Steven D. Wexner - Böcker

This issue provides important updates on the management of disorders of the anorectum and pelvic floor. Expert authors provide information on hemorrhoidal issues, anorectal anatomy and imaging techniques, fissure and anal stenosis, rectal prolapse, and anal abscess and fistula. Other articles are devoted to sexually transmitted and infectious diseases, treatment of radiation proctitis, and pruiritis ani. Readers will come away with a full understanding of the current strategies for diagnosis and management of these disorders.

This first reference to comprehensively address both the medical and surgical management of diseases affecting the colon, this source spans the wide array of colorectal disorders including rectal prolapse, irritable bowel syndrome, benign and malignant colonic tumors, fissures and ulcers, and Crohn's colitis, among other ailments. With chapters by world leaders in the field, this guide analyzes diagnostic and imaging techniques for disease evaluation and management including advances in colonoscopy, radiology, and surgery.

Laparoscopic Surgery of the Abdomen is intended to give the practicing surgeon or trainee an in-depth analysis of the technical aspects of the most commonly performed laparoscopic procedures, their indications, contraindications, and complications. Included are strategies to prevent complications as well as ways to handle them once they occur. Heavily illustrated, the book breaks new ground in visualizing operative procedures and problems. Seven sections, comprising the core curriculum of accepted procedures in laparoscopic surgery, present gallbladder disease, common bile duct exploration, hernia, colon diseases, anti-reflux procedures, acute abdomen and the role of diagnostic laparoscopy, and emerging procedures on the spleen and adrenals. Recognized leaders in the field tackle each section, emphasizing what to do when and how to solve acute situations. Laparoscopic Surgery of the Abdomen is a practical, must-have resource for the general surgeon, imparting the clinical insight needed for successful performance of the core miminally invasive procedures as well as a source of useful patient information for the office practice.

This first reference to comprehensively address both the medical and surgical management of diseases affecting the colon, this source spans the wide array of colorectal disorders including rectal prolapse, irritable bowel syndrome, benign and malignant colonic tumors, fissures and ulcers, and Crohn's colitis, among other ailments. With chapters by world leaders in the field, this guide analyzes diagnostic and imaging techniques for disease evaluation and management including advances in colonoscopy, radiology, and surgery.

Laparoscopic Surgery of the Abdomen is intended to give the practicing surgeon or trainee an in-depth analysis of the technical aspects of the most commonly performed laparoscopic procedures, their indications, contraindications, and complications.

Coloproctology is a surgical specialty which dynamically changes every few years. There is a profusion of colorectal textbooks but specialty series on particularly complex topics as well as on the specialized management approach for trainees and training colorectal surgeons are actually few. The aim of this text is a superior quality colorectal book written by world experts targeted at senior surgical and colorectal trainees and young consultant coloproctologists in current areas of subspecialty expertise. The structure of the chapters is current and is based on what does not appear and is not addressed in current colorectal textbooks. This series has proven useful in areas already represented, including Neurosurgery, Vascular Surgery, Transplantation Surgery, etc. The text is aimed at being relatively didactic with an algorithm approach to specialized areas within coloproctology which could potentially be updated every 3 years or so with new topics to create a set for didactic training in colorectal surgery. It is anticipated that these texts will become valuable teaching textbooks and part of every coloproctologist’s armamentarium as well as appealing to all general surgeons and surgical trainees engaged in complex elective and emergency colorectal surgery.

Reconstructive Surgery of the Rectum, Anus and Perineum provides the reader with a didactic discussion of complex problems which require re-operative surgery; including details of preoperative investigation, postoperative follow-up and a detailed operative approach. This comprehensive and detailed text uses a formulated algorithm approach to these complicated cases using operative photographs and composite explanatory line drawings which complement ‘how-to’ guides in describing the operative technical tips and pitfalls from experienced commentators. Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike. In addition, general surgeons will be interested in the specialist nature of dealing with difficult colorectal complications dealt with in this unique textbook. Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike. In addition, general surgeons will be interested in the specialist nature of dealing with difficult colorectal complications dealt with in this unique textbook. This comprehensive and detailed text uses a formulated algorithm approach to these complicated cases using operative photographs and composite explanatory line drawings which complement ‘how-to’ guides in describing the operative technical tips and pitfalls from experienced commentators. Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike. In addition, general surgeons will be interested in the specialist nature ofdealing with difficult colorectal complications dealt with in this unique textbook. Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike. In addition, general surgeons will be interested in the specialist nature of dealing with difficult colorectal complications dealt with in this unique textbook.

