Dealing with Complications of Rectal Surgery
Patient risk factors Tobacco use Alcohol use Obesity Age >65 ASA > 3 Malnutrition <3.0 Weight >10 % TBW Disease factors Emergent surgery Steroid or immunomodulator use Malignancy Level of…
Fertility Preservation in Early Cervical Cancer
Fig. 32.1 Sagittal MRI indentifying tumour and length of endocervical canal, with distance from isthmus Fig. 32.2 Endovaginal coil MRI scan identifying tumour 32.4 Staging The traditional method of staging…
(Laterally) Extended Endopelvic Resection for the Treatment of Locally Advanced and Recurrent Cervical Cancer
Mature metacompartment Building blocks Primitive metacompartment Developmental domains with fixed topological relations to each other Mature ontogenetic compartments Endopelvis Endoderm Cloaca and allantois Primitive bladder Bladder Splanchnopleuric mesoderm Internal UGS…
Anatomy of the Pelvis
Fig. 7.1 Sympathetic and parasympathetic nervous fibers of the pelvis (Copyright © 2007; Jens-Uwe Stolzenburg and Moonsoft) Fig. 7.2 Nerves of the pelvis (Copyright: Moonsoft and Stolzenburg (2007)) The Neurovascular…
Reconstruction in Exenterative Surgery
Fig. 38.1 (a, b) Specimen of anterior exenteration, including the uterus and the bladder These oncologic situations include primary advanced gynecological tumors, but more frequently recurrent pelvic disease, in patients…
Single Port Surgery in the Pelvis: Current and Future Feasibility
Indication LESS procedure Prostate adenocarcinoma Radical prostatectomy TCC bladder Radical cystoprostatectomy BPH Simple prostatectomy (STEP) Reconstruction Bladder diverticulectomy Ureteral reimplantation Vesico-vaginal fistula repair Sacrocolpopexy 19.3 LESS Prostate Surgery Simple Prostatectomy…
Management of Locally Advanced and Recurrent Rectal Cancer
Institution/country Authors year Relative contraindication Absolute contraindication Leeds United Kingdom Mirnezami et al. 2010 [26] Distant metastasis Encasement of external iliac vessels Primary stage IV disease Extension of tumor through…
Radical Retropubic Prostatectomy
Fig. 11.1 2.5× power-loupes and fiberoptic coaxial headlight and battery Fig. 11.2 Designed self-retractor 11.3 Position The patient is placed in supine position, with the pubis centered over the break…
Sentinel Lymph Node Mapping in the Management of Cervical Cancer
Fig. 34.1 A External iliac artery region: lymph nodes that are attached to the external iliac artery and vein from the bifurcation till groin; B Obturator region: lymph nodes around…
Training Surgeons for Rectal Cancer Surgery: Clinical and Simulation
Fig. 43.1 The learning curve for self-taught laparoscopic colorectal surgery is up to 150 procedures (Adapted from Miskovic et al. [1]) 43.2 Educational Challenges in Rectal Cancer Surgery Rectal cancer…
