Introduction Since the first laparoscopic cholecystectomy was successfully performed in 1987, there has been a remarkable adoption of minimally invasive techniques, which has dramatically changed the field of general surgery. The surgical management of inguinal hernias, traditionally one of the…
Introduction Fecal incontinence is a devastating problem. The incidence has been cited between 1% and 18% based on several studies. However, even at this rate, this symptom seems to be under-reported, with true incontinence (that excludes incontinence of flatus) thought…
Videos 35.1 Single Incision Total Abdominal Colectomy (First Stage Restorative Proctectomy/Ileal Pouch Anal Anastomosis) 35.2 Completion Proctectomy/J-Pouch Construction You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a…
Introduction Full-thickness external rectal prolapse is herniation of the rectum through the anal orifice. More commonly seen in older women, rectal prolapse can occur in both genders and even at a young age. The underlying mechanism of rectal prolapse is…
Introduction Perianal sepsis is a common problem that can be handled simply and successfully if treatment is based on an understanding of its anatomy and pathophysiology. The anatomy of the anus and the surrounding areas of the pelvis and perineum…
Introduction “Doctor, I have hemorrhoids” is a common complaint. The majority of these complaints are not truly hemorrhoids but other benign conditions; some may hide a more threatening diagnosis, such as anal cancer. Evaluating each patient based on his or…
Introduction Abdominoperineal resection (APR) is most often employed for lower-third rectal cancers, rare low pelvic tumors, and other low pelvic cancers requiring pelvic exenteration with involvement of the sphincters. Tumors above the levator muscles and inflammatory bowel diseases (IBD) can…
Video 30.1 Low Anterior Resection With Total Mesorectal Excision and Anastomosis Introduction Colorectal cancer is the second most common tumor in men and women in the Western world. Tumors occur most frequently in the rectum and sigmoid colon and are…
Introduction Transverse colectomy, in isolation, is an uncommon procedure. Potential indications for transverse colectomy include transverse colon cancer, segmental inflammatory bowel disease, and segmental transverse colon ischemia. In contrast, mobilization and resection of the transverse colon—in total or segmental—is commonly…
Video 28.1 Left and Sigmoid Colectomy Introduction Left colectomy or hemi-colectomy is a resection of the colon within the territory supplied by the left branch of the middle colic artery and the inferior mesenteric artery within the embryologic partitioning of…