This multi-authored book contains brief chapters devoted to one or two specific questions or decisions in colon and rectal surgery that are difficult or controversial. It is a current and timely reference source for practicing surgeons, surgeons in training, and educators that describes the recommended ideal approach, rather than customary care, in selected clinical situations.
Just like the other volumes in this series, the chapters in Difficult Decisions in Colorectal Surgery adhere to a specific format. This approach provides uniformity to the presentations, making it possible to identify useful material at a glance.
Introduction.- Evaluating evidence.-IBD/ Management of symptomatic anal
fistulas in pts with Crohns disease.- Management of a painful anal fissure
and skin tags in pts with Crohns disease.- Elective surgical management in
patients with ulcerative colitis-how many stages?.- Which UC patients should
not have IPAA?.- Management of pouch-vaginal fistulas.- IPAA for Crohns
colitis?.- Steroid management in patients undergoing surgery for IBD.-
Management of dysplasia in patients with ulcerative colitis.- Postoperative
prophylaxis in patients with Crohns disease.- Colon cancer/ Followup in
patients after curative resection for colon cancer.- Management of patients
with acute large bowel obstruction from colon cancer,- Management of patients
with colon cancer and synchronous liver metastases.- Management of the
patient with an endoscopically unresectable cecal polyp.- Role of
chemotherapy for resected Stage 2 colon cancer.- Rectal cancer/ Management of
T1 rectal cancer.- Management of T2 rectal cancer.- Management of the pt with
a complete clinical response after neoadjuvant chemoradiation.- Management of
the patient with rectal cancer presenting with synchronous liver metastases.-
Who needs a loop ileostomy after LAR for rectal cancer?.- Selection factors
for reoperative surgery for local recurrent rectal cancer.- Anal
dysplasia/ Management of patients with AIN 3.- Management of the abnormal pap
smear in HIV positive patients.- Benign colon disease/ Indications for
surgery in patients with severe C dificile colitis.- Do we need to operate on
patients after successful percutaneous drainage of a diverticular abscess?.-
Acute surgery for Hinchey 3 diverticulitis-resect or washout?.- Surgery for
acute complicated diverticulitis-Hartmann vs primary anastomosis.- Who needs
elective surgery for recurrent diverticulitis?.- Deciding on IRA vs IPAA for
FAP.- How do we select the operation for pts with rectal prolapse?.- Benign
anal disease/ Optimal management of the transsphincteric anal fistula.-
Management of the recurrent anovaginal fistula.- When to do surgery for the
pt with an anal fissure.- Management of the recurrent fissure after LIS.-
Third degree hemorrhoids-Who really needs surgery?.- Which patients with
fecal incontinence require physiologic workup?.- Who are the right candidates
for sacral nerve stimulation?.- When is an anal sphincter repair indicated?.-
Quality improvement/ What role checklists?.- Where are we with bowel preps
for patients undergoing colon resection?.-Are fast track pathways for
laparoscopic surgery needed?.- What are the right ingredients for a
successful fast track pathway for open surgery?.- Preventing readmission
after colon and rectal surgery.- Technique/ What is the best approach to
transanal surgery: TEM vs TAMIS vs traditional transanal excision.-/ Lap vs
robotic vs open surgery for rectal cancer.- Reservoir construction after
LAR-Who and what?.- Hand assisted vs multiport vssingle port approaches to
laparoscopic colectomy.- Management of an anastomotic leak after LAR.-
Management of the unhealed perineal wound after proctectomy.
