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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.

Complexities in Colorectal Surgery: Decision-Making and Management

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