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This book explains clearly the nature of colon polyps and their relationship with colorectal cancer, which is among the three most common cancers in both men and women. Up-to-date information is provided on anatomy, pathology, types of polyp and their treatment, and the performance of colonoscopy. Particular attention is devoted to the risk factors for development of colorectal cancer, with detailed guidance on its prevention and early diagnosis and treatment. While the book is primarily intended for medical specialists and students, a deliberate and consistent effort has been made to use plain language that will enable other interested persons, including patients, to understand all aspects of the subject.
In this book, pioneers and distinguished masters of surgery describe novel minimally invasive colo- and anorectal procedures that have been developed in Asia but are of international applicability. The presented techniques are wide ranging in nature and relate to colon surgery, rectal surgery and the treatment of hemorrhoids, fistulas and chronic constipation. Each procedure is carefully described with the aid of high-quality color photographs and illustrations, drawing attention to many practical tips and tricks. In addition to the techniques themselves, state of the art technology is introduced that is now being applied clinically in China, Hong Kong, Asia-Pacific, and beyond. The book will enable readers both to grasp the concepts underlying these important new approaches and advances and to reproduce the techniques in their own surgical practice.
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.
This, the 4th edition of Schein's Common Sense Emergency Abdominal Surgery, builds on the reputation of the three previous editions. Already a worldwide benchmark, translated into half a dozen languages, this book guides surgical trainees logically through the minefields of assessment and management of acute surgical abdominal conditions. General surgery as a concept may have been overtaken in many parts of the world by the development of niche specialties, but the need for a cohort of generalists able to deal competently with common surgical emergencies has not gone away. If you recognise this need then this is the book for you! Tyro surgeons and experienced practitioners alike will benefit from the distilled wisdom contained in these pages. The direct, no nonsense, writing style, supported by entertaining cartoons, gives clear guidance while at the same time providing amusing insights into our collective surgical psyche. NOT a standard textbook. Buy it! You will not regret it. Some new editors and authors enhance the new edition. Almost all chapters have been revised to take account of new concepts and modern developments. New chapters have been added and some completely rewritten often with a new emphasis on the importance of a laparoscopic approach.'
As the number of patients with colitis-associated cancer (CAC) is on the increase, the purpose of this book is to review the latest topics concerning management of the disease. In recent years, the diagnostic power of endoscopy and molecular pathology has also grown tremendously, as a result of which they now have a far greater influence on the treatment of CAC. At the moment, appropriate monitoring programs for ulcerative colitis and Crohn's disease remain uncertain. At the same time, the latest findings on DNA methylation and microRNAs hold the promise of making revolutionary changes in these areas. Moreover, recent drug advances in the treatment of inflammatory bowel diseases have changed surgical indications. On the other hand, the indication of mucosectomy on colorectal cancer in ulcerative colitis and prophylactic abdominoperineal resection for Crohn's disease remain controversial. This book provides the latest information on the remaining issues of CAC from the point of view of expert surgeons.
This operation primer provides excellent photographic step-by-step guidance to this surgical procedure. It has been designed to describe the operation in the simplest manner possible without over-simplifying the complexities involved. Nodal points are at the core of the operation primer, describing the key surgical steps in detail. This surgical guidebook provides essential reference material for surgeons wishing to improve and update their knowledge in this specific area. The operation primer Laparoscopic Sleeve Gastrectomy is specially created for surgeons wishing to familiarize themselves with minimally invasive stomach-restrictive surgical techniques. The worldwide use of laparoscopic sleeve gastrectomy (vertical sleeve gastrectomy) is consistently increasing in popularity. This type of surgery can be safely integrated into obesity and metabolic treatment programs resulting in weight loss, reduction in co-morbidities and increased quality of life. This operation primer is an excellent teaching tool, accurately describing the steps of this standardized technique in a manner suitable for both beginners and experienced surgeons. It provides a detailed overview of patient preparation, key surgical steps and common pitfalls of Laparoscopic Sleeve Gastrectomy. This operation primer will provide surgeons with a reliable and systematic approach to performing Laparoscopic Sleeve Gastrectomy.
This book presents state of the art knowledge regarding the pathophysiology and diagnosis of fecal incontinence and describes and illustrates all relevant treatment techniques. In addition to the approaches that have been the mainstay of treatment of fecal incontinence to date, it covers recent innovations and emerging options, including neurostimulation, pioneering techniques exploiting the potential of stem cells, biofeedback training, reconstructive surgery, and advances in biomedical engineering applicable to replacement surgery. Fecal incontinence is a common, socially debilitating disorder of multifactorial etiology that poses many management challenges. This book will assist all relevant medical specialists, including surgeons, neurologists, gastroenterologists, urogynecologists, and other clinicians, in achieving correct and timely diagnosis and delivering effective therapy that reflects the ongoing revolution in treatment.
