Rectovaginal Fistula Tracy Hull Perioperative Considerations One of the most important aspects when repairing an anorectovaginal fistula is evaluating the patient before considering the operative approach and procedure. The tissue…
Enterocutaneous Fistula Michael A. Valente Perioperative Considerations Basic principles of enterocutaneous fistula (ECF) (Fig. 27-1) management should be multidisciplinary in nature and include: Controlling fistula output with nutritional and metabolic…
Left Colectomy Michael A. Valente Left Colectomy Surgical excision of the left and/or sigmoid colon is most often performed for malignant disease and also for benign conditions, such as diverticulitis….
Pilonidal Disease Excise versus Flap: Technical Tips Anuradha R. Bhama Scott R. Steele Perioperative Considerations Pilonidal disease is most commonly found in young adults, although it can affect a wide…
Complicated Anastomoses: Turnbull-Cutait Sherief Shawki Perioperative Considerations The Turnbull-Cutait technique is typically used in setting of reoperative pelvic surgery or when dealing with large recto-urethral fistulas secondary to radiation for…
Anastomotic Construction Techniques Matthew F. Kalady Perioperative Considerations There are a variety of ways to construct safe and effective bowel anastomoses. No one particular anastomosis is considered “the best,” and…
Anal Intraepithelial Neoplasia: Performing High-Resolution Anoscopy Michelle D. Inkster Eric D. Willis James S. Wu Perioperative Considerations Anal squamous intraepithelial lesion (SIL) precedes anal squamous cell carcinoma. The causative agent…
Complex Anorectal Fistulas Vladimir Bolshinsky Stefan D. Holubar Perioperative Considerations Fistulas are characterized based on their relationship with the anal sphincter: intersphincteric, transsphincteric, suprasphincteric, and extrasphincteric (Fig. 12-1). FIGURE 12-1…
Crohn Anorectal Disease James Church Perioperative Considerations The principles of the management of perianal symptoms in patients with Crohn disease Define the status of the proximal bowel. Colonoscopy Esophagogastroduodenoscopy Magnetic…
