Complications of Anorectal Surgery: Prevention and Management

ISBN-13: 9783319839349 / Angielski / Miękka / 2018 / 329 str.

Herand Abcarian; Jose Cintron; Richard Nelson

Recenzje

"The purpose is to help guide colorectal surgeons and colorectal surgery trainees through complications of anorectal surgery and their management. ... It is written for junior colorectal surgery faculty, fellows, or general surgeons with a high volume of anorectal cases. ... In the end, this book is intended to provide advice to those who do a lot of anorectal surgery ... ." (Irena Gribovskaja-Rupp, Doody's Book Reviews, July, 2017)

Spis treści

Complication of Anorectal Surgery

Table of Content

1.      Surgery for Anorectal Abscess  -                                                          Adrian Ortega

a.       Simple

b.      Horseshoe

c.       Fournier’s Fistula                                                                       Herand Abcarian

 

2.      Anorectal fistula Surgery                                                                       Marc Singer

a.       Fistulotomy/Fistulectomy, Seton  - Abcarian

b.      Plugs

c.       Glue

d.      Flaps (ERFA, DIFA)

e.       LIFT

f.        Fistuloscopy (VAAFT)

g.       CA risk with no therapy?

h.      What makes Crohn’s fistulas tough?

i.         Which is worse, incontinence due to fistula or from fistula surgery?

 

3.      Hemorrhoids                                                                                           Jose Cintron(a-c)

a.       Milligan-Morgan

b.      Ferguson

c.       Whitehead

d.      Stapled Hemorrhoidopexy                                                        Herand Abcarian

e.       Suture Hemorrhoidopexy                                                          Herand Abcarian

f.        THD +/- mucopexy                                                                     Marc Brand (g-o)

g.       Excision of Thrombosed External Hemorrhoids

h.      Injection Sclerotherapy

i.         Ligasure

j.         Laser

k.       Infrared

l.         Cryo

m.    TCH

n.      Do hemorrhoids cause cancer?

o.      HET

 

4.      Anal Fissure                                                                                             Richard Nelson

a.       Midline Sphincterotomy (Keyhole)

b.      Lateral Internal Sphincterotomy (recurrence, non-healing, incontinence)

c.       Anal Stretch

d.      Recurrence of Anal Fissure

e.       Botox

f.        Incontinence after fissure surgery.  Why is it never treated?

 

5.      Pilonidal Cyst                                                                               Johan Nordenstam

a.       Left Open

b.      Primary closed

c.       Flaps

d.      Bascom

e.       Meningitis??

f.        VAC complication

g.        

6.      Hidradenitis Suppurativa                                                           Jacqueline Harrison

a.       Delayed healing

b.      STSG (slough/failure)

c.       Missed Fistulas

d.      Anal Stricture

e.       Rampant recurrent hidradenitis

f.        How much can hidradenitis recur locally? Why?

g.       Funny bugs

h.      CA?<  

7.      Perineal Repair of Rectal Prolapse                                           Richard Nelson

a.       Bleeding

b.      Disruption

c.       Rectal necrosis (prior LAR)

d.      Evisceration

e.       Anaesthetic

f.        Airline Toilet

 

8.      Rectocele Repair (ODS)                                                              Steven Brown

a.       STARR-Transstar

b.      Transvaginal

c.       Transperineal +/- Mesh

d.      Why fix it?

e.       Complications                                                                  Linda Farkas

 

9.      RV Fistula Repair                                                                                    Slawomir  Marecik

a.       Bleeding

b.      Sepsis

c.       Recurrence

d.      But why is it so tough?

e.       Fistulotomy? With later gracilis?

 

10.  Incontinence                                                                                Anders Mellgren

a.       Sphincter Repair

b.      Graciloplasty

c.       Gluteus Repair

d.      SNS

e.       What about the colon? MACE

f.        PTNS?

 

11.  Transanal Excision of Rectal Tumor ( TEM or TAMIS)          Vivek Chaudhry

a.       Bleeding

b.      Infection

c.       Fistula

e.       Missed Cancer

 

12.  Anal Stenosis                                                                               Jennifer Blumetti

a.       Dilation (perforation)

b.      Flaps (U, House, S)

c.       Level? Pouch/anal, LAR Anastomosis

 

13.  Retrorectal Cyst                                                                          Nell Maloney-Patel

a.       Bleeding

b.      Infection

c.       Rectal perforation

d.      Incomplete excision/recurrence

 

14.  York Mason Procedure                                                              Herand Abcarian

a.       Bleeding

b.      Infection

c.       Rectal Cutaneous Fistula, Why is this rare?

d.      Incontinence

 

15.  Pull Through Procedures                                                          Jennifer Blumetti

a.       CPAA

b.      Bleeding

c.       Disruption

d.      Presacral Abscess

e.       Non-healing Cavity

f.        Stricture

g.       Prolapse

h.      Long-term results of pull through in infants/children related to emptying/continence

 

16.  Perineal Wound Post APR                                                         Torbjörn Holm

a.       Cancer

b.      Crohn’s disease

c.       Infection

d.      Disruption

e.       Delayed healing

f.         Complication of Flap Closure, VRAM, etc.

g.       Dead space

 

O autorze

Herand Abcarian, MD, FACS

Professor of Surgery

Division of Colon and Rectal Surgery

John H. Stroger Hospital of Cook County

Chicago, IL 60612

USA

Blurb

This text provides a comprehensive, sate of the art review of complications related to anorectal surgical procedures old and new.  As anorectal surgery has evolved throughout the decades, newer and at times unexpected complications arise as of necessity.  Any surgeon not familiar with these, may be perplexed as to how to manage these specific complications and more importantly how to avoid such complications in the course of their future practice.   

Complications of Anorectal Surgery: Prevention and Management provides a very helpful resource for all surgeons performing anorectal surgery and will be particularly useful for general surgeons practicing in rural or small urban settings where access to a colon and rectal specialist, a large medical center or a resource medical library may be scarce or limited.