Overview

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.

Full Product Details

Author:   Scott R. Steele, M.D. ,  Justin A. Maykel ,  Bradley J. Champagne ,  Guy R. Orangio
Publisher:   Springer-Verlag New York Inc.
Imprint:   Springer-Verlag New York Inc.
Edition:   Softcover reprint of the original 1st ed. 2014
Weight:   1.844kg
ISBN:  

9781493944996

ISBN 10:   1493944991
Pages:   632
Publication Date:   30 April 2017
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
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Table of Contents

"Section I.  Preoperative.- 1. The First Encounter.- 2. Perioperative Risk Assessment.- 3. Perioperative Nutrition Support in Colorectal Surgery.- Section II.  The Abdomen.- 4. Diverticulitis: Beyond the Basics.- 5. Carcinomatosis: Cytoreduction and Heated Intra-peritoneal Chemotherapy (HIPEC) vs. Palliation.- 6. Metastatic colorectal cancer.- 7. Enterocutaneous fistulas.- 8. Enteroatmospheric Fistula.- 9. Technical Tips for Difficult Stomas.- 10. Continent ileostomies.- Section III.  The Pelvis.- 11. Rectal prolapse: current evaluation, management and treatment of a historically recurring disorder.- 12. Obstructive Defecation.- 13. Fecal incontinence.- 14. Local treatment of rectal cancer: TEMS versus TAMIS versus transanal excision).- 15. Recurrent Rectal Cancer.- 16. The Approach to the Rectal Cancer Patient With a Suspected Complete Clinical Response – Selection of Patients to the Watch & Wait Strategy.- 17. Ileal Pouch Complications.- 18. The Failed Anastomosis.- 19. Pelvic bleeding.- Section IV.  Anorectal Disease.- 20. Hemorrhoidal Disease: Postoperative Complications.- 21. Fistula-in-ano.- 22. Anal Intraepithelial Neoplasia (AIN)/ High-Grade Squamous Intraepithelial Lesion (HSIL).- 23. Chronic anal pain.- 24. Complex Pilonidal Disease: Point-Counterpoint Acute and Chronic Perieal Wound.- Section V.  Special Situations.- 25. Considerations in the Elderly.- 26. The Morbidly Obese patient.- 27. The Pediatric Patient.- 28. Functional Problems Following Colorectal Surgery.- 29. Short Bowel Syndrome.- 30. The Intraoperative Consult.- 31. Laparoscopic Complications.- 32. Laparoscopic, Robotics and Endoscopy.- 33. Technical Aspects.- 34. Colon and Rectal Trauma.- 35. When Vascular Surgery Calls.- Section VI.  Beyond the Operating Room.- 36. Facing our Failures.- 37. Teaching and Training for Laparoscopic Colorectal Resection.- 38. The Surgeon Investigator: Balancing Research and Clinical Practice.- 39. Medicolegal and Ethical Dilemmas.- 40. Economical Issues Impacting Surgical Care Delivery.- 41. Defining Competency and the Role of the Board.- 42. Knowing When to Say ""When""."

Reviews

“It covers the strategic evaluation, specific approaches, and detailed management techniques currently utilized in colorectal surgery to care for patients with complex problems. … They make evidence-based recommendations, use their knowledge and experience of many years to make sound decisions, and share their insight where data is insufficient. All these resources have helped these experts reach positive outcomes for patients in their practice. … This book will help you take the best course of action.” (Nano Khilnani, Biz India Online News, bizindia.net, August, 2015)

It covers the strategic evaluation, specific approaches, and detailed management techniques currently utilized in colorectal surgery to care for patients with complex problems. ... They make evidence-based recommendations, use their knowledge and experience of many years to make sound decisions, and share their insight where data is insufficient. All these resources have helped these experts reach positive outcomes for patients in their practice. ... This book will help you take the best course of action. (Nano Khilnani, Biz India Online News, bizindia.net, August, 2015)

Author Information

Scott R. Steele Colon & Rectal Surgery                   Madigan Army Medical Center, Fort Lewis, WA, USA; Department of Surgery University of Washington, Seattle, WA, USA   Justin A. Maykel Division of Colorectal Surgery UMass Memorial Medical Center Worcester, MA USA; Department of Surgery University of Massachusetts Medical School Worcester, MA USA   Bradley J. Champagne   Division of Colon & Rectal Surgery Department of Surgery Case Western Reserve University School of Medicine University Hospitals Cleveland, OH USA   Guy R. Orangio                  Division of Colon and Rectal Surgery Department of Surgery              Louisiana State University Health Science Center LSU School of Medicine New Orleans, LA USA

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