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),…
Recurrent Rectal Cancer
Study Patients (n) IORT dose (Gy) 5-y local recurrence (%) 5-y overall survival (%) R0 R1 R2 R0 R1 R2 R0 R1 R2 R0 R1 R2 Haddock et al. (2009)…
The Approach to the Rectal Cancer Patient with a Suspected Complete Clinical Response: Selection of Patients to the Watch and Wait Strategy
Fig. 16.1 (a) Area of irregularity detected at digital rectal examination that prompted full-thickness excisional biopsy with TEM. (b) Final pathology revealed the presence of residual cancer cells (ypT2) Endoscopic…
Teaching and Training for Laparoscopic Colorectal Resection
Fig. 37.1 Laparoscopic colectomy in a porcine model Simple box trainers for laparoscopic skills such as the validated MISTELS (McGill Inanimate System for Training and Evaluation of Laparoscopic Skills) are…
Laparoscopy, Robotics, and Endoscopy
Fig. 32.1 Robotic technology. (a) The robotic console, (b) proper robotic arm positioning, (c) Robotic instrumentation placed with aid of bedside assistant Authors of some early robotic colectomy trials have…
Medicolegal and Ethical Dilemmas
The physician expert witness must have had a current, valid, and unrestricted state license to practice medicine at the time of the alleged occurrence The physician expert witness should have…
The Surgeon Investigator: Balancing Research and Clinical Practice
Figure 38.1 presents the Impact Factor for some of the journals I have published in over the past 5 years. Several things are notable; first, the highest ranked surgical…
Short Bowel Syndrome
Fig. 29.1 The Bianchi longitudinal intestinal lengthening procedure (Reprinted from Bianchi [160], (a) The bowel and its mesentery are divided longitudinally to yield two vascularized halves of the bowel wall….
Anal Intraepithelial Neoplasia (AIN)/High-Grade Squamous Intraepithelial Lesion (HSIL)
Fig. 22.1 Photograph of a lesion in a patient who sought a second opinion day before starting chemoradiation therapy for an anal cancer. I did not feel the lesion was…
Pelvic Bleeding
Fig. 19.1 The presacral venous plexus with communicating veins and basivertebral veins (With permission from Mayo Foundation for Medical Education and Research. All rights reserved) The overall incidence of vascular…
