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EMM: Coloproctology presents the state-of-the-art in coloproctology. The topics covered include anatomy, physiology, anal disorders, dermatology, functional disorders, inflammatory bowel disease, benign and malignant tumours, endoscopy, emergencies and pain syndromes. All chapters give a comprehensive overview of aetiology, incidence, epidemiology, diagnostics, medical and surgical treatment, complications and individual special considerations. This work presents surgical trainees with a comprehensive and condensed guide to the core knowledge required for the European Board of Surgery Qualification (EBSQ) examination. The manual will also be of assistance to practising coloproctologists across Europe and beyond who have an interest in continued professional development. Written by an international team of experts who have each made noteworthy contributions in their field, the coverage of most aspects of coloproctology in an easy-to-follow format also makes this manual valuable to other specialists.
This book offers up-to-date coverage of the full range of topics in coloproctology: anatomy, physiology, anal disorders, dermatology, functional disorders, inflammatory bowel disease, endometriosis, appendicitis, benign and malignant tumors, presacral tumors, laparoscopy, endoscopy, perioperative management, intestinal failure, abdominal wall reconstruction, emergencies, and pain syndromes. Each of the chapters on individual disorders provides a comprehensive overview on etiology, incidence, epidemiology, diagnostics, medical and surgical treatment, access, complications, and special considerations. In presenting data, care is always taken to refer to the best available level of evidence. The book forms the latest addition to Springer’s European Manual Medicine series and is the second edition of Coloproctology. It will be the first standard recommended textbook of the European Society of Coloproctology. The editors have again assembled a group of experienced authors, each of whom has an international reputation within coloproctology or an allied specialty and a desire to see ever-improving standards in coloproctology throughout Europe. By including contributions from authors across Europe, the book provides a great breadth of knowledge and reflects diversity of clinical practice. The manual provides surgical trainees with a comprehensive and condensed guide to the knowledge required for the European Board of Surgery Qualification (EBSQ) examination. It will also be a valuable aid to the many practicing coloproctologists across Europe and beyond who undertake continuing professional development and a useful source of information for researchers and clinicians in allied disciplines.
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.
This book is devoted to motility disorders of the gut and their diagnosis, a field which can be frustrating when classical histological staining techniques are used. The use of enzyme histochemical techniques, however, provides important information on functional abnormalities of colon motility, which is demonstrated here in more than two hundred photomicrographs. The individual chapters are divided into three sections: the first outlines and illustrates pathological aspects of a particular disorder, the second provides diagnostic criteria, and the third discusses clinical pathology. In a final chapter the methodology of enzyme histochemistry is described. Drawing from 40 years of experience in the diagnosis of biopsies from the mucosa of the rectosigmoid and laparoscopic biopsies of muscularis propria from different gut areas, the authors have compiled a clearly organized and didactic volume, which will be highly useful to practicing pathologists, technicians and trainees in pathology. It will also be of great benefit to gastroenterologists, pediatricians, and coloproctological and pediatric surgeons in helping them interpret histopathological findings in the gastrointestinal tract.
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.
This is the first volume in the new Springer Major Reference Work series entitled Coloproctology. The book covers key topics in the anatomy and physiology of the colon, rectum and anus and the diagnosis of colorectal/anal diseases and disorders. It thus forms a sound basis for further volumes in the series that will focus on the treatment of more specific clinical conditions. The subjects addressed in the volume are crucial to effective patient management and the book highlights the fact that adequate diagnostic assessment of a given disease is significantly related to the pathophysiologic interpretation of the pathologic process. The purpose of the volume is to provide readers with up-to-date knowledge on colorectal and anal anatomy and physiology, particularly from a treatment perspective and to describe the methodology to be employed in choosing the best diagnostic work-up in coloproctology.
The ASCRS Textbook of Surgery of the Colon and Rectum offers a comprehensive textbook designed to provide state of the art information to residents in training and fully trained surgeons seeking recertification. The textbook also supports the mission of the ASCRS to be the world’s authority on colon and rectal disease. The combination of junior and senior authors selected from the membership of the ASCRS for each chapter will provide a comprehensive summary of each topic and allow the touch of experience to focus and temper the material. This approach should provide the reader with a very open minded, evidence based approach to all aspects of colorectal disease. Derived from the textbook, The ASCRS Manual of Surgery of the Colon and Rectum offers a “hands on” version of the textbook, written with the same comprehensive, evidence-based approach but distilled to the clinical essentials. In a handy pocket format, readers will find the bread and butter information for the broad spectrum of practice. In a consistent style, each chapter outlines the condition or procedure being discussed in a concise outline format – easy to read, appropriately illustrated and referenced.
Crucial decisions concerning surgical treatment are often based on the results of various methods used for assessing colorectal function. Yet the new methods which have resulted from recent technological advances are still often regarded as research tools or viewed with skepticism by the practicing physician. New horizons are opened up for the coloproctologist in this book which fully documents the scope of established and recently developed investigative techniques. These include manometry, electromyography, scintigraphy and defaecography. The discussion shows how each technique is conducted and in what way the results can be interpreted and used for the management of patients with colorectal disorders. Specialist areas such as the neorectum and the assessment of the pediatric patient are also included. This book clearly establishes the place of each technique in clinical practice. The text is clear and simple so that not only specialists but also non-specialists will be able to understand and set up the appropriate tests for specific colorectal disorders.
The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic floor. It is aimed not only at general surgeons, perineologists and, of course, proctologists, but also at gastroenterologists, endoscopists, radiologists and physiotherapists, i.e. those who may be involved in both diagnosis and cure whenever an adverse event, either unpredictable or potentially preventable, causes an intra- or postoperative, early or late, mild or life-threatening complication. Severe bleeding, dehiscence, perforation, anorectal stricture, fecal incontinence, and even caval vein thrombosis, fatal Fournier gangrene and pneumomediastinum may occur after anal surgery. The incidence, pathogenesis prevention and treatment of such events are discussed in detail in 10 chapters with 30 tables, 200 illustrations and more than 1000 references. Both conventional procedures and recent innovations are reported. “Unforgettable clinical cases (complications with litigation)” and “Tips and Tricks” are sections increasing the appeal of this book. The approach is “evidence-based” and holistic, focusing on anorectal problems while taking into consideration whole body-mental unity—showing, for example, that a non-healing perineal wound may be due to hypo-pituitarism, and failure after a re-intervention may be related to psychological distress.
COLORECTAL SURGERY is intended to meet the needs of the higher surgeon in training and the busy practicing surgeon who needs access to up-to-date information on recent developments, research and data in the context of accepted specialist surgical practice.