Part of the highly respected Master Techniques in Surgery series, Colon and Rectal Surgery: Abdominal Operations, 2nd Edition, provides the authoritative, up-to-date guidance you need to master both traditional techniques and innovative new procedures in colon and rectal surgery. Covering both basic and advanced procedures, this edition contains superbly illustrated, expertly written chapters covering virtually any colorectal surgical technique likely to be performed today. Each contributing author presents a real-world viewpoint on a particular surgery, and outstanding full-color illustrations provide visual support for every procedure.Presents easy-to-digest, clinically relevant material from world-renowned colon and rectal surgeons who explain their preferred techniques step by step, including indications and contraindications, preoperative planning, postoperative management, outcomes, complications, and follow-up.Covers left and right colon resections performed open and laparoscopically, colectomies, proctocolectomies, abdominoperianal resections, restorative and reconstructive techniques for proctocolectomy and pelvis reconstruction, stomal complications, treatment of rectal prolapse, ventral hernia repair, and small bowel strictureplasty.Includes 14 all-new chapters:Transanal Total Mesorectal ExcisionRobotic Total Colectomy with Ileorectal AnastomosisRobotic Total ProctocolectomyRobotic Restorative ProctocolecotmyRobotic Abdominoperineal ResectionExtended Extralevator Abdominoperineal ResectionIleal Conduit Construction After Exenteration (Bricker Conduit)Posterior Sacrectomy and Reconstruction with AllodermOpen Resection RectopexyRobotic RectopexyLaparoscopic Ventral Mesh RectopexyParastomal Hernia: Laparoscopic Ventral RepairRobotic Ventral Hernia RepairVentral Hernia: Component Separation TechniqueEnrich Your eBook Reading Experience with Enhanced Video, Audio and Interactive Capabilities!Read directly on your preferred device(s ), such as computer, tablet, or smartphoneEasily convert to audiobook , powering your content with natural language text-to-speechAdapt for unique reading needs , supporting learning disabilities, visual/auditory impairments, second-language or literacy challenges, and more

Selected as a Doody's Core Title for 2022 and 2023!Part of the highly respected Master Techniques in Surgery series, Colon and Rectal Surgery: Anorectal Operations, 2nd Edition, provides the authoritative, up-to-date guidance you need to master both traditional techniques and innovative new procedures in colon and rectal surgery. Covering both basic and advanced procedures, this edition contains superbly illustrated, expertly written chapters covering virtually any colorectal surgical technique likely to be performed today. Each contributing author presents a real-world viewpoint on a particular surgery, and outstanding full-color illustrations provide visual support for every procedure. Presents easy-to-digest, clinically relevant material from world-renowned colon and rectal surgeons who explain their preferred techniques step by step, including indications and contraindications, preoperative planning, postoperative management, outcomes, complications, and follow-up. Covers hemorrhoidectomies, anal and rectovaginal fistula and sphincter procedures, fecal incontinence, procedures for perineal prolapse and excision of rectal carcinoma, lateral sphincterotomy, rectocele, and muscle, anal and pilonidal flap procedures. Includes 17 all-new chapters: Ultrasound-guided Ligation/Mucosalpexy for Hemorrhoidal Disease Rubber Band Ligation Ligation of the Intersphincteric Fistula Tract (LIFT): Without Mesh Repair of Rectovaginal Fistula Repair with Bioprosthetic Mesh, Transvaginal Rectovaginal Fistula: Transvaginal Approach Without Mesh Magnetic Anal Sphincter Encirclement Procedure for Rectal Prolapse in the Elderly Perineal Rectosigmoidectomy Closed Lateral Interanal Sphincterotomy Transanal Endoscopic Operating Transanal Minimally Invasive Surgery (TAMIS) for Local Excision Transabdominal Rectus Flaps Ventral Hernia Repair Incision, Excision and Wound VAC Closure Surgical Management of Anogenital Hidradenitis Condylomata Acuminatum Anal Carinoma and Melanoma Enrich Your eBook Reading Experience with Enhanced Video, Audio and Interactive Capabilities!Read directly on your preferred device(s ), such as computer, tablet, or smartphone Easily convert to audiobook , powering your content with natural language text-to-speech Adapt for unique reading needs , supporting learning disabilities, visual/auditory impairments, second-language or literacy challenges, and more

