- With a dramatic increase in knowledge of anorectal physiology and imaging over the last five years, this book provides a comprehensive study of anorectal assessment.

- Explores all the lastest techniques and treatments in the field

- Organized into two, easy to manage, sections

- First book to pull a diverse area together and includes 3-D ultrasound, transperineal ultrasonography and dynamic MRI not found in other texts on anorectal disorders

The only book to deal specifically with constipation for specialists has been updated to include all the new advances since the first edition (1995). These advances include biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, treament and our understanding of some of the psychological problems of these patients. Innovations also include Professor Norman Williams Malone Procedure and the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections.

Colorectal Surgery provides an illustrative, instructive, and comprehensive review that depicts the rationale of basic operative principles essential to colorectal surgical therapy. The chapters provide pertinent and concise summaries of how to deal with various colorectal disorders, spanning benign and malignant problems and minimally invasive procedures. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner. Complications are reviewed when appropriate for the organ system and problem. The text is illustrated throughout by line drawings and photographs that depict anatomic or technical principles. A concise, handbook-sized reference work, this book is a valuable resource for all general surgeons and residents in training.

It has never been easy to introduce new concepts and therapeutic in-terventions into surgical practice. When attempting to do so, one is faced with the interagency of traditional dogma, which still in this era of evidence-based medicine tends to dominate the surgical thought pr- ess. This is particularly so in the area of coloproctology, where prejudice and personal opinion often influence objective analysis whenever tradition is challenged. A large body of literature on anorectal prolapse has accumulated over the years; although much is based on personal viewpoint rather than scientific evidence, it has nevertheless been passed down through the generations as ac-cepted wisdom and practice. As a consequence, it is a challenge to change the mindset of a generation of surgeons and to introduce new concepts and novel techniques which at first might appear to be a radical departure from conventional teaching. It is obviously not possible to present the basis for the develop-ment of transanal stapling techniques for anorectal prolapse in this Foreword; this is dealt with in detail elsewhere in this book. The in-terested reader will have the opportunity to share in the new and emerging concepts surrounding anorectal prolapse and to deepen their understanding of the pat- physiology and basis for surgical correction. Although hemorrhoidal disease and external rectal prolapse have been known about for centuries, the understanding of internal rectal prolapse (intussusception) and rectocele has only really advanced with the emergence of radiological imaging tech-niques, such as defecography.

Liver and Biliary Surgery provides an illustrative, instructive, and comprehensive review that depicts the rationale of basic operative principles essential to liver and biliary surgical therapy. The chapters provide pertinent and concise summaries of how to deal with various liver and biliary disorders, spanning benign and malignant problems and minimally invasive procedures. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner. Complications are reviewed when appropriate for the organ system and problem. The text is illustrated throughout by line drawings and photographs that depict anatomic or technical principles. A concise, handbook-sized reference work, this book is a valuable resource for all general surgeons and residents in training.

A complex disease entity, intestinal failure (IF) has only recently become accepted as a distinct clinical syndrome. Improvements across a wide range of disciplines-including critical care and organ transplantation as well as surgical, medical, and nutritional therapies-have led to a steady rise in survival and quality of life for patients with IF. Taking a current, multidisciplinary approach to their care, Clinical Management of Intestinal Failure offers intensive discussion of medical and nutritional issues in adults and children with intestinal failure. It addresses all facets of IF, including epidemiology, clinical presentation, intestinal rehabilitation, and transplantation. Topics covered include: Etiology and epidemiology Pathophysiology and clinical assessment Medical and surgical management Prevention and treatment of complications Nursing management Emerging diagnostic and therapeutic methods Long-term care Reflecting the diverse nature of IF clinical care and research, this book is written by a group of expert clinician scientists that includes gastroenterologists, surgeons, nurses, pharmacists, dietitians, social workers, and patients. They show how a multidisciplinary approach to patient care is instrumental in achieving optimal patient outcomes through more efficient lines of communication, improved monitoring of medications and their effects, detailed evaluation of growth parameters, and facilitation of the creative process that can lead to research breakthroughs. Advancing the discipline of IF, this book summarizes the current state of the art of patient management as well as new developments in the science of tissue engineering, medical and surgical therapy, and transplantation.

