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…
Superficial Groin Dissection
Superficial Groin Dissection Laura A. Adam Neal Wilkinson Avariety of terms are used to describe lymphadenectomy of the inguinal and ilioinguinal regions. In this chapter, we will use the terms…
Sentinel Node Biopsy for Melanoma of the Trunk; Wide Local Excision
Sentinel Node Biopsy for Melanoma of the Trunk; Wide Local Excision Scott K. Sherman James R. Howe The lymphatic drainage patterns from lesions located on the trunk are less predictable…
Pediatric Inguinal Hernia
Pediatric Inguinal Hernia Raphael C. Sun Graeme J. Pitcher Inguinal hernias in infants and young children represent pure indirect hernias. Correction involves high ligation of the sac. The floor of…
Hydrocelectomy, Orchiectomy
Hydrocelectomy, Orchiectomy Hydroceles are collections of fluid between the parietal and visceral layers of the tunica vaginalis. Communicating hydroceles, in which this space communicates with the peritoneal cavity, are often…
