Hidradenitis Suppurativa Anuradha R. Bhama Scott R. Steele Perioperative Considerations The prevalence of hidradenitis suppurativa (HS) is 0.1%-4% worldwide, with the mean age of onset 20-24 years. Multiple risk factors…

Anoplasty for Anal Stenosis Michael A. Valente Perioperative Considerations Anal stenosis is most often the result of iatrogenic injury from an over aggressive hemorrhoidectomy, in which too much anoderm is…

Anal Fissures: Lateral Internal Sphincterotomy James S. Wu Perioperative Considerations An anal fissure is a longitudinal tear in the anoderm of the anal canal that exposes the internal sphincter and…

Hemorrhoidectomy Massarat Zutshi Perioperative Considerations The mere presence of hemorrhoids is not an indication for hemorrhoidectomy. Symptoms should be directly related to the hemorrhoids. Many patients with “hemorrhoids” are not…

Principles of Operative Positioning Daniel R. Fish Perioperative Considerations Positioning should be aimed at maximizing surgical access and ease, while minimizing risk of positioning-related injuries. When required, patient position can…

Interventional Inflammatory Bowel Disease: Endoscopic Management of Complex Inflammatory Bowel Disease Bo Shen ENDOSCOPIC BALLOON DILATION OF STRICTURES Perioperative Considerations Stricture is a common complication of inflammatory bowel disease (IBD),…

Advanced Endoluminal Surgery: Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection Emre Gorgun ENDOSCOPIC MUCOSAL RESECTION Perioperative Considerations Procedure can be performed in regular endoscopy suites under sedation or in the…

Office Endoscopy James Church Perioperative Considerations A full armamentarium of endoscopes maximizes the effectiveness of the office consultation, with each potentially utilized in different situations. Before you scope: Although endoscopy…

Tools of the Trade: Retractors, Scopes, Probes, and More David Liska Outpatient Office Equipment General Equipment (Fig. 2-1) FIGURE 2-1 ▪ Examination room. Desk and computer with access to electronic…

Combined Endoscopic and Laparoscopic Surgery Emre Gorgun Perioperative Considerations Combined endoscopic and laparoscopic surgery (CELS) enables mobilization of the colon to provide ease in colonoscopic dissection and removal of colon…