Prevention and Treatment of Complications in Proctological Surgery [electronic resource] /
Pescatori, Mario.author.
The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic floor. It is aimed not only at general surgeons, perineologists and, of course, proctologists, but also at gastroenterologists, endoscopists, radiologists and physiotherapists, i.e. those who may be involved in both diagnosis and cure whenever an adverse event, either unpredictable or potentially preventable, causes an intra- or postoperative, early or late, mild or life-threatening complication. Severe bleeding, dehiscence, perforation, anorectal stricture, fecal incontinence, and even caval vein thrombosis, fatal Fournier gangrene and pneumomediastinum may occur after anal surgery. The incidence, pathogenesis prevention and treatment of such events are discussed in detail in 10 chapters with 30 tables, 200 illustrations and more than 1000 references. Both conventional procedures and recent innovations are reported. “Unforgettable clinical cases (complications with litigation)” and “Tips and Tricks” are sections increasing the appeal of this book. The approach is “evidence-based” and holistic, focusing on anorectal problems while taking into consideration whole body-mental unity—showing, for example, that a non-healing perineal wound may be due to hypo-pituitarism, and failure after a re-intervention may be related to psychological distress.
Description based upon print version of record.
""Title Page""; ""Copyright Page""; ""Foreword""; ""Preface""; ""Acknowledgements""; ""Table of Contents""; ""1 Anal Fissure""; ""1.1 Introduction""; ""1.2 Early and Late Complications After Partial Internal Sphincterotomy""; ""1.3 Anal Incontinence""; ""1.4 What Should Be Done if Incontinence Develops?""; ""1.5 Anal Sepsis""; ""1.6 Suture Dehiscence""; ""1.7 Tricks of the Trade""; ""1.8 An Unforgettable Complication""; ""Summary""; ""Suggested Readings""; ""2 Hemorrhoids""; ""2.1 Introduction""
""2.2 Surgical Complications After Manual Hemorrhoidectomy (Ferguson and Milligan-Morgan Procedures): Live from the Operating Room""""2.3 THD/DGHAL and Mucopexy (Doppler-guided, Laser-assisted)""; ""2.4 Stapled Hemorrhoidopexy (PPH)""; ""2.4.1 Hemorrhage""; ""2.4.2 Other Complications""; ""2.4.3 Chronic Proctalgia and the Postdefecation Pain Syndrome""; ""2.4.4 Retained Staples and Bleeding Granulomatous Polyps""; ""2.4.5 Retropneumoperitoneum, Pneumoperitoneum, Pneumomediastinum, and Cervical Emphysema""; ""2.4.6 Rectal Inclusion Cysts""; ""2.4.7 Total Obliteration of the Rectal Lumen""
""2.4.8 Rectal Diverticulum or Rectal Pocket Syndrome""""2.4.9 Rectovaginal Fistulae""; ""2.4.10 Trauma to the Penis in Passive Anal Sex""; ""2.4.11 Dysplasia and Cancer""; ""2.4.12 Retro-rectal Hematoma""; ""2.4.13 Hemoperitoneum""; ""2.4.14 Dehiscence of the Rectal Suture and Rectal Lacerations with Hemorrhage and/or Pelvic Sepsis""; ""2.4.15 Rectal Perforation and Pelvic Sepsis""; ""2.4.16 Thrombosis of the Inferior Vena Cava""; ""2.5 Complications After Other Operations""; ""2.5.1 Semi-open or Semi-closed Hemorrhoidectomy""; ""2.5.2 Farag Suturing of Internal Hemorrhoids""
""2.5.3 Husseinâ€?s Manual Hemorrhoidopexy""""2.5.4 Whitehead-Rand Hemorrhoidectomy""; ""2.5.5 Parksâ€? Submucosal Hemorrhoidectomy""; ""2.5.6 Coagulation of Hemorrhoids""; ""2.6 Treating the Complications""; ""2.6.1 Pain""; ""2.6.2 Urinary Retention""; ""2.6.3 Hemorrhage""; ""2.6.4 Fecaloma""; ""2.6.5 Thrombosed External Hemorrhoids""; ""2.6.6 Anal or Rectal Stenosis""; ""2.6.7 Anal Fissure""; ""2.6.8 Abscess or Fistula""; ""2.6.9 Skin Tags""; ""2.6.10 Anal Incontinence""; ""2.6.11 Severe Anal Sepsis""; ""2.6.12 Fournierâ€?s Gangrene""; ""2.6.13 Unusual Complications after PPH""
""2.7 Tricks of the Trade""""2.8 Two Unforgettable Complications""; ""2.8.1 Case Number One""; ""2.8.2 Case Number Two""; ""Summary""; ""Suggested Readings""; ""3 Anal Abscesses and Fistulae""; ""3.1 Introduction""; ""3.2 Postoperative Bleeding""; ""3.3 Iatrogenic Fistula""; ""3.4 Persisting or Early Recurrent Local Sepsis""; ""3.5 Suture Dehiscence and Non-healing Wounds""; ""3.6 The Prevention of Postoperative Anal Incontinence""; ""3.7 The Management of Postoperative Anal Incontinence""; ""3.8 Complications After Surgery for Hidradenitis Suppurativa""; ""3.9 Tricks of the Trade""
""3.10 An Unforgettable Complication""
Includes bibliographical references and index.
The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic floor. It is aimed not only at general surgeons, perineologists and, of course, proctologists, but also at gastroenterologists, endoscopists, radiologists and physiotherapists, i.e. those who may be involved in both diagnosis and cure whenever an adverse event, either unpredictable or potentially preventable, causes an intra- or postoperative, early or late, mild or life-threatening complication. Severe bleeding, dehiscence, perforation, anorectal stricture, fecal incontinence, and even caval vein thrombosis, fatal Fournier gangrene and pneumomediastinum may occur after anal surgery. The incidence, pathogenesis prevention and treatment of such events are discussed in detail in 10 chapters with 30 tables, 200 illustrations and more than 1000 references. Both conventional procedures and recent innovations are reported. “Unforgettable clinical cases (complications with litigation)” and “Tips and Tricks” are sections increasing the appeal of this book. The approach is “evidence-based” and holistic, focusing on anorectal problems while taking into consideration whole body-mental unity—showing, for example, that a non-healing perineal wound may be due to hypo-pituitarism, and failure after a re-intervention may be related to psychological distress.
Proctology.
Surgery.
Proctology.
General Surgery.