Complexities in Colorectal Surgery

Scott R. SteeleColon & Rectal Surgery                   Madigan Army Medical Center, Fort Lewis, WA, USA;Department of SurgeryUniversity of Washington, Seattle, WA, USA Justin A. MaykelDivision of Colorectal SurgeryUMass Memorial Medical CenterWorcester, MA USA;Department of SurgeryUniversity of Massachusetts Medical SchoolWorcester, MA USA Bradley J. Champagne   Division of Colon & Rectal SurgeryDepartment of SurgeryCase Western Reserve University School of MedicineUniversity HospitalsCleveland, OH USA Guy R. Orangio                  Division of Colon and Rectal SurgeryDepartment of Surgery              Louisiana State University Health Science CenterLSU School of MedicineNew Orleans, LA USA

"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)

• 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".