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Improved Outcomes in Colon and Rectal Surgery part 18

Improved Outcomes in Colon and Rectal Surgery part 18. Written by many of the worlds leading colorectal surgeons, this evidence-based text investigates the risks and benefits of colorectal surgeries. By using clinical pathways, algorithms, and case discussions, the authors identify the best practices for patient safety and positive outcomes to ensure that physicians correctly recognize potential problems and carefully manage complications | IMPROVED OUTCOMES IN COLON AND RECTAL SURGERY 22. Mathews WC. Screening for anal dysplasia associated with human papillomavirus. Top HIV Med 2003 11 45-9. 23. Wexner SD. AIDS what the colorectal surgeon needs to know. Perspect Colon Rectal Surg 1989 2 19-54. 24. Cohen SM Schmitt SL Lucas FV Wexner SD. The diagnosis of anal ulcers in AIDS patients. Int J Colorect Dis 1994 9 168-73. 25. Viamonte M Dailey TH Gottesman L. Ulcerative disease of the anorectum in the HIV positive patient. Dis Colon Rectum 1993 36 801-5. 26. Danzig JB Brandt LJ Reinus JF Klein RS. Gastrointestinal malignancy in patients with AIDS. J Gastroenterol 1991 86 715-8. 27. Laine L Amerian J Rarick M Harb M. The response of symptomatic gastrointestinal Kaposi s sarcoma to chemotherapy a prospective evaluation using an endoscopic method of disease quantification. Am J Gastroenterol 1990 85 959-61. 28. Burack JH Mandel MS Bizer LS. Emergency abdominal operations in the patient with AIDS. Arch Surg 1989 124 285-6. 29. Zelnick R Poulard JB Auguste LJ Vretakis G Margolis IB. Surgery in the AIDS patient. AIDS Patients 1991 1 10-4. 30. Macho JR. Gastrointestinal surgery in the AIDS patient. Gastroenterol Clin NA 1988 3 563-71. 31. Welch K Finkbeiner W Alpers CE et al. Autopsy findings in AIDS. JAMA 1984 252 1152-9. 32. Chachova A Dietrich D Krasinski K. 9 1 3-dihydroxy-2-propoxymethyl quanine gancylovir in the treatment of cytomegalovirus gastrointestinal disease in AIDS. Ann Intern Med 1987 107-33. 158 16 Quality and outcome measures Janak A Parikh Sushma Jain Marcia L McGory and Clifford YKo CHALLENGING CASE A 64-year-old male is scheduled for a left colectomy for a carcinoma. His past medical history is significant for a 3 vessel cardiac bypass. CASE MANAGEMENT The patient s primary care physician has placed the patient on beta-blockers. Prophylactic antibiotics second generation cephalosporin are ordered to be given within 1 hour of surgery. Pneumatic compression stockings are ordered for placement in