Complexities in Colorectal Surgery

Complexities in Colorectal Surgery: Decision-Making and Management provides a unique, modern, practical guide that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert Colorectal Surgeons caring for patients with complex problemswhether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The text is formatted as both a how-to manual as well as an algorithm-based guide allowing the reader to understand the thought process behind the proposed treatment strategies. By making use of evidence-based recommendations, each chapter will include not only diagnostic and therapeutic guidelines, but also 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. This test includes chapters on the assessment of risk and nutritional intervention methods utilized to minimize perioperative complications. In addition, sections on medical and surgical therapies for abdominal, pelvic and anorectal disease are incorporated. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is to provide pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. The text also goes beyond the technical aspects of Colorectal Surgery and includes special sections highlighting the essence of a surgeon. These include chapters describing the importance of the first encounter, building patient rapport, and demonstrating confidence and competence while showing humility and avoiding arrogance. Additionally, aspects involving the medical-legal, ethical, and economic challenges confronting surgeons are covered.

Scott R. SteeleColon & Rectal Surgery                   Madigan Army Medical Center, Fort Lewis, WA, USA;Department of SurgeryUniversity of Washington, Seattle, WA, USA Justin A. MaykelDivision of Colorectal SurgeryUMass Memorial Medical CenterWorcester, MA USA;Department of SurgeryUniversity of Massachusetts Medical SchoolWorcester, MA USA Bradley J. Champagne   Division of Colon & Rectal SurgeryDepartment of SurgeryCase Western Reserve University School of MedicineUniversity HospitalsCleveland, OH USA Guy R. Orangio                  Division of Colon and Rectal SurgeryDepartment of Surgery              Louisiana State University Health Science CenterLSU School of MedicineNew Orleans, LA USA