Orthotopic Bladder Substitution
Sphere T = PR/2 Cylinder T = PR T wall tension (resistance to internal vessel pressure), P internal pressure, R radius Camey and LeDuc illustrated this concept in comparing their initial orthotopic diversions. Their…
Open Surgical Management of Rectal Cancer
Fig. 49.1 Holy plane of TME dissection Partial Mesorectal Excision (High Anterior Resection and Mesorectal Transection) Upper rectal tumors (12–15 cm from the anal verge) may not require TME and…
Improving Multidisciplinary Team Working in Pelvic Oncology
Fig. 1.1 The systems approach to surgical performance (Adapted from Undre et al. [6]) The evidence for decision-making in MDT meetings covers many different aspects of the MDT meeting across…
Radical Perineal Prostatectomy
Fig. 20.1 Patient draped and positioned with the perineum parallel to the floor 20.4 Surgical Technique An inverted horseshoe incision is made with clearance of the anal verge by roughly…
Pelvic Virtual Reality Systems
Fig. 3.1 Torso simulator (From www.chiropractictools.com/pelvis_model.php) After the basic sciences have been mastered, the student can move on to develop their psychomotor skills, beginning with a basic box trainer and…
Approaches to Management of Fecal Incontinence
© Springer-Verlag London 2015Hitendra R.H. Patel, Tim Mould, Jean V. Joseph and Conor P. Delaney (eds.)Pelvic Cancer Surgery10.1007/978-1-4471-4258-4_59 59. Approaches to Management of Fecal Incontinence Michael A. Valente1 and Tracy L. Hull1 (1) Department of Colon and Rectal Surgery, Cleveland Clinic,…
Cost of Medical Care: Whose Money Are We Talking About?
Functional class Metabolic equivalents Activity I >8 Run, swim, play tennis, ski II 4–5 Yardwork, climb stairs, walk up a hill III <4 Light housework, grocery shopping, walking IV <4…
Considerations for Management of Hereditary Rectal Cancer and Desmoid Tumors
Amsterdam I Amsterdam II Amsterdam-like Family history 3 relatives with colorectal cancer 3 relatives with LS associated cancers 2 relatives with LS associated cancers and one with an advanced…
Diagnostic and Endoscopic Management of Bladder Tumors
Primary tumor (T) Tx: Primary tumor cannot be assessed T0: No evidence of primary tumor Ta: Noninvasive papillary carcinoma Tis: Carcinoma in situ (i.e., flat tumor) T1: Tumor invades subepithelial…
Radiation Therapy in the Treatment of Rectal Cancer
RCT T/stage (S) status Number of patients Median age (years) Local recurrence rate at 5 years % OS at 5 years % German trial: pre op [29] T1–T4 405 62…
