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 utilizedto 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.



Autorentext

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



Klappentext

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 problemswhether 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 utilizedto 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.



Zusammenfassung

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 problemswhether 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.



Inhalt
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 Intraepithelia…
Titel
Complexities in Colorectal Surgery
Untertitel
Decision-Making and Management
EAN
9781461490227
ISBN
978-1-4614-9022-7
Format
E-Book (pdf)
Herausgeber
Veröffentlichung
03.02.2014
Digitaler Kopierschutz
Wasserzeichen
Dateigrösse
33.47 MB
Anzahl Seiten
632
Jahr
2014
Untertitel
Englisch