Complications of Anorectal Surgery (eBook)

Herand Abcarian, MD, FACSProfessor of SurgeryDivision of Colon and Rectal SurgeryJohn H. Stroger Hospital of Cook CountyChicago, IL 60612USA

Complication of Anorectal Surgery Table of Content 1.      Surgery for Anorectal Abscess  -                                                          Adrian Ortega a.       Simple b.      Horseshoe c.       Fournier’s Fistula                                                                       Herand Abcarian   2.      Anorectal fistula Surgery                                                                       Marc Singer a.       Fistulotomy/Fistulectomy, Seton  - Abcarian b.      Plugs c.       Glue d.      Flaps (ERFA, DIFA) e.       LIFT f.        Fistuloscopy (VAAFT) g.       CA risk with no therapy? h.      What makes Crohn’s fistulas tough? i.         Which is worse, incontinence due to fistula or from fistula surgery?   3.      Hemorrhoids                                                                                           Jose Cintron(a-c) a.       Milligan-Morgan b.      Ferguson c.       Whitehead d.      Stapled Hemorrhoidopexy                                                        Herand Abcarian e.       Suture Hemorrhoidopexy                                                          Herand Abcarian f.        THD +/- mucopexy                                                                     Marc Brand (g-o) g.       Excision of Thrombosed External Hemorrhoids h.      Injection Sclerotherapy i.         Ligasure j.         Laser k.       Infrared l.         Cryo m.    TCH n.      Do hemorrhoids cause cancer? o.      HET   4.      Anal Fissure                                                                                             Richard Nelson a.       Midline Sphincterotomy (Keyhole) b.      Lateral Internal Sphincterotomy (recurrence, non-healing, incontinence) c.       Anal Stretch d.      Recurrence of Anal Fissure e.       Botox f.        Incontinence after fissure surgery.  Why is it never treated?   5.      Pilonidal Cyst                                                                               Johan Nordenstam a.       Left Open b.      Primary closed c.       Flaps d.      Bascom e.       Meningitis?? f.        VAC complication g.         6.      Hidradenitis Suppurativa                                                           Jacqueline Harrison a.       Delayed healing b.      STSG (slough/failure) c.       Missed Fistulas d.      Anal Stricture e.       Rampant recurrent hidradenitis f.        How much can hidradenitis recur locally? Why? g.       Funny bugs h.      CA? 7.      Perineal Repair of Rectal Prolapse                                           Richard Nelson a.       Bleeding b.      Disruption c.       Rectal necrosis (prior LAR) d.      Evisceration e.       Anaesthetic f.        Airline Toilet   8.      Rectocele Repair (ODS)                                                              Steven Brown a.       STARR-Transstar b.      Transvaginal c.       Transperineal +/- Mesh d.      Why fix it? e.       Complications                                                                  Linda Farkas   9.      RV Fistula Repair                                                                                    Slawomir  Marecik a.       Bleeding b.      Sepsis c.       Recurrence d.      But why is it so tough? e.       Fistulotomy? With later gracilis?   10.  Incontinence                                                                                Anders Mellgren a.       Sphincter Repair b.      Graciloplasty c.       Gluteus Repair d.      SNS e.       What about the colon? MACE f.        PTNS?   11.  Transanal Excision of Rectal Tumor ( TEM or TAMIS)          Vivek Chaudhry a.       Bleeding b.      Infection c.       Fistula e.       Missed Cancer   12.  Anal Stenosis                                                                               Jennifer Blumetti a.       Dilation (perforation) b.      Flaps (U, House, S) c.       Level? Pouch/anal, LAR Anastomosis   13.  Retrorectal Cyst                                                                          Nell Maloney-Patel a.       Bleeding b.      Infection c.       Rectal perforation d.      Incomplete excision/recurrence   14.  York Mason Procedure                                                              Herand Abcarian a.       Bleeding b.      Infection c.       Rectal Cutaneous Fistula, Why is this rare? d.      Incontinence   15.  Pull Through Procedures                                                          Jennifer Blumetti a.       CPAA b.      Bleeding c.       Disruption d.      Presacral Abscess e.       Non-healing Cavity f.        Stricture g.       Prolapse h.      Long-term results of pull through in infants/children related to emptying/continence   16.  Perineal Wound Post APR                                                         Torbjörn Holm a.       Cancer b.      Crohn’s disease c.       Infection d.      Disruption e.       Delayed healing f.         Complication of Flap Closure, VRAM, etc. g.       Dead space