Complications of Colonoscopy
Introduction Colonoscopy remains the gold standard for colonic investigation. It is a sensitive diagnostic tool and provides a nonsurgical approach for the removal of colonic and rectal polyps. However, colonoscopy…
Managing Complex Ventral/Parastomal Hernias in Colorectal Surgical Patients
Introduction Ventral hernias can occur after any abdominal incision. They are relatively common after open colorectal surgery, and patients with an abdominal stoma are particularly prone to the development of…
Enhanced Recovery Pathways After Colorectal Surgery
Background Major surgery is usually followed by pain, stress-induced organ dysfunction, and catabolism. These sequelae increase the risk of cardiopulmonary, infectious, thromboembolic, and cognitive complications and functional impairment, prolong hospitalization,…
Prevention and Management of Ostomy Complications
Introduction The term ostomy originates from the Latin word stoma, meaning “opening” or “origin,” and from the Greek word stomat, meaning “mouth.” Historically it is unclear when and how the…
Medical Documentation and Coding for the Colorectal Surgeon
Introduction One of the most essential and least understood issues affecting colorectal surgeons is accurate medical documentation and coding via the current procedural terminology (CPT) coding system. This coding system…
Measuring Outcomes
Introduction Outcome measurement can be defined various ways. One definition is “a measure of the quality of medical care, the standard against which the end result of an intervention is…
Stoma and Wound Considerations: Nursing Management
Rehabilitation of the patient with a stoma or complicated wound is the responsibility of the entire health care team, and thus it is important that all members understand the principles…
Urologic Issues in Colorectal Surgery
Introduction Urologic issues pertaining to colorectal surgery can be broadly categorized according to the organ involved: the ureter, bladder, or urethra and their associated nerves and vessels. Because both colorectal…
Management of Hemorrhage during Pelvic Surgery
Introduction Pelvic dissection is inherent to the management of many rectal, urologic, and gynecologic conditions, and operating deep in the pelvis requires an intimate knowledge of the anatomy of this…
Prevention and Treatment of Complications of Laparoscopic Colorectal Surgery
Introduction Laparoscopic colorectal surgery is complex and more technically demanding than many common laparoscopic procedures performed by general surgeons. Advanced laparoscopic skills are required to manipulate and mobilize sections of…