By Billingham R.P. (ed.), Kobashi K.C. (ed.), Peters V.A. (ed.)
The shut anatomical proximity of the colon, rectum and anus to the gynecologic and urologic organs frequently leads to a disorder affecting the sort of organ platforms to create issues in one other. Many colorectal, gynecologic, and urologic ailments, and the administration in their problems, necessitate technically-challenging reoperations. Reoperation in this anatomic sector is frequently necessitated via melanoma recurrence, adhesive sickness, recurrence of pelvic prolapse issues in addition to within the execution of multi-staged procedures.Divided into 3 major sections, Reoperative Pelvic surgical procedure addresses benign and malignant colorectal, gynecologic, and urologic ailments in particular as they're controlled within the reoperative atmosphere with a multi-disciplinary emphasis on decision-making, operative ideas, and issues administration. Authors speak about vital anatomical landmarks, together with surgically altered anatomy and serve as, in addition to concepts for the usually adhesive nature of the formerly operated pelvis. issues comprise melanoma of the colon, rectum, anus, ovary, uterus, bladder, and prostate, ulcerative colitis, Crohn’s ailment, rectal prolapse, bowel obstruction, endometriosis, vaginal prolapse, fistulae, incontinence, cystocele, and ureteral strictures. With 2 hundred illustrations and seventy five tables, Reoperative Pelvic surgical procedure will supply a complete source of technical fabric no longer present in common surgical procedure references. For the colorectal doctor, basic physician, gynecologic or urologic doctor dealing with the demanding situations of reoperative surgical procedure within the pelvis, Reoperative Pelvic surgical procedure will give you the physician with the data wanted for optimum surgical administration of those tough stipulations.
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Extra resources for Reoperative Pelvic Surgery
The laparoscopic approach to the postoperative abdomen should consider port-site reuse and placement. With the possibility of distended bowel in the setting of obstruction or adhesions to the abdominal wall, it is prudent to consider direct reopening of a previously used port site for introduction of the scope. Veress needle access in the early postoperative patient intuitively presents a higher risk of intraabdominal injury, so it should be avoided. 2. Laparoscopic image of small bowel with overlying fibrinous exudate covering peritoneal surfaces.
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