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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1393_Библиотеки_им_академика_М_И_Перельмана.pdf
Index 327
classification of, 248–251, 250t
developmental, 249–250
diagnosis of, 251–253, 252f
differential diagnosis of, 248–251
malignant tumors, 250–251
preoperative biopsy for, 253
preoperative management for, 251–253
surgical management for, 253–255, 255f
bleeding, 257
bowel/bladder/sexual/neurologic
complications, 260–261, 261f
incomplete resection/recurrence,
258–259, 259t
infection, 258
intraoperative complications, 255–258,
256–257t
postoperative complications, 255–258,
256–257t
preoperative complications, 255
rectal injury/perforation, 257–258
Retrorectal supralevator abscess, 12, 15f
without preoperative imaging, 12, 16f
Rubber band ligation, for internal hemorrhoids,
93–95
early complications of, 94
late complications of,
95
S
Sacoccygeal hernia, after York Mason
procedure, 274
Sacral nerve stimulation (SNS), for fecal
incontinence
complications of, 215
outcomes of, 214
Sepsis
pelvic, after transanal excision, 230
persistent, 2–3, 3f
progression of, 4
retroperitoneal
after stapled hemorrhoidopexy, 81
after STARR procedure, 166
RVF repair and, 190–191, 191f
Sexual dysfunction, after stapled
hemorrhoidopexy, 82
Sinus
perineal sinus with complex
entero-cutaneous fistula, 314f
pilonidal, 121f, 123f
Sinusectomy, for pilonidal cyst, 125
Sitz bath, 44, 70
for persistent sepsis, 3
Small bowel fistula to perineum, 311f
Small bowel injury, after STARR procedure,
165
Small intestine, eviscerated, 150f, 151f
Sphincter complex, 183
Sphincteroplasty with/without levatorplasty,
for RVF repair, 198–200
Sphincterotomy, 115
for anal fissure, 31, 81
for anal stenosis, 73
lateral internal, 113–117, 113f
posterior midline internal, 116f
SphinKeeper, 221
, 222
S-Plasty, for anal stenosis, 77f, 240–241, 243f
Split-thickness skin grafting, for perineal
hidradenitis suppurativa, 134, 139
Squamous cell carcinoma, and hidradenitis
suppurativa, 138–141, 139–141f
STA cath, 67
Staphylococcus aureus, 142
Staphylococcus epidermidis, 142
Staphylococcus lugdunensis, 142
Staple line dehiscence, after stapled
hemorrhoidopexy, 85–86
Stapled hemorrhoidopexy, complications of,
78–86
adverse events, 79t
air leaks, 84–85
for anal stenosis, 241
bleeding, 84
defecatory complications, 82–83
genitourinary complications, 82
infectious complications, 81
for obstructed defecation syndrome, 161,
162
bleeding and hematoma formation, 164
persistence pain, 163–164
pain, 80–81
rectovaginal fistula, 85
staple line dehiscence, 85–86
structuring, 164
Stapled transanal rectal resection (STARR)
for anal stenosis, 241
for obstructed defecation syndrome,
complications of, 161–166
bleeding and hematoma formation, 164
failure of,
167
fecal urgency, 162–163
incontinence 162–163
persistence pain, 163–164
rectal lumen obliteration, 165
rectal necrosis, 165
rectal pocket syndrome, 165
rectovaginal fistula, 165
retroperitoneal sepsis, 166
small bowel injury, 165
structuring, 164
328 Index
urinary retention, 164
Staples, for rectal prolapse, 157
Streptococcus milleri, 142
Submucosal intramucosal hematuria, after
stapled hemorrhoidopexy, 84
Superficial transverse perineal muscle, 184
Supralevator abscess, 2, 6, 7
classification of, 8f
horseshoe presentation of, 12, 15, 17f
posterior type III extrasphincteric, 12, 13f
treatment algorithm for, 9f
type I intersphincteric, 9, 10f
type II extrasphincteric, 9, 11f
type IV extrasphincteric, 12, 14f
Suprapubic catheter cystotomy, for Fournier’s
gangrene, 22f
Suprasphincteric fistula, 4–5
Surgical anal sphincter repair, for fecal
incontinence
complications of, 213–214
outcomes of, 212–213
Suture hemorrhoidopexy, 96–97
complications of, 86–89, 87–89f
Synergistic gangrene, 18, 19
T
Tailgut cysts, 130
Thiersch procedure, for rectal prolapse,
