Posts

Welcome!

This is my professional blog. I am a colorectal surgeon and medical/surgical educator at The Ohio State University.

I am starting to collect resources for other surgeons and educators and writing about periodic thoughts.

If you have suggestions for additions or corrections to my posts please let me know in the comments.

Loop Ileostomy Closure

I don’t have a video, but these are the steps for how I close a loop ileostomy:

We incised the mucocutaneous junction circumferentially and separated the stoma from the skin.
We then separated the stoma from the subcutaneous fat and fascial edge.

We then resected the stoma with 2 firings of the GIA80 stapler.

When then performed a side to side functional end to end ansatomosis, using a TA60 to close the common enterotomy.
A junctional suture was placed and the mesenteric defect closed with interrupted suture.

We then switched to the colorectal closure tray.

The posterior sheath was closed with a running 0 Vicryl suture.
The anterior sheath was closed with interrupted #1 PDS.
The wound was packed with gauze.

Rectal Stent Placement

A talk I gave about stenting in 2023.

https://osumc-my.sharepoint.com/:p:/g/personal/harz02_osumc_edu/ESonhP1kmt5Jth6V5yoxW8gBAkuhaVk91jl_z65PVNF9rw?e=J3M5u0

Various Videos about Stenting. I’m not completely endorsing them, but they at least clearly show options.

https://www.youtube.com/watch?v=NNAhYljui0w

https://www.youtube.com/watch?v=p-9CtX-ukdU

https://www.youtube.com/watch?v=C3NoikmyF-g

 

Pilonidal and Hidradenitis

Lecture that I created for Colorectal Surgery Grand Rounds in August, 2024

https://osumc-my.sharepoint.com/:v:/g/personal/harz02_osumc_edu/EYQoTgIl16BJqpoHzLJL05gBrc6YLn2i4J63CA_SUUY9AQ?e=Ajt9Wv&nav=eyJyZWZlcnJhbEluZm8iOnsicmVmZXJyYWxBcHAiOiJTdHJlYW1XZWJBcHAiLCJyZWZlcnJhbFZpZXciOiJTaGFyZURpYWxvZy1MaW5rIiwicmVmZXJyYWxBcHBQbGF0Zm9ybSI6IldlYiIsInJlZmVycmFsTW9kZSI6InZpZXcifX0%3D