Surgery of the Small Bowel provides an illustrative, instructive, and comprehensive review that depicts the rationale of basic operative principles essential to surgical therapy for small bowel disorders. The chapters provide pertinent and concise summaries of how to deal with various small bowel disorders, spanning benign and malignant problems, gastrointestinal bleeding and minimally invasive procedures. Stages of operative approaches with relevant technical considerations are outlined in an easily understandable manner. Complications are reviewed when appropriate for the organ system and problem. The text is illustrated throughout with line drawings and photographs that depict anatomic or technical principles. A concise, handbook-sized reference work, this book is a valuable resource for all general surgeons and residents in training.

Fundamentals of Frontline Surgery is an easy to read text, written by world class faculty, that provides clinicians with succinct and didactic information about what to do in high intensity, resource limited situations.With global conflicts and humanitarian emergencies on the rise, there has been a dramatic uptake in the number of volunteers for both military and humanitarian operations. This manual aids best practice and fast decision making in the field.

There are numerous textbooks detailing almost every aspect of the different laparoscopic procedures. However, in this era of evidence-based medicine, a text focusing on the controversies - from the laparoscopic as well as the general surgeon's point of view - is missing.

This book is not intended to be yet another textbook of laparoscopy; instead, its main purpose is to address unsettled issues of controversy. This will significantly enhance evidence-based knowledge of this developing field, stimulate thinking and discussions in rounds and meetings, assist surgeons in their decision making and stimulate further research.

This book is not aimed only at laparoscopic surgeons - with their steadily increasing number - but also at general surgeons and surgical trainees. It will define and sharpen points of controversy by internationally recognized authors, and thus provide 'state of the art' quality to each topic.

This totally revised and enlarged new edition offers concise and well-structured chapters each focusing on the clinical, diagnostic, and therapeutic aspects of a condition commonly encountered by the coloproctologist and gastroenterological surgeon, who are faced with an increasing number of precise and specific treatment modalities. The comprehensive, yet easy-to-read, information in this practical guide on both common and rare anorectal and colonic diseases is particularly important for both the practitioner, who needs to know all the possible modalities of conservative and surgical treatment, and the surgeon, who needs to adapt his surgical procedure to the clinical and anatomical findings. Precise guidelines are given and surgical techniques illustrated. Each chapter is completed with up-to-date references and a self-assessment quiz, and a DVD is included.

Written by renowned experts from Australia, Canada, the United States, Asia, and Europe, Telesurgery explains technical issues, digital information processing, and provides collective experiences from practitioners in different parts of the world who perform a wide range of telesurgery applications. This includes transatlantic telesurgery and telesurgery for urology, brachytherapy, Heller myotomy, etc. There are numerous graphics and clinical photographs throughout, which illustrate and illuminate the text well, providing high-quality visual reference material.

Telesurgery lays the foundation for the globalization of surgical procedures, making possible the ability of a surgeon located in one part of the world to operate on a patient located in another.

Incisional hernia surgery has witnessed important advances over recent years, not only as far as the pathophysiological and etiopathogenetic aspects are concerned, but also from a technical point of view. This book provides an update on incisional hernia surgical techniques. It includes chapters on synthetic prostheses, biomaterials and robotics. Surgeons, surgical residents, and medical students will find the information in this volume very useful in their daily practice.

Are you looking for concise, practical answers to questions that are often left unanswered by traditional GERD references? Are you seeking brief, evidence-based advice for complicated cases or complications? "Curbside Consultation in GERD: 49 Clinical Questions" provides quick and direct answers to the thorny questions commonly posed during a "curbside consultation" between colleagues.
Dr. Philip Katz has designed this unique reference, which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with GERD. The unique Q&A format provides quick access to current information related to GERD with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references are included to enhance the text and to illustrate the treatment of GERD patients.
"Curbside Consultation in GERD: 49 Clinical Questions" provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Gastroenterologists, fellows and residents in training, surgical attendings, and surgical residents will benefit from the user-friendly and casual format and the expert advice contained within.
Some of the questions that are answered:
- Can medical therapy alter the natural history of Barrett's esophagus?
- Can antireflux surgery alter the natural history of Barrett's esophagus?
- How does pregnancy affect GERD? Is GERD in pregnancy a risk for long-term reflux?
- What is the association of obesity and GERD?
- What are the so-called extraesophageal manifestations of GERD?
- Is there a gender difference in reflux disease? Does this affecttreatment?