This comprehensive and authoritative text takes an integrated approach to childbirth trauma, focusing on anal sphincter injuries and perineal morbidity, as well as other lower urinary tract dysfunctions secondary to childbirth. In recent years there has been an increasing emphasis on childbirth injury. Research based on clinical evaluation and anal ultrasound has improved our understanding of these significant childbirth related complications, their associated morbidity and their long-term sequelae. Despite extensive research interest, clinical focus and institutional national and international guidelines, outcomes are still not optimal and debates continue. Complete with full-color illustrations, Childbirth Trauma is a useful guide for clinicians and researchers in this field.
This text provides a comprehensive review of the ethical issues involved with the development, evaluation, and introduction of new treatments of gastrointestinal diseases. How several landmark surgical innovations were developed are described to show the challenges faced, and the ethical dilemmas these innovators dealt with. The challenges of dealing with regulatory issues, and how to work with industry partners, and investors when working on a new therapy is described. Once a new technology has been brought to the market, standards need to be developed regarding the training, credentialing and adoption of the new technology. There are insufficient standards of how to balance the desire to provide patients the latest therapy with the obligation that patients receive informed consent about the new technology, and the relationship that the physician may have had with product development. The book describes the national perspective of paying for new technology, and provides one insurance company's approach to the introduction of innovative therapy. The Sages Manual Ethics of Surgical Innovation will be a resource for surgeons, researchers and health policy personnel to understand the ethical issues related to the development, introduction and adoption of innovative therapies for gastrointestinal diseases. Although the context for discussion is the application of innovation to gastrointestinal disease, the ethical issues are applicable to any discussion of innovative medical or procedural therapies.
The field of benign foregut surgery continues to evolve with new diagnostic methods and treatment modalities. The text lays the foundation in understanding the foregut through review of the anatomy and physiology, followed by subsequent chapters focusing on the diagnosis and management of specific benign diseases of the foregut: gastroesophageal reflux disease and diaphragmatic hernia, Barrett's esophagus, disorders of esophageal dysmotility, benign esophageal and gastric tumors, peptic ulcer disease and gastric outlet obstruction, and gastroparesis. Written by experts, each of these sections addresses the evaluation and management of the disease process, technical conduct of the most common endoscopic and surgical procedures, postoperative management including complications, and revisional operations. Additionally, expert commentary will serve to highlight and clarify controversies in the field. The SAGES Manual of Foregut Surgery provides a comprehensive, state-of- the art review and will serve as a valuable resource for clinicians and surgeons.
During the past decade, the medical and surgical treatment of ulcerative colitis has undergone dramatic advances, including the widespread use of immunomodulators, biological drugs, and restorative proctocolectomy. In order to correctly balance the risks and benefits of medical therapies and surgical procedures, there is a need for improved diagnosis of colonic disease, acute complications, extraintestinal manifestations, and early and delayed postoperative complications. Cross-sectional imaging techniques are therefore playing an increasing role in the assessment of ulcerative colitis and provide an essential complement to clinical data and endoscopy. This practical, illustrated volume on the role of cross-sectional imaging is aimed at radiologists, gastroenterologists, and surgeons who are engaged or interested in the diagnosis and care of patients with inflammatory bowel disease, particularly ulcerative colitis. After an overview of diagnostic imaging techniques, state-of-the-art assessment of colorectal inflammatory disease with CT colonography using water enema is discussed, followed by description of the plain radiographic and CT findings in patients with acute exacerbations and surgical complications. Subsequent chapters review the diagnostic findings and role of cross-sectional imaging in the assessment of sclerosing cholangitis (with emphasis on MR cholangiopancreatography), vascular complications (particularly portal and mesenteric thrombosis), associated neoplasms, such as colorectal cancer and abdominal desmoids, and perianal inflammatory disease. Normal postoperative appearances and early and delayed complications in patients treated with proctocolectomy and ileal pouch-anal anastomosis are also comprehensively reviewed. "
Extensively revised with new illustrations, new clinical photos, and bonus videos from Dr. Blumgart's own collection, this two-volume classic text remains the most comprehensive and up-to-date resource on surgery of the hepatobiliary and pancreatic region. Dr. William Jarnagin and his team of internationally recognized surgeons continue the Blumgart's tradition of excellence, bringing you the latest advances in diagnostic and surgical techniques. You'll find updates on the newest minimally invasive surgeries, new interventional diagnostic techniques, and complete coverage of all relevant diseases, including those seen in the tropics. Considers all worldwide opinions and approaches to management, and includes key data on surgical outcomes to better inform your clinical decision-making. Includes bonus videos of surgeries from Dr. Blumgart's own archives, as well as operative videos from the Memorial Sloan Kettering video library, showing you how to proceed step by step for optimal patient outcomes. Covers exactly what you need to know, balancing basic science with information on clinical practice. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos, and references from the book on a variety of devices. Presents cutting edge guidance on pathology, diagnostics, surgery and non-operative intervention of the liver, biliary tract, and pancreas in a single, comprehensive reference. Covers the most recent non-surgical therapies for pancreatic cancer, microwave ablation, and other emerging technologies. Brings you up to date with recent developments in transplantation, minimally invasive surgery, percutaneous devices, pre- and post-care, blood transfusion, and surgical techniques for the spleen. Features an extensively revised art and illustration program, with new anatomical line drawings (including hundreds now in color), more than 750 new clinical photos, more schematic diagrams that summarize information, and new graphs and algorithms throughout.
