Colon and Rectal Surgery Anorectal Operations

342 Pages·2011·88.387 MB·English

by  Steven D. Wexner, James W. Fleshman

Steven D. Wexner
James W. Fleshman

MasterTechniques in General Surgery
Also available in this series:
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December 2010
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V. Suzanne Klimberg, MD
Master Techniques in Colon and Rectal Surgery:
Anorectal Operations
November 2011
Steven D. Wexner, MD
James W. Fleshman, MD
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COLON AND
RECTALS Y:
ORECT
OPERATIONS
Edited by
Steven D. Wexner, MD, FACS, James W. Fleshman, MD
FRCS, FRCS(Ed) Professor of Surgery at Washington University in
St. Louis
Chairman, Department of Colorectal Surgery
Chief of Colon and Rectal Surgery
Chief Academic Officer and Emeritus Chief of Staff, Chief of Surgery
Cleveland Clinic Florida
Barnas Jewiah West County Hospital
Weston, Florida
St. Louis, Missouri
Professor and Associate Dean for Academic Affe.irs
Florida Atlantic UDive:rsity, Boca Rat011, Florida
Series Editor
Professor and Assistant Dean for Clinical Education
Florida International Univeul.ty College of Medicine
Miami, Florida Josef E. Fischer, MD
Professor of Surgery, Ohio State UDive:rsity
William V. McDermott Professor of Surgery
Columbll8, Ohio
Harvard Medical School
Affiliate Professor
Chairman of Surgery, Emeritus
Department of Surgery, Division of General Surgery
Beth Inael Deaconess Hospital
University of South Florida College of Medicine
Boston, Massachusatta
Thmpa, Florida
Chairme.n of Surge:ry
Affiliate Professor of Surgery
Christian R Holmes Professor of Surgery Emeritus
UDive:rsity of Miami, Miller School of Medicine
University of Cincinnati College of Medicine
Cincinnati, Ohio
Illustrations by: BodyScientific
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Library of Congress Cataloging-in-Publication Data
Colon and rec:tal surgery : anorectal operations/ edited by Steven D.
Wexner, James Fleshman.
p. ; em. - (Master techniques in general surgery)
Indudes bibliographical references and index.
ISBN 978-1-80547-844-5 (hardback: alk. paper)
I. Wexner, Steven D. II. Fleshman, James. III. Series: Master
techniques in general surgery.
[DNLM: 1. Rectal Diseases-surgery. 2. Anal Canal-surgery.
3. Colon-surgery. 4. Rectum-surgery. WI 650]
617.5'55--dc23
2011040556
Care has been taken to confirm the accuracy of the information presented and to describe gener
ally accepted practices. However, the authors, editors, and publisher are not responsible for
errors or omissions or for any consequences from application of the information in this book and
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of the contents of the publication. Application of the information in a particular situation
remains the professional responsibility of the practitioner.
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and dosage set forth in this text are in ac:cordanc:e with c:urrent recommendations and practice at
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10 9 8 7 6 5 4 3 2 1
Dedication
Since books are tools by which teaching occurs, I dedicate this book to my loving
sons, Wesley and Trevor who certainly taught me at least as many things as I
have taught them. This book is also dedicated to that very special person who
taught me the true meaning of life.
Steven D. Wexner