In 50 Landmark Papers every Acute Care Surgeon Should Know, editors Stephen Cohn and Peter Rhee have compiled a selection of the most influential recent contributions to the specialty of acute care surgery/emergency surgery. This book comprises 50 thought-provoking and relevant topics, reviewing carefully selected papers to update the readers on what has been published in the last decade. 50 key papers cover the most relevant studies from a wide range of topics from Acute Cholecystitis to Ventilator-Associated Pneumonia. This book is of interest to surgical residents and trainees, Trauma and Surgical Critical Care fellows and all members of the Acute Care team. This is both an informative and personal look at evidence-based topics, and is relevant to all general and acute care surgeons. About the Editors Stephen M. Cohn, MD FACS Hackensack Meridian School of Medicine at Seton Hall University Nutley, New Jersey, USA Peter Rhee New York Medical College Westchester Medical Center Valhalla, New York, USA

This book is a valuable addition to the extensive literature on inguinal hernias, a topic of great interest for all general surgeons. It describes the most up-to-date prosthetic open techniques in the treatment of inguinal hernias, including onlay and inlay procedures. Starting with the Lichtenstein technique, which allowed for the successful and widespread use of the prosthesis technique, the most widely used surgical procedures are described by leading experts in the field. Special attention has been paid to the illustrations and photographs. This book is a useful resource for medical and surgery students, general surgeons, and all those interested in the area of surgery of hernias.

Abdominal organ transplantation, specifically liver, kidney and pancreatic transplantation, has experienced a tremendous growth over the last two decades. With this growth comes a need for a general, standardized introduction for those healthcare professionals involved with this branch of medicine. This manual is a readily-available, concise reference for the professional involved in the field of abdominal organ transplantation as well as the lay person.

The Practical Manual of Abdominal Organ Transplantation covers the latest developments in organ procurement and transplantation as well as newer approaches to the organ shortage and the increasing use of liver donation. This practical manual serves as an invaluable tool for those in the medical profession, whether a student, resident or practitioner, working with abdominal organ transplantation and its effects on their patients.

This manual includes concise and directed topics covering:

- end-stage abdominal organ disease;

This book is serving the surgical trainee and the experienced transplant surgeon as a compendium of the various topics in split liver grafting. It is comprised of articles by faculty members of the first International Course on Split Liver Transplantation. Covering the main aspects of Split Liver Transplantation, this excellent volume helps livertransplant-surgeons select the best technique and getting aware of pitfalls. Detailed instructions on the different procedures are round off by an overview on technical development, status quo as well as the experience to date.

Primary and incisional ventral hernias are common conditions often encountered in surgical practice. Because of the frequency of this problem it has come to be managed by surgeons in general, regardless of the type of hospital or the conditions dealt with in their daily practice. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. As a result the indications for this surgical technique are currently being debated since the advantages are evident and progressive implementation is ensured. Now is the time to analyze the usefulness, results, technical variants, anatomic, physiologic and scientific basis and implications involved in implementation of laparoscopy as the technique of choice.

Completely revised and expanded to include the most recent technological advances, the Second Edition illustrates key anatomical structures, examination procedures, and surgical techniques for proper diagnosis, management, and treatment of patients with colorectal disorders-providing unequaled coverage of various methods in preoperative preparation and assessment, pain management, sedation, and wound care for conditions such as ulcerative colitis, Crohn's disease, diverticulitis, and colorectal carcinoma.

