Genitourinary Considerations in Reoperative and Complex Colorectal Surgery.

Abstract:

:Genitourinary structures are at risk of injury during colorectal surgery. The incidence of injury is low; however, the risk is higher in cases involving severe inflammatory or infectious processes, locally advanced or recurrent cancer, previous radiation, and reoperation. Consideration of the anatomical relationship between the genitourinary system, and the colon and rectum is crucial to avoid injuries. Intraoperative diagnostic techniques such as intravenous pyelogram (IVP), fluoroscopic cystogram, or retrograde urethrogram can aid in identifying suspected injuries. Early recognition and repair of injuries decrease the morbidity of an injury. Repair of injuries depends on the location and extent of the injury. Simple injuries may be repaired primarily, while complex injuries may require more advanced repairs such as a flap reconstruction.

journal_name

Clin Colon Rectal Surg

authors

Althumairi AA,Efron JE

doi

10.1055/s-0036-1580629

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

145-51

issue

2

eissn

1531-0043

issn

1530-9681

pii

00729

journal_volume

29

pub_type

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