Contributors
Maher A. Abbas. MD. FACS. FASCRS Federica Cadeddu. MD
Chief, Colon and Rectal Surgery Assistant Professor
Chair, Center for Minimally Invasive Surgery Department of Surgery
Kaiser Permanente Los Angeles Division of General Surgery
Assistant Professor of Surgery Tor Vergata University Hospital
University of California, Los Angeles Rome, Italy
Los Angeles, California
Bertnm Chinn. MD
Herand Abcarian. MD. FACS Clinical Associate Professor
Chairman Program Director, Colon and Rectal Surgery Fellowship
Division of Colon and Rectal Surgery Division of Colon and Rectal Surgery
John H. Stroger Hospital of Cook County UMDNJ-Robert Wood Johnson Medical School,
Professor of Surgery New Brunswick
University of Illinois at Chicago Edison, New Jersey
Chicago, Illinois
G. Willy Davila. MD
Jason W. Allen. MD Chairman, Department of Gynecology
Colon & Rectal Surgery Resident Head, Section of Urogynecology and Reconstructive Pelvic
Cook County Colon 8r: Rectal Surgery Surgery
Residency Training Program Cleveland Clinic Florida
University of Illinois at Chicago Medical Center Weston, Florida
Chicago, Illinois
Kurt G. Davis. MD
S.Aiva,MD Chief, General and Colon and Rectal Surgery
Clinical Assistant Professor Department of Surgery
Division of Colon and Rectal Surgery William Beaumont Army Medical Center
UMDNJ-Robert Wood Johnson Medical School, El Paso, Texas
New Brunswick
Edison, New Jersey C. Neal Ellis. MD
Professor of Surgery
David N. Annrtrong. MD. FRCS. FACS. FASCRS Chief of Colon and Rectal Surgery
Program Director University of South Alabama
Georgia Colon and Rectal Surgical Clinic Mobile, Alabama
Atlanta, Georgia
James W. Fleshman. MD
Cornelius Baeten. MD. PhD Professor of Surgery at Washington University in St. Louis
Professor of Colorectal Surgery Chief of Colon and Rectal Surgery
Academic Hospital Maastricht Chief of Surgery
The Netherlands Barnes Jewish West County Hospital
St. Louis, Missouri
Joshua I.S. Bleier. MD
Assistant Professor of Surgery Robert D. Fry, MD
Division of Colon and Rectal Surgery Emilie and Roland deHellebranth Professor of Surgery
University of Pennsylvania Chief, Department of Surgery, Pennsylvania Hospital
Hospital of the University of Pennsylvania Chair, Division of Colon and Rectal Surgery University of
Philadelphia, Pennsylvania Pennsylvania Health System
Pennsylvania Hospital
S. 0. Breukink, MD Philadelphia, PA
Colorectal Surgeon
Academic Hospital Maastricht
The Netherlands
vii
viii Contributors
Stanley M. Goldberg. MD Paul Antoine LeHur. MD
University of Minnesota Head of the Department of Digestive and Endocrine Surgery
Division of Colon and Rectal Surgery Clinique de Chirurgie Digestive et Endocrinienne (CCDE)
Minneapolis, Minnesota Institut des Maladies de l'A ppareil Digestif (IMAD)
Professor of Digestive Surgery
Brooke Gurland. MD. FACS School of Medicine of Nantes
Cleveland Clinic Nantes, France
Department of Colorectal Surgery
Cleveland, Ohio Antonio Longo. MD
Colorectal Surgeon
Daniel 0. Herzig. MD. FACS. FASCRS Department of Coloproctology
Assistant Professor St. Elizabeth Hospital
Department of Surgery Wien, Austria
Division of General Surgery
c_
Oregon Health &: Science University Hospital Ann Lowry. MD. FASCRS. FACS
Portland, Oregon Clinical Professor of Surgery
Division of Colon and Rectal Surgery
Tracy Hull. MD. FACS Department of Surgery
Department of Colorectal Surgery University of Minnesota
Cleveland Clinic Minneapolis, Minnesota
Cleveland, Ohio
Kim C. Lu. MD. FACS. FASCRS
Steven R. Hunt Assistant Professor
Assistant Professor of Surgery Department of Surgery
Section of Colon and Rectal Surgery Division of General Surgery
Department of Surgery Oregon Health &: Science University Hospital
Washington University Portland, Oregon
St. Louis, Missouri
Najjia N. Mahmoud. MD
David Jayne. BSc. MBBCh. FRCS, MD Associate Professor of Surgery
Senior Lecturer &: Consultant Surgeon University of Pennsylvania
John Goligher Colorectal Unit Division of Colon and Rectal Surgery
Leeds Teaching Hospitals NHS Trust Philadelphia, PA
St. James University Hospital
Leeds, United Kingdom David J. Maron. MD. MBA
Assistant Professor of Surgery
Hermann Kassler. MD. PhD University of Pennsylvania
Professor of Surgery Division of Colon and Rectal Surgery
Department of Surgery Penn Presbyterian Medical Center
University of Erlangen Philadelphia, Pennsylvania
Erlangen, Germany
Klaus E. Matzal. MD
Ira J. Kodnar. MD Head Section Coloproctology
Solon &: Bettie Gershman Professor, Surgery Department of Surgery
Division of General Surgery University Erlangen
Section of Colon and Rectal Surgery Erlangen, Germany
Director, Center for Colorectal and Pelvic Floor Disorders
(COPE) Giovanni Milito. MD
Washington University School of Medicine Associate Professor
St. Louis, MO Department of Surgery
Division of General Surgery
Jorge A. Lag ares-Garcia. MD. FACS. FASCRS Tor Vergata University Hospital
Program Director, Colorectal Surgery Residency Program Rome, Italy
Clinical Assistant Professor of Surgery
Warren Alpert Brown University School of Medicine Husain Moloo. MD
Providence, Rhode Island University of Ottawa
Clinical Instructor of Surgery The Ottawa Hospital
Boston University Ottawa, Ontario, Canada
Boston, Massachusetts
R.I. Colorectal Clinic, LLC
Pawtucket, Rhode Island