Clinical features and intestinal complications
2 Clinical features and intestinal complications Clinical features of ulcerative colitis The onset of ulcerative colitis is usually gradual, and its natural history chronic, with relapses and remissions over many…
IBD in pregnancy, childhood and old age
10 IBD in pregnancy, childhood and old age IBD can behave differently, and presents different management challenges, at different stages of life. In this chapter, we outline, in separate sections,…
Principles of management
6 Principles of management The management of patients with ulcerative colitis and Crohn’s disease comprises general measures, supportive treatment and specific pharmacological and surgical therapies (Table 6.1). The aims of…
Perineal Wound Post APR
Fig. 17.1 Small perineal defect after proctectomy Fig. 17.2 Large perineal defect after ischioanal APR The risk of contamination of the wound by perianal or ischioanal abscesses and/or fistulae from infections or…
Surgery for Anorectal Abscess
Fig. 1.1 Persistent sepsis and a fistula in formation are in evidence. While both ischioanal fossae were incised and connected with a draining penrose seton communicated through the superficial postanal space,…
Retrorectal Cyst
Fig. 14.1 Borders of the retrorectal space Fig. 14.2 Anatomy of the pelvis with surrounding structures, mesentery removed Differential Diagnosis and Classification Lesions found in the retrorectal space can be broadly categorized…
Anal Stenosis
Anorectal surgery Hemorrhoidectomy/Whitehead amputative hemorrhoidectomy Excision of low lying tumors Extensive debridement/fulguration of condyloma Wide excision of Paget’s disease or Bowen’s disease Anastomotic stricture from coloanal or ileoanal anastomosis Pull-through…
Hemorrhoids
Fig. 4.1 Open (Milligan–Morgan) hemorrhoidectomy. a External hemorrhoids grasped with forceps and retracted outward. b Internal hemorrhoids grasped with forceps and retracted outward with external hemorrhoids. c External skin and hemorrhoid…
