Botox of the Pelvic Floor and Acupuncture Massarat Zutshi Perioperative Considerations The levator ani complex is composed of the pubococcygeus, puborectalis, and iliococcygeus muscles. The levator ani muscles are innervated…
Perineal Proctectomy Amy Lightner Perineal Proctectomy General and Perioperative Consideration In unobstructed patients, an oral polyethylene-based bowel preparation and three doses of 1-g neomycin and 500-mg metronidazole orally were given…
Transanal Total Mesorectal Excision Sherief Shawki Dana Sands Matthew F. Kalady Perioperative Considerations Preoperative Setting: Rectal Cancer Patients Examination Digital rectal examination Flexible and/or rigid proctoscopy Sphincter evaluation Clinical tumor…
Large Bowel Obstruction David M. Schwartzberg David Liska Perioperative Considerations Large bowel obstruction (LBO) etiologies include malignancy, inflammatory conditions (eg, diverticulitis, inflammatory bowel disease), volvulus, radiation, and pseudo-obstruction. Consideration should…
Colorectal Cancer: Management of Stage IV Disease Mohammad Ali Abbass Bradley J. Champagne Perioperative Considerations Preoperative evaluation using computed tomography scan with intravenous contrast, magnetic resonance imaging, and positron emission…
Proctectomy from Above James P. Tiernan Conor P. Delaney LAPAROSCOPIC LOW ANTERIOR RESECTION Perioperative Considerations An oral polyethylene-based bowel preparation is given the day prior to surgery along with received…
Right Colectomy Peter Mark Neary Sherief Shawki Conor P. Delaney Perioperative Considerations An oral polyethylene-based bowel preparation is given the day prior to surgery. Patients with concern for bowel obstruction…
Endometriosis: Management of Deep Infiltrating Endometriosis of Rectum and Sigmoid Mariam Alhilli Hermann Kessler Perioperative Considerations Definition—Deep infiltrating endometriosis: solid mass deeper than 5 mm below peritoneal surface (Figs. 38-1…
Complex Diverticular Disease: Colovaginal and Colovesicle Fistula Repair Michelle F. Deleon Steven D. Wexner Bradley J. Champagne Perioperative Considerations Colonoscopy, cystoscopy (for colovesicle fistula), and a vaginal examination/vaginoscopy (for colovaginal…
GYN-Onc Considerations for Complex and Multivisceral Colorectal Disease Mariam Alhilli Robert Debernardo Perioperative Considerations Background: Gynecologic Organ Involvement by Colon Cancer Potential organs involved the vagina, uterus/cervix, ovaries, rectocervical junction,…
