Carlo Ratto – författare

This volume comprehensively describes the anatomy, pathophysiology, diagnostics, and modalities of treatment of one of the most complex and debated clinical conditions in coloproctology: anal fistulas and abscesses. It also debates current controversies and presents the best approaches based on the authors’ clinical expertise. Providing an in-depth understanding of the anal canal anatomy and surrounding area, it enables readers to manage anal sepsis and avoid excessive damage, in particular to the anal sphincters. Further, the book presents insights into the pathophysiological processes (in cryptoglandular and Crohn’s disease) causing abscess and fistula, which have a significant impact on the management of these conditions. It also discusses diagnostic assessments crucial for selecting the optimal surgical technique and offers guidance on the timing. Lastly, it assesses the pros and contras of the various surgical procedures, evaluating the possible outcome in terms of both therapeutic success and detrimental effects on the anorectal functions. As such it is a valuable resource for all physicians involved in the management of anal fistulas and abscesses (coloproctologists, general surgeons, gastroenterologists, radiologists). 

This book offers a comprehensive guide to hemorrhoidal disease, the most frequent coloproctological affection. In addition to amply illustrated chapters covering the epidemiology and anatomic, physiologic, and pathophysiologic bases of hemorrhoids, readers will find helpful information on the classification of hemorrhoidal disease and modalities to assess it, as well as their significant impact on the choice of treatment. The work presents a complete panel of all therapies usually adopted to treat this condition and their outcomes, which are critically commented on by prominent specialists. Further, management of the disease in special conditions is also discussed. Lastly, a literature review and evaluation of the impact of different treatments on the patient’s quality of life round out the volume, which is part of the Reference Work series entitled Coloproctology.

Fecal incontinence is a frequent, distressing condition that has a devastating impact on patients’ lives. However, patients are typically embarrassed and reluctant to acknowledge this disability, so they relinquish the possibility of being cured and remain socially isolated. Since fecal incontinence may result from various pathophysiological situations, an accurate diagnostic work-up of each patient is fundamental. Today, a wide range of therapeutic options is available, but making the correct choice is pivotal to the successful management of this condition. This book is aimed at all physicians involved in the assessment and treatment of fecal incontinence. Its main purpose is to review the latest advances in the epidemiologic, socio-economic, psychologic, diagnostic, and therapeutic aspects of fecal incontinence, in order to establish guidelines for effective treatment.