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index
trocar 144–5
typhilitis 104
ulcerative colitis, surgery for 103, 142–3
abdominal colectomy
with ileorectal anastomosis 322
complications
anastomotic leak 324–5
dysplasia and malignancy 326
ileal pouch anal anastomosis, stricture at 325
pelvic sepsis 324
postoperative hemorrhage 323–4
pouch anal fistulas 325
pouch failure 326
pouch vaginal fistula 325
pouchitis 326
small bowel obstruction 323
controversies 326–7
Crohn’s Disease and Indeterminate Colitis 327
ileostomy, omission of
mucosectomy vs. double-stapled
technique 326–7
reservoir design 326
functional result 323
indications
acute unresolving colitis 318–19
elective procedures 319
proctocolectomy
with brooke ileostomy 319–20
with continent ileostomy 320–2
with ileoanal pouch 322–3
restoration 322
ultrasonography 117–19
endoluminal ultrasound’s (EUS) 119
intraoperative ultrasound 119
transabdominal ultrasound 118
ultrasound
in fecal incontinence with limitations 92
unfractionated subcutaneous heparin 67
ureteral injuries 267, 397
anatomy 397
gentle pressure 397
prevention 397–8
types 398
ureteral stents 144
ureteroneocystotomy 398
urethral injuries 395
urinary fistula
spontaneous closure 395–6
enteric diversion 396
stages 396
surgical selection 396
urinary retention 70–1, 172–3
urinary tract infections 70, 174
urological complication
artificial devices 402–3
bladder dysfunction 400–1
bladder injury 396
fistula 396
iatrogenic ureteral injury 398–9
renal injury 399–400
sexual dysfunction 401–2
ureteral injury 397–8
urethral injury 395–6
VAC® 283
Venereal Disease Research Laboratory (VRDL) 157
venous thromboembolism (VTE) 9
Vermont Colorectal Cancer Project 164
vertical rectus abdominis myocutaneous (VRAM) flap 281
Veteran Affairs (VA) hospitals 162
video assisted thoracoscopic surgery (VATS) 294
virtual colonoscopy 110–12
Visiport™ 47
vomiting 72
warfarin therapy 22
Warfarin 135
water-soluble contrast enema 115–17
anastomotic assessment 116
intussusception 115
postoperative complications 115–16
volvulus 115
Wells operation 244
Whitehead deformity 174
Whitehead hemorrhoidectomy 170, 172
wireless capsule endoscopy (WCE) 335
wound infection 28
risk 27
see also skin
Wound-Vac (KCI) 28
XELOX 300
xylocaine toxicity 19



Improved Outcomes in Colon
and Rectal Surgery
About the book
Written by many of the world’s leading colorectal surgeons, this evidence-based text investigates the
risks and benets of colorectal surgeries. By using clinical pathways, algorithms, and case discussions,
the authors identify the best practices for patient safety and positive outcomes to ensure that
physicians correctly recognize potential problems and carefully manage complications.
Improved Outcomes in Colon and Rectal Surgery is an essential reference for all colorectal surgeons,
fellows and residents, as well as those working in gastroenterology and the medico-legal profession.
About the editors
Charles B Whitlow MD, Program Director, Colon and Rectal Surgery Fellowship Program, Ochsner
Medical Center, New Orleans, Louisiana, USA.
David E Beck MD, Chairman, Department of Colon and Rectal Surgery, Ochsner Medical Center, New
Orleans, Louisiana, USA. He is President-Elect of the American Society of Colon and Rectal Surgeons
and Editor-in-Chief of Clinics in Colon and Rectal Surgery and the Ochsner Journal.
David A Margolin MD, Colon and Rectal Research Director, Ochsner Medical Center, New Orleans,
Louisiana, USA. He is an Associate Editor of Diseases of the Colon and Rectum.
Terry C Hicks MD, Associate Chairman, Department of Colon & Rectal Surgery, Ochsner Medical Center,
New Orleans, Louisiana, USA. He is President of the American Board of Colon and Rectal Surgeons
Alan E Timmcke, Sta Colon and Rectal Surgeon, Ochsner Medical Center, New Orleans, Louisiana, USA.
Also available
Ambulatory Colorectal Surgery
Edited by Laurence R Sands and Dana R Sands (ISBN: 9780824727925)
Gastrointestinal Oncology: Evidence and Analysis
Edited by Peter McCulloch, Martin S Karpeh, David J Kerr and Jaer Ajani (ISBN: 9780849398650)
Neoplasms of the Colon, Rectum, and Anus, Second Edition
Authored by Philip H Gordon and Santhat Nivatvongs (ISBN: 9780824729615)
Telephone House, 69-77 Paul Street,
London EC2A 4LQ, UK
52 Vanderbilt Avenue, New York, NY 10017
www.informahealthcare.com
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