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Abdominal approaches for rectal prolapse
Safar, Bashar; Vernava, Anthony M
The management of full-thickness rectal prolapse involves surgical intervention in the majority of cases. Many procedures have been described employing both perineal and abdominal approaches. Abdominal procedures result in more durable repair of the prolapse; however, the procedures require general anesthesia and are reserved for younger healthier patients. Laparoscopy has been utilized in the treatment of rectal prolapse since its introduction for colorectal procedures; recent studies have found equivalent long-term results and short-term outcomes.
PMCID:2780195
PMID: 20011404
ISSN: 1530-9681
CID: 5272042
Subtotal Left Resection for Pancreatic Cancer
Chapter by: Nakeeb, A; Safar, Bashar
in: Diseases of the pancreas : current surgical therapy by Beger, HG; Matsuno, S; Cameron, JL [Eds]
Berlin ; New York : Springer, c2008
pp. 625-638
ISBN: 9783540286554
CID: 5340032
Laparoscopic diverticular resection with situs inversus totalis (SIT): report of a case [Case Report]
Jobanputra, Sanjay; Safar, Bashar; Wexner, Steven D
Situs inversus totalis (SIT) is a rare condition where the abdominal and thoracic cavity structures are opposite of their usual position. Laparoscopic colonic surgery for this patient population is not well described, with only 2 reported cases. Our patient was a 62-year-old female with a history of SIT who underwent a laparoscopic sigmoid colectomy for recurrent diverticulitis. The procedure included the use of 4 ports. The sigmoid colon was noted on the right side. Laparoscopic resection with stapled anastomosis was performed. The patient tolerated the procedure well and was discharged home on postoperative day 5 without complications. We present a third case of laparoscopic colectomy for diverticulitis in a patient with SIT and a description of the operative procedure.
PMID: 18178918
ISSN: 1553-3506
CID: 5051332
Perianal Crohn's disease
Safar, Bashar; Sands, Dana
Crohn's disease is commonly complicated by perianal manifestations. The surgeon plays a pivotal role in caring for these patients; a detailed history along with a thorough clinical exam provides the treating physician with invaluable information upon which to base further investigations and management decisions. Other than abscess drainage, medical management to control proximal disease often precedes any surgical attempt to cure the disease. Surgical interventions are indicated in selective patients, but are often complicated by poor wound healing and recurrences. A sizable percentage of these patients may need a proctectomy.
PMCID:2780223
PMID: 20011424
ISSN: 1530-9681
CID: 5272052