Goals/Objectives Relevant Anatomy Indications Technique (Left, Right) Complications Anatomy and Physiology of the Colon and Rectum H. Moreira Steven D. Wexner From Fazio VW, Church JM, Delaney CP: Current Therapy in Colon and Rectal Surgery, 2nd edition (Mosby 2004) A complete knowledge of colonic and rectal anatomy is essential to successful surgical treatment of colorectal disease. However, the precise anatomy of the pelvic floor is still a subject…

Goals/Objectives Basic Principles Anatomy Physiologic Considerations Technical Considerations Management of Complications Laparoscopic Colon Resection Robert D. Fry Najjia N. Mahmoud David J. Maron Joshua I.S. Bleier From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) Neoplasia Adenocarcinoma of the colon and rectum is the third most common site of new cancer cases and deaths in men (following prostate and lung or bronchus cancer) and women (following breast and…

Goals/Objectives Anatomy and Physiology Review Indications Technical considerations Acute Appendicitis Genevieve B. Melton Ryan Li Mark D. Duncan John W. Harmon From Cameron JL, Cameron AM: Current Surgical Therapy, 10th edition (Mosby 2011) Overview Historically, it is believed that British surgeon Claudius Amyand performed the first appendectomy during the repair of an inguinal hernia in 1735. However, inflammation of the appendix, including subsequent clinical sequelae of abscess and perforation, was…

Goals/Objectives Etiology Anatomic considerations Technical considerations The Appendix John Maa Kimberly S. Kirkwood From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) Laparoscopic Appendectomy Trevor A. Ellison Barish H. Edil 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 If you are a member. Log in here

Goals/Objectives Indications for small bowel resection Technique Complications Small Bowel Resection and Anastomosis Bradley Champagne From Ponsky J, Rosen MJ: Atlas of Surgical Techniques for the Upper GI Tract and Small Bowel: A Volume in the Surgical Techniques Atlas Series, 1st edition (Saunders 2009) Step 1: Surgical Anatomy The submucosal layer of the bowel is the strongest layer of the intestines, and regardless of the anastomotic technique…

Goals/Objectives Indications Technique Complications Ileostomy Jesse Moore Peter Cataldo From Yeo CJ, et al: Shackelford's Surgery of the Alimentary Tract, 7th edition (Saunders 2012) Closure of A Loop Ileostomy The great majority of loop ileostomies may be closed without repeat laparotomy. Whether the use of antiadhesion barriers or sprays during loop ileostomy construction makes subsequent closure easier has been studied. Salum et al randomized 191 patients to Seprafilm around the…

Goals/Objectives Indications Technique Complications Ileostomy Jesse Moore Peter Cataldo From Yeo CJ, et al: Shackelford's Surgery of the Alimentary Tract, 7th edition (Saunders 2012) Ileostomies, like all intestinal stomas, result in a major change in our patients' appearance and function. Even when constructed well, they have significant impact on a patient's life, albeit temporary. Like any structure built to last, they should be well planned, constructed with care, and…

Goals/Objectives Basic Principles Anatomy Technical Considerations Management of Complications You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Goals/Objectives Anatomy and Physiology Review Indications Technical considerations Laparoscopic Feeding Gastrostomy and Jejunostomy Cedric S.F. Lorenzo Kenric M. Murayama From Frantzides CT, Carlson MA: Atlas of Advanced Minimally Invasive Surgery, 1st edition (Saunders 2009) You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Goals/Objectives Indications Anatomic considerations Technical considerations Small Bowel Obstruction David W. Dietz From Fazio VW, Church JM, and Delaney CP: Current Therapy in Colon and Rectal Surgery, 2nd edition (Mosby 2004) Small bowel obstruction is one of the most common conditions encountered by colorectal surgeons. A recent analysis of Health Care Financing Administration data found that 14% of patients undergoing abdominal surgery will require hospitalization for small…

