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.

This text provides a comprehensive, state of the art review of this field and will serve as a resource for urologists, colorectal surgeons, geriatricians, and gynecologists as well as researchers interested in neuromuscular phenomena in the pelvis. The book also reviews new data regarding risk factors for pelvic floor muscle dysfunction and profiles new minimally invasive surgical strategies for well known pelvic disease processes. Each chapter is chock full of data from landmark trials which have been published over the past few years and placed in context with respect to current management techniques for pelvic floor disorders. Written by experts in their field, Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly: An Integrated Approach provides a concise yet comprehensive summary to help guide patient management.

Fecal incontinence is a common and embarrassing condition with a devastating impact on patients' lives. Since it may result from a variety of pathophysiological situations, an accurate diagnostic work-up is crucial. A range of therapies is available, but choosing the correct option is pivotal to successful management. This book reviews the latest advances in the epidemiologic, socio-economic, psychological, diagnostic, and therapeutic aspects of fecal incontinence, helping to establish effective treatment guidelines.

There is an increase in specialisation within general surgery and now even within its sub specialties. Colorectal surgery is probably the largest of the subspecialties of general surgery, and one of the areas where trainees and consultant general /colorectal surgeons are least confident is in their understanding of the anatomy, physiological pathology and management of the anal canal and pelvis. Currently available there are books on the market centred around the general management of colorectal disease, but the time is now right for a definitive text on the anal canal and pelvis specifically.

Designed to provide a highly visual reference for surgeons and other members of the patient management team, Atlas of Intestinal Stomas is based on the 1967 gold standard text, Turnbull and Weakly's Atlas of Intestinal Stomas. Additions include chapters on anatomy and physiology, biliary stomas, pediatric ostomies, the continent ileostomy, urostomy, laparoscopic stoma construction, stomas in trauma surgery, stomas for antegrade continence enema, percutaneous ostomies, and quality of life. There are also sections on ileostomy, colostomy, enterostomal therapy and on the management of complications of stomas such as management of the high output ostomy, enterocutaneous fistula, parastomal hernia, prolapse, and skin conditions. The Cleveland Clinic pioneered the entire practice of ostomies, beginning in 1858 and continuing to this day as the world's leading academic and clinical center. The editors and contributors are all current or former Cleveland Clinic physicians and instructors. The fundamental focus of the book is not only how to install ostomies, but how to avoid complications and how to treat complications when they arise. Atlas of Intestinal Stomas will be of great value to colorectal and general surgeons, both in practice and in training.

This practical volume is intended for all radiologists, gastroenterologists, and surgeons who are responsible for, or interested in, the diagnosis and care of patients with diseases of the anal and perianal region. After an introductory section focusing on surgical, MRI, and US anatomy, up-to-date clinical and therapeutic information is provided on the full range of perianal inflammatory conditions, with special attention to Crohn's disease, ulcerative colitis, and sexually transmitted diseases. Physical and surgical examination is carefully discussed, with consideration of limitations, results, clinical needs, and the questions likely to be posed of imaging. The subsequent three sections provide detailed information on the different imaging modalities: transanal and transperineal ultrasound, contrast-enhanced MRI, and CT. Techniques, diagnostic accuracy, common and unusual disease patterns, artifacts, and pitfalls are clearly presented.

Management of benign anorectal disorders is challenging for the treating surgeons as the patients are highly distressed, the symptoms are always alarming, and surgical intervention may be associated with lifelong disabilities such as loss of sphincter control. Written by highly experienced colorectal surgeons, this book provides detailed notes on optimal management of these disorders including pre- and post-operative management. Chapters cover the entire range of benign disorders such as hemorrhoids, fissure, fistula-in-ano, anorectal injuries, anal incontinence, rectal prolapse, pelvic floor disorders, benign tumors and ulcers, and strictures. Chapters on surgical anatomy and physiology equip the surgeons with the information necessary to understand the complex anatomy and functioning of this region which makes surgery all the more difficult. Benign Anorectal Disorders is an essential reading for colorectal surgeons, general surgeons, fellows-in-training and the post-graduate students.

