Surgical Site Infection
8 results
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Perioperative- A 56-year-old woman with type 2 diabetes requires an elective sigmoid resection for diverticulitis. Her daily blood glucose is well controlled with metformin and glipizide. To reduce surgical site infection after colectomy, her intraoperative blood glucose level should be:
- 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?
- You perform an elective sigmoid resection for diverticulitis in a 53-year-old man. Which medication is most effective in reducing postoperative ileus and length of stay?
- Anorectal Disease
- A 43-year-old woman underwent a ligation of intersphincteric fistula tract (LIFT) 7 weeks ago to close her posterior transsphincteric anal fistula. She has had persistent discharge from her intersphincteric wound. On clinical examination, she was found to have a persistent internal opening and the external opening has healed. What would be the most appropriate procedure to perform next to resolve her drainage?
- A 52-year-old woman presents with a distal recurrent rectovaginal fistula after 2 failed endorectal advancement flap repairs. She had normal findings on colonoscopy and endorectal ultrasonography confirmed a rectovaginal fistula in the very distal rectum with an intact sphincter complex and seton in place. What is the best next surgical treatment?
- An obese 45-year-old man presents for follow-up after undergoing a bedside incision and drainage of a recurrent left ischiorectal abscess. On examination, you observe a draining left ischiorectal surgical site as well as a right ischiorectal skin punctum that has been draining for several months. What is the most likely underlying cause?
- Malignancy
- Pelvic Floor