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….

Desmoids James Church Perioperative Considerations Genetics Desmoid disease is the result of an abnormal proliferation of fibroblasts that happens when the Wnt/wingless signal transduction pathway is abnormally activated. Patients with…

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…

Rectourethral Fistulas Nicholas Hauser Hadley Wood Kenneth Angermeier Perioperative Considerations Rectourethral fistula (RUF) is a challenging problem encountered by urologic and colorectal surgeons and may result from radiation to the…

Anorectal Abscess Vladimir Bolshinsky Joseph Trunzo Perioperative Considerations Principles of Dealing with Perianal Sepsis Irrespective of the complexity of perianal sepsis and potential associated fistula tracts, the initial step in…