Abdominal Key

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…

Fig. 6.1 Midline pits (Photograph courtesy of Charles O. Finne MD, Minneapolis) Fig. 6.2 Pilonidal sinus (Photograph courtesy of Charles O. Finne MD, Minneapolis) Fig. 6.3 Chronic pilonidal wound (Photograph courtesy of Charles…

Fig. 8.1 A rectal prolapse Altemeier Procedure Trans-Anal Evisceration After Perineal Proctectomy First of all, there is an urban myth that this could happen without previous surgery if one is corpulent…

Fig. 15.1 Position of patient for repair of rectoprostatic urethral fistula Fig. 15.2 Incision A 10 cm incision is made starting at the posterior anal verge and carried to the right or left…

Fig. 10.1 A thin and soft silastic seton to allow the inflammation to subside before the final repair The principles of proper wound healing should always be followed in order to…

Fig. 7.1 Preoperative severe perianal, gluteal, and thigh hidradenitis suppurativa, of 27-year duration. She was found to have multifocal squamous cell carcinoma Fig. 7.2 Preoperative CT scan of the pelvis in a…

Procedure Indications Coloanal anastomosis  Straight  Colonic J pouch Rectal cancer Large rectal polyp Rectovaginal fistula Rectourethral fistula Radiation proctitis Hirschsprung’s disease (adult) Slow transit constipation with megarectum Ileal pouch-anal anastomosis…

Fig. 5.2 a An irregular fissure which might be of some concern. b Epidermoid cancer of the anus. c Adenocarcinoma of the anus. d Lymphoma. e Melanoma of the anus. f…