Quality measures and outcomes are receiving greater attention by the lay and medical communities. The occurrence or mismanagement of complications often results in poor outcomes, increased cost, and significant morbidity. Answering the call for transparency and improvement requires action by all involved in the care of patients. The collection of objective data and quality measures enables the provision of optimal care and desired outcomes while identifying areas for improvement. This text presents the current knowledge of outcomes, as well as the techniques for minimizing and managing complications from the common diseases and procedures within colorectal surgery.

Colorectal Surgery, second edition, is the essential guide for general surgical trainees preparing for the FRCS examination, as well as a quick-reference for clinicians working in the field. Providing a concise and evidence-based overview of colorectal surgery, this resource covers the diagnosis, management, and treatment of colorectal conditions. Extensively updated to reflect recent innovations in surgical practice, this edition covers new topics such as robotic surgery, complete mesocolic excision, capsule colonoscopy, and the role of qFIT in lower GI investigations. The oncology and inflammatory bowel disease chapters have been revised to reflect new understanding of the genetic aspects of IBD as well as novel therapeutic agents. Management of benign colorectal disease has also been revised to reflect current approaches to rectal prolapse and haemorrhoidal disease including updated guidelines for functional bowel conditions.

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.

This is the only guide you need to pass the MRCS Part B OSCE examination. Written by a team of editors and authors with extensive experience of the exam and all the recent changes, it covers topics that can prove to be difficult, including communication and history taking. Volume 1 covers basic surgical skills, including peri-operative care, as well as patient safety, history-taking, communication skills, applied surgical sciences and critical care. Practice scenarios and model answers show you exactly how the examiners will expect you to approach the exam. It also includes over 130 photographs and illustrations to solidify key areas and events common in surgery.

Die Bedeutung des morphologischen - makroskopischen wie mikroskopischen - Befundes fur die Diagnostik ist trotz im- mer subtilerer Funktionsprufungen, sowie verbesserter che- mischer und immunologischer Untersuchungsmethoden keines- wegs geringer geworden, man hat eher den gegenteiligen Ein- druck: dass dieser Zweig der Diagnostik heute wieder eine Re- naissance erlebt. Das ist wohl in erster Linie die Folge des raschen technischen Fortschrittes nach dem 2. Weltkrieg. Vor allem die Entwicklung von flexiblen faseroptischen Endoskopen mit Kaltlichtquellen, sowie verbesserten Geraten zur Entnahme von Gewebsproben hat in der gastroenterologischen Diagnostik die endoskopischen Untersuchungsverfahren immer mehr in den Vordergrund geruckt. Die Rectoskopie - heute erganzt und erweitert durch die eo- loskopie - ist eine der altesten, aber nach wie vor der wichtig- sten endoskopischen Untersuchungsmethoden, die keineswegs der Klinik vorbehalten ist, sondern - mit Ausnahme der ho- hen eoloskopie - in jeder internistischen und auch in man- chen Allgemeinpraxen durchgefuhrt werden kann. Sorgfaltige Vorbereitung des Patienten vorausgesetzt, liefert sie, vor allem in Verbindung mit der histologischen Untersuchung dabei ent- nommener Gewebsproben eindeutige Ergebnisse, die ebenso wie bei anderen bioptischen Untersuchungsmethoden in der uber- wiegenden Mehrzahl der Falle die Ursache von Beschwerden oder objektiven Krankheitszeichen zu klaren vermoegen.

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.

Colpiscono circa 170 mila italiani, con un trend in forte ascesa. Si chiamano Malattia di Crohn e colite ulcerosa: malattie autoimmuni, ovvero causate da un errore del sistema immunitario che si scatena contro se stesso. Perche? Come fermare questa furia distruttiva? Sono stati fatti grandi passi avanti ma molto resta ancora da scoprire e molte sono le questioni controverse: dalle cause della malattia ai metodi di diagnosi piu tempestiva, alle terapie. Le malattie autoimmuni dell'intestino colpiscono in giovane eta, tra i 15 e i 45 anni, hanno un impatto molto negativo sulla qualita della vita di chi si ammala e pongono questioni di primissimo piano: come si convive con una diagnosi di questo tipo, qual e il migliore accesso alle cure, quali le disposizioni di legge che facilitano la vita dei malati. Questo libro vuole raccontare la vita e la battaglia quotidiana delle persone colpite da queste malattie, le scelte che devono fare e gli ostacoli che si trovano ad affrontare, dal punto di vista di uno dei massimi esperti mondiali della materia, Silvio Danese, e da quello di un giovane paziente, Marco Greco, che ha trasformato la sua lotta quotidiana in una battaglia condotta a nome di tutti i malati. Gettando luce su uno dei piu straordinari misteri della medicina moderna, le malattie autoimmuni, questo volume affronta senza omissioni il grande tema sanitario dell Italia di oggi, la cronicita, la condizione sociale e medica di milioni di persone costrette a convivere con la malattia per decenni.

This practical reference provides a broad comparison of access and exposure in open and minimal access surgery that bridges the gap between conventional and laparoscopic techniques while analyzing the advantages and disadvantages of each.
Abdominal Access in Open and Laparoscopic Surgery integrates a discussion of basic surgical concepts with a survey of evolving new technologies and techniques. It provides a comprehensive overview of classic surgical incisions, established minimal access alternatives, and the emerging state of the art--gasless laparoscopy with subcutaneous lift systems and planar lifting devices. Over 90 photographs--many in color--and numerous line drawings clearly illustrate operative techniques and procedures. The indications for, and potential complications of, each technique are discussed within the context of standard surgical procedures such as cholecystectomy, appendectomy, gastrostomy, and herniorrhaphy. The book concludes with a summary of prospective improvements in instrumentation and videoscopy that will continue to expand the boundaries of minimal access surgery.
Individual chapters cover such topics as:
* Surgical incisions
* Techniques of CO2 pneumoperitoneum
* Low pressure pneumoperitoneum
* Alternatives to and complications of CO2 pneumoperitoneum
* Subcutaneous lift system (SCLS) for laparoscopic surgery
* Laparoscopic procedures using the planar lifting technique
* Pros and cons of gasless laparoscopy

With its detailed coverage of both fundamental concepts and advanced technologies, Abdominal Access in Open and Laparoscopic Surgery is an ideal resource and an indispensable guide for all practicing surgeons and surgical residents.

Textbook of Hepatobiliary & Gastrointestinal Surgery is an extensive, illustrated, evidence-based review of complex liver and gastrointestinal surgery, edited by gastrointestinal expert Govind Nandakumar, based at Weill Cornell Medical College, New York. Divided into 63 chapters, the book begins with a chapter on minimally invasive and robotic oesophagectomy, followed by overviews of oesophageal conditions requiring surgery. Subsequent chapters cover the surgical management of a broad range of disorders including Crohn's disease, colitis, and several cancers affecting the hepatobiliary and gastrointestinal systems. Surgical techniques discussed include gastric bypass, banding and sleeve gastrectomy, liver and pancreas transplantation, and a separate chapter on bariatric surgery in developing countries. Textbook of Hepatobiliary & Gastrointestinal Surgery concludes with discussion on radiology techniques, pathology, and nutrition for gastrointestinal patients, and recovery after surgery. 638 full colour illustrations enhance this comprehensive resource for surgeons in training and in practice. Key Points Comprehensive guide to liver and gastrointestinal surgery for surgeons in training and in practice Contributions from internationally recognised experts, edited by Govind Nandakumar from Weill Cornell Medical College, New York Provides information on a broad range of surgical techniques and management of many disorders 638 illustrations full colour

This book is both a lively introduction and a guidebook to those pioneers, most of them surgeons, who attempted to help their patients by extending the boundaries of their own knowledge and experience. In the 16 chapters of the book, an international group of authors have provided something of value to all those with an interest in surgical gastroenterology. Medical students and young trainees will come to understand the principles behind modern gastrointestinal surgery. Researchers will find insights and inspiration for their work and publications. Established surgeons and physicians will be rewarded with information that adds colour to their teaching, either on ward rounds or during formal lectures. Great care has been taken in choosing appropriate portraits and illustrations to bring these remarkable pioneers to life for the reader.

Der Band aus der dreib ndigen Reihe Praxis der Viszeralchirurgie liefert eine umfassende Wissensbasis und praxisnahe Entscheidungshilfen f r den Chirurgen sowie f r seine Partner: Alle chirurgisch relevanten benignen Erkrankungen der gastrointestinalen Organe sind fundiert und detailliert beschrieben. Renommierte Autoren aus der Chirurgie und ihren Nachbargebieten geben differenzierte, wissenschaftlich begr ndete Empfehlungen zu Diagnostik und Therapie. Die Neuauflage wurde an den aktuellen wissenschaftlichen Stand angepasst.