The ASCRS Textbook of Colon and Rectal Surgery: Edition 3

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This third edition text provides a completely revised and updated new version of this unique, modern, practical text 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 format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides 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. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.

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About the author

Scott R. Steele, M.D., FACS, FASCRS

Chief, Division of Colorectal Surgery

University Hospitals Case Medical Center

Professor of Surgery

Case Western Reserve University

Cleveland, OH


Tracy Hull, MD

Professor of Surgery

Cleveland Clinic

9500 Euclid Avenue

Cleveland, OH 44195


Thomas Read, MD

Professor of Surgery, Tufts University School of Medicine

Lahey Hospital & Medical Center

Burlington, MA


Theodore Saclarides, MD

Ambrose and Gladys Bowyer, Professor of Surgery

Loyola University

Chicago, IL


Anthony Senagore, MD

Case Western Reserve University School of Medicine

University Hospitals

Cleveland, OH


Charles Whitlow, MD

Chief, Colorectal Surgery

Ochsner Medical Center

New Orleans, LA

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Additional Information

Publisher
Springer
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Published on
Mar 24, 2016
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Pages
1292
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ISBN
9783319259703
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Language
English
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Genres
Medical / Clinical Medicine
Medical / Surgery / Colon & Rectal
Medical / Surgery / General
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Content Protection
This content is DRM protected.
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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.
This book examines the considerations, drawbacks, and advancements minimally invasive techniques have provided in the evaluation, management, and outcomes across a broad range of colorectal disease and procedures.

For some readers of this book, a minimally invasive approach to colorectal disease may add a new dimension to the management of these patients. For others, it is the opportunity to learn helpful tips, specifics about a certain procedure, or to fine-tune what has already become a routine part of their practice. Even if you have successfully overcome many of the technical challenges of minimally invasive surgery, the pre-operative evaluation, peri-operative decision-making, and management of post-operative complications can be demanding and consuming. Wherever you may be on this spectrum, Minimally Invasive Approaches to Colon and Rectal Disease: Technique and Best Practices has something to offer. The underlying focus throughout the text is on providing pragmatic advice and reproducible techniques that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems through minimally invasive methods.

Our author experts have years of experience with minimally invasive approaches to colorectal disease, and in some cases, have been the pioneers in this field. Despite extensive training and a wealth of clinical experience, many surgeons do not have the resources or volume to garner the skills and experience to feel completely comfortable with, or in some cases, master these techniques. In this text, our authors have cogently and equitably provided a unique, practical guide that covers the evaluation, step-by-step technical approach, and detailed management techniques. Within each chapter, they focus on the details to help overcome the issues that make these procedures and disease processes challenging. Yet, this is more than a “how to” manual or an algorithm-based guide.

This text provides a clear, reproducible, step-by-step guide for each colorectal surgery operation. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. Each chapter includes both operative technical details as well as perioperative “tips and tricks” that the authors utilize in the management of these complex surgical patients. In addition, it addresses the optimal “next step” in dealing with more challenging situations such as pregnancy, emergent surgery, the elderly, and the obese patient. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with color illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, as well as key points of patient care inherent to that topic. Additionally, where appropriate, links to online or downloadable videos will give the reader an up-front look into technical aspects of traditional straight laparoscopic and hand-assisted minimally invasive surgery, as well as NOTES, transanal, robotic, single incision colectomy and combined laparoscopic-endoscopic resection.

Minimally Invasive Approaches to Colon and Rectal Disease: Technique and Best Practices will be of great utility to colorectal, general and oncologic surgeons who want to learn or improve their minimally invasive skills in colorectal surgery. Furthermore, this text will be of particular interest to the surgeons-in-training, and the general and colorectal surgeon who is often called upon to manage a variety of colorectal surgery conditions through a minimally invasive approach.

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