By Steven D. Wexner MD FACS FRCS FRCS(Ed), James W. Fleshman MD
Master innovations commonly surgical procedure: Colon and Rectal surgical procedure: stomach Operations is a quantity in a sequence that offers universal and complicated techniques within the significant subspecialities of normal surgery. The sequence is overseen by means of Josef F. Fischer, MD, editor of the vintage two-volume reference Mastery of Surgery.
Master suggestions regularly surgical procedure: Colon and Rectal surgical procedure: stomach Operations is written by way of said grasp surgeons, emphasizes surgeries, and is lavishly illustrated with unique full-color drawings. The members absolutely clarify their most popular innovations in step by step, completely illustrated element, verify symptoms and contraindications, supply directions on preoperative making plans, and speak about results, problems, and follow-up.
Coverage contains left and correct colon resections played open and laparoscopically, colectomies, proctocolectomies, restorative and reconstructive suggestions for proctocolectomy and pelvis reconstruction, stoma development and the way to fix problems of stoma building, and remedy of rectal prolapse.
A significant other site will provide totally searchable content material of the ebook, a picture financial institution, and procedural videos.
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Additional info for Colon and Rectal Surgery: Abdominal Operations
The open end of the colonic stump is then closed with a linear stapler. The mesentery of the ileum and transverse colon are reapproximated with a running absorbable suture and the omentum is laid over the anastomosis. Incorporating the tip of the omentum into the tie at the end of the mesentery closure suture line will ensure that it stays in place over the anastomosis. POSTOPERATIVE MANAGEMENT Postoperative management of the patient should follow an accelerated care pathway. Nasogastric tubes are not used routinely.
The small bowel and its mesentery are then reflected back to the patient’s left to set up vascular division (Fig. 2D). Mesenteric windows are then opened on either side of the ileocolic pedicle near its origin using the fingertips of the surgeon’s nondominant hand as a guide (Fig. 2E). After clearing lymphatic tissue from the vessel origins, clamps are applied and the vessels are divided and ligated with #1 chromic ties (Fig. 2F). Through this window in the mesentery, the plane between the ascending mesocolon, and the retroperitoneal structures is developed in a cephalad direction.
Transverse Colon The transverse colon is suspended between the hepatic flexure and the splenic flexure on its mesentery and spans 40–50 cm, sharing important anatomic relationships with the stomach, tail of pancreas, spleen, and left kidney. It is completely invested with peritoneum and has a long mesentery known as the transverse mesocolon and may reach into the pelvis. Anatomically, the transverse colon is attached to the greater curvature of the stomach by the gastrocolic ligament or omentum.
Colon and Rectal Surgery: Abdominal Operations by Steven D. Wexner MD FACS FRCS FRCS(Ed), James W. Fleshman MD