Cleveland Clinic Illustrated Tips and Tricks in Colon and Rectal Surgery

Description

Filled with the collective wisdom and experience of surgeons at the busiest department of colorectal surgery in the world, Cleveland Clinic Illustrated Tips and Tricks in Colon and Rectal Surgery walks you step by step through each procedure, with pointers given along the way as if from a trusted mentor. You’ll find a unique collection of insight and personal clinical experience in dealing with challenging and unusual situations—tips and techniques you can use when faced with similar circumstances in the operating room. Focuses on the performance of surgical techniques, described in bulleted lists and highlighted with more than 600 full-color photographs, drawings, and images. Uses a highly templated format for quick reference: Perioperative Considerations (brief overviews of equipment, anesthesia, patient positioning, and other procedural elements), Technique, and Pearls and Pitfalls, with the vast majority of each chapter devoted to technique. Covers surgery for anorectal disease and pelvic floor disorders, surgery within the abdomen and the pelvis, as well as tips for particular situations such as bowel obstruction, trauma, and the difficult stoma. Designed for general surgery residents, colorectal surgery fellows, and practicing colorectal, general, and oncologic surgeons—those in training or anyone who needs to brush up on the latest techniques. Cover......Page 1 Half Title Page......Page 2 Title Page......Page 3 Copyright Page......Page 4 Dedication......Page 6 Contents......Page 7 Contributors......Page 13 Foreword......Page 24 Preface......Page 25 Part I: In The Operating Room and Anatomy......Page 27 1 • Anatomy of the Colon, Rectum, and Anus......Page 28 2 • Tools of the Trade: Retractors, Scopes, Probes, and More......Page 45 3 • Principles of Operative Positioning......Page 66 4 • Advanced Endoluminal Surgery: Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection......Page 106 5 • Combined Endoscopic and Laparoscopic Surgery......Page 122 6 • Interventional Inflammatory Bowel Disease: Endoscopic Management of Complex Inflammatory Bowel Disease......Page 130 7 • Office Endoscopy......Page 146 Part II: Anorectal Disease......Page 159 8 • Hemorrhoidectomy......Page 160 9 • Anal Fissures: Lateral Internal Sphincterotomy......Page 172 10 • Anoplasty for Anal Stenosis......Page 183 11 • Anorectal Abscess......Page 200 12 • Complex Anorectal Fistulas......Page 214 13 • Hidradenitis Suppurativa......Page 245 14 • Rectovaginal Fistula......Page 258 15 • Rectourethral Fistulas......Page 306 16 • Crohn Anorectal Disease......Page 321 17 • Pilonidal Disease Excise versus Flap: Technical Tips......Page 331 18 • Anal Intraepithelial Neoplasia: Performing High-Resolution Anoscopy......Page 349 Part III: The Abdomen......Page 365 19 • Anastomotic Construction Techniques......Page 366 20 • Complicated Anastomoses: Turnbull-Cutait......Page 388 21 • Left Colectomy......Page 401 22 • Right Colectomy......Page 426 23 • Approaching the Transverse Colon......Page 462 24 • The Difficult Splenic Flexure......Page 477 25 • Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy......Page 493 26 • Desmoids......Page 521 27 • Enterocutaneous Fistula......Page 532 Part IV: The Pelvis......Page 546 28 • Intraoperative Radiation Therapy for Colorectal Cancer......Page 547 29 • Local Excision of Rectal Neoplasia......Page 561 30 • Approaching Presacral Tumors......Page 584 31 • Proctectomy from Above......Page 602 32 • Transanal Total Mesorectal Excision......Page 627 33 • GYN-Onc Considerations for Complex and Multivisceral Colorectal Disease......Page 659 34 • Spinal and Orthopedic Considerations for Advanced Multivisceral Colorectal Cancer......Page 677 35 • Intraoperative Urology Consultation......Page 691 Part V: Technical Tips For Specific Situations......Page 709 36 • Complex Diverticular Disease: Colovaginal and Colovesicle Fistula Repair......Page 710 37 • Large Bowel Obstruction......Page 725 38 • Endometriosis......Page 751 39 • Trauma of the Colon, Rectum, and Anus......Page 764 40 • Ileal Pouch-Anal Anastomosis......Page 778 41 • Crohn Disease: Surgical Management......Page 836 42 • Colorectal Cancer: Management of Stage IV Disease......Page 902 43 • Construction of Intestinal Stomas......Page 925 44 • The Difficult Stoma......Page 960 45 • Complex Abdominal Wall Reconstruction and Parastomal Hernia Repair after Colorectal Surgery......Page 1007 46 • Kock Pouch (K-pouch)......Page 1039 Part VI: Pelvic Floor Disorders......Page 1075 47 • Rectal Prolapse......Page 1076 48 • Ventral Rectopexy......Page 1099 49 • Sacral Neuromodulation and Sphincteroplasty for Fecal Incontinence......Page 1137 50 • Vertical Rectus Abdominis Myocutaneous Flaps, Gluteal Flaps, and Plastic Surgery Reconstruction in Colorectal Surgery......Page 1159 51 • Complex Abdominal Wall Reconstruction Following Colorectal Surgery......Page 1174 52 • Constipation......Page 1202 53 • Botox of the Pelvic Floor and Acupuncture......Page 1221 54 • Perineal Proctectomy......Page 1234 Index......Page 1244