Prevention and Treatment of Complications in Proctological Surgery

1. Front Matter

   Pages I-XV

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2. Anal Fissure

   • Mario Pescatori

   Pages 1-14

3. Hemorrhoids

   • Mario Pescatori

   Pages 15-56

4. Anal Abscesses and Fistulae

   • Mario Pescatori

   Pages 57-84

5. Rectovaginal Fistulae

   • Mario Pescatori

   Pages 85-97

6. Sacrococcygeal Pilonidal Sinus

   • Mario Pescatori

   Pages 99-108

7. Tumors of the Rectum and Anus

   • Mario Pescatori

   Pages 109-120

8. Anal Condylomata and Anorectal Stricture

   • Mario Pescatori

   Pages 121-134

9. Obstructed Defecation (OD) and Related Diseases

   • Mario Pescatori

   Pages 135-163

10. Fecal Incontinence

    • Mario Pescatori

    Pages 165-182

11. External Rectal Prolapse

    • Mario Pescatori

    Pages 183-196

12. Back Matter

    Pages 197-201

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The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic floor. It is aimed not only at general surgeons, perineologists and, of course, proctologists, but also at gastroenterologists, endoscopists, radiologists and physiotherapists, i.e. those who may be involved in both diagnosis and cure whenever an adverse event, either unpredictable or potentially preventable, causes an intra- or postoperative, early or late, mild or life-threatening complication. Severe bleeding, dehiscence, perforation, anorectal stricture, fecal incontinence, and even caval vein thrombosis, fatal Fournier gangrene and pneumomediastinum may occur after anal surgery. The incidence, pathogenesis prevention and treatment of such events are discussed in detail in 10 chapters with 30 tables, 200 illustrations and more than 1000 references. Both conventional procedures and recent innovations are reported. “Unforgettable clinical cases (complications with litigation)” and “Tips and Tricks” are sections increasing the appeal of this book. The approach is “evidence-based” and holistic, focusing on anorectal problems while taking into consideration whole body-mental unity—showing, for example, that a non-healing perineal wound may be due to hypo-pituitarism, and failure after a re-intervention may be related to psychological distress.

• Anorectum
• Hemorrhoids
• Pelvic floor
• Rectal prolapsed
• Surgical treatment

From the reviews:

“This book is the end result of Prof. Pescatori’s years of experience in and reflections on coloproctology. … As this is the first book ever written on this subject, we can profit from his experiences to enrich our practice of coloproctology. … this book is an indispensible part of the armamentarium of every colorectal surgeon who wants to achieve high standards of surgical practice with a good solid foundation.” (Bruno Roche, Techniques in Coloproctology, Vol. 16, 2012)

• Coloproctology Unit, Ars Medica Hospital and La Sapienza University, Rome, Italy

  Mario Pescatori

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