By Steven D. Wexner MD FACS FRCS FRCS(Ed), James W. Fleshman MD
Master suggestions mostly surgical procedure: Colon and Rectal surgical procedure: Anorectal Operations is a quantity in a chain that provides universal and complex techniques 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 concepts normally surgical procedure: Colon and Rectal surgical procedure: Anorectal Operations is written through said grasp surgeons, emphasizes surgeries, and is lavishly illustrated with unique full-color drawings. The participants absolutely clarify their most well liked concepts in step by step, completely illustrated aspect, examine symptoms and contraindications, provide guidance on preoperative making plans, and talk about results, issues, and follow-up.
Coverage contains hemorrhoidectomies, anal fistula and sphincter strategies, approaches for perineal prolapse and excision of rectal carcinoma, between others.
A better half site will supply totally searchable content material of the booklet, a picture financial institution, and procedural videos.
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Ann Surg 2001;234:21-4. 11. Palazzo FF, Francis DL, Clifton MA. Randomized clinical trial of Ligasu:reTM versus open haemmrhoidectomy. Br J Surg 2002; 89:154-7. 3 Harmonic Scalpel® David N. Armstrong and Kurt G. Davis ~ INDICATIONS/CONTRAINDICATIONS The advantages of Harmonic Scalpel• hemoiThoidectomy over the more traditional use of electrocautery lie in the Harmonic Scalpel's• improved hemostasis, resulting in an almost "bloodless" hemorrhoidectomy (1,2). In addition, postoperative pain is reduced, as a result of the reduced lateral thermal injury, compared to electrocautery.
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T The internal sphincter can be easily identified after the internal hemorrhoid has been completely excised. At this point. the defect can be 111ft open, or closed using a running locking 3·0 chromic suture. the internal hemorrhoid is excised using the MIN setting on the Harmonic Scalpel11 handpiece that results in a safer and mora secure hemostasis of the internal hemorrhoidal vessels (Fig. 9). Because hemostasis is axcallant after Harmonic Scalpel