By Carol E.H. Scott-Conner
This e-book contains step by step depictions of twenty-eight operative tactics in colorectal surgical procedure. Chassin’s Operative approach in Colon and Rectal surgical procedure is a succinct research of surgeries for colorectal issues. Spanning from well-established legacy approaches to the main updated minimally invasive process, this brilliantly illustrated atlas really discusses the theoretical foundation of the operations in addition to the techniques an important to evading universal pitfalls.
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Extra resources for Chassin's Operative Strategy in Colon and Rectal Surgery
Sample text
Many centers advocate patient evaluation every 3–4 months for the first 2–3 years, every 6 months for the remainder of the 5 years, then annually. Complete history and Pouchitis is the most common long-term morbidity associated with ileal pouch/anal anastomoses [110– 113]. For unknown reasons, this condition occurs more frequently in patients who have had ulcerative colitis than in those with familial polyposis; and the incidence is even higher if pancolitis or extraintestinal manifestations were present.
Heppell J, Farkouh E, Dube S, et al. Toxic megacolon: an analysis of 70 cases. Dis Colon Rectum 1986;29: 789. 21 17. McLeod RS. Resection margins and recurrent Crohn’s disease. Hepatogastroenterology 1990;37:63. 18. Heimann TM, Greenstein AJ, Lewis B, et al. Prediction of early symptomatic recurrence after intestinal resection in Crohn’s disease. Ann Surg 1993;218:294. 19. Farouk R, Pemberton JH. Surgical options in ulcerative colitis. Surg Clin North Am 1997;77:85. 20. Milsom JW. Restorative proctocolectomy with ileoanal anastomosis.
2–4 During operations for tumors near the hepatic fl flexure of the transverse colon, dissect the middle colic vessels up to the lower border of the pancreas (Figs. 2–2, 2–3, 2–6). Be careful not to avulse a fairly large collateral branch that connects the inferior pancreaticoduodenal vein with the middle colic vein (Fig. 2–7). If this is torn, considerable bleeding follows, as the proximal end of the pancreaticoduodenal vein retracts and is difficult fi to locate. Gentle dissection is necessary, as these structures are fragile.