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…
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…
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…
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…
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…
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…
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),…
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)…
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…
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…