The most comprehensive and authoritative reference available today on colorectal surgeryThis revised fourth edition of Gordon and Nivatvongs' Principles and Practice of Surgery for the Colon, Rectum, and Anus edited by David Beck, Steven Wexner, and Janice Rafferty strikes a perfect balance between evidence-based medicine, in-depth details, and clinical pearls. The result is a highly engaging and authoritative tome in the grand tradition of Philip Gordon and Santhat Nivatvongs. Building on the widely acclaimed previous editions' reputation for superb quality and reader-friendliness, the fourth edition includes contributions from an expanded cadre of internationally known experts.Significant advances have been made in this field since the third edition was published. The latest diagnostic modalities are highlighted such as MRI, CT angiography, and enterography. The first section covers essentials such as anatomy, physiology, diagnosis, colonoscopy, and patient management. Sections two through four discuss a full spectrum of anorectal diseases, colorectal disorders, trauma, unexpected challenges, and complications. Among the additions are expanded sections on transanal total mesorectal excision, genetics, personalized medicine, "wait and watch" principles, outpatient management of anorectal surgery, and large bowel obstruction.Key HighlightsThirty-seven chapters cover a wide array of gastrointestinal disorders such as fecal incontinence, ulcerative colitis, Crohn's disease, diverticulitis, carcinomas, and other malignant lesionsA multidisciplinary team approach to rectal cancer encompasses rectal cancer protocol MRI, synoptic reporting, and various neoadjuvant therapy protocolsThe use of cutting-edge approaches including laparoscopy, robotics, hyperbaric oxygen, and radiofrequency tissue remodelingSuperb full-color plates, illustrations, photographs, diagrams, detailed tables, graphics, and surgical videos elucidate underlying disease and managementAs the most comprehensive resource on colorectal surgery available on the market today, this is a must-have for every colon and rectal surgeon – from residents to veteran practitioners.

All the characteristics and driving force of The Cleveland Clinic are to be found in this book on pelvic ?oor function. The Cleveland Clinic is a group practice founded in 1921 on the principles of cooperation,collaboration,and collegiality.Its founders believed that many physicians working together will discover better solutions to medical problems than physicians working in isolation. They believed that the combination of disciplines, with their inherent differences in philosophy and skills, will produce a better outcome than might have evolved singularly. The power of the collaborative approach is on full display in this book. The pelvic ?oor unites three separate organ systems. Before this time, each has been approached individually. Urologists, gynecologists, and colorectal surgeons are each trained in their own disciplines, and the pelvic ?oor is subsumed in these larger ?elds of study. When they combine their focus on the pelvic ?oor, they bring their unique perspectives and different approaches to a common goal: the relief of pelvic ?oor syndromes such as incontinence and pelvic organ prolapse.

Reconstructive Surgery of the Rectum, Anus and Perineum, is written by leading world experts in the field of colorectal surgery and is a valuable and timely resource for colorectal surgeons and colorectal trainees alike.

