By Steven D. Wexner
Grasp thoughts typically surgical procedure: Colon and Rectal surgical procedure: Anorectal Operations is a quantity in a chain that offers universal and complex methods within the significant subspecialities of basic surgical procedure. The sequence is overseen via Josef F. Fischer, MD, editor of the vintage two-volume reference Mastery of Surgery.
Master options mostly surgical procedure: Colon and Rectal surgical procedure: Anorectal Operations is written via said grasp surgeons, emphasizes surgeries, and is lavishly illustrated with unique full-color drawings. The participants totally clarify their most well-liked recommendations in step by step, completely illustrated aspect, verify symptoms and contraindications, supply instructions on preoperative making plans, and talk about results, issues, and follow-up.
Coverage comprises hemorrhoidectomies, anal fistula and sphincter systems, strategies for perineal prolapse and excision of rectal carcinoma, between others.
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Extra resources for Colon and Rectal Surgery Anorectal Operations
11. rhoidectomy: preliminary results of a new alternative method. Tech Coloproctol 2002;8(2):89-92. Ozer MT, Yigit T, Uzar AI, et al. A comparison of different hemorrhoidectomy procedures. Saudi Med J 2008;29(9):1264-9. Chung CC, Ha JP, Tai YP, Tsang WW, Li MK. Double-blind, randomized trial comparing harmonic scalpel hemorrhoidectomy, bipolar scissors hemorrhoidectomy, and scissors excision: ligation technique. Dis Colon Rectum 2002;45(6):789-94. Nicholson TJ, Armstrong D. Topical metronidazole (10 percent) decreases posthemorrhoidectomy pain and improves healing.
Emal components may become engorged, edematous, and painful after ligation because of the redirection of blood flow; second, the external components are the most obvious source of patient's discomfort, irritation and hygiene problems, and therefore require surgical removal for patient's satisfaction alone. Excision of the internal components is an integral and important part of standard Harmonic Scalpel• hemorrhoidectomy. "rhoids. e the contribution of internal versus extemal components by history alone, and the decision to perform Harmonic Scalpel11 hemorrhoidectomy is determined by the examination of the perianal region and anal canal.
It is important that the CAD is in correct position, which includes that the dentate line is the CAD (Fig. 5). In fact, the dentate line should be visible through the clear plastic of the CAD. Purse-String Suture Placement Using a specific anoscope, a purse-string suture (2/0 Prolene; Ethicon, Somerville, NJ, USA) is submucosally placed (not including rectal muscularis propria) in a circumferential and continuous way. It is crucial that the purse-string suture is positioned either 1-2 em above the hemorrhoidal apex or 3-5 em above the dentate line (Fig.