Challenging Cases in Robotic Radical Prostatectomy
Fig. 10.1 Long 12 mm bladeless trocar used as camera port in obese patients During the operation, obese patients can have extra adipose deposition in the posterior plane, making isolation…
Postoperative Management: Erectile Function
Failed agent Salvage agent Salvage regimen Outcome Reference Sildenafil MUSE Sildenafil 100 mg 1 h prior to intercourse; 500 mcg MUSE immediately before intercourse 83 % patients reported improvements in…
Anesthetic Considerations: Open Versus Minimally Invasive Surgery
ASA physical status 1—A normal healthy patient ASA physical status 2—A patient with mild systemic disease ASA physical status 3—A patient with severe systemic disease ASA physical status 4—A patient…
Miscellaneous Pelvic Effects: Pelvic/Sacral Insufficiency Fractures
Fig. 12.1 Sacral insufficiency fracture. 86-year-old male with a history of T3 N0 M0 adenocarcinoma of the rectosigmoid colon who received neoadjuvant chemoradiation therapy including 45 Gy administered at 1.8 Gy per…
Pathology of Radiation Effects on Healthy Tissues in the Pelvis
Fig. 5.1 a Rectal mucosa of non-irradiated rat. b–f Rectal mucosa of rat 10 days, 4 weeks, 12 weeks, 24 weeks, and 37 weeks following index irradiation, respectively. (With permission…
Radiation Proctopathy
Fig. 9.1 Rectal Telangiectasia Density (RTD) grading scale. (The highest grade visualized during endoscopic evaluation with colonic lumen in view represents the RTD grade of the patient). Adapted from Chi…
Acute and Chronic Radiation Enteropathy
Fig. 8.1 Histopathology revealing gastritis with foveolar hyperplasia, vascular ectasia, granulation tissue, and scattered yttrium 90 selective internal radiation microspheres. Risk Factors Some patients have increased susceptibility to radiation enteropathy….
Role of Radiation in Rectal Cancers
Fig. 3.1 Scheme demonstrates conventional neoadjuvant chemoradiotherapy regimen. Neoadjuvant chemoradiation regimen including cycles of bolus 5-fluorouracil (5FU) and leucovorin administered every 21 days including during the “resting” period after radiation…
Surgical Management of Radiation-Induced Intestinal Injury
Imaging Endoscopy Plain abdominal films Flexible proctosigmoidoscopy Computed tomography (CT) Colonoscopy Positron emission computerized tomography (PET-CT) Endoscopic transrectal ultrasound (TRUS) Magnetic resonance imaging (MRI) – Imaging Plain abdominal films can…
The Role of Radiation Therapy in the Treatment of Malignant Gynecological Tumors
No invasion Inner third Middle third Outer third Grade 1 0/55 5/61 (8 %) (2P, 1V) 0/4 Grade 2 0/17 2/41 (5 %) 1/7 (14 %) (1V) 1/2 (50 %) (1V) Grade 3…
