Complications, considerations, and consequences of colorectal surgery:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, PA
Elsevier
2013
|
| Schriftenreihe: | Surgical clinics of North America
93,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index Evaluating patients undergong colorectal surgery to estimate and minimize morbidity and mortality -- Fast-track pathways in colorectal surgery -- Introperative adjuncts in colorectal surgery -- Unexpected intra-operative findings -- Complications of colorectal anastomoses: leaks, strictures, and bleeding -- Outcomes following proctectomy -- Considerations and complications in patients undergoing ileal pouch anal anastomosis -- Management and complications of stomas -- Surgical management of Crohn's disease -- Rectal prolapse -- Recurrent pelvic surgery -- Laparoscopy in colorectal surgery -- Controversies in the care of the enterocutaneous fistula -- Colorectal considerations in pediatric patients -- Unique complications of robotic colorectal surgery |
| Beschreibung: | XVI, 297 S. Ill., graph. Darst. 24 cm |
| ISBN: | 1455773336 9781455773336 |
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Datensatz im Suchindex
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| adam_text | Titel: Complications, considerations, and consequences of colorectal surgery
Autor: Steele, Scott R
Jahr: 2013
Complications, Considerations, and Consequences of Colorectal Surgery
Contents
Foreword: Complications, Considerations, and Consequences of Colorectal Surgery xiii
Ronald F. Martin
Preface: Complications, Considerations, and Consequences of Colorectal Surgery xv
Scott R. Steele
Evaluating Patients Undergoing Colorectal Surgery to Estimate and Minimize
Morbidity and Mortality 1
Samantha K. Hendren and Arden M. Morris
This review discusses the preoperative evaluation of patients preparing for
elective colorectal resection, touching on several specific categories of
morbidity, including cardiac, pulmonary, hepatic, renal, and surgical site
complications. For each of these, the evidence for practices that optimize
patient function and minimize risk is reviewed. Finally, authors discuss how
to counsel high-risk surgical patients, including those for whom elective
surgery is not recommended.
Fast-Track Pathways in Colorectal Surgery 21
Paul J. Chestovich, Anne Y. Lin, and James Yoo
Enhanced recovery after surgery or fast-track pathways are a multimodal
approach to the perioperative management of patients undergoing colo-
rectal surgery designed to improve the overall quality of care. These path-
ways use existing evidence to streamline and standardize the
perioperative management of patients to improve pain management,
speed intestinal recovery, and ultimately facilitate a more rapid hospital
discharge, thus minimizing complications, decreasing the use of hospital
resources and health care costs, and improving overall patient care and
satisfaction. Fast-track protocols are safe for patients and offer improve-
ment in intestinal recovery and hospital discharge.
Intraoperative Adjuncts in Colorectal Surgery 33
Husein Moloo and David A. Etzioni
This article reviews the evidence regarding intraoperative techniques used
by surgeons to prevent postoperative complications. The specific prophy-
lactic measures examined include proximal diversion and use of drains
after colorectal anastomoses, omentoplasty, adhesion prevention, and
optimal wound closure.
Unexpected Intra-operative Findings 45
Jason F. Hall and Sharon L. Stein
Abdominal surgeons are often asked to manage challenging pathologic
conditions with limited preoperative information. As such, unexpected
Contents
intraoperative findings are commonly encountered. Often, there is little
peer-reviewed evidence on which to base management decisions. This
article reviews common unexpected surgical challenges and provides
recommendations based on the latest available literature.
Complications of Colorectal Anastomoses: Leaks, Strictures, and Bleeding
Bradley Davis and David E. Rivadeneira
Intestinal anastomosis is an essential part of surgical practice, and with it
comes the inherent risk of complications including leaks, strictures, and
bleeding, which result in significant morbidity and occasional mortality.
Understanding the myriad of risk factors and the strength of the data helps
guide a surgeon as to the safety of undertaking an operation in which
a primary anastomosis is to be considered. This article reviews the risk
factors, management, and outcomes associated with anastomotic
complications.
Outcomes Following Proctectomy
Joshua I.S. Bleier and Justin A. Maykel
Rectal resection is the most common treatment of rectal cancer and
inflammatory bowel disease. The surgical techniques for removing and
reconstructing the rectum have evolved significantly over the past
50 years. Technological advances including retractors, stapling devices,
energy delivery systems, and minimally invasive approaches, as well as
the nerve-sparing total mesorectal excision, have revolutionized the surgi-
cal treatment. Surgical exposure and precise technique affect the ability to
preserve the pelvic autonomic nerves, directly influencing postoperative
urinary and sexual function. The complex interplay between all these fac-
tors demands attention because of the associated short-term and long-
term impact on patient quality of life.
Considerations and Complications in Patients Undergoing Ileal Pouch Anal
Anastomosis
Todd D. Francone and Brad Champagne
Total proctocolectomy with ileal pouch anal anastomosis (IPAA) preserves
fecal continence as an alternative to permanent end ileostomy in select
patients with ulcerative colitis and familial adenomatous polyposis. The
procedure is technically demanding, and surgical complications may arise.
This article outlines both the early and late complications that can occur
after IPAA, as well as the workup and management of these potentially
morbid conditions.
Management and Complications of Stomas
Andrea C. Bafford and Jennifer L. Irani
Stomas are created for a wide range of indications such as temporary pro-
tection of a high-risk anastomosis, diversion of sepsis, or permanent relief
of obstructed defecation or incontinence. Yet this seemingly benign proce-
dure is associated with an overall complication rate of up to 70%. There-
fore, surgeons caring for patients with gastrointestinal diseases must be
Contents ix
proficient not only with stoma creation but also with managing postopera-
tive stoma-related complications. This article reviews the common compli-
cations associated with ostomy creation and strategies for their
management.
