Below-Knee Amputation
Below-Knee Amputation Most amputations are performed for ischemia. The choice of the level of amputation requires mature judgment. Although it is important to salvage as much length as possible, a…
Transmetatarsal and Ray Amputations
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…
Debridement and Split-Thickness Skin Graft
Debridement and Split-Thickness Skin Graft This chapter describes two strategies for debridement of burns or necrotizing soft tissue infections. It also details the technique of split-thickness skin graft. Skin grafting…
Introduction
Introduction The final section of the book is devoted to the anatomy of the lower extremity as encountered by the general surgeon. First, a discussion of soft tissue infections including…
Proctoscopy
Proctoscopy This chapter deals with the performance of rigid proctoscopy (sometimes called rigid sigmoidoscopy). Flexible fiberoptic sigmoidoscopy is performed essentially as detailed in Chapter 96, except that the distance to…
Transsacral Approach to Rectal Lesions
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…
Management of Perirectal Abscesses, Anal Fistulas, and Chronic Anal Fissure
Management of Perirectal Abscesses, Anal Fistulas, and Chronic Anal Fissure Andreas M. Kaiser Perirectal abscesses and anal fissures are among the most frequent causes of anorectal pain. Cryptoglandular abscesses characteristically…
Hemorrhoid Management
Hemorrhoid Management Andreas M. Kaiser Hemorrhoids are a pathologic engorgement of the hemorrhoidal plexus. The latter are part of the normal anatomy of the anal canal and form soft cushions…
Pilonidal Cystectomy
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
Introduction The sacral region and perineum, already introduced in Chapter 101, are presented in greater detail in this section. First, the simple operation of pilonidal cystectomy (Chapter 121) is described…
