By Steven D. Wexner MD FACS FRCS FRCS(Ed), James W. Fleshman MD
Master concepts as a rule surgical procedure: Colon and Rectal surgical procedure: stomach Operations is a quantity in a chain that offers universal and complicated systems within the significant subspecialities of normal surgery. The sequence is overseen through Josef F. Fischer, MD, editor of the vintage two-volume reference Mastery of Surgery.
Master recommendations usually surgical procedure: Colon and Rectal surgical procedure: belly Operations is written by means of stated grasp surgeons, emphasizes surgeries, and is lavishly illustrated with unique full-color drawings. The participants absolutely clarify their most popular recommendations in step by step, completely illustrated element, investigate symptoms and contraindications, provide instructions on preoperative making plans, and speak about results, issues, and follow-up.
Coverage contains left and correct colon resections played open and laparoscopically, colectomies, proctocolectomies, restorative and reconstructive thoughts for proctocolectomy and pelvis reconstruction, stoma building and the way to fix problems of stoma development, and remedy of rectal prolapse.
A significant other site will provide totally searchable content material of the booklet, a picture financial institution, and procedural videos.
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Extra info for Colon and Rectal Surgery: Abdominal Operations
G. Right branch of the middle colic artery and vein isolated. H. Pulsatile bleeding from the marginal vessel adjacent to the transverse colon. I. Marginal vessels along the terminal ileum. J. Separating the omentum from the transverse colon and mesocolon. K. Dividing the lateral attachments of the right colon. Line of dissection is at the junction of the areolar tissue and the pericolic fat. L. Dividing the mid-transverse colon. M. Dividing the terminal ileum. N. Creating the end-to-side ileocolic anastomosis using the circular stapler introduced through the end of the colon.
Marginal vessels along the terminal ileum. J. Separating the omentum from the transverse colon and mesocolon. K. Dividing the lateral attachments of the right colon. Line of dissection is at the junction of the areolar tissue and the pericolic fat. L. Dividing the mid-transverse colon. M. Dividing the terminal ileum. N. Creating the end-to-side ileocolic anastomosis using the circular stapler introduced through the end of the colon. With the lymphovascular drainage of the right colon now interrupted, the tumor may be manipulated without fear of disseminating malignant cells.
The gastrocolic ligament can be divided just below the gastroepiploic arcade of the stomach using the same energy sources. The omentum attached to the resected colon can also be taken with the specimen. Three areas require caution during cephalad mobilization of the right colon: (1) excessive mobilization deep to the mesentery and entering Gerota’s fascia, (2) avulsion of a collateral venous branch between the inferior pancreaticoduodenal and middle colic veins, and (3) injury to the second and third portion of the duodenum.
Colon and Rectal Surgery: Abdominal Operations by Steven D. Wexner MD FACS FRCS FRCS(Ed), James W. Fleshman MD