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How to Avoid Getting into Difficult Operative Situations
Pages 3-6
Punto di Riferimento
per Medici e Operatori Sanitari
per Medici e Operatori Sanitari
LIBRERIA STUDIUM
Colorectal Surgery Consultation
Tips and Tricks for the Management of Operative Challenges
Lee, Steele, Feingold, Ross, Rivadeneira
Editore
Springer
Anno
2019
Pagine
284
ISBN
9783030111809
120,00 €
DA SCONTARE
This book provides clear surgical options when the cases are not “routine”. It follows both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. In each chapter, international experts address how to avoid being in tough surgical situations through preoperative planning, how to better deal with commonly encountered intra-operative findings, how to deal with difficult laparoscopic, open, endoscopic, and anorectal cases, and how to avoid medico-legal issues.
Colorectal Surgery Consultation is simple and succinct and provides pragmatic advice and reproducible techniques that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems through endoscopic and endoluminal approaches that may make the difference in patient outcomes.
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Principles in Approaching Difficult Operative Situations
Pages 7-11
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Extensive Intra-abdominal Adhesions
Pages 15-18
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Intraoperative Injury to Small or Large Bowel
Pages 19-22
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Injury to the Rectum During Pelvic Surgery
Pages 23-25
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Appendectomy Pathology Report Returns Adenocarcinoma, Carcinoid, or Appendiceal Mucinous Neoplasm
Pages 27-28
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Unexpected Findings: Normal Appendix During Appendectomy
Pages 29-30
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During Sigmoid Resection for Diverticulitis, the Patient Is Found to Have Diffuse Diverticulosis
Pages 31-32
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Intraoperatively the Patient Is Found Incidentally to Have Colon or Small Bowel Inflammation
Pages 33-34
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Unexpected Findings: Intraoperatively Suspected Colon Cancer Turns Out to Be Rectal Cancer
Pages 35-36
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Unexpected Findings: Can’t Find the Colon Lesion
Pages 37-38
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Unexpected Findings: The “Malignant Polyp”
Pages 39-40
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Unexpected Findings: Positive Air Leak
Pages 41-43
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Unexpected Findings: Anastomotic “Donut” Problems – Incomplete or Missing Donuts with a Negative Leak Test
Pages 45-46
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Unexpected Findings: Locally Advanced Colon Cancer
Pages 47-49
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Difficult to Close Abdomen
Pages 53-55
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The Difficult Splenic Flexure
Pages 57-62
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Hartmann Takedown: Managing the Hard to Reach or Devascularized Left Colon
Pages 63-68
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Cannot Find the Rectal Stump During Hartmann Reversal
Pages 69-73
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Rectal Stump Perforation Stump While Passing an End-to-End Anastomotic Stapler
Pages 75-79
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Inability to Pass End-to-End Anastomotic Stapler
Pages 81-84
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The J Pouch Does Not Reach
Pages 85-90
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Intraoperative Management of Bleeding at Stapled Side-to-Side Anastomosis
Pages 91-93
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Postoperative End-to-End Anastomotic Bleeding
Pages 95-99
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Postoperative Anastomotic Leak After Low Anterior Resection
Pages 101-105
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Colon Does Not Reach for a Coloanal Anastomosis
Pages 107-109
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Cannot Find Internal Opening of Fistula-in-Ano
Pages 111-113
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How to Deal with Crohn’s Friable and Fragile Mesentery
Pages 115-120
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Ulcerative Colitis with Severe Inflammation and Friable Tissues: How to Avoid Intraoperative Perforation and Manage the Colorectal Stump
Pages 121-123
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Patient Develops Anastomotic Stricture After Low Anastomosis with Diverting Ileostomy
Pages 125-127
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Presacral Bleeding
Pages 129-132
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Cannot Extract the Circular Stapler
Pages 133-134
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General Technical Recommendations for Difficult Laparoscopic Cases
Pages 137-139
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Dislodged Laparoscopic Cannulas
Pages 141-144
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How to Keep the Small Bowel from Getting in the Way of a Laparoscopic Operation
Pages 145-147
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Laparoscopic Suturing
Pages 149-155
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Re-look After Laparoscopic Resection
Pages 157-159
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Retraction of a “Floppy Uterus” Encountered During Minimally Invasive Rectal Resection
Pages 161-162
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Bleeding During Colectomy
Pages 163-167
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Cannot Find the Ureter
Pages 169-174
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Ileum Becomes Ischemic Due to Torsion During J-Pouch Creation
Pages 175-177
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Difficult Laparoscopic Rectal Dissection
Pages 179-183
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Techniques for Laparoscopic Distal Rectal Stapled Transection
Pages 185-187
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How to Avoid “Twisting” an Ileocolic or Ileorectal Anastomosis
Pages 189-193
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How to Deal with Splenic Injury During Laparoscopic Flexure Mobilization
Pages 195-197
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Entering the Reoperative Hostile Abdomen Laparoscopically
Pages 199-202
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Manage Inferior Epigastric Bleeding
Pages 203-208
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Hard to Reach Colostomy/Ileostomy
Pages 211-216
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Stoma Prolapse
Pages 217-222
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Ileostomy Retracts Below the Skin
Pages 223-226
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Difficulties with the Stapled Hemorrhoidectomy Procedure
Pages 229-231
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Symptomatic Long Residual Rectal Cuff Status Post J-Pouch
Pages 233-236
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Difficult Anterior Perineal Dissection During Abdominoperineal Resection
Pages 237-239
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Anastomotic Sinus After Low Anterior Resection and Diverting Loop Ileostomy
Pages 241-243
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Cannot Pass the Scope into the Cecum
Pages 247-252
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Difficult to Remove Polyp
Pages 253-255
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Bleeding After Colonoscopic Polypectomy
Pages 257-260
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The Thin Colon After Endoscopic Mucosal Resection
Pages 261-262
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Cannot Remove the Snare During Colonoscopy
Pages 263-265
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How to Address a Polyp Involving the Appendiceal Orifice
Pages 267-269
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Medico-Legal Issues in Minimally Invasive Colon and Rectal Surgery: A Primer
Pages 273-276