This text will provide a comprehensive, state-of-the art review of endoscopy in the management of the obese patient. It will serve as a valuable resource for clinicians, surgeons, endoscopists and researchers with an interest in endoscopy in the role of obesity care. The book will review how endoscopy plays a crucial role in the preoperative evaluation of a patient undergoing a surgical or endoluminal intervention, how intra-operative endoscopy allows evaluation of the newly reconstructed gastrointestinal tract and how post bariatric surgery complications can be managed. Endoscopic evaluation of normal and abnormal surgical anatomy will also be covered. A section dedicated to current and future endoluminal therapies, with a focus on safety, efficacy and technique, will also be thoroughly reviewed. This text will serve as a very useful resource for endoscopy in both a surgical and gastroenterology practice. Training, credentialing and the implementation of EBTs into ones practice, endoscopy suite and hospital will also be discussed.
This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias. Individual steps in diagnosis and treatment are described by experts in the field, but this clinical expertise is also integrated with the best available external evidence from systematic research as encapsulated in statements, recommendations, and guidelines. The reader will thus not only learn how to perform techniques systematically and reproducibly but also come to understand which of the procedures have been scientifically validated by studies, reviews, and meta-analyses and which have simply developed empirically. The descriptions of technique are supplemented by detailed guidance on such aspects as indications, anesthesia, aftercare and pain management, and the prevention and management of complications. Where appropriate, careful comparisons are made of competing repair options, including open techniques. In summary, this book will help practicing surgeons to standardize their operative technique so as to reflect current scientific knowledge and thereby improve the quality of laparoscopic/endoscopic hernia surgery.
During recent decades, more than 100 surgical procedures have been proposed to treat pelvic organ prolapse, and surgeons are still searching for the ideal approach. Although generally accepted guidelines and algorithms are still lacking, careful preoperative work-up and patient selection can serve as a sound basis for tailored surgery. In this comprehensive book, leading experts from around the world provide a detailed, up-to-date overview of the diagnostic and surgical approaches employed in patients with prolapse of the middle or posterior pelvic floor compartment. Each surgical technique is explained step by step with the aid of instructive figures. Guidance is also included on the management of surgical complications and of recurrent disease - aspects that are too frequently overlooked in the scientific literature. This book will prove essential reading for all who are interested in functional colorectal disorders of the pelvic floor and will represent a unique and invaluable source of knowledge for general surgeons, colorectal surgeons, and urogynecologists, whether in training or practice.
The increasing prevalence of obesity in many countries means that it should now be considered a pandemic. It is widely recognized that obesity increases the risk of a variety of life-threatening conditions, including heart disease, diabetes, and hypertension. Bariatric surgery is often the most effective way to treat such morbid obesity. Nevertheless, while various bariatric procedures have been proposed, to date standards have been lacking. In this book, leading experts from around the world discuss all aspects of bariatric surgery and present their own favored versions of surgical procedures with the aid of informative illustrations. Technical nuances are carefully described, and detailed attention is devoted to potential complications and how to avoid them. The expertise of the authors and the range of techniques considered guarantee that both trainees in bariatric surgery and experienced surgeons will find this book to be an invaluable source of information and guidance in their daily work.
This book provides a concise yet comprehensive overview of minimally invasive gastrointestinal surgery, specifically for the medical internist. Organized by organ system, the text reviews the pathophysiology, workup, treatment, and surgical options for diseases inherent to gastrointestinal surgery. The book also focuses on when and who to refer to for consultation by a minimally invasive surgeon, as well as what to expect in the immediate and long term post-operative period. Written by experts in the field, The Internist's Guide to Minimally Invasive Gastrointestinal Surgery is a valuable resource for medical internists on minimally invasive GI surgery and how best to care for these patients in the pre and post-operative setting.