Coloproctology is a surgical specialty which dynamically changes every few years. There is a profusion of colorectal textbooks but specialty series on particularly complex topics as well as on the specialized management approach for trainees and training colorectal surgeons are actually few. The aim of this text is a superior quality colorectal book written by world experts targeted at senior surgical and colorectal trainees and young consultant coloproctologists in current areas of subspecialty expertise. The structure of the chapters is current and is based on what does not appear and is not addressed in current colorectal textbooks. This series has proven useful in areas already represented, including Neurosurgery, Vascular Surgery, Transplantation Surgery, etc. The text is aimed at being relatively didactic with an algorithm approach to specialized areas within coloproctology which could potentially be updated every 3 years or so with new topics to create a set for didactic training in colorectal surgery. It is anticipated that these texts will become valuable teaching textbooks and part of every coloproctologist’s armamentarium as well as appealing to all general surgeons and surgical trainees engaged in complex elective and emergency colorectal surgery.

A large cross-section of the world’s great and good in colorectal surgery have been enticed, inveigled, I suspect at times brow-beaten, to produce this tour de force. The editors, themselves famous for their own extensive contributions in this area, must be congratulated for their ?ne achievements. Every card-carrying specialist needs a reference book of this sort. My own are well worn by many years’ reference, for when confronted by big problems, big issues, senior clinicians must be able to lay their hands on a well-thumbed old favourite: not a small,“where are we now” sort of book, or an exam crammer, but on one that is large, sedate and of “traditional build. ” Rather than being a supergiant covering all of colorectal surgery, this book has focused on the broad structural investigation of the anorectum and on the focused management of largely “functional” problems. And it has done so in style. For this is a core area of specialist practice;your more general colleagues may think twice before referring you new cases of cancer and in?ammatory bowel disease (both also central areas in colorectal surgery), but they will not hesitate in referring the patients whose inves- gation and management are described here. And they will expect you to know how to deal with them. These are some of the most challenging patients to manage. Rightly have the editors covered the physiological areas,rightly the psychological issues, rightly the medicolegal aspects: here is the making of a specialist—the sword and the shield.

Constipation may simply be a symptom that signi?es an obsessive desire to defecate with regular frequency. The authors of this text,however,have demonstrated admirably that this nebulous condition often has a multifaceted etiology. I enjoyed reading this exc- lent text,which covers the gamut of topics related to the etiology,assessment,investi- tion,and management of constipation. The editors have recruited an international team of exemplary ability and have amassed a very comprehensive and consistent text. The chapters merge imperceptibly with minimal repetition. Novel treatments and the more accepted approaches have been presented in considerable detail. This book should be considered the standard for health care professionals managing functional bowel and allied disorders. It provides a benchmark on how to approach and treat the constipated patient. The majority of the authors have been my esteemed colleagues for a number of years; thus it is with particular pleasure that I am able to share their opinions so ably expressed in their respective chapters. This book demonstrates that coloproctology remains a dynamic specialty that provides a holistic approach to constipation. Man- ing constipation without understanding the psyche and emotions, together with the background of emotional and physical traumas of life, would be analogous to walking blindfolded. It has been my pleasure and privilege to have been associated with the editors for some nineteen years and to watch their reputations grow in the international arena. It has been an honor to write the foreword for this book which deserves great success.

This book draws together preclinical assessment and clinical recommendations for complex anorectal disorders to create an integrated book. This practical guide looks at complex pathophysiologic conditions; pediatric patients; new procedures after artificial sphincter implantation; basic and complex psychological assessment; new radiologic approaches to patients with complex problems; and the post-operative patient with functional disorders. It uniquely includes 3-D ultrasound, transperineal ultrasonography and dynamic MRI not found in other texts on anorectal disorders. A useful reference manual for healthcare professionals with an interest in fecal incontinence - colorectal trainees, colorectal nurse specialists, those involved in coloproctology imaging. The book will also assist the clinical physiologist and biofeedback technologist, highlighting standardized treatments and their follow-up. The specialties of proctology, gynecology and urology are brought together in one text.

