Clinical Decision Making in Colorectal Surgery

Description:

This second edition is an all-inclusive textbook with a unique algorithm-based approach to the evaluation and management of colorectal surgery disease.  It examines the thought processes, technical tricks, and decision-making strategies for specific clinical situations. The book aims to utilise the experience its contributors have gained caring for patients with a wide range of colorectal diseases. 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.  This book focuses on providing pragmatic advice and reproducible techniques that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems through an algorithmic approach.

Table of Contents:

Part I. Evaluation and Perioperative

1. Anorectal Examination

2. Anorectal and Colonic Evaluation

3. Physiologic Testing

4. Mechanical Bowel Preparation for Elective Colon and Rectal Surgery

5. Perioperative Assessment and Risk Stratification

6. Enhanced Recovery Pathways in Colorectal Surgery

7. Hematochezia and Melena

8. Anal Disease in the Neutropenic Patient

9. Evaluation and Perioperative: Anal Mass

Part II. Anal Conditions

10. Anal Conditions: Anal Fissure/Recurrent Anal Fissure

11. Anal Conditions: Anal Stenosis and Stricture

12. Anorectal Abscess

13. Anal Conditions: Fistula-in-Ano

14. Anal Conditions: Rectovaginal Fistula

15. Anal Conditions: Anorectal Crohn’s Disease—Fistula

16. Anorectal Crohn’s Disease: Anal Stenosis and Anal Fissure

17. Management of Internal Hemorrhoids

18. Anal Conditions: External Hemorrhoids

19. Anal Conditions: Pilonidal Disease/Complex and Recurrent Pilonidal Disease

20. Anal Conditions: Pruritus Ani

21. Anal Conditions: Hidradenitis Suppurativa

22. Anal Conditions: Anorectal Trauma

23. Anal Conditions: STDs

24. Anal Considerations: Fournier’s Gangrene

25. Non-healing Perineal Wounds

26. Anal Intraepithelial Neoplasms

27. Anal Conditions: Anal Margin Tumors

28. Invasive Anal Canal Neoplasia

Part III. Pelvic Floor

29. Pelvic Floor Conditions: Rectal Prolapse/Recurrence

30. Pelvic Floor Conditions: Rectal Intussusception

31. Pelvic Outlet Obstruction

32. Pelvic Floor Conditions: Biofeedback

33. Pelvic Floor Conditions: Fecal Incontinence

34. Pelvic Floor Conditions: Diarrhea

35. Chronic Constipation

Part IV. Rectal

36. Retrorectal Tumors

37. Rectal Cancer: Local Therapy

38. Rectal Conditions: Rectal Cancer—Proctectomy

39. Rectal Conditions: Rectal Cancer—Adjuvant and Neoadjuvant Therapy

40. Rectal Conditions: Stage IV Rectal Cancer

41. Rectal Cancer: Watch and Wait

42. Rectal Conditions: Rectal Cancer—Postoperative Surveillance

43. Recurrent Rectal Cancer

44. Locally Advanced Rectal Cancer

Part V. Colonic

45. Colonic: Diverticulitis

46. Colonic Conditions: Large Bowel Obstruction

47. Colonic Conditions: Volvulus

48. Colonic Stricture

49. Acute Colonic Pseudo-Obstruction (ACPO): Ogilvie’s Syndrome

50. Colonic Conditions: Irritable Bowel Syndrome (IBS)

51. Colorectal Trauma

52. Endometriosis

53. Colonic Conditions: Ulcerative Colitis

54. Colonic Conditions: Indeterminate Colitis

55. Colonic Conditions: Toxic Colitis

56. Crohn’s Colitis

57. Ischemic Colitis

58. Colonic Conditions: Infectious Colitis

59. Colonic Conditions: Benign Colonic Neoplasia

60. Familial Adenomatous Polyposis

61. Colonic Conditions: Lynch Syndrome

62. Malignant Colon Polyps

63. Colonic Conditions: Adenomatous Polyps

64. Colon Cancer Surgical Therapy

65. Colonic Conditions: Locally Advanced Colon Cancer

66. Recurrent Colon Cancer

67. Appendiceal Neoplasms

Part VI. Small Bowel

68. Small Bowel Conditions: Small Bowel Crohn’s Disease

69. Small Bowel Desmoid Disease

70. Mesenteric Ischemia

71. Small Bowel Conditions: Small Bowel Obstruction

72. Small Bowel Conditions: Radiation-Induced Small Bowel Disease (RISBD): Radiation Enteritis

73. Enterocutaneous and Enteroatmospheric Fistula

74. Small Bowel Polyps

75. Small Bowel Lymphoma

76. Small Bowel Conditions: Carcinoid

Part VII. Stomas

77. Stomal Prolapse

78. Stomas: Parastomal Hernias

79. Stoma Retraction and Stenosis

80. Stomal Varices

81. Stomas: Peristomal Skin Complication

Part VIII. Complications

82. Complications: Ureteral Injury

83. Splenic Injury Complicating Colorectal Surgery

84. Colonoscopic Complications: Colonic Perforations

85. Complications: Early Anastomotic Complications—Leak, Abscess, and Bleeding

86. Late Anastomotic Complications (Stricture and Sinus)

87. Post-polypectomy Bleeding

88. Post-polypectomy Complications

89. Presacral Bleeding

90. Complications: Short Gut Syndrome

91. Complications: Surgical Site Infections

92. Ileal J Pouch Complications

93. Complications: Pouchitis

94. Complications: Reoperative Pelvic Surgery

Back Matter