This book is a comprehensive guide to rectal cancer care that will provide general and colorectal surgeons details regarding the latest developments in the field. The book aims to cover the dynamic shifts in rectal cancer care that have taken place over recent years. Management approaches, such as watch-and-wait and transanal approaches, are evaluated and assessed by experienced physicians to give readers a full understanding of the available treatment options. Chapter summaries are included to give a clinical overview of each approach and to assist the understanding of each topic covered, and make the book applicable to both general surgeons and specialist practice nurses, as well as rectal cancer specialists.
This book provides essential reference material to surgeons wishing to familiarize themselves with a transanal operation procedure for obstruction defecation syndrome (ODS). It provides excellent photographic step-by-step guidance to the surgical procedure.
Unlike general surgery books which describe standard or model procedures, this publication focuses on actual clinical settings where conventional surgeries cannot be performed, or where indications for surgery are uncertain. It reviews 20 of the thousands of hepato-pancreato-biliary surgeries performed at the University of Tokyo Hospital. The contributors provide detailed descriptions of surgical procedures as well as indications, diagnostic imaging findings, risk assessments, pathological findings, and prognoses. The procedures covered include laparotomy, laparoscopic surgery, and liver transplantation. The challenges and outcomes of each case are explained in detail. This publication will be useful to young surgeons with the goal of becoming highly skilled in hepato-pancreato-biliary surgery, already established hepato-pancreato-biliary surgeons, and surgeons specializing in other fields.
This book provides the latest information on diagnosis and treatment strategies for colorectal T1(SM) carcinoma including endoscopic resection, and pathologic diagnosis and treatment following resection. Due to constant advances, the curative phase after the endoscopic resection of carcinomas has extended, shifting the endpoints of diagnosis and treatment strategies. This book thoroughly summarizes the latest findings, explained with the help of abundant color figures, and will serve as a basis for further discussions and advances in this field. Endoscopic Management of Colorectal T1(SM) Carcinoma offers a valuable resource for colonoscopists, colorectal surgeons, and pathologists at all levels. The readers will discover diverse perspectives, provided by the contributing authors, and extensive discussions that are analyzed from Asian perspectives, which often differ from those found in Western texts.
This book provides a concise yet comprehensive summary of the current status of the field that guides patient management and stimulate investigative efforts. It is an easy reference for day-to-day anorectal pathology. The text reviews new testing procedures for anorectal diseases and provides new treatment options about anorectal disease both benign and malignant. All chapters are written by experts in their fields and include the most up-to-date scientific and clinical information. The text includes highly practical presentations of typical patients seen in the clinical practice of proctology in the form of case presentations with expert analysis and commentary. Example cases would include common but challenging cases such as an anal tumor, chronic anal pain and anal discharge. Anorectal Disease: Contemporary Management is a comprehensive, state-of-the-art review of this field and serves as a valuable resource for residents, clinicians, surgeons and researchers with an interest anorectal disease.
The editors aim to provide the definitive guide for healthcare professionals on functional disorders of the gastrointestinal tract and pelvic floor, and the treatments used within the current healthcare context. This book will help the reader to access and understand relevant information within a variety of clinical settings and scenarios. It will be relevant and useful to a variety of disciplines (e.g. Physicians, Nurses, Physiotherapists) who work within the field of gastrointestinal care. This book will be written by a team from the worlds' most well established colorectal specialist hospital, presenting a definitive guide to care of the patient group.
This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.
This text captures the global standards of bariatric surgery practice at a time of change, excitement, and lots of controversy. The text sheds the light on best practices globally by providing a reliable reference to guide the practicing physician anywhere in the world, and from whatever specialty (surgeon, gastroenterologist or endoscopist) to navigate through the many current options of therapy in this rapidly changing field. The text provides high definition illustrations of these techniques to go with the didactic chapters written by the thought leaders in the field. In addition to the technical part, an important part of the book focuses on quality and outcome measures. The rapid growth and innovations impose the need for strict guidelines and quality control. Thought leaders who created the concept of "Centers of Excellence" shed light on outcome measures and different ways to monitor quality. This will appeal to administrators and different ancillary service providers. The medical section plays a major role as combination therapy seems to be the future. An entire section is dedicated to medical weight management with discussions of the dietary and psychological component of care. The text also provides a dedicated discussion of the metabolic aspect of bariatric surgery, cosmetic surgery and issues of training future surgeons. Thease features differentiate the book from others that only discuss the surgical component, and will broaden the level of interest to all who are involved in the management of this complex disease.
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