Prostatic Urethral Injury
Fig. 35.1 The anterior and posterior portions of the urethra are depicted The posterior urethra is composed of the prostatic urethra and the membranous, or intermediate, portion of the urethra….
Management of Rectovaginal Fistula
Fig. 37.1 Rectovaginal fistula sites. a Low, b mid, chigh. (Modified from: http://en.wikipedia.org/wiki/File:Rectovestibular_fistula_in_females.jpg by adding arrows, letters, and a legend. Under creative commons attribution 2.0 generic license, we are free…
Postoperative Hepatic Insufficiency
Grade A Grade B Grade C Specific treatment Not required Fresh frozen plasma Transfer to intensive care unit Albumin Circulatory support (vasoactive drugs) Daily diuretics Hemodialysis Noninvasive ventilation Intubation…
Severe Reflux-Induced Esophagitis
A One (or more) mucosal break< 5 mm that does not extend between the peaks of two mucosal folds B One (or more) mucosal break> 5 mm long without continuity between the…
Management of Presacral/Pelvic Bleeding
(1) Middlemore Hospital, Department of Surgery, University of Auckland, Auckland, New Zealand Sanket Srinivasa Email: ahill@middlemore.co.nz KeywordsPresacral bleedingPresacral venous plexusBasivertebral veinsRectal surgerySuture ligationThumbtacksHaemostatic agents Introduction Presacral or pelvic bleeding…
Intraoperative Ureteral Injury
Bulky tumors Recurrent disease Previous radiation therapy Previous pelvic surgery Previous urologic surgery Reoperative surgery Obesity In a study of 120 ureteral catheterizations in patients undergoing colorectal procedures for either…
Management of Anastomotic Stricture
Surgeon factors Patient factors Disease factors Intestinal blood supply Body mass index (BMI) Inflammatory bowel disease (IBD) Tension at anastomotic site Anesthesia severity assessment (ASA) Metastatic carcinoma Perioperative hypoxia Age…
Massive Intraoperative Hemorrhage During Hepato-Biliary and Pancreatic Surgery
Fig. 20.1 Standard and variant portal venous anatomy. a In standard portal venous anatomy, superior mesenteric vein ( SMV) and splenic vein ( SV) join behind the neck of the…
Complications After TEM (Transanal Endoscopic Microsurgery) and TAMIS (Transanal Minimally Invasive Surgery)
Kumar [24] Perez [16] Lezoche [15] Bignell [20] Tsai [28] Allaix [25] Bach [18] Guerrieri [8] Buess [14] Patients ( n) 325 36 135 262 269 300 424 588…
Biliary Leaks and Thoracobiliary Fistula
Grade Change in clinical management A No or minimal B Radiographic or endoscopic intervention or Grade A for > 1 week C Operative intervention Biliary leak defined as bilirubin concentration 3…
