Abdominal Key

Fig. 3.1 Demonstrates relationship of ileocolic pedicle, right colon, and transverse colon. Oftentimes, the duodenum can be seen in a relatively avascular plane toward the base of the mesentery and…

Fig. 22.1 Port placement for single-incision right colectomy. Note the left colectomy can be in the umbilicus or in the Pfannenstiel position The operative technique starts with placement of the…

Fig. 8.1 “Asymmetric baseball diamond” laparoscopic port positioning for total abdominal colectomy (With permission from Mayo Clinic) Operative Steps (Video 8.1) Right Colon The right or left colon can be…

Fig. 14.1 Incarcerated rectal prolapse (Courtesy of Isaac Felemovicious, MD, with permission) Preoperative Planning Proper patient selection cannot be overemphasized. As with any operative procedure, patients should be medically fit…

Fig. 25.1 The port shown with instruments in the trocars Traditionally, transanal resections were reserved for treatment of benign lesions or malignant lesions in patients not otherwise suitable for classical…

Fig. 32.1 Patients can also be prepped circumferentially from nipples to toes and draped by passing the lower half of the baby through an adult extremity drape The use of…

Fig. 11.1 OR setup with the teaching surgeon using his hand and trainee operating. With permission from Carter J, Whelan RL. Hand assisted laparoscopic anterior resection. In: Milsom JW, Bohm…

Fig. 31.1 Trocar placement for a conventional laparoscopic-assisted procedure When a HALS procedure is planned, only two 5-mm trocars are placed in the right and left lower quadrants. After feasibility…

Fig. 19.1 Modified anchor trocar placement for pelvic surgery Fig. 19.2 Extraction site with wound protector in place An angled video or flexible-tip laparoscope is required for adequate exposure of…

Fig. 15.1 Ischemic ostomy. Courtesy of Philip Y. Pearson, MD, with permission Parastomal hernia remains an especially significant problem following stoma creation (Fig. 15.2). In fact, the creation of a…