Perineal Wound Post APR

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on Perineal Wound Post APR

Fig. 17.1 Small perineal defect after proctectomy Fig. 17.2 Large perineal defect after ischioanal APR The risk of contamination of the wound by perianal or ischioanal abscesses and/or fistulae from infections or…

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Surgery for Anorectal Abscess

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on Surgery for Anorectal Abscess

Fig. 1.1 Persistent sepsis and a fistula in formation are in evidence. While both ischioanal fossae were incised and connected with a draining penrose seton communicated through the superficial postanal space,…

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Retrorectal Cyst

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on Retrorectal Cyst

Fig. 14.1 Borders of the retrorectal space Fig. 14.2 Anatomy of the pelvis with surrounding structures, mesentery removed Differential Diagnosis and Classification Lesions found in the retrorectal space can be broadly categorized…

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Anal Stenosis

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on Anal Stenosis

Anorectal surgery    Hemorrhoidectomy/Whitehead amputative hemorrhoidectomy    Excision of low lying tumors    Extensive debridement/fulguration of condyloma    Wide excision of Paget’s disease or Bowen’s disease Anastomotic stricture from coloanal or ileoanal anastomosis    Pull-through…

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Hemorrhoids

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on Hemorrhoids

Fig. 4.1 Open (Milligan–Morgan) hemorrhoidectomy. a External hemorrhoids grasped with forceps and retracted outward. b Internal hemorrhoids grasped with forceps and retracted outward with external hemorrhoids. c External skin and hemorrhoid…

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Pilonidal Cyst

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on Pilonidal Cyst

Fig. 6.1 Midline pits (Photograph courtesy of Charles O. Finne MD, Minneapolis) Fig. 6.2 Pilonidal sinus (Photograph courtesy of Charles O. Finne MD, Minneapolis) Fig. 6.3 Chronic pilonidal wound (Photograph courtesy of Charles…

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Perineal Repair of Rectal Prolapse

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on Perineal Repair of Rectal Prolapse

Fig. 8.1 A rectal prolapse Altemeier Procedure Trans-Anal Evisceration After Perineal Proctectomy First of all, there is an urban myth that this could happen without previous surgery if one is corpulent…

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York Mason Procedure

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on York Mason Procedure

Fig. 15.1 Position of patient for repair of rectoprostatic urethral fistula Fig. 15.2 Incision A 10 cm incision is made starting at the posterior anal verge and carried to the right or left…

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Hidradenitis Suppurativa

Oct 18, 2017 by in GASTROENTEROLOGY Comments Off on Hidradenitis Suppurativa

Fig. 7.1 Preoperative severe perianal, gluteal, and thigh hidradenitis suppurativa, of 27-year duration. She was found to have multifocal squamous cell carcinoma Fig. 7.2 Preoperative CT scan of the pelvis in a…

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