Complexities in Colorectal Surgery

Decision-Making and Management

Scott R. Steele, Justin A. Maykel, Bradley J. Champagne, Guy R. Orangio (Herausgeber)

Buch | Hardcover

632 Seiten

2014
Springer-Verlag New York Inc.
978-1-4614-9021-0 (ISBN)

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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.

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

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".

Erscheint lt. Verlag	16.5.2014
Zusatzinfo	63 Illustrations, color; 289 Illustrations, black and white; XIX, 632 p. 352 illus., 63 illus. in color. With online files/update.
Verlagsort	New York, NY
Sprache	englisch
Maße	210 x 279 mm
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Viszeralchirurgie
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Onkologie
Schlagworte	Anastomosis • Carcinomatosis • Diverticulitis • Enterocutaneous Fistulas • Fistula Disease • Ileal Pouch • Intraepithelial neoplasia • Pelvic Floor • rectal prolapse • Short Bowel Syndrome • Stoma
ISBN-10	1-4614-9021-9 / 1461490219
ISBN-13	978-1-4614-9021-0 / 9781461490210
Zustand	Neuware