Abdominal Key

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…

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,…

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…

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…

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…

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…

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…

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…

Fig. 10.1 A thin and soft silastic seton to allow the inflammation to subside before the final repair The principles of proper wound healing should always be followed in order to…

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…