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Introduction
Pages 1-5
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
Pages 1-5
Evaluating Evidence
Pages 7-16
IBD: Management of Symptomatic Anal Fistulas in Patients with Crohn’s Disease
Pages 19-28
IBD: Management of a Painful Anal Fissure and Skin Tags in Patients with Crohn’s Disease
Pages 29-34
IBD: Elective Surgical Management in Patients with Ulcerative Colitis-How Many Stages?
Pages 35-44
Which Ulcerative Colitis Patients Should Not Have Ileal Pouch-Anal Anastomosis
Pages 45-51
Management of Pouch-Vaginal Fistulas
Pages 53-63
Crohn’s Colitis and Ileal Pouch Anal Anastomosis
Pages 65-71
Steroid Management in Patients Undergoing Surgery for IBD
Pages 73-82
IBD: Management of Dysplasia in Patients with Ulcerative Colitis
Pages 83-96
Post-operative Prophylaxis in Patients with Crohn’s Disease
Pages 97-111
Follow-Up in Patient’s After Curative Resection for Colon Cancer Surveillance for Colon Cancer
Pages 115-120
Management of Patients with Acute Large Bowel Obstruction from Colon Cancer
Pages 121-138
Utility of Primary Tumor Resection in Asymptomatic, Unresectable Metastatic Colon and Rectal Cancer
Pages 139-152
Management of Large Sessile Cecal Polyps
Pages 153-161
Stage II Colon Cancer: Towards an Individualized Approach
Pages 163-171
Rectal Cancer: Management of T1 Rectal Cancer
Pages 175-181
Management of T2 Rectal Cancer
Pages 183-190
Clinical Complete Response after Neoadjuvant Chemoradiotherapy in Rectal Cancer: Operative or Non-Operative Management?
Pages 191-203
Management of the Patient with Rectal Cancer Presenting with Synchronous Liver Metastasis
Pages 205-232
Who Needs a Loop Ileostomy After Low Anterior Resection for Rectal Cancer?
Pages 233-240
Selection Factors for Reoperative Surgery for Local Recurrent Rectal Cancer
Pages 241-252
Anal Dysplasia/Cancer: Management of Patients with AIN 3
Pages 255-265
Management of the Abnormal Pap Smear in HIV Positive Patients
Pages 267-272
Indications for Surgery in Patients with Severe Clostridium Difficile Colitis
Pages 275-281
Do We Need to Operate on Patients After Successful Percutaneous Drainage of a Diverticular Abscess?
Pages 283-290
The Role of Laparoscopic Peritoneal Lavage in the Operative Management of Hinchey III Diverticulitis
Pages 291-305
Surgery for Acute Complicated Diverticulitis: Hartmann vs. Primary Anastomosis
Pages 307-318
Who Needs Elective Surgery for Recurrent Diverticulitis?
Pages 319-335
Deciding on an IRA vs. IPAA for FAP
Pages 337-346
Rectal Prolapse: What Is the Best Approach for Repair?
Pages 347-358
Optimal Management of the Transsphincteric Anal Fistula
Pages 361-370
Benign Anal Disease: Management of the Recurrent Anovaginal/Rectovaginal Fistula
Pages 371-382
Benign Anal Disease: When to Operate on the Patient with an Anal Fissure
Pages 383-393
Anal Fissure: Recurrence After Lateral Internal Sphincterotomy
Pages 395-401
Benign Anal Disease: Third Degree Hemorrhoids – Who Really Needs Surgery?
Pages 403-411
Which Patients with Fecal Incontinence Require Physiologic Workup?
Pages 413-422
Benign Anal Disease: Who Are