Chronic Anal Fissure
Introduction An anal fissure is a linear tear in the lining of the anal canal that usually becomes symptomatic because it exposes the internal anal sphincter and causes painful spasms…
GENERAL
Hemorrhoids
Hemorrhoids are vascular cushions that lie close to the anus and are subject to the stresses and strains of defecation. They are normal structures that become symptomatic when thrombosis or…
Anal Fistula
Introduction An anal fistula is an abnormal communication between the inside of the anus and epithelium outside the anus. The most common anal fistula is an anocutaneous fistula, which is…
Anorectal Abscess
Abscesses in the anorectal region occur in all age groups and are a common, distressing problem. Predisposing factors include diabetes, Crohn disease, previous perianal surgery, and impairment of immunity, including…
Rectovaginal Fistula
Definition Any communication between the rectum/anus and the vagina/perineal skin is classically referred to as a rectovaginal fistula (RVF). RVF is an accepted term for any fistula that originates in…
Heineke-Mikulicz, Finney, and Michelassi Strictureplasty
Heineke-Mikulicz, Finney, and Michelassi Strictureplasty Heather Yeo Fabrizio Michelassi INDICATIONS/CONTRAINDICATIONS Surgical decision making is complex in Crohn’s disease because of the recurrent nature of the disease. Many patients require multiple…
Finney and Jaboulay Strictureplasty
Finney and Jaboulay Strictureplasty Pamela C. Sivathondan Bruce D. George INDICATIONS/CONTRAINDICATIONS The behavior of Crohn’s disease may be considered to be nonstricturing, nonpenetrating (B1), stricturing (B2), or penetrating (B3). About…
Component Separation Technique
Component Separation Technique Mark W. Clemens Charles E. Butler INTRODUCTION Ventral hernias may follow laparotomy closures, tumor ablation, congenital anomalies, or trauma to the abdominal wall. Direct suture repair alone…
Robotic Ventral Hernia Repair
Robotic Ventral Hernia Repair Emanuele Lo Menzo Samuel Szomstein Raul Rosenthal INDICATIONS/CONTRAINDICATIONS Ventral hernias occur in 11-50% of laparotomies; however, only 350,000 ventral hernia repairs are performed every year in…
Ventral Hernia: Laparoscopic Ventral Hernia Repair
Ventral Hernia: Laparoscopic Ventral Hernia Repair Samuel Szomstein Aaron Lee INDICATIONS/CONTRAINDICATIONS Ventral hernia is a common complication after an open colorectal procedure. Although there are no universally agreed upon data…