The field of colorectal surgery has undergone tremendous developments in recent decades. Surgery has become less invasive, new perspectives and insights have improved perioperative management and novel outcome measures have been defined. At the same time, the limits of surgical technique and perioperative care are being challenged by more complex patients. In order to realize the immense potential for excellent outcomes in colorectal surgery, coordinated multifaceted care must be delivered within a context of limited resources. Accordingly, there is a pressing need to streamline processes and heighten clinical productivity. Excellent communication and collaboration are required, with constant attention to detail and precision within an environment of learning, research and innovation. This book discusses in depth the transdisciplinary integration of different components of care in colorectal surgery. Pertinent background information on the complexities of current management in colorectal surgery is first provided, followed by discussion of the role of design thinking in care integration. Subsequent chapters focus on a range of issues associated with surgical and perioperative care in patients undergoing colorectal surgery, with emphasis on how the multiple facets of care can be integrated through a transdisciplinary approach. Each chapter provides helpful take-home messages in bullet point form and numerous informative figures and tables are also included. The authors are surgeons, physicians, anesthetists, oncologists, nurses, and allied health professionals with extensive experience in the field.

Biliary tract complications are still the major cause of morbidity following orthotopic liver transplantation. This book deals systematically with the large variety of possible cholangiographic changes. The figures are the results of a review of cholangiograms from more than 280 patients who underwent orthotopic liver transplantation. The etiology, clinical aspects, and treatment of these complications are reviewed on the basis of the authors' experience in radiology, endoscopy, and transplant surgery.

This volume is a compendium of the lectures, presentations, and workshops of the International Congress entitled "Facing the Pancreatic Dilemma" and of the 17th Meeting of the Italian Association for the Study of the Pancreas, held in Verona on 16 -19 June 1993. Pancreatology is still a relatively young science. Many pathophysiological aspects of pancreatic disease are as yet obscure, and a fair number of the etio pathogenetic mechanisms adduced are no more than hypothetical. We have therefore chosen to compare and contrast in a single volume the various hypo theses and interpretations put forward by leading experts in the field. In view of the swift evolution of this branch of medical science, it is sound policy to bear in mind that yesterday's heresies have become today's orthodoxy, and that todays's heresies may well turn out to be accepted orthodoxy in a not too distant future. The various "pancreatic dilemmas" are addressed systematically in these pages, and we believe that the book will prove an invaluable tool for the special ist and for any physician dealing with pancreatic disease. The book also represents a tribute by the Verona School of Pancreatology to the memory of Prof. L. A. Scuro, founder of the School and one of the outstanding Italian pioneers of pancreatology."

This new handbook teaches and explains the key principles in the management of complex pediatric colorectal diagnoses. By using case-based presentations, radiographic images, operative images with Multiple Choice Questions to test knowledge, this book serves as an invaluable educational tool. 'Learning Points' are included and the text includes comprehensive explanatory chapters. The 60 cases included encompass the full range of pediatric conditions, and the additional learning material completes this unique handbook. The e-book further enhances the learning experience for all clinicians involved in the treatment of children suffering from colorectal disorders.

A stoma is the result of an operation to remove disease such as cancer, Crohn's disease or diverticulitis - or from a bowel obstruction or injury to the digestive or urinary system. It is an artificial opening that allows faeces or urine either from the intestine or from the urinary tract to pass. There are three main types of stoma related to the digestive and urinary system - these are: colostomy, ileostomy and urostomy (Coloplast.co.uk). This book is a guide to stoma surgery and care for GI surgeons, from basic information to the latest advances in the field. Beginning with an overview of the digestive system, the next chapters explain the physiology and different types of stoma, including both permanent and temporary. The following chapters cover stoma surgery, post-surgical maintenance and possible complications. Other topics include sustenance with stoma, stoma care for different patient groups such as children or those with disabilities, the role of the stoma nurse and more. The book concludes with a section of frequently asked questions with detailed answers. Key points Comprehensive guide to stoma surgery and care for GI surgeons Covers permanent and temporary stoma and possible complications Includes FAQs with detailed answers Features clinical photographs, diagrams and tables to assist learning