By Steven D. Wexner MD FACS FRCS FRCS(Ed), James W. Fleshman MD
Master thoughts regularly surgical procedure: Colon and Rectal surgical procedure: belly Operations is a quantity in a sequence that provides universal and complicated tactics within the significant subspecialities of basic surgery. The sequence is overseen through Josef F. Fischer, MD, editor of the vintage two-volume reference Mastery of Surgery.
Master suggestions commonly surgical procedure: Colon and Rectal surgical procedure: belly Operations is written by way of said grasp surgeons, emphasizes surgeries, and is lavishly illustrated with unique full-color drawings. The members totally clarify their most well-liked innovations in step by step, completely illustrated aspect, examine symptoms and contraindications, provide guidance on preoperative making plans, and speak about results, issues, and follow-up.
Coverage comprises left and correct colon resections played open and laparoscopically, colectomies, proctocolectomies, restorative and reconstructive recommendations for proctocolectomy and pelvis reconstruction, stoma building and the way to fix problems of stoma building, and remedy of rectal prolapse.
A significant other web site will supply totally searchable content material of the publication, a picture financial institution, and procedural videos.
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Additional info for Colon and Rectal Surgery: Abdominal Operations
Collateralization is excellent along marginal arteries at the mesenteric border, serving as an important source of a segment’s blood supply when a major vessel is occluded. The presence of these marginal arteries also allows the sacrifice of major vessels, facilitating the colon’s mobilization for anastomosis. The lymphatics and innervation of the colon follow the vascular supply. The superior mesenteric artery (SMA) supplies the entire small bowel with 12–18 jejunal and ileal branches to the left and 3 major colonic branches to the right.
The psoas muscle, second portion of the duodenum, the right ureter, and the inferior pole of the right kidney all have important anatomic relationships to the posterior aspect of the ascending colon. Laterally, the ascending colon is attached to the parietal peritoneum via an embryonic fusion plane between the visceral and parietal peritoneum. This subtle anatomic landmark is relatively avascular and serves as the classic landmark for surgical mobilization of the ascending colon away from its retroperitoneal attachments.
Operative Techniques in Laparoscopic Colorectal Surgery. New York: Springer, 2006. Garcia-Ruiz A, Milsom JW, Ludwig KA, Marchesa P. Right colonic arterial anatomy. Implications for laparoscopic surgery. Dis Colon Rectum 1996;39:906–911. Goldenberg EA, Khaitan L, Huang IP, Smith CD, Lin E. Surgeon-initiated screening colonoscopy program based on SAGES and ASCRS recommendations in a general surgery practice. Surg Endosc 2006;20(6):964–966. Goldstein NS. Lymph node recoveries from 2427 pT3 colorectal resection specimens spanning 45 years: recommendations for a minimum number of recovered lymph nodes based on predictive probabilities.