Transmetatarsal and Ray Amputations Transmetatarsal and ray amputations require meticulous patient selection and attention to surgical technique when performed in patients with peripheral vascular disease. Transmetatarsal amputation is performed for…
Introduction The final section of the book is devoted to the anatomy of the lower extremity as encountered by the general surgeon. First, a series of chapters on amputations introduce…
Sigmoidoscopy This chapter deals with the performance of rigid sigmoidoscopy. Flexible fiberoptic sigmoidoscopy is performed essentially as detailed in Chapter 78, except that the distance to be traversed is not…
Transsacral Approach to Rectal Lesions The transsacral approach is most commonly used for resection of benign retrorectal tumors or for removal of sessile polyps that cannot be reached by other…
Drainage of Perirectal Abscesses, Surgery for Anal Fistulas, and Lateral Internal Sphincterotomy Perirectal abscesses begin as infections in the anal glands, which empty into the anal crypts. From the anal…
Hemorrhoidectomy Hemorrhoids are dilated venous cushions that lie just inside the anal verge. Almost universally present in adults in Western cultures, their etiology is still a matter of speculation. Chronic…
Pilonidal Cystectomy Whether pilonidal cysts are congenital or acquired lesions remains a topic of debate. The frequent appearance of an epithelialized tract in the midline, leading to a cyst that…
Introduction The sacral region and perineum, already introduced in Chapter 83, are presented in greater detail in this section. First, the simple operation of pilonidal cystectomy (Chapter 98) is described…
Superficial Groin Dissection Laura A. Adam Neal W. Wilkinson A variety of terms are used to describe lymphadenectomy of the inguinal and ilio-inguinal region. In this chapter, we will use…
Sentinel Node Biopsy for Melanoma of Trunk; Wide Local Excision Peter R. Jochimsen Sentinel lymph node determination in patients with truncal melanoma presents its own peculiar problems because of the…
