Complexities in Colorectal Surgery

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. Table of contents Section I: Preoperative   Chapter 1 The First Encounter Lee E. Smith and Anjali S. Kumar   Chapter 2 Perioperative Risk Assessment W. Donald Buie and Anthony R. MacLean   Chapter 3 Perioperative Nutrition Support in Colorectal Surgery Justin A. Maykel   Section II. The Abdomen   Chapter 4 Diverticulitis: Beyond the Basics Patricia L. Roberts   Chapter 5 Carcinomatosis: Cytoreduction and Heated Intra-peritoneal Chemotherapy (HIPEC) vs. Palliation Björn L.D.M.Brücher, Avital Itzhak, Anton Bilchik, Aviram Nissan and Alexander Stojadinovic   Chapter 6 Metastatic colorectal cancer Steven Mills and Michael J. Stamos   Chapter 7 Enterocutaneous fistulas Willem A. Bemelmen and Marja M. Boermeester   Chapter 8 Enteroatmospheric Fistula Eric K. Johnson   Chapter 9 Technical Tips for Difficult Stomas Alia Whitehead, Adrian Seah, and Peter Cataldo   Chapter 10 Continent ileostomies Leif Hultén and Helge E. Myrvold   Section III. The Pelvis   Chapter 11 Rectal prolapse: current evaluation, management and treatment of a historically recurring disorder Dana M. Hayden and Steven D. Wexner   Chapter 12 Obstructive Defecation Ann C. Lowry and Jennifer Lynn Irani   Chapter 13 Fecal incontinence Tracy L. Hull   Chapter 14 Local treatment of rectal cancer: TEMS versus TAMIS versus transanal excision) John H. Marks and Harry Reynolds   Chapter 15 Recurrent Rectal Cancer Todd Francone and Martin R. Weiser   Chapter 16 The Approach to the Rectal Cancer Patient With a Suspected Complete Clinical Response – Selection of Patients to the Watch & Wait Strategy Rodrigo O. Perez and Angelita Habr-Gama   Chapter 17 Ileal Pouch Complications Ravi Pokala Kiran and Victor W. Fazio   Chapter 18 The Failed Anastomosis Nathan Smallwood, Matthew G. Mutch, and James W. Fleshman   Chapter 19 Pelvic bleeding Amit Merchea and Bruce G. Wolff   IV. Anorectal Disease   Chapter 20 Hemorrhoidal Disease: Postoperative Complications David E. Rivadineira and Stefan D. Holubar   Chapter 21 Fistula-in-ano David E. Beck   Chapter 22 Anal Intraepithelial Neoplasia (AIN)/ High-Grade Squamous Intraepithelial Lesion (HSIL) Mark Lane Welton   Chapter 23 Chronic anal pain Richard P. Billingham and Amir L. Bastawrous   Chapter 24 Complex Pilonidal Disease: Point-Counterpoint Acute and Chronic Perieal Wound Herand Abcarian and Guy R. Orangio   V. Special Situations   Chapter 25 Considerations in the Elderly Joshua I.S. Bleier and Robert D. Fry   Chapter 26 The Morbidly Obese patient Jonathan E. Efron and H. David Vargas   Chapter 27 The Pediatric Patient Tiffany Tanner, Nathan P. Zwintscher, Robert A. Cusick, and Kenneth S. Azarow   Chapter28 Functional Problems Following Colorectal Surgery Lilias Maguire, Stanley Goldberg, and Liliana Bordeianou   Chapter 29 Short Bowel Syndrome Ilun Yang and Robin P. Boushey   Chapter 30 The Intraoperative Consult H. Randolph Bailey and Terah C. Isaacson   Chapter 31 Laparoscopic Complications Joongho Shin and Sang W. Lee   Chapter 32 Laparoscopic, Robotics and Endoscopy Deborah S. Keller and Conor P. Delaney   Chapter 33 Technical Aspects Bradley Davis and Janice F. Rafferty   Chapter 34 Colon and Rectal Trauma Matthew J. Martin and Carlos V.R. Brown   Chapter 35 When Vascular Surgery Calls Benjamin W. Starnes   VI. Beyond the Operating Room   Chapter 36 Facing our Failures David A. Rothenberger and Howard Ross   Chapter 37 Teaching and Training for Laparoscopic Colorectal Resection Bradley J. Champagne and Helen MacRae   Chapter 38 The Surgeon Investigator: Balancing Research and Clinical Practice Nancy Baxter   Chapter 39 Medicolegal and Ethical Dilemmas Jason D. Keune and Ira J. Kodner   Chapter 40 Economical Issues Impacting Surgical Care Delivery Anthony J. Senagore   Chapter 41 Defining Competency and the Role of the Board David J. Schoetz Jr.   Chapter 42 Knowing When to Say "When" Alan G. Thorson