Essential Surgical Procedures

Colonoscopy

Goals/Objectives Basic Principles Anatomy Physiologic Considerations Technical Considerations Diagnostic Colonoscopy Jean Marc Canard Jean-Christophe Létard Ian Penman From Canard JM, et al: Gastrointestinal Endoscopy in Practice, 1st edition (Churchill Livingstone 2011) Key Points High quality colonic preparation is essential. Good technique is the key…

Bronchoscopy

Goals/Objectives Anatomy and Physiology Review Indications Technical considerations Fiberoptic Bronchoscopy Massimo Antonelli Giuseppe Bello From Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP: Textbook of Critical Care, 6th edition (Saunders, 2011) Before Procedure Indications Diagnostic uses: To assess the patency…

Bronchoalveolar Lavage

Goals/Objectives Indications Anatomic considerations Technical considerations Bronchoalveolar Lavage and Protected Specimen Bronchial Brushing Lillian L. Emlet From Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP: Textbook of Critical Care, 6th edition (Saunders 2011) Before Procedure Indications Diagnosis of pneumonia:…

Perianal Condylomas – Excision

Goals/Objectives Topical therapy Immunotherapy Surgery Condyloma Acuminata Vivek Chaudhry Russell K. Pearl From Cameron JL, Cameron AM: Current Surgical Therapy, 10th edition (Mosby 2011) You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership…

Hemorrhoidectomy

Goals/Objectives Anatomy Indications Techniques Diseases of the Anorectum Peter W. Marcello From Feldman M, et al: Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 9th edition (Saunders 2010) Internal Hemorrhoids Symptoms and Signs It is speculated that internal hemorrhoids become symptomatic when their…

Banding for Internal Hemorrhoids

Goals/Objectives Anatomy Degree/Types of Hemorrhoids Complications Hemorrhoidal Disease From Keighley MRB, Williams NS: Surgery of the Anus, Rectum and Colon, 3rd edition (Saunders 2007) Assessment of the Patient History The definitive diagnosis of hemorrhoidal disease can be made almost always…

Anorectal Abscess – Drainage

Goals/Objectives Basic Principles Anatomy Technical Considerations Management of Complications Anorectal Abscess and Fistula Scott R. Steele Eric K. Johnson David N. Armstrong From Cameron JL, Cameron AM: Current Surgical Therapy, 10th edition (Mosby 2011) Introduction Anorectal abscess is a debilitating condition originating from…

Anal Sphincterotomy – Internal

Goals/Objectives Anatomy and Physiology Review Indications Technical considerations Anal Fissure Cybil Corning Eric G. Weiss From Cameron JL, Cameron AM: Current Surgical Therapy, 10th edition (Mosby 2011) Definition An anal fissure is a painful linear tear in the skin or anoderm overlying…

Anal Fistulotomy/Seton Placement

Goals/Objectives Etiology Anatomic considerations Technical considerations Anorectal Abscess and Fistula From Keighley MRB, Williams NS: Surgery of the Anus, Rectum and Colon, 3rd ed (Saunders, 2007) You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy…

Colostomy Closure

Goals/Objectives Basic types Physiologic considerations Technical considerations Colon and Rectum Robert D. Fry Najjia N. Mahmoud David J. Maron Joshua I.S. Bleier From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) Large Bowel Obstruction and Pseudo-Obstruction Large bowel obstruction can be classified…