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Medicine - Surgery | Complexities in Colorectal Surgery - Decision-Making and Management

Complexities in Colorectal Surgery

Decision-Making and Management

Steele, S.R., Maykel, J.A., Champagne, B.J., Orangio, G.R. (Eds.)

2014, XIX, 632 p. 352 illus. With online files/update.

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  • Authors provide personal perioperative “tips and tricks”
  • Includes a link to video clips that augment the text
  • Written by national and internationally-recognized colorectal surgeons​

Complexities in Colorectal Surgery: Decision-Making and Management  provides a unique, modern, practical guide that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert Colorectal Surgeons caring for patients with complex problems—whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The text is formatted as both a “how-to” manual as well as an algorithm-based guide allowing the reader to understand the thought process behind the proposed treatment strategies. By making use of evidence-based recommendations, each chapter will include not only diagnostic and therapeutic guidelines, but also a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. This test includes chapters on the assessment of risk and nutritional intervention methods utilized to minimize perioperative complications. In addition, sections on medical and surgical therapies for abdominal, pelvic and anorectal disease are incorporated. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is to provide pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. The text also goes beyond the technical aspects of Colorectal Surgery and includes special sections highlighting the essence of a surgeon.  These include chapters describing the importance of the first encounter, building patient rapport, and demonstrating confidence and competence while showing humility and avoiding arrogance.  Additionally, aspects involving the medical-legal, ethical, and economic challenges confronting surgeons are covered.

Content Level » Professional/practitioner

Keywords » Anastomosis - Carcinomatosis - Diverticulitis - Enterocutaneous Fistulas - Fistula Disease - Ileal Pouch - Intraepithelial Neoplasia - Pelvic Floor - Rectal Prolapse - Short Bowel Syndrome - Stoma

Related subjects » Oncology & Hematology - Surgery

Table of contents 

Section I:  Preoperative                               


Chapter 1

The First Encounter   

Lee E. Smith and Anjali S. Kumar


Chapter 2      

Perioperative Risk Assessment          

W. Donald Buie and Anthony R. MacLean


Chapter 3      

Perioperative Nutrition Support in Colorectal Surgery

Justin A. Maykel


Section II.  The Abdomen                           


Chapter 4      

Diverticulitis: Beyond the Basics      

Patricia L. Roberts


Chapter 5      

Carcinomatosis: Cytoreduction and Heated Intra-peritoneal Chemotherapy (HIPEC) vs. Palliation

Björn L.D.M.Brücher, Avital Itzhak, Anton Bilchik, Aviram Nissan and Alexander Stojadinovic


Chapter 6      

Metastatic colorectal cancer   

Steven Mills and Michael J. Stamos


Chapter 7      

Enterocutaneous fistulas        

Willem A. Bemelmen and Marja M. Boermeester


Chapter 8      

Enteroatmospheric Fistula     

Eric K. Johnson


Chapter 9      

Technical Tips for Difficult Stomas   

Alia Whitehead, Adrian Seah, and Peter Cataldo


Chapter 10

Continent ileostomies

Leif Hultén and Helge E. Myrvold


Section III.  The Pelvis                                 


Chapter 11    

Rectal prolapse: current evaluation, management and treatment of a historically recurring disorder           

Dana M. Hayden and Steven D. Wexner


Chapter 12    

Obstructive Defecation

Ann C. Lowry and Jennifer Lynn Irani


Chapter 13    

Fecal incontinence     

Tracy L. Hull


Chapter 14    

Local treatment of rectal cancer: TEMS versus TAMIS versus transanal excision)  

John H. Marks and Harry Reynolds


Chapter 15    

Recurrent Rectal Cancer        

Todd Francone and Martin R. Weiser


Chapter 16    

The Approach to the Rectal Cancer Patient With a Suspected Complete Clinical Response – Selection of Patients to the Watch & Wait Strategy   

Rodrigo O. Perez and Angelita Habr-Gama


Chapter 17    

Ileal Pouch Complications     

Ravi Pokala Kiran and Victor W. Fazio


Chapter 18    

The Failed Anastomosis         

Nathan Smallwood, Matthew G. Mutch, and James W. Fleshman


Chapter 19    

Pelvic bleeding           

Amit Merchea and Bruce G. Wolff


IV.  Anorectal Disease                                 


Chapter 20    

Hemorrhoidal Disease: Postoperative Complications

David E. Rivadineira and Stefan D. Holubar


Chapter 21    


David E. Beck


Chapter 22    

Anal Intraepithelial Neoplasia (AIN)/ High-Grade Squamous Intraepithelial Lesion (HSIL)

Mark Lane Welton


Chapter 23    

Chronic anal pain       

Richard P. Billingham and Amir L. Bastawrous


Chapter 24    

Complex Pilonidal Disease: Point-Counterpoint Acute and Chronic Perieal Wound

Herand Abcarian and Guy R. Orangio


V.  Special Situations                                   


Chapter 25    

Considerations in the Elderly

Joshua I.S. Bleier and Robert D. Fry


Chapter 26    

The Morbidly Obese patient  

Jonathan E. Efron and H. David Vargas


Chapter 27    

The Pediatric Patient  

Tiffany Tanner, Nathan P. Zwintscher, Robert A. Cusick, and Kenneth S. Azarow



Functional Problems Following Colorectal Surgery  

Lilias Maguire, Stanley Goldberg, and Liliana Bordeianou


Chapter 29    

Short Bowel Syndrome         

Ilun Yang and Robin P. Boushey


Chapter 30    

The Intraoperative Consult    

H. Randolph Bailey and Terah C. Isaacson


Chapter 31    

Laparoscopic Complications  

Joongho Shin and Sang W. Lee


Chapter 32    

Laparoscopic, Robotics and Endoscopy

Deborah S. Keller and Conor P. Delaney


Chapter 33    

Technical Aspects      

Bradley Davis and Janice F. Rafferty


Chapter 34    

Colon and Rectal Trauma      

Matthew J. Martin and Carlos V.R. Brown


Chapter 35    

When Vascular Surgery Calls

Benjamin W. Starnes


VI.  Beyond the Operating Room                           


Chapter 36    

Facing our Failures     

David A. Rothenberger and Howard Ross


Chapter 37    

Teaching and Training for Laparoscopic Colorectal Resection         

Bradley J. Champagne and Helen MacRae


Chapter 38    

The Surgeon Investigator: Balancing Research and Clinical Practice           

Nancy Baxter


Chapter 39    

Medicolegal and Ethical Dilemmas   

Jason D. Keune  and Ira J. Kodner


Chapter 40    

Economical Issues Impacting Surgical Care Delivery           

Anthony J. Senagore


Chapter 41    

Defining Competency and the Role of the Board     

David J. Schoetz Jr.


Chapter 42    

Knowing When to Say "When"         

Alan G. Thorson

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