Imran Hassan,E Dawn Wietfeldt
Imran Hassan
Presacral tumors are uncommon lesions that can be difficult to diagnose because of their nonspecific presenting signs and symptoms. Cross-sectional imaging is essential in evaluating these lesions to determine the optimal surgical approach ...
Jennifer Blumetti,Amir L Bastawrous
Jennifer Blumetti
Epidermoid carcinoma of the anal canal is an uncommon disease, but has increased in incidence with the HIV epidemic. Prior to the 1970s, treatment consisted of radical surgery with abdominoperineal resection. With the pioneering work of Dr....
Jan Rakinic
Jan Rakinic
Timothy C Counihan,Joanne Favuzza
Timothy C Counihan
A "fast track" colon surgery program is the global package of perioperative care encompassing preoperative, operative, and postoperative techniques, which in aggregate result in fewer complications, a reduction in cost, less postoperative p...
James W Ogilvie,Rocco Ricciardi
James W Ogilvie
Anorectal procedures are associated with significant morbidity and include complications of the perineum, which can cause substantial difficulty for the patient. Prevention of perineal complications is key, but many anorectal procedures are...
James Carroll,Karim Alavi
James Carroll
Postoperative ileus (POI) is a predictable delay in gastrointestinal (GI) motility that occurs after abdominal surgery. Probable mechanisms include disruption of the sympathetic/parasympathetic pathways to the GI tract, inflammatory changes...
Jeffrey N Winacoo,Justin A Maykel
Jeffrey N Winacoo
A comprehensive understanding of operative anesthesia and postoperative pain control is essential to the practicing colon and rectal surgeon. Most of the operations performed-particularly in the perineum-cause significant patient discomfort...
Michael P McNally,Christopher J Burns
Michael P McNally
Venous thromboembolic disease, which includes deep vein thromboses as well as pulmonary emboli, can be a significant complication in the postoperative patient. In particular, colorectal patients often carry a higher risk for venous thromboe...
Zubin M Bamboat,Liliana Bordeianou
Zubin M Bamboat
Many colorectal surgeons rely on traditional theories and approaches in addressing perioperative fluid management issues. Often, their training and instincts favor over-resuscitation, especially after bowel or emergent colorectal procedures...
Vance Y Sohn,Scott R Steele
Vance Y Sohn
Unrecognized and untreated intraoperative hypothermia remains a common avoidable scenario in the modern operating room. Failure to properly address this seemingly small aspect of the total operative care has been shown to have profound nega...