, 156f
156–157
Thrombosed external hemorrhoids
excision of, 91–94
early complications, 91, 92–93t
late complications, 91, 93t
in stapled hemorrhoidopexy, 81
after sutured hemorrhoidopexy, 89
Tisseel, 43
TOPAS pelvic floor repair system, 219
Traditional Chinese company, complications
of, 100
Transabdominal operations, for RVF repair,
203–204
Bricker procedure, 203
diversion, 204
omental interposition, 203
pull-through procedure, 203
Transanal approaches to RVF repair,
complications of
dermal advancement flap, 196
fibrin glue, 197
fistulectomy with layer closure, 196–197
plug repair, 197
rectal advancement flap, 193–195
rectal sleeve advancement, 195
vaginal advancement flap, 195–196
Transanal endoscopic microsurgery (TEM),
complications of, 227–232
bleeding, 227–228
fragmentation, 229
incomplete excision, 229
local recurrence, 229
urinary retention, 230
Trans-anal evisceration, after perineal
proctectomy, 148–151, 150–152
f
Transanal excision (TAE), complications of,
227–232
anal stricture/stenosis, 230
bleeding, 227–228
fragmentation, 228–229
incomplete excision, 228–229
local recurrence, 228–229
pelvic sepsis, 230
prevention strategies, 231–232
urethral injury, 231
urinary retention, 230
Transanal hemorrhoidal dearterialization
(THD), 96
with or without mucopexy, 97
early complications of, 97
late complications of, 97–98
Transanal minimally invasive surgery
(TAMIS), complications of,
227–232
bleeding, 228
fragmentation, 229
incomplete excision, 229
local recurrence, 229
urinary retention, 230
Transanal open hemorrhoidopexy, 88
Transanal total mesorectal excision (TATME),
complications of, 227–232
bleeding, 228
urethral injury, 231
urinary retention, 230
Transperineal approaches
to obstructed defecation syndrome,
174–175
to RVF repair, complications of, 197–203,
198f
episioproctotomy, 200
indocyanine green, 202
LIFT procedure, 197–198, 198f, 199
Martius flap, 202
mesh interposition,
202–203
sphincteroplasty with/without
levatorplasty, 198–200
transperineal anatomical deconstruction
with layered anatomical closure,
200–201
Index 329
transperineal repair with gracilis muscle
interposition, 201–202
Transrectal approach to obstructed defecation
syndrome, 171–173, 172t
Transtar, for rectal prolapse, 157
Transvaginal approach to obstructed defecation
syndrome, 169–171, 170t
Transverse rectus abdominis muscle flap
(TRAM), 301
Tubercles, 1
Type I intersphincteric supralevator abscess, 9,
10f
Type II extrasphincteric supralevator abscess,
9, 11f
Type IV extrasphincteric supralevator abscess,
12, 14f
U
U-Flap anoplasty, for anal stenosis, 76f, 239,
241f
Unroofing of pilonidal cyst, 124f, 125, 127f
Urethral injury, after transanal excision, 231
Urinary diversion, for Fournier’s gangrene,
22–23, 22f
Urinary retention
after excisional hemorrhoidectomy, 70
after stapled hemorrhoidopexy, 82
after STARR procedure, 164
after sutured hemorrhoidopexy, 89
after transanal excision, 230, 231
V
VAAFT technology, 33
Vac therapy, of perineal wound, 312, 313f
Vaginal advancement flap (VAF), 195–
202
Vaginal bowel-control system for, for fecal
incontinence
complications of, 218–219
outcomes of, 218
Valproate, for fecal incontinence, 211
Valsalva maneuver, 216
Vascular Z-shaped ligation technique, 87f, 88,
89f
Ventral rectopexy, for fecal incontinence
complications of, 217–218
outcomes of, 217
Vertical rectus abdominis muscle flap
(VRAM), 301, 301f, 302f, 315
Vicryl, 194
Visual Analogous Score (VAS), 88
V-Y flaps, for perineal hidradenitis
suppurativa, 135
W
Wexner score, 45
Whitehead hemorrhoidectomy, 62, 65f, 76
Wide local excision (WLE), for pilonidal cyst,
125, 127
Y
York Mason procedure, for rectourethral
fistula, 265–274, 266–271f
bleeding, 272–273
fecal fistula, 272
fecal incontinence, 273
recurrence, 273–274
wound infections, 272
Y-V anoplasty, for anal stenosis, 74f, 238, 239
196,
f