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Herand Abcarian · Jose Cintron Richard Nelson Editors
Complications of Anorectal Surgery
Prevention and Management
123
Complications of Anorectal Surgery
Herand Abcarian•Jose Cintron Richard Nelson
Editors
Complications of Anorectal Surgery
Prevention and Management
123
Editors
Herand Abcarian Division of Colon and Rectal Surgery University of Illinois at Chicago Chicago, IL USA
Jose Cintron Division of Colon and Rectal Surgery John H. Stroger Jr. Hospital of Cook County Chicago, IL USA
Richard Nelson Epidemiology/Biometry Division, School of
Public Health University of Illinois at Chicago Chicago, IL USA
ISBN 978-3-319-48404-4 ISBN 978-3-319-48406-8 (eBook) DOI 10.1007/978-3-319-48406-8
Library of Congress Control Number: 2016954713
© Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made.
Printed on acid-free paper
This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
We would like to dedicate this book to a dear
friend and recently deceased colleague, Leela M Prasad, whose wisdom was seldom withheld, spot on and always greatly appre-
ciated, and also one of the finest surgeons we
all have ever seen.

Preface

There are many texts in which we can find techniques of various anorectal pro­cedures. The interested surgeon can easily find descriptions and illustrations of each surgical technique. However, what is more difficult to find is the prevention and treatment of many complications following anorectal operations.
Complications of surgical procedures are without a doubt the greatest source of disquiet for every surgeon. We never feel more alone when one of our patients has suffered a complication that has caused them suffering and never more comforted when we find that our mates have experience with the same complication. It is one of the major purposes of our annual clinical congresses: conversation, commiser­ation, consolation, a.k.a., GOBAGSATT (good old boys—and girls—sitting around talking trash) and ultimately education.
We present in this book the complications that have been suffered by our own patients and/or by those of our closest friends. Some are common and can only be avoided most of the time. Others are rare, and in some cases just weird. But if it has happened once, it will happen twice. Many can be prevented, which we hope to facilitate with this book.
Chicago, IL, USA Herand Abcarian, M.D. Chicago, IL, USA Jose Cintron, M.D. Chicago, IL, USA Richard Nelson, M.D.
vii

Contents

1 Surgery for Anorectal Abscess .............................. 1
Adrian E. Ortega, Timothy F. Feldmann, Ariane M. Abcarian and Herand Abcarian
2 Fistulotomy
............................................. 29
Richard Nelson
3 Anorectal Fistula Surgery: Sphincter Sparing Operations
Marc Singer
4 Hemorrhoids
............................................ 61
Jose Cintron, Ariane M. Abcarian, Herand Abcarian, Kristine Makiewicz and Marc I. Brand
5 Anal Fissure
............................................. 109
Richard Nelson
6 Pilonidal Cyst
........................................... 119
Sany Thomas and Johan Nordenstam
7 Hidradenitis Suppurativa
.................................. 133
Jacqueline Harrison and Francois Dagbert
8 Perineal Repair of Rectal Prolapse
.......................... 147
Richard Nelson
9 Rectocele Repair (ODS)
................................... 161
Steven Brown, Salvador G. Guevara and Linda M. Farkas
10 Complications of Rectovaginal Fistula Repair
.................. 181
Slawomir Marecik, Ariane M. Abcarian and Leela M. Prasad
11 Incontinence
............................................. 209
Christina Warner and Anders Mellgren
........ 39
12 Transanal Excision of Rectal Tumor (TEM or TAMIS)
Kunal Kochar and Vivek Chaudhry
......... 227
ix
x Contents
13 Anal Stenosis ............................................ 235
Jennifer Blumetti
14 Retrorectal Cyst
......................................... 247
Kristen Donohue and Nell Maloney Patel
15 York Mason Pro cedure
.................................... 265
Ariane M. Abcarian and Herand Abcarian
16 Pull-Through Procedures
.................................. 277
Kristin Vercillo and Jennifer Blumetti
17 Perineal Wound Post APR
................................. 297
Torbjörn Holm
Index
...................................................... 319

Contributors

Ariane M. Abcarian Division of Colon and Rectal Surgery, John H. Stroger Hospital of Cook County, Chicago, IL, USA
Herand Abcarian Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, IL, USA
Jennifer Blumetti Colon and Rectal Surgery Residency Program, Stroger Hospital of Cook County, Chicago, IL, USA
Marc I. Brand Section of Colon and Rectal Surgery, Department of General Surgery, Rush University Medical Center, Chicago, IL, USA
Steven Brown Thornbury Hospital, Sheffield, South Yorkshire, UK
Vivek Chaudhry Division of Colon and Rectal Surgery, John H. Stroger Hospital
of Cook County, Chicago, IL, USA
Jose Cintron Division of Colon and Rectal Surgery, John H. Stoger Hospital of Cook County, Chicago, IL, USA
Francois Dagbert Division of Colon and Rectal Surgery, John H. Stroger Hospital of Cook County, Chicago, IL, USA
Kristen Donohue Department of Surgery, Rutgers: Robert Wood Johnson Med­ical School, New Brunswick, NJ, USA
Linda M. Farkas Division of Colon and Rectal Surgery, Department of Surgery, University of California, Davis, Sacramento, CA, USA
Timothy F. Feldmann Capital Medical Center, Olympia, WA, USA
Salvador G. Guevara Division of Colon and Rectal Surgery, Department of
Surgery, University of California, Davis, Sacramento, CA, USA
Jacqueline Harrison Division of Colon and Rectal Surgery, John H. Stroger Hospital of Cook County, Chicago, IL, USA
Torbjörn Holm Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Karolinska University Hospital, Stockholm, Sweden
xi
xii Contributors
Kunal Kochar Division of Colon and Rectal Surgery, John H. Stroger Hospital of Cook County, Chicago, IL, USA
Kristine Makiewicz Section of Colon and Rectal Surgery, Department of General Surgery, Rush University Medical Center, Chicago, IL, USA
Nell Maloney Patel Department of Surgery, Rutgers: Robert Wood Johnson Medical School, New Brunswick, NJ, USA
Slawomir Marecik Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA; Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, IL, USA
Anders Mellgren Division of Colon and Rectal Surgery, Department of General Surgery, University of Illinois at Chicago, Chicago, IL, USA
Richard Nelson Epidemiology/Biometry Division, School of Publi c Health, University of Illinois at Chicago, Chicago, IL, USA
Johan Nordenstam Division of Colon and Rectal Surgery, Department of Sur­gery, University of Illinois at Chicago, Chicago, IL, USA
Adrian E. Ortega LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA
Leela M. Pra sad Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA; Division of Colon and Rectal Surgery, University of Illinois at Chicago, Chicago, IL, USA
Marc Singer Division of Colon and Rectal Surgery, Rush University Medical Center, Chicago, IL, USA
Sany Thomas Division of Colon and Rectal Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA
Kristin Vercillo Colon & Rectal Surgery Resident, Stroger Hospital of Cook County, Chicago, USA
Christina Warner Department of General Surgery, University of Illinois at Chicago, Chicago, IL, USA