Transabdominal procedures 1. Repair of the pelvic floor Abdominal repair of levator diastasis Abdominoperineal levator repair 2. Suspension–fixation Sigmoidopexy (Pemberton–Stalker) Presacral rectopexy Lateral strip rectopexy (Orr–Loygue) Anterior sling rectopexy (Ripstein)…
Fig. 19.1 (a, b) Digitally enhanced MRI reconstruction of the levator ani at rest in a 23-year-old nulliparous woman. The levator ani gives a biconcave shape posteriorly and the puborectalis…
Fig. 1.1 Anal canal The “anatomic” or “embryologic” anal canal is only 2.0 cm long, extending from the anal verge to the dentate line, the level that corresponds to the…
Fig. 44.1 Schematic representation of the correct TME dissection versus an incorrect dissection. The dissection should proceed between the mesorectal fascia and the pelvic wall fascia to ensure a “complete”…
Fig. 38.1 Age-adjusted colorectal cancer incidence and death rates in the USA 1975–2006 CRC in the USA over a lifetime is 5.5 % in men and 5.1 % in women….
Epidemiology Race/ethnicity: Whites and Blacks > Hispanic, Native American, Asian Jews > Non-Jews Geography: Northern climates > Southern Scandinavia, North America, Europe > Asia, Africa, South America, Japan, Spain Gender:…
Protection of distal anastomosis Treatment of anastomotic leak Large bowel obstruction Bowel perforation Abdominal or perineal trauma Rectal injury Diverticular disease Complex anorectal disease Complications from radiation Fecal incontinence Inflammatory…
Fig. 15.1 Incision and drainage of an acute pilonidal abscess. An incision is made parallel to the midline at least 1 cm laterally. A small ellipse of skin is removed…
Diverticulosis Asymptomatic Diverticulitis Noninflammatory Symptoms without inflammation Acute Symptoms with inflammation Simple Localized Complicated With perforation Chronic Persistent, low grade Atypical Symptoms without systemic signs Recurring, persistent Symptoms with…
Fig. 43.1 (a–c) Transanal excision. (a) A transanal excision is performed by marking out a 1 cm or greater margin around the tumor. (b) A full-thickness excision is then performed…
