Preoperative Preparation
6 results
1 - 6
Perioperative- At a planning meeting of the hospital operating room committee on enhanced recovery after surgery, you are asked to help select the standard intravenous fluid that will be used during elective colorectal surgery. Because muliticenter reviews show a decrease in metabolic acidosis, hyperchloremia, and morbidity, you select:
- A 52-year-old man with a body mass index of 26 kg/m2 is undergoing an elective laparoscopic sigmoid colectomy for recurrent diverticulitis tomorrow at 9:30 am. What is an indication to delay or cancel his surgery?
- A 45-year-old man recently underwent a low anterior resection with coloanal anastomosis for a tumor located 3 cm from the anal verge. In this patient, which preventive measure would be most effective in reducing postoperative septic complication following an anastomotic leak?
- Benign Disease
- A 78-year-old man with limited medical comorbidities is admitted with a sigmoid volvulus and undergoes successful emergency endoscopic detorsion. The patient is stable and there is no evidence of mucosal ischemia. The best next step in management during this admission is:
- A 45-year-old man with history of ulcerative colitis presents for endoscopic assessment of his J-pouch after experiencing occasional bleeding, urgency, and abdominal pain for the past 3 months. He does not smoke or use nonsteroidal anti-inflammatory drugs; he was unresponsive to antibiotics and topical mesalamine preparations. Endoscopic images of the pouch and prepouch ileum are shown (Figures 1 and 2). What is the most likely histologic finding from the biopsies?
- Malignancy