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Figure 3: Operative images of sigmoid to anal canal anastomosis. (a) Preoperative image is showing anal stenosis. Note the whorled appearance of the narrow anal opening. (b) The anal opening is widened and the sigmoid everted for anastomosis to anal canal. (c) Completed anastomosis and reposition of bowel inside the anal opening

Figure 3: Operative images of sigmoid to anal canal anastomosis. (a) Preoperative image is showing anal stenosis. Note the whorled appearance of the narrow anal opening. (b) The anal opening is widened and the sigmoid everted for anastomosis to anal canal. (c) Completed anastomosis and reposition of bowel inside the anal opening