stent is inserted through the rectal cross-staples after the instillation of local anaesthetic gel. After several days, once drainage is complete, the stent is removed painlessly. The hollow silicone elastomer Heald anal stent is flanged at both ends to prevent dislodgement in the anus.

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