Construction of Intestinal Stomas
Construction of Intestinal Stomas Hermann Kessler Mariane G. M. Camargo Eric G. Weiss Perioperative Considerations Mark the patient’s abdominal wall for a proper stoma site, ideally by a trained enterostomal…
Complex Abdominal Wall Reconstruction and Parastomal Hernia Repair after Colorectal Surgery
Complex Abdominal Wall Reconstruction and Parastomal Hernia Repair after Colorectal Surgery Charlotte Horne Ajita Prabhu GENERAL PERIOPERATIVE CONSIDERATIONS Patient Assessment Indications for parastomal hernia repair include obstructive symptoms, persistent uncontrolled…
Kock Pouch (K-pouch)
Kock Pouch (K-pouch) Sherief Shawki Perioperative Considerations Patients should be counseled extensively about the expected function, needs, and potential revisions or failures that may be required with the operation. ETS…
Ventral Rectopexy
Ventral Rectopexy Sherief Shawki Sarah A. Vogler Perioperative Considerations Full-thickness rectal prolapse is a true intussusception of the rectum through the sphincters versus the anorectal mucosa only. Typically, patients present…
Sacral Neuromodulation and Sphincteroplasty for Fecal Incontinence
Sacral Neuromodulation and Sphincteroplasty for Fecal Incontinence Lisa C. Hickman Cecile A. Ferrando Perioperative Considerations Fecal incontinence (FI) can be the result of a variety of factors, including sphincter injury,…
Vertical Rectus Abdominis Myocutaneous Flaps, Gluteal Flaps, and Plastic Surgery Reconstruction in Colorectal Surgery
Vertical Rectus Abdominis Myocutaneous Flaps, Gluteal Flaps, and Plastic Surgery Reconstruction in Colorectal Surgery Emre Gorgun Raymond Isakov Perioperative Considerations Several flaps are available to bring healthy, well-vascularized tissue into…
Botox of the Pelvic Floor and Acupuncture
Botox of the Pelvic Floor and Acupuncture Massarat Zutshi Perioperative Considerations The levator ani complex is composed of the pubococcygeus, puborectalis, and iliococcygeus muscles. The levator ani muscles are innervated…
Perineal Proctectomy
Perineal Proctectomy Amy Lightner Perineal Proctectomy General and Perioperative Consideration In unobstructed patients, an oral polyethylene-based bowel preparation and three doses of 1-g neomycin and 500-mg metronidazole orally were given…
Transanal Total Mesorectal Excision
Transanal Total Mesorectal Excision Sherief Shawki Dana Sands Matthew F. Kalady Perioperative Considerations Preoperative Setting: Rectal Cancer Patients Examination Digital rectal examination Flexible and/or rigid proctoscopy Sphincter evaluation Clinical tumor…
Large Bowel Obstruction
Large Bowel Obstruction David M. Schwartzberg David Liska Perioperative Considerations Large bowel obstruction (LBO) etiologies include malignancy, inflammatory conditions (eg, diverticulitis, inflammatory bowel disease), volvulus, radiation, and pseudo-obstruction. Consideration should…
