Transhiatal Esophagectomy—Intraoperative Disasters
Group I (1976−1998) Group II (1998–2006) No. Range (cc) Mean (cc) No. Range (cc) Mean (cc) Benign 276 100–4000 795 203 50–2000 366 Carcinoma 778 35–3700 635 739 15–3100…
Stricture at Pancreatico-Jejunostomy or Pancreatico-Gastrostomy
Fig. 24.1 Secretin-stimulated MRI. a Normal result showing normal diameter duct with free flow into jejunum ( arrows) indicating no obstruction at the pancreatico-jejunostomy anastomotic ( PJA). (With permission from…
Pearls for the Small Bowel and Colon That Will Not Reach
Reconstruction Segmental resection Proximal Small bowel resection Enteroenterostomy Ileocecectomy Ileo-ascending colostomy Right colectomy Ileo-transverse colostomy Middle Right extended colectomy Ileo-transverse colostomy Transverse colectomy Colocolostomy Left extended colectomy Colocolostomy…
Parastomal Hernia
Author year Classification basis Types Clinical validation Rubin [3] Intraoperative findings I: true PH Ia: interstitial No Ib: subcutaneous II: intrastomal hernia III: subcutaneous prolapse IV: pseudohernia Devlin [4] Intraoperative…
Anal Stenosis After Hemorrhoidectomy: Avoidance and Management
Degree of stenosis Description Mild Anal canal allows insertion of a lubricated finger or medium anoscope Moderate Insertion of a finger or medium anoscope requires dilation Severe Insertion of the…
Major Disruptions of Pancreaticojejunostomy
ISGPF parameters for postoperative pancreatic fistula grading Grade A B C Clinical condition Well Often well Ill-appearing/bad Specific treatmenta No Yes/no Yes US/CT (if obtained) Negative Negative/positive Positive Persistent drainage…
Vaginal Injury During Stapled Anastomosis
Fig. 36.1 Demonstration of the digital rectal examination. The tip of the finger corresponds to the anorectal ring where the linear stapler is placed for double-stapled anastomosis or purse-string sutured…
Persistent Pancreatic Fistula
Criteria Grade A fistula Grade B fistula Grade C fistula Clinical conditions Well Often well Ill-appearing/bad Specific treatment No Yes/no Yes Ultrasound/CT scan Negative Negative/positive Positive Persistent drainage (> 3…
Incontinence After Lateral Internal Sphincterotomy/Fistulotomy
Fig. 43.1 Open lateral sphincterotomy. a Radial skin incision distal to the dentate line exposing the intersphincteric groove. b Elevation and division of the internal sphincter. c Primary wound closure….
Breakdown/Non-healing of Perineal Wound
Fig. 39.1 Large perineal defect demonstrating vast dead space and exposed viscera Primary closure of large perineal defects can be associated with unacceptable wound-healing complications ranging as high as 65…
