Main description:

This text reviews the areas of colorectal surgery that are at the cutting edge of innovation, paradigm shift and controversy with regard to diagnosis, patient selection, treatment algorithm, and therapeutic approaches. From the impact of enhanced recovery protocols on traditional colorectal practices, to that of novel strategies merging endoscopic and surgical techniques, to recent paradigm shifts in the management of common colorectal disorders, this text provides readers with an update on current controversies and evolving treatment rationale in the management of common colorectal diseases.
Current Common Dilemmas in Colorectal Surgery provides a guide for the current common dilemmas that caregivers encounter in their daily practice. It is of great utility to colorectal surgeons, surgical oncologists and general surgeons practicing colorectal surgery, senior residents in general surgery training or surgical oncology or colorectal fellowships, allied healthcare professionals involved in the care of patients with colorectal disease, pharma and biomedical technology industry with an interest in current care of patients with colorectal disease.

Contents:

Preface - Christopher M. Schlachta and Patricia Sylla

Section I: Perioperative preparation and care

Chapter 1. To prep or not to prep - Nishit Shah

Chapter 2. Practice Guidelines and Future Directions of Bowel Preparation: Science & History - Megan Turner, Zhifei Sun and John Migaly

Chapter 3. Enhanced Recovery Pathways: Is it Laparoscopy or is it Everything Else? - Lawrence Lee and Liane S. Feldman

Section II: Endoscopic approaches for colorectal neoplasia

Chapter 4. Improving endoscopic detection of dysplasia in IBD: where do we stand? - Ryan C. Ungaro and James F. Marion

Chapter 5. Management of Dysplasia in IBD - Shailja C. Shah, Joana Torres and Steven H. Itzkowitz

Chapter 6. Beyond Piecemeal Polypectomy: EMR and ESD - Patrick Vincent Saitta, Krishna C. Gurram and Stavros N. Stavropoulos

Chapter 7. Transanal Endoscopic Surgery (TES) - Susana Wu and Elisabeth C. McLemore

Section III: Emergency bowel surgery

Chapter 8. The 3 A.M. Laparoscopic Bowel Surgery-Selection, Preparation and Techniques - O. N. M. Panton

Chapter 9. Fulminant Clostridium difficile colitis: Indications and extent of surgery - Nawar A. Alkhamesi

Chapter 10. Fulminant Clostridium difficile colitis: Colon-preserving therapies - Maria Abou Khalil and Marylise Boutros

Chapter 11. Perforated diverticulitis: Laparoscopic lavage and drainage - Morris E. Franklin, Jr. and Miguel A. Hernandez Moreno

Chapter 12. Perforated diverticulitis: What are the options for resection? - Francois Letarte and Carl J. Brown

Chapter 13. Perforated diverticulitis: When is interval resection really indicated? - Abe Fingerhut, Luigi Boni, Viktor Justin and Selman Uranues

Section IV: Optimizing Surgical Management of Pelvic floor disorders

Chapter 14. Utility of pelvic floor testing for clinical assessment of pelvic floor disorders - Julia Saraidaridis and Liliana Bordeianou

Chapter 15. Rectal prolapse in the healthy patient: Is perineal approach ever indicated? - Skandan Shanmugan and Joshua I. S. Bleier

Chapter 16. Rectal prolapse in the healthy patient: Which abdominal approach? - Peter Alexander Newman and Tony Dixon

Chapter 17. Obstructed defecation: When is surgery indicated? - Maria Emilia Carvalho e Carvalho and Brooke H. Gurland

Chapter 18. Fecal incontinence: Is sacral nerve stimulation always the answer? - Teresa C. Rice and Ian M. Paquette

Section V: Optimizing outcomes in laparoscopic colorectal surgery

Chapter 19. Is there still a role for hand assisted laparoscopic surgery (HALS)? - Nicholas Gerard Berger, Timothy J. Ridolfi and Kirk A. Ludwig

Chapter 20. Intracorporeal anastomosis for right colon resection: Should this be the preferred method? - Barry Salky

Chapter 21. Transrectal specimen extraction: Should this be catching on? - Albert M. Wolthuis

Section VI: Parastomal Hernia

Chapter 22. Parastomal Hernia: An Ounce of Prevention - Kristina L. Guyton and Neil H. Hyman

Chapter 23. Parastomal Hernia: Optimal Strategies for Repair - Birgitta M. E. Hansson

Section VII: Optimizing pelvic dissection for rectal cancer

Chapter 24. Proctectomy for advanced rectal cancer: APE or ELAPE? - Torbjoern Holm

Chapter 25. Transanal TME: Why go bottom-up! - Marta Penna and Roel Hompes

Section XIII: Sphincter-preserving strategies for low rectal cancer

Chapter 26. Management of low rectal cancer after complete clinical response - Angelita Habr-Gama, Guilherme Pagin Sao Juliao, Cecilia Beatriz Rossi, Bruna Borba Vailati and Rodrigo Oliva Perez

Chapter 27. Optimizing function for very low rectal tumors: Intersphincteric resection or APR? - Srikanth Parsi, Jean Salem and John H. Marks

Chapter 28. Optimal Coloanal Reconstruction: J pouch, Straight, Stapled, and Hand-Sewn - Andrea M. Petrucci and Steven D. Wexner

Section IX: Optimizing TME outcomes

Chapter 29. Short Course vs. Long Course Radiotherapy: Pros and cons - Nicolas D. Prionas, Albert C. Koong and Daniel T. Chang

Chapter 30. Intersphincteric Resection: Perineal or Abdominal dissection first? - Paula Loughlin, Quentin Denost and Eric Rullier

Chapter 31. Assessing anastomotic integrity and perfusion - Adam T. Stearns and John T. Jenkins

Chapter 32. Laparoscopic TME: Is there a verdict? - James Fleshman and Katerina Wells