Surgical Management of Crohn s Disease 167
Kim C. Lu and Steven R. Hunt
Although medical management can control symptoms in a recurring incur-
able disease, such as Crohn s disease, surgical management is reserved
for disease complications or those problems refractory to medical man-
agement. In this article, we cover general principles for the surgical man-
agement of Crohn s disease, ranging from skin tags, abscesses, fistulae,
and stenoses to small bowel and extraintestinal disease.
Rectal Prolapse 187
Genevieve B. Melton and Mary R. Kwaan
Optimal management of rectal prolapse requires multiple clinical consider-
ations with respect to treatment options, particularly for surgeons who
must counsel and give realistic expectations to rectal prolapse patients.
Rectal prolapse outcomes are good with respect to recurrence. Although
posterior rectopexy remains most popular in the United States, increas-
ingly surgeons perform ventral rectopexy to repair rectal prolapse. Func-
tional outcomes vary and are fair after rectal prolapse repair. Although
incarceration with rectal prolapse is rare, it is potentially life threatening
and requires immediate and effective measures to adequately address
in the acute setting.
Recurrent Pelvic Surgery 199
Sarah Y. Boostrom and Eric J. Dozois
Recurrent pelvic surgery is technically challenging. This article discusses
this complex topic in patients with both benign and malignant disease.
Perspectives regarding a safe approach to patients who may require reo-
perative pelvic surgery are discussed with a focus on work-up, technical
approach, and the importance of an experienced multidisciplinary team.
Laparoscopy in Colorectal Surgery 217
Anjali S. Kumar and Sang W. Lee
Laparoscopic colorectal surgery may be comparable with open tech-
niques when considering oncological and long-term follow-up outcomes;
however, there are a few operative complications specific to laparoscopic
colorectal surgery. This article reviews the array of complications and dis-
cusses them in detail.
Controversies in the Care of the Enterocutaneous Fistula 231
Kurt G. Davis and Eric K. Johnson
Enterocutaneous fistula and its variations are some of the most difficult
problems encountered in the practice of general surgery. Reliable
x Contents
evidence that can be used to direct the care of patients afflicted with this
malady is limited. There are controversies in several areas of care. This
article addresses some of the gray areas of care for the patient with enter-
ocutaneous fistula. There is particular attention directed toward the phe-
nomenon of enteroatmospheric fistula, as well as prevention and
abdominal wall reconstruction, which is often required in these individuals.
Colorectal Considerations in Pediatric Patients 251
David M. Gourlay
Colorectal disease in pediatric patients includes a spectrum of diseases,
many of which have a significant impact on quality of life and warrant
long-term follow-up and treatment into adulthood. Although many dis-
eases, such as inflammatory bowel disease and colon cancer, are man-
aged similar to adults, other disease processes are more common to
pediatric patients and are the focus of this article.
Unique Complications of Robotic Colorectal Surgery 273
Sonia Ramamoorthy and Vincent Obias
Robotic approaches in all surgical realms have seen tremendous growth
over the previous few years. Taking advantage of 3-dimensional visualiza-
tion, improved articulation, and the opportunity for an enhanced ability to
suture/operate in the deep pelvis all provide theoretical and real advan-
tages in colorectal surgery. This article reviews the potential advantages
and disadvantages, current indications, future directions, and lessons
learned for robotic approaches in colorectal surgery.
Index
287
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| language | English |
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| series | Surgical clinics of North America |
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| spelling | Steele, Scott R. Verfasser (DE-588)140543716 aut Complications, considerations, and consequences of colorectal surgery ed. Scott R. Steele Philadelphia, PA Elsevier 2013 XVI, 297 S. Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Surgical clinics of North America 93,1 Clinics review articles Includes bibliographical references and index Evaluating patients undergong colorectal surgery to estimate and minimize morbidity and mortality -- Fast-track pathways in colorectal surgery -- Introperative adjuncts in colorectal surgery -- Unexpected intra-operative findings -- Complications of colorectal anastomoses: leaks, strictures, and bleeding -- Outcomes following proctectomy -- Considerations and complications in patients undergoing ileal pouch anal anastomosis -- Management and complications of stomas -- Surgical management of Crohn's disease -- Rectal prolapse -- Recurrent pelvic surgery -- Laparoscopy in colorectal surgery -- Controversies in the care of the enterocutaneous fistula -- Colorectal considerations in pediatric patients -- Unique complications of robotic colorectal surgery Colorectal Surgery Colon (Anatomy) / Surgery Surgical clinics of North America 93,1 (DE-604)BV000003239 93,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025666139&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Steele, Scott R. Complications, considerations, and consequences of colorectal surgery Surgical clinics of North America Colorectal Surgery Colon (Anatomy) / Surgery |
| title | Complications, considerations, and consequences of colorectal surgery |
| title_auth | Complications, considerations, and consequences of colorectal surgery |
| title_exact_search | Complications, considerations, and consequences of colorectal surgery |
| title_full | Complications, considerations, and consequences of colorectal surgery ed. Scott R. Steele |
| title_fullStr | Complications, considerations, and consequences of colorectal surgery ed. Scott R. Steele |
| title_full_unstemmed | Complications, considerations, and consequences of colorectal surgery ed. Scott R. Steele |
| title_short | Complications, considerations, and consequences of colorectal surgery |
| title_sort | complications considerations and consequences of colorectal surgery |
| topic | Colorectal Surgery Colon (Anatomy) / Surgery |
| topic_facet | Colorectal Surgery Colon (Anatomy) / Surgery |
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