By Danny M. Takanishi MD, Fabrizio Michelassi MD (auth.), Carol E. H. Scott-Conner MD, PhD (eds.)
Colorectal surgical procedure is a rapidly-evolving surgical box. leading edge techniques, together with complicated endoscopy and minimally invasive surgical procedure, are permitting surgeons to supply sufferers ever-improving healing procedures and higher surgical results than ever sooner than. because the final version of the complete quantity of Chassinâ€™s Operative suggestions often surgical procedure, laparoscopic colon surgical procedure has develop into the recent regular of care in lots of surgical facilities. therefore, for Chassinâ€™s Operative recommendations in Colon and Rectal surgical procedure, we've got extra 4 new, formerly unpublished chapters to this new volume:
- laparoscopic correct hemicolectomy and laparoscopic left hemicolectomy;
- laparoscopic stoma development and closure;
- laparoscopic abdominoperineal resection; and
- total proctocolectomy with finish ileostomy.
These new chapters give you the reader with the newest innovations in colorectal surgical procedure. as well as the transparent, accomplished textual content, those new chapters are more advantageous through fifty two lavish new illustrations. whereas the textual content presents the reader a with transparent, step by step directions, the illustrations give you the visible orientation so very important to each surgeon's pre-operative preparations.
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Extra info for Chassin’s Operative Strategy in Colon and Rectal Surgery
Bilateral ureteral stents are placed by a urologist, followed by insertion of a urinary catheter and 43 an orogastric tube. The patient’s abdomen is shaved, prepped with povodine-iodine solution, and appropriately draped. For port placement, the assistant stands to the right of the patient while the surgeon stays to the left. Three to four 10 mm trocars are employed for most procedures (Fig. 3 –2a and 3 –2b). Initially, a 10 mm trocar is placed by the open Hasson technique in the supraumbilical position through which the camera is inserted.
Wexner, MD Susan M. Cera, MD INDICATIONS PITFALLS AND DANGER POINTS Ileocolic Crohn’s disease Injury to liver, duodenum, or contents of the hepatoduodenal ligament Endoscopically irretrievable adenomatous polyps Arteriovenous malformations Cecal volvulus Ischemia Carcinoma Hemorrhage from epigastric, mesenteric, iliac, or gonadal vessels Inadvertent enterotomy or colotomy Inadvertent retrorenal dissection Anastomotic insufﬁciency or twist Right-sided diverticulitis OPERATIVE STRATEGY PREOPERATIVE PREPARATION Preoperatively, patients undergo an appropriate medical evaluation.
Wound infection requires prompt removal of all overlying skin sutures to permit wide drainage of the entire infected area. REFERENCES Furstenberg S, Goldman S, Machado M, Jarhult J. Minilaparotomy approach to tumors of the right colon. Dis Colon Rectum 1998;41:997. 41 Heili MJ, Flowers SA, Fowler DL. Laparoscopic-assisted colectomy: a comparison of dissection techniques. J Soc Laparoendosc Surg 1999;3:27. Leung KL, Meng WC, Lee JP, et al. Laparoscopic-assisted resection of right-sided colonic carcinoma: a casecontrol study.
Chassin’s Operative Strategy in Colon and Rectal Surgery by Danny M. Takanishi MD, Fabrizio Michelassi MD (auth.), Carol E. H. Scott-Conner MD, PhD (eds.)