2-D and 3-D anal ultrasound are among the most recent and advanced tools available for both the diagnosis and the management of anorectal diseases. They are neither expensive nor harmful for the patients and progressively replaced anal mapping with EMG electrodes for the diagnosis of sphincter's defects and anismus, which represents nearly 50% of the cases of chronic constipation. Anal US may provide the clinician with useful information for both classification, diagnosis and management of anorectal sepsis, anal incontinence and anorectal-perineal chronic pain. Almost any case presented in this Atlas shows both imaging and clinical pictures, thus allowing both the radiologist and the clinician to assess the reliability of the exam and the outcome of the selected treatment.

Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters provides a comprehensive review of the role of and technical considerations regarding robotic surgery for conditions of the kidney and associated conditions of the upper urinary tract. In addition to serving as a reference regarding indications, preoperative and postoperative management, complications, and evidence-based outcomes, this text also serves as a practical guide for surgeons in how to perform the complete array of robotic kidney and upper tract surgery. Included are detailed descriptions of positioning, instrumentation, and surgical steps for the surgeon newly adopting robotic surgery or for those refining their techniques. All chapters are written by recognized and published experts in the various techniques, creating an authoritative text on the subject. Robotic Renal Surgery: Benign and Cancer Surgery for the Kidneys and Ureters will be of great value to urologists, robotic surgeons, fellows in urologic oncology or endourology as well as urology residents in training and surgical nurses and other surgery team members involved in these procedures.

"Approximately 65% of our population is overweight and 12% are morbidly obese. This is despite more than 25 years of attempted medical management. Clearly all current efforts have failed to control this enormous problem. Could it be that we have failed to recognize the cause of the disease and therefore have misdirected our efforts?" - Alfredo Fernandez, MD, FASMBS, Surgeon, Tampa, Florida Reducing obesity through bariatric surgery provides a sustainable weight loss regimen, because it restricts the size of the stomach and limits food intake. However, the surgery limits the amount of nutrients absorbed by the stomach and small intestine. This book provides a comprehensive, practical guide on pre- and post-nutrition considerations in bariatric patients. It describes surgeries including gastric bypass, lap band, and sleeve; nutrition protocols for surgery patients; pregnancy considerations- pre- and post-surgery; food consumption post-surgery; advancing healthy food intake after surgery; minimizing negative side effects; and recommendations to maintain healthy diet. This nutritional guide provides health care practitioners descriptions and answers to the many questions bariatric surgery patients need to know and ask in support group meetings and individual counseling sessions. The first chapter focuses on Selling Obesity and Food as a Cheap and Legal Drug, outlining how food advertising, portion size increases, and food frauds have contributed to the obesity crisis. New research into gut hormones, microbiome influence on obesity, firmicutes, and histamine are included, as well as pregnancy after bariatric surgery and lifestyle changes-eating, sleep, hydration, stress management-needed for success after surgery. Many health care practitioners will use the Post Op Discharge Diet stages of progression to explain how the patient needs to prepare for their liquid diet and overcome numerous issues like dumping syndrome, hypoglycemia, and alcohol and caffeine consumption. Diet plans for Ketogenic, Mediterranean DASH, Glycemic, and Low FODMAP are included within this book.

Written by leaders in the field, the third edition of Common Surgical Diseases: An Algorithmic Approach to Problem Solving, provides surgical residents and medical students with a current, concise and algorithmic approach to frequently encountered clinical challenges. Each chapter details every common surgical disease in the form of a succinct text coupled with step-by-step algorithm. It also walks the reader through the evaluation, diagnosis, treatment and follow-up of the most common surgical problems. Thoroughly updated and revised, the third edition focuses on problems most frequently encountered by general surgeons and their residents and students. More factual information is included in the form of charts and tables for quick and easy reference. The section on critical care is updated and expanded. The section on pre-operative considerations has new chapters on how to best manage patient's medications before surgery (anticoagulants, anti-platelet drugs) and prophylaxis of deep venous thrombosis. Other new chapters include access for hemodialysis, adrenal incidentaloma, esophageal cancer, pancreatic cancer, management of abdominal wall defects, hyperglycemia, necrotizing soft tissue infections and SIRS/sepsis. Especially pertinent in todays' medical environment is an understanding of the genetic component of certain cancers and chapters are devoted to screening and treating patients with genetic predispositions to colorectal and breast cancer.

Bariatric and Metabolic Surgery is recognized to be an important and effective option for the treatment of severe obesity and the various associated conditions and diseases. This book presents state of the art knowledge on such surgery with the aim of facilitating the sharing and exchange of knowledge, documenting effective techniques, and enhancing safety and outcomes. All technical aspects are covered in detail, and the text is complemented by many helpful illustrations. A further key feature is the provision of accompanying surgical videos, which will be of value to both novice and experienced surgeons. This textbook will be a great asset in clinical practice for all who are involved or interested in bariatric and metabolic surgery.

"Contemporary Coloproctology" covers colorectal surgery, as practiced today, in an easily accessible format with emphasis on bringing key facts rapidly into focus. It is ideal reading both for the medical trainee and the practicing colorectal surgeon.

As well as a succinct presentation of the current colorectal knowledge base, each chapter contains practical advice and pearls of wisdom from established practicing clinicians. A unique feature of the format is the identification of key references and questions and scenarios that present real life decisions in colorectal surgery.

Edited and authored by outstanding surgeons in their fields, this book brings the reader expertise in surgery and management across the various conditions encountered in coloproctology.""

Rectal Cancer: International Perspectives on Multimodality Management is a timely analysis of the diagnosis, staging, pathology, and therapy of cancer of the rectum. This book is intended as a useful resource for physicians, scientists, medical students, and allied health personnel in the disciplines of radiology, gastroenterology, surgical oncology, medical onc- ogy, radiation oncology, and pathology. Renowned contributors from different medical d- ciplines have written their chapters in a thoughtful, provocative, and visual fashion. Importantly, these chapters highlight the controversies in the diagnostic, staging, and the- peutic management of patients with rectal cancer while providing practical management recommendations. This book is divided into 18 chapters. Early chapters address the diagnosis and staging of rectal cancer, highlighting the critical role of contemporary imaging in guiding treatment. The remaining chapters focus on the multimodality management of rectal cancer from the vantage points of surgery, pathology, chemotherapy, and radiation therapy. The major dev- opments in surgery are reviewed first, including contemporary roles of local excision, total mesorectal excision, lateral pelvic lymph node dissection, organ preservation approaches, as well as the management of advanced, recurrent, and metastatic disease. Following is a ch- ter describing the pathologic evaluation of rectal cancer specimens, with emphasis on proper methodology and its clinical relevance to overall disease management. The final chapters review the contemporary roles of chemotherapy (including with radiation therapy, adjuvant and neoadjuvant settings without radiation therapy, as well as in metastatic disease) as well as radiation therapy (including adjuvant and neoadjuvant approaches, short vs.

The much-anticipated revision of the second edition of The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy, has been completely restructured, reorganized, and revised. The Manual has been split into two volumes for better portability. Volume I, Basic Laparoscopy and Endoscopy covers the fundamentals and procedures performed during surgical residency. Volume I will be the first volume used by students, residents, and allied healthcare professional trainees. Material has been added to these fundamentals and procedures that will also be of interest to experienced surgeons. Volume II, Advanced Laparoscopy and Endoscopy covers more advanced procedures, generally taught during fellowship. All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Chapters have been revised by both new authors as well as many stalwart authors from previous editions. These portable handbooks cover all of the major laparoscopic and flexible endoscopic procedures in easy-to-read format. Indications, patient preparation, operative techniques, and strategies for avoiding and managing complications are included for the complete spectrum of both "gold standard" and emerging procedures in diagnostic and therapeutic laparoscopy, thoracoscopy, and endoscopy. The scope, detail, and quality of the contributions confirm and demonstrate the SAGES commitment to surgical education. This manual is sure to find a home in the pocket, locker or briefcase of all gastrointestinal endoscopic surgeons and residents.

Drs. Rombeau, Goldberg, and Loveland-Jones have written this book on surgical mentoring to fill an obvious need. It is up-to-date, comprehensive, readable, and evidence-based ... Surgery is a small world with many satisfying rewards behind each of the many doors. Good mentorship provides the right keys for the right doors for the young surgeon. Both the mentor and mentee should read this book to better understand the who, what, when, where, and how of surgical mentorship in the modern era. What you learn will likely make a difference in your career.

During his years at Memorial Sloan Kettering Cancer Center, Dr. Leslie H. Blumgart developed an extensive video library of high-quality, narrated and captioned video of his personal techniques used to train surgeons worldwide. These videos present history, radiologic evidence, and operative procedures - from major and minor resectional procedures to biliary and pancreatic anastomotic techniques. Blumgart's Video Atlas: Liver, Biliary & Pancreatic Surgery, 2nd Edition, compiles these outstanding videos, along with laparoscopic alternatives to these landmark surgeries from Dr. Carlos U. Corvera, into one outstanding multimedia resource that brings you fully up to date with innovative and advanced techniques in hepatobiliary and pancreatic surgery. Covers diseases of the liver, biliary tract, and pancreas, both in print and on more than 120 videos. Offers step-by-step discussion of open surgical procedures by world renowned surgeon Dr. Les Blumgart, allowing you to see clearly how an expert handles a difficult case. Includes an expanded number of minimally invasive laparoscopic techniques for the management of liver disease and pancreatic tumors, contributed by Dr. Carlos Corvera. Features a new chapter on laparoscopic hepatectomy techniques, as well as several new videos that showcase totally laparoscopic approaches to major hepatectomy, and the benefits of a hand-assisted laparoscopic approach. Details recent advances in laparoscopic liver and pancreatic surgery, modifications to open right hepatectomy (a "bottom-up" approach), right hepatectomy for donor liver transplant, and management of rare complications of gallstones disease. Includes both conceptual and imaging anatomy in print, including new cadaver dissections, allowing you to better understand surgeries preoperatively and consider the impact of anatomy and disease on the surgical procedure. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

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.

Bariatric surgery is an increasingly common procedure, but far from an easy one. Patient assessment and selection must be careful. Complications can arise quite often. Training levels can be uneven among clinicians.

The SAGES Manual of Bariatric Surgery bridges the gaps and serves as a practical and concise starting point for the surgeon adding these procedures to his skill set.

Chapters in this 2nd revised edition cover the management and treatment of bladder and bowel dysfunctions in men and women, pelvic organ prolapse; issues concerning the elderly, neurologically impaired patients and those with pelvic pain. Allied updated chapters are on research methodology, the importance of fluids and infection control. New chapters cover quality of life, treatment of bladder and bowel dysfunction in children, the history of pelvic floor muscle exercise and manual therapy. The use of real-time ultrasound to evaluate pelvic floor muscle contractility, exercise balls to promote coordination of trunk stabilisers and the pelvic floor muscles, and the role of the Occupational Therapist are discussed, completed with a new section on ethical issues in the management of incontinence.

Mainly written for physiotherapists, it is also a useful reference and practical guide for all health professionals dealing with incontinence and pelvic floor disorders, including urologists, gynecologists and GPs.

Cholangiocarcinoma is the second most frequent primary neoplasm of the liver and its incidence is increasing in Western countries. These neoplasms arise from the biliary tract and can be categorized according to their anatomical location as intrahepatic and extrahepatic cholangiocarcinomas. The prognosis of these neoplasms is poor and most patients are not suitable for curative resection at the time of diagnosis, due to advanced stage of tumor. Complete surgical resection still remains the only effective and potentially curative therapy. Both intrahepatic and hilar cholangiocarcinoma often requires major liver resection to obtain a radical treatment. In recent years the improvements in non- invasive diagnostic imaging modalities, a better understanding of liver anatomy, the improvements of preoperative optimisation of liver function (preoperative biliary drainage, portal vein embolization), the increased safety of liver surgery have gradually improved the outcome. Moreover, aggressive surgical approach could increase curative surgery. Still now the role of adjunvant therapies and liver transplantation are not well clarified.

This book contains an up-to-date review of diagnostic and staging tools of cholangiocarcinoma, a guide to optimal selection of therapeutic modalities and a review of long-term outcome of surgery and liver transplantation. Moreover, it provides details of surgical techniques and principles for curative and palliative surgery.

This book will appeal to physicians and hepatobiliary surgeons who want to improve their knowledge about surgical management of intrahepatic and hilar cholangiocarcinomas.

Achieve the best outcomes with expert, practical, highly visual guidance! Operative Techniques in Hepato-Pancreato-Biliary Surgery features the biliary system, liver, spleen, and pancreas surgery content from Operative Techniques in Surgery, the comprehensive 2-volume set edited by Michael W. Mulholland, MD, PhD. Ideal for practitioners who wish to focus on mastering today's best biliary system, liver, spleen, and pancreas surgery procedures, it guides you step-by-step through each technique in a consistent manner, using concise, bulleted text, full-color illustrations, and full-color intraoperative photographs to clearly convey exactly what to look for and how to proceed .Key Features: Master the full range of essential procedures with comprehensive coverage of virtually every surgical procedure of the liver, pancreas, bile ducts and spleen as well as surgical management of portal hypertension. Select the best open, laparoscopic, or endoscopic approach for each patient with balanced coverage of the available options. Gain rich, complete grasp of key nuances of technique by viewing photographs and medical illustrations side by side. Review intraoperative considerations for each procedure before making your way through the technique. Now with the print edition, enjoy the bundled interactive eBook edition , which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation A powerful search that pulls results from content in the book, your notes, and even the web Cross-linked pages , references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

- Takes a problem oriented approach to discuss the key concepts in the field of colorectal surgery.

- Includes recent progress in imaging techniques and how they are useful to the surgeon.

- Highlghts not only the medical apsects of coloproctology, but the legal concerns for the physician as well.

Colonoscopy is the procedure with very low percentage of all complications, especially those that require surgical intervention. Even with this low percentage of significant complications, absolute numbers are significant because it is estimated that 1.69 million colonoscopies are performed each year in the U.S. alone. The most common surgical complication is colonic perforation, followed by bleeding which can be free intraabdominal or intraluminal. Other complications are rare with only case reports published such as pneumothorax, pneumomediastinum, appendicitis and small or large bowel obstruction. This book presents current research in the study of colonoscopic complications and the surgical treatments available for this condition.

The Handbook of Benign Proctological Disorders, part of the Oxford Clinical Practice Series, is a multidisciplinary, handy, clinical reference for medical practitioners, family doctors, paediatricians, general surgeons, gynaecologists, urologists, internists, etc. who are usually the first point of consultation for common proctological disorders like haemorrhoids, anal fissure, anal abscess, fistula, pruritus ani, constipation, and anal complaints of the children, adults, elderly, and those in ante- or post-partum periods. It is unique as it is based on the hands-on experience and literature available on almost all the known proctological pathologies and their clinical management and there is no other handbook available in the market in this format. It is indeed a comprehensive guide to anorectal surgery as it concisely covers the anatomy and physiology, followed by sections discussing the evaluation and clinical examination of patients using various latest tools and techniques. Each chapter describes the clinical manifestations, diagnosis and treatment of anorectal pathologies, which allows effective management of both common and less common conditions and their complications. The book also includes a section on quack practice, a topic that is very relevant, especially for developing countries where its awareness is of prime concern. The book is highly illustrated and also captures the key highlights at the end of each chapter as Clinical Pearls.