Total Abdominal Hysterectomy and Oophorectomy Hysterectomy may be performed transabdominally or vaginally. One or both ovaries may be removed with the uterus. In this chapter, total abdominal hysterectomy with bilateral…

Laparoscopic Low Anterior and Abdominoperineal Resection Adam J. Dinnewitzer Steven D. Wexner Indications for laparoscopic colorectal surgery do not differ from those for open procedures. The only difference should be…

Abdominoperineal Resection, Low Anterior Resection Abdominoperineal resection and low anterior resection operations are performed for carcinoma of the rectum. Wherever possible, the anal sphincters are preserved and an end-to-end anastomosis…

Laparoscopic Colon Resection Amanda M. Metcalf Because the colon specimen must be extracted through an incision, a laparoscopic approach to colon resection is most useful when the specimen is not…

Right and Left Colon Resections Resections of the colon are planned according to arterial supply and venous and lymphatic drainage. For lesions of the cecum or ascending colon up to…

Laparoscopic Colostomy Amanda M. Metcalf A laparoscopic approach for a transverse loop colostomy can be helpful in the elective situation when construction of a diverting colostomy is the aim of…

Loop Colostomy and Colostomy Closure A loop colostomy is the easiest colostomy to make and to take down. It is used in situations in which temporary (often emergency) decompression or…

Colonoscopy Colonoscopy is performed with the patient lying in the left lateral decubitus (Sims) position. Flexible sigmoidoscopy will not be discussed separately because it duplicates the initial maneuvers of colonoscopy….

Laparoscopic Appendectomy and Resection of Meckel’s Diverticulum This chapter describes both laparoscopic appendectomy (including mobilization of the right colon for retrocecal appendix) and resection of Meckel’s diverticulum. Two methods of…