Functional Problems Following Colorectal Surgery
Fig. 28.1 (a) Fistula with seton in place (Courtesy of W. Brian Sweeney, MD). (b) Fistulotomy with marsupialization of the tract (Courtesy of W. Brian Sweeney, MD) Fig. 28.2 Seton…
The Failed Anastomosis
Fig. 18.1 The contribution of anastomotic collagen synthesis and lysis to overall anastomotic strength (With permission from Munireddy et al. [2]) Remodeling The provisional matrix previously formed is remodeled into…
Ileal Pouch Complications
Fig. 17.1 Gastrografin enema demonstrating a pouch-vaginal fistula MRI Pelvis This is a good test for the evaluation of abnormalities relating to the structure of the pouch and pelvis and…
Considerations in the Elderly
Condition Examples Unstable coronary syndromes Unstable or severe angina (CCS class III or IV)a Recent MIb Decompensated heart failure (NYHA functional class IV; worsening or new-onset HF) Significant arrhythmias High-grade…
Carcinomatosis: Cytoreduction and Heated Intraperitoneal Chemotherapy (HIPEC) Versus Palliation
Primary tumor Incidence (%) Disease-specific considerations in PSM Reference CRC 30 Cause of disease-specific mortality in 30 % Esquivel et al. [40] Small bowel 40 Synchronous PSM at time of…
The Morbidly Obese Patient
1. Identify those with active cardiac conditions/comorbidities suggestive of high risk and take steps to correct these conditions prior to elective surgery. They include: Stable or unstable angina Decompensated heart…
Technical Tips for Difficult Stomas
Fig. 9.1 The ostomy triangle (With permission from Cataldo and MacKeigan [4]. Copyright © 2004 by Marcel Dekker Inc. All rights reserved) Prevention of Parastomal Hernias Key Concept: Although parastomal…
Rectal Prolapse: Current Evaluation, Management, and Treatment of a Historically Recurring Disorder
Fig. 11.1 Rectal prolapse Evacuatory dysfunction frequently occurs with rectal prolapse and fecal incontinence has been found in approximately 50–75 % of patients with rectal prolapse [1, 4]. Several factors…
Fecal Incontinence
Fig. 13.1 Bristol stool scale (From Lewis and Heaton [52]. Reproduced with permission of Informa Healthcare © 1997) Defining exactly when the problem with fecal control occurs is another important…
When Vascular Surgery Calls
Fig. 35.1 Reconstructed CTA image showing successful implantation of an aortic stent graft to exclude an aortic aneurysm from the systemic circulation For endovascular repair of an aortic aneurysm (EVAR),…