Constipation: aetiology, evaluation and manamgent provides a comprehensive and in-depth text on the aetiology, evaluation and management of chronic, intractable constipation. As well as being debilitating, constipation is a complaint with many causes and can also be a symptom of more serious pathological changes. With contributions from an international panel of authors, the book is divided into three basic sections: one on background information including aetiology, epidemiology and incidence; the second on evaluation; and the third on treatment. Novel chapters include those on biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, treament and our understanding of some of the psychological problems of these patients. Innovations include Norman Williams Malone procedure (antegrade continent colonic conduit) as well as the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections. The book is written for coloproctologists, general surgeons and, with chapters on irritable bowel syndrome, botulinum toxin and other new pharmacologic approaches, will appeal to gastroenterologists.

This book provides the most up-to-date and comprehensive aspects of evaluation and therapy of female pelvic floor dysfunction. It is edited by well-known international surgeons with clinical practices within one tertiary referral institution, the Pelvic Floor Center at Cleveland Clinic Florida in Weston (Fort Lauderdale), Florida which serves as a National and International referral center for women with symptomatic pelvic floor problems. Recognized worldwide for its excellence, Cleveland Clinic departments of Gynecology, Urology, and Colorectal Surgery have combined their expertise in producing this text. Focused on urinary incontinence & other voiding dysfunctions, fecal incontinence & other distal gastroenterologic problems, genital and rectal prolapse, & other recognized pelvic floor problems, the book should be of great interest to the practicing Gynecologist/Urogynecologist, Urologist, and Colorectal Surgeon as well as Sexual Dysfunction specialist, Gastroenterologist and Physical Therapist.

Selected as a Doody’s Essential Title for 2025!For 40 years, Fischer’s Mastery of Surgery has provided expert, highly illustrated coverage of the procedures that general surgeons and trainees need to know. The fully revised eighth edition, under the editorial leadership of Drs. E. Christopher Ellison, Gilbert R. Upchurch Jr., Philip A. Efron, Steven D. Wexner, Nancy D. Perrier, V. Suzanne Klimberg, John H. Stewart IV, Valerie W. Rusch, Jon C. Gould, Susan Galandiuk, Timothy M. Pawlik, William C. Chapman, Benjamin K. Poulose, Peter K. Henke, Alicia M. Mohr, Saleem Islam, Anne M.R. Agur, Carol Scott-Conner, and David Renton continues the tradition of excellence with two full-color volumes that include the essentials of diagnosis, anatomy, and pre-operative planning while maintaining a focus on clear, step-by-step depictions and descriptions of procedures.  Brings you up to date with evidence-based approaches for virtually any surgery you’ll be called upon to perform  Provides extensive coverage (including select procedural videos) of common thoracic, breast, esophageal, endocrine, colorectal, gastric, pancreatic, liver, biliary, vascular, and transplantation procedures across 311 chapters  Includes new sections on perioperative care and critical care; abdominal core health; trauma, burn, and acute care surgery; and pediatric surgery as well as new Mastery Keys anatomy chapters  Walks you step by step through each procedure, with tips and cautions from leading surgeons  Concludes each chapter with expert editorial commentary that puts the chapter material in a broad context and provides helpful critiques of the most recent literature  Features more than 2,600 illustrations and photographs that offer a surgeon’s-eye-view of the most advanced approaches  The VST Ebook includes 85 videos of procedures presented in the book!   Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone.  Easily convert to audiobook, powering your content with natural language text-to-speech.

This book is designed as a guide for management of advanced clinical scenarios encountered by the contemporary pelvic floor surgeon. It is organized by pelvic floor disorder (PFD) and covers the evaluation and treatment of urinary incontinence, fecal incontinence, and pelvic organ prolapse.

This book is designed as a guide for management of advanced clinical scenarios encountered by the contemporary pelvic floor surgeon. It is organized by pelvic floor disorder (PFD) and covers the evaluation and treatment of urinary incontinence, fecal incontinence, and pelvic organ prolapse.

Recent discoveries and clarifications of known information about the mesentery have now established that these complex structures function together as an individual organ within the human body.

Recent discoveries and clarifications of known information about the mesentery have now established that these complex structures function together as an individual organ within the human body.

The technical challenges of managing complex patients and the technical details that make these situations challenging are covered, and evidence and experience-based solutions are offered for surgeons of all levels.