Colorectal surgery consultation : tips and tricks for the management of operative challenges

Preface
Acknowledgments
Contents
Contributors
Part I: Introduction
	1: How to Avoid Getting into Difficult Operative Situations
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	2: Principles in Approaching Difficult Operative Situations
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
Part II: How to Deal with Commonly Encountered Intra-operative Findings/Complications
	3: Extensive Intra-abdominal Adhesions
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	4: Intraoperative Injury to Small or Large Bowel
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	5: Injury to the Rectum During Pelvic Surgery
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	6: Appendectomy Pathology Report Returns Adenocarcinoma, Carcinoid, or Appendiceal Mucinous Neoplasm
		Clinical Scenario
		Key Points
		Operative Assessment
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	7: Unexpected Findings: Normal Appendix During Appendectomy
		Clinical Scenario
		Key Points
		Operative Assessment
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	8: During Sigmoid Resection for Diverticulitis, the Patient Is Found to Have Diffuse Diverticulosis
		Clinical Scenario
		Key Points
		Technical Pearls (Tips and Tricks)
		Suggested Reading
	9: Intraoperatively the Patient Is Found Incidentally to Have Colon or Small Bowel Inflammation
		Clinical Scenario
		Key Points
		Operative Assessment
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	10: Unexpected Findings: Intraoperatively Suspected Colon Cancer Turns Out to Be Rectal Cancer
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	11: Unexpected Findings: Can’t Find the Colon Lesion
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Technical Pearls (Tips and Tricks)
		Suggested Reading
	12: Unexpected Findings: The “Malignant Polyp”
		Clinical Scenario
		Key Points
		Suggested Reading
	13: Unexpected Findings: Positive Air Leak
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Technical Pearls (Tips and Tricks)
		Suggested Reading
	14: Unexpected Findings: Anastomotic “Donut” Problems – Incomplete or Missing Donuts with a Negative Leak Test
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Technical Pearls (Tips and Tricks)
		Suggested Reading
	15: Unexpected Findings: Locally Advanced Colon Cancer
		Clinical Scenario
		Key Points
		Operative Assessment
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
Part III: Technical Tips and Tricks for Difficult Abdominal Cases
	16: Difficult to Close Abdomen
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	17: The Difficult Splenic Flexure
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Approaches
		Technical Pearls (Tips and Tricks)
		Suggested Reading
	18: Hartmann Takedown: Managing the Hard to Reach or Devascularized Left Colon
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	19: Cannot Find the Rectal Stump During Hartmann Reversal
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	20: Rectal Stump Perforation Stump While Passing an End-to-End Anastomotic Stapler
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	21: Inability to Pass End-to-End Anastomotic Stapler
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	22: The J Pouch Does Not Reach
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Postoperative Care
		Suggested Reading
	23: Intraoperative Management of Bleeding at Stapled Side-to-Side Anastomosis
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Operative Assessment
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	24: Postoperative End-to-End Anastomotic Bleeding
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	25: Postoperative Anastomotic Leak After Low Anterior Resection
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Approaches
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	26: Colon Does Not Reach for a Coloanal Anastomosis
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls (Tips and Tricks)
		Suggested Reading
	27: Cannot Find Internal Opening of Fistula-in-Ano
		Clinical Scenario
		Key Points
		Operative Checklist
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	28: How to Deal with Crohn’s Friable and Fragile Mesentery
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	29: Ulcerative Colitis with Severe Inflammation and Friable Tissues: How to Avoid Intraoperative Perforation and Manage the Colorectal Stump
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	30: Patient Develops Anastomotic Stricture After Low Anastomosis with Diverting Ileostomy
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	31: Presacral Bleeding
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	32: Cannot Extract the Circular Stapler
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls
		Special Postoperative Care
		Suggested Reading
Part IV: Technical Tips and Tricks for Difficult Laparoscopic Cases
	33: General Technical Recommendations for Difficult Laparoscopic Cases
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	34: Dislodged Laparoscopic Cannulas
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Approaches
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	35: How to Keep the Small Bowel from Getting in the Way of a Laparoscopic Operation
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	36: Laparoscopic Suturing
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	37: Re-look After Laparoscopic Resection
		Key Points
		Clinical Scenario
		Operative Assessment/Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
	38: Retraction of a “Floppy Uterus” Encountered During Minimally Invasive Rectal Resection
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	39: Bleeding During Colectomy
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls (Tips and Tricks)
		Postoperative Care
		Suggested Reading
	40: Cannot Find the Ureter
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	41: Ileum Becomes Ischemic Due to Torsion During J-Pouch Creation
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Postoperative Care
		Suggested Reading
	42: Difficult Laparoscopic Rectal Dissection
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	43: Techniques for Laparoscopic Distal Rectal Stapled Transection
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	44: How to Avoid “Twisting” an Ileocolic or Ileorectal Anastomosis
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	45: How to Deal with Splenic Injury During Laparoscopic Flexure Mobilization
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	46: Entering the Reoperative Hostile Abdomen Laparoscopically
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	47: Manage Inferior Epigastric Bleeding
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
Part V: Technical Tips and Tricks for Difficult Colostomy/Ileostomy
	48: Hard to Reach Colostomy/Ileostomy
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	49: Stoma Prolapse
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Approaches
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	50: Ileostomy Retracts Below the Skin
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
Part VI: Technical Tips and Tricks for Difficult Anorectal Cases
	51: Difficulties with the Stapled Hemorrhoidectomy Procedure
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	52: Symptomatic Long Residual Rectal Cuff Status Post J-Pouch
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	53: Difficult Anterior Perineal Dissection During Abdominoperineal Resection
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	54: Anastomotic Sinus After Low Anterior Resection and Diverting Loop Ileostomy
		Clinical Scenario
		Key Points
		Technical Pearls (Tips and Tricks)
		Suggested Reading
Part VII: Tips and Tricks for Difficult Colonoscopic Cases
	55: Cannot Pass the Scope into the Cecum
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	56: Difficult to Remove Polyp
		Clinical Scenario
		Key Points
		Operative Checklist
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	57: Bleeding After Colonoscopic Polypectomy
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	58: The Thin Colon After Endoscopic Mucosal Resection
		Case Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	59: Cannot Remove the Snare During Colonoscopy
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Techniques
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
	60: How to Address a Polyp Involving the Appendiceal Orifice
		Clinical Scenario
		Key Points
		Operative Assessment
		Operative Checklist
		Operative Technique
		Technical Pearls (Tips and Tricks)
		Special Postoperative Care
		Suggested Reading
Part VIII: Medico-Legal Issues
	61: Medico-Legal Issues in Minimally Invasive Colon and Rectal Surgery: A Primer
		Clinical Scenario
		Key Points
		Suggested Reading
Index