Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy Anthony Costales Robert Debernardo Preoperative Considerations The use of hyperthermic intraperitoneal chemotherapy (HIPEC) has been evaluated in a number of malignancies, and although each…
Approaching Presacral Tumors Christy Cauley Michael A. Valente Perioperative Considerations Preoperative Evaluation History and examination Tumor location—“retrorectal space” (Fig. 30-1) FIGURE 30-1 ▪ The presacral space. The third sacral vertebral…
Intraoperative Radiation Therapy for Colorectal Cancer Sudha R. Amarnath Perioperative Considerations Indications Intraoperative radiation therapy (IORT) can be used for patients being treated surgically in the definitive or recurrent setting…
The Difficult Splenic Flexure Sherief Shawki Perioperative Considerations To adequately mobilize the splenic flexure, the omental, splenic, lateral, and retroperitoneal (pancreatic-colic) attachments must all be dissected free. The splenic flexure…
Approaching the Transverse Colon N. Arjun Jeganathan Jeremy M. Lipman Perioperative Consideration The transverse colon runs across the abdomen from the hepatic flexure to the splenic flexure. The transverse colon…
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…
