Ostomy Complications and Management
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Ostomy Complications and Management
Ostomy Surgery (2022)- Management of Rectal Cancer (2020)
Benign Disease- A morbidly obese patient is undergoing a total abdominal colectomy for fulminant colitis. He is receiving high-dose steroids and biologic therapy, and he has been preoperatively marked by an enterostomal therapist. The ileal mesentery is foreshortened, and the abdominal wall is thick. You are unable to bring the divided end of the ileum to the skin without tearing the mesentery. What is the best next step in management?
- A 62-year-old man presents to the emergency department with acute-onset left lower quadrant abdominal pain. He is mildly tachycardic but is otherwise hemodynamically stable. On abdominal examination, he has diffuse peritonitis. Laparoscopy reveals sigmoid diverticulitis with purulent fluid throughout the abdomen without fecal contamination. What is the best next step in management?
- You operate on a 23-year-old man who sustained multiple stab wounds to the abdomen. His injuries include a grade II splenic hematoma and a sigmoid colon laceration involving 40% of the colonic wall. The perisigmoid mesentery is intact. He has received 3 units of blood in the operating room. What is your recommendation for repair of his colonic injury?
Intestinal Stomas- Ulcerative Colitis: Surgical Management
- Anastomotic Complications
- Benign Colorectal Disease Trauma of the Colon and Rectum
- Abdominal Wall Reconstruction and Parastomal Hernia Repair
- Radiation, Microscopic, and Ischemic Colitis
- Enhanced Recovery After Colon and Rectal Surgery from ASCRS and SAGES (2023)
Benign Disease- Treatment of Left-Sided Colonic Diverticulitis (2020)
- Endoscopic Management of Polyps and Endoluminal Surgery
ASCRS Webinars- Management of Colon Cancer (2022)
- Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula (2022)
- Evaluation and Management of Chronic Constipation (2024)
- Management of Colonic Volvulus and Acute Colonic Pseudo-Obstruction (2021)
- Surgical Management of Ulcerative Colitis (2021)
- Complications of the Pelvic Pouch
- Bowel Dysfunction Low Anterior Resection Syndrome
- Indications for Fecal Diversion
- Optimizing Outcomes with Enhanced Recovery
- Management of Fecal Incontinence (2023)