Reoperative Pelvic Surgery

The close anatomical proximity of the colon, rectum and anus to the gynecologic and urologic organs often results in a disease affecting one of these organ systems to create complications in another. Reoperation on this anatomic area is often necessitated by cancer recurrence, adhesive disease, recurrence of pelvic prolapse disorders as well as in the execution of multi-staged procedures. Many of the diseases, including cancer, ulcerative colitis, Crohn’s disease, prolapse, incontinence, and fistulas also necessitate reoperations—thus increasing the complexity and difficulty in achieving successful surgical management. Under the editorship of Richard P. Billingham, MD, Kathleen Kobashi, MD, and William Peters, MD, a group of multidisciplinary experts present the surgical techniques and challenges of reoperative surgery in the pelvis with a multi-disciplinary emphasis on decision-making, operative strategies, and complications management. Authors discuss important anatomical landmarks, including surgically altered anatomy and function, as well as strategies for the often adhesive nature of the previously operated pelvis. For colorectal surgeons, general surgeons, gynecologic surgeons, and urologic surgeons, Reoperative Pelvic Surgery will prove a comprehensive resource of technical material not found in standard surgery references.