Complications of Anorectal Surgery

Complications of Anorectal Surgery

Herand Abcarian Jose Cintron 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 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 appreciated, 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 Chicago, IL, USA Chicago, IL, USA Herand Abcarian, M.D. Jose Cintron, M.D., 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 3 Anorectal Fistula Surgery: Sphincter Sparing Operations... 39 Marc Singer 4 Hemorrhoids... 61 Jose Cintron, Ariane M. Abcarian, Herand Abcarian, Kristine Makiewicz and Marc I. Brand 5 Anal Fissure.... 109 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 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 12 Transanal Excision of Rectal Tumor (TEM or TAMIS)... 227 Kunal Kochar and Vivek Chaudhry ix

x Contents 13 Anal Stenosis... 235 Jennifer Blumetti 14 Retrorectal Cyst... 247 Kristen Donohue and Nell Maloney Patel 15 York Mason Procedure.... 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, Anders Mellgren Division of Colon and Rectal Surgery, Department of General Surgery, Epidemiology/Biometry Division, School of Public Health, Johan Nordenstam Division of Colon and Rectal Surgery, Department of Surgery, Adrian E. Ortega LAC+USC Medical Center, University of Southern California, Los Angeles, CA, USA Leela M. Prasad Division of Colon and Rectal Surgery, Advocate Lutheran General Hospital, Park Ridge, IL, USA; Division of Colon and Rectal Surgery, 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, 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