By Mark Killingback
Colorectal surgical procedure: residing Pathology within the working Room is 2 books in a single. First, it's an atlas within the vintage definition: each one bankruptcy is a two-page unfold discussing one case. Functionally, every one bankruptcy is a case learn with either the surgical and pathological views superbly rendered and completely defined. Visually, each bankruptcy offers the reader with operative and/or diagnostic photographs, and anatomic line drawings through the writer. The textual content, extra wide than in lots of atlases, presents a concise but whole operative list: sufferer history/work up, anatomic anomalies, the method itself, pathologic findings, and stick with up. Key instructing issues emphasize crucial and particular elements of each case. citizens, fellows, or even pro practitioners will achieve precious diagnostic and healing insights from this fabric. The case learn presentation presents a very good assessment software for the yankee Board of Colon and Rectal surgical procedure examination.
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Additional info for Colorectal Surgery
Six of the patients had documented FAP. 2 Diagram 19 Posterior aspect 43 C A S E 20 Ileorectal Anastomosis for FAP: Rectal Cancer Female 35, Years History In July 1970 the patient underwent colectomy and ileorectal anastomosis for the treatment of familial adenomatous polyposis (FAP). At follow up, villous adenomata had been removed by diathermy snare on 10 occasions. The surgeon supervising the follow up referred her in 1994 for a restorative proctocolectomy, since he was concerned about future malignant change in the rectum.
There was also a large hard lymph node related to the superior mesenteric vessels, which was thought to be related to the colon pathology although its anatomical position seemed unusual. There was no evidence of metastases beyond the suspicious lymph nodes in the mesentery. The right colon with 70 cm of terminal ileum was resected. An end-to-end anastomosis was performed with a circular stapler. signet ring carcinoma with no identiﬁable lymph node tissue (Dukes C, T3 N1 M0). On the luminal aspect of the ileum, there were 3 yellow submucosal nodules.
This is the only case of postoperative multiple visceral infarcts encountered by the author. Its etiology remained obscure.