Download Colorectal Surgery: Living Pathology in the Operating Room by Mark Killingback PDF

By Mark Killingback

ISBN-10: 3540772693

ISBN-13: 9783540772699

ISBN-10: 3540772707

ISBN-13: 9783540772705

Colorectal surgical procedure: dwelling Pathology within the working Room is 2 books in a single. First, it really is an atlas within the vintage definition: every one bankruptcy is a two-page unfold discussing one case. Functionally, every one bankruptcy is a case examine with either the surgical and pathological views superbly rendered and entirely explained.Visually, each bankruptcy offers the reader with operative and/or diagnostic pictures, and anatomic line drawings by means of the writer. The textual content, extra huge than in lots of atlases, presents a concise but entire operative list: sufferer history/work up, anatomic anomalies, the process itself, pathologic findings, and keep on with up.Key instructing issues emphasize crucial and exact facets of each case. citizens, fellows, or even pro practitioners will achieve helpful diagnostic and healing insights from this fabric. The case examine presentation presents an outstanding evaluation device for the yank Board of Colon and Rectal surgical procedure examination.

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Extra resources for Colorectal Surgery: Living Pathology in the Operating Room

Sample text

The excised mucosa measured 15 × 13 cm. Pathology The histological examination showed both villous and tubulovillous adenoma with several submucosal “lakes” of mucin which were interpreted as early proctitis cystica profunda. Follow-Up The postoperative assessment was satisfactory 2 months after operation. The patient did not return for further examination. Comment In this frail patient the surgical approach was satisfactory treatment for the coexisting giant rectal polyp and the rectal prolapse.

The mucosa here was atrophic and fibrotic and associated with a tight fibrous stricture. Histological examination revealed full thickness ulceration of the mucosa. The base of the ulcers was florid inflammatory granulation tissue with chronic inflammation and fibrosis in the submucosa and 12 deeper layers of the bowel wall. The features were nonspecific. Follow-Up (2005) No further significant gastrointestinal problems have been reported. Comment Blind loop syndrome should be distinguished from the blind pouch (or “pocket”) syndrome in that the former is most commonly associated with a bypassed segment of bowel without resection.

5 Treatment is varied according to the number and distribution of the polyps and therefore may be endoscopic, resection, or a combination of these methods. 6 Long term follow up by endoscopy is necessary in these patients subsequent to initial treatment. It is also recommended that first degree family members undergo screening for colorectal carcinoma in addition to screening for polyps. ru 39 C A S E 18 Chronic Intussusception of the Colon Due to Peutz-Jeghers Syndrome Male, 24 Years History The patient presented in May 1965 with an established family history (mother and sister) of the Peutz–Jeghers syndrome (PJS).

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Colorectal Surgery: Living Pathology in the Operating Room by Mark Killingback


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