Transanal Approaches: Transanal Minimally Invasive Surgery (TAMIS)
Fig. 3.1 Utilizing a hybrid technique allows the surgeon all of the benefits of TAMIS for even the most distal lesions. The photo demonstrates a large villous adenoma extending from…
Minimally Invasive Surgery for Rectal Prolapse: Laparoscopic Procedures
Fig. 12.1 Laparoscopic Orr-Loygue rectopexy: After a limited posterior and lateral rectal dissection, the rectum is fixed to the sacrum using a polypropylene trouser-shaped mesh Fig. 12.2 Laparoscopic Orr-Loygue rectopexy:…
Minimally Invasive Surgery for Rectal Prolapse: Robotic Procedures
Fig. 13.1 Port placement. Yellow ports are robotic ports with numbers corresponding to the robotic arm in the port. The blue ports are assistant ports. The red port is the…
Laparoscopic Procedures: Single-Incision Laparoscopic Colorectal Surgery
Fig. 5.1 SILS port in use (GelPOINT® platform, Applied Medical, Rancho Santa Margarita, California, USA) Technical Pearls In the standardized approach, instruments are labeled as one, two, or three. The…
Natural Orifice Approaches in Rectal Surgery: Transanal Endoscopic Proctectomy
Series N Age (years)a Gender BMI (kg/m2)a Rectal stump length (cm)a Indication Abdominal assistance Procedure Transanal platform Complications McLemore et al. [25] 6 49.1 F (4) 30.2 (22–51) 10 (8–15)…
Natural Orifice Specimen Extraction in Laparoscopic Colorectal Surgery: Transanal Approach
Fig. 10.1 Modified lithotomy position Fig. 10.2 Trocar placement configuration Fig. 10.3 Medial dissection and left ureter localization and visualization Fig. 10.4 Posterior and lateral dissection in the avascular presacral…
Transanal Approaches: Transanal Endoscopic Surgery
Fig. 2.1 Transanal endoscopic microsurgery . Includes image of working proctoscope with working ports and self-guided optics held in position with a stationary arm Indications and Contraindications Benign Indications Buess…
Training and Learning Curve in Minimally Invasive Rectal Surgery
Fig. 1.1 Idealized learning curve Defining a learning curve for minimally invasive surgery is complex but necessary to identify the number of cases for competence, facilitate more effective training, and…
Chronic Kidney Disease: Balancing Nutritional Needs with Nutrition Prevention of Kidney Stones
Stages of CKDa Description eGFRb (mL/min/1.73 m2) 1 Kidney damage with normal or increased GFR ≥90 2 Kidney damage with mild decreased GFR 60–89 3 Moderate decreased GFR 30–59 4…
Medical Nutrition Therapy: Managing Disease with Individualized Dietary Recommendations and Intervention
Fig. 1.1 The nutrition care process involved in the practice of medical nutrition therapy by a registered dietitian nutritionist. The central question to be answered within each stage of the…