Goals/Objectives Differential diagnosis small bowel obstruction Indications for operation: early versus late postoperative period Laparoscopic versus open approach Bowel resection Small Intestine Shaun McKenzie B. Mark Evers From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) Simple Versus Strangulating Obstruction Most patients with small bowel obstruction are classified as having simple obstructions that involve mechanical blockage of the flow of luminal contents without compromised viability of…

Goals/Objectives Anatomy Indications Techniques Complications Percutaneous Endoscopic Gastrostomy Placement and Replacement Paul W. Davis From Pfenninger JL, Fowler GC: Pfenninger & Fowler's Procedures for Primary Care, 3rd edition (Saunders 2010) Percutaneous endoscopic gastrostomy (PEG) is the placement of a percutaneous gastrostomy tube with the aid of an endoscope. The PEG technique has largely replaced surgical gastrostomy as the procedure of choice for patients who require long-term enteral…

Goals/Objectives Anatomical Considerations Indications Technique Complications Stomach: Anatomy David M. Mahvi Seth B. Krantz From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) Anatomy Gross Anatomy Divisions The stomach begins as a dilation in the tubular embryonic foregut during the fifth week of gestation. By the seventh week, it descends, rotates, and further dilates with a disproportionate elongation of the greater curvature into its normal anatomic…

Goals/Objectives Basic Principles Anatomy Physiologic Considerations Technical Considerations Management of Complications Hiatal Hernia and Gastroesophageal Reflux Disease Rebecca P. Petersen Carlos A. Pellegrini Brant K. Oelschlager From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) The role of operative treatment for gastroesophageal reflux and hiatal hernias changed dramatically during the 1990s. Once a relatively uncommon procedure, many antireflux operations and hiatal hernia repairs (mostly for paraesophageal hernias)…

Goals/Objectives Anatomy and Physiology Review Indications Technical considerations The Spleen Julie Shelton Michael D. Holzman From Townsend CM: Sabiston Textbook of Surgery, 19th edition (Saunders 2012) Splenectomy Splenectomy may be performed for a number of reasons and conditions. Benign Hematologic Conditions Immune Thrombocytopenic Purpura ITP, classically known as idiopathic thrombocytopenic purpura , is characterized by a low platelet count despite normal bone marrow and the absence of other…

Goals/Objectives Indications Anatomic considerations Technical considerations You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Goals/Objectives Identify indications for biopsy Select approach: percutaneous versus laparoscopic Laparoscopic technique NOTES technique Normal Liver Anatomy and Biopsy Techniques V.J. Desmet From Liver – Non-neoplastic Diseases. In: Rosai J: Rosai and Ackerman's Surgical Pathology, 10th edition (Mosby 2011) Normal Anatomy Several structural and functional units have been proposed in the microanatomy of the liver. Of these, the most relevant for the diagnostic histopathologist are the liver…

Goals/Objectives Anatomy Indications Techniques Complications You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

Goals/Objectives Indications vs laparoscopic Relevant Anatomy Technique (Top down approach) Complications Technique of Cholecystectomy Shishir K. Maithel From Jarnagin WR: Blumgart's Surgery of the Liver, Biliary Tract, and Pancreas, 5th edition (Saunders, 2012) Overview The indications for performing open cholecystectomy have evolved since the advent and widespread use of laparoscopic cholecystectomy. Surgeons are now trained in laparoscopy at the initiation and for the duration of their training.…

Goals/Objectives Basic Principles Anatomy Physiologic Considerations Technical Considerations Laparoscopic Cholecystectomy John D. Mellinger Bruce V. MacFadyen From Cameron JL, Cameron AM: Current Surgical Therapy, 10th edition (Mosby 2011) Overview Since its initial performance by Muhe in 1985, and subsequent description and dissemination in the late 1980s, laparoscopic cholecystectomy has not only transformed the surgical management of gallbladder disease, it has fostered a revolution in surgical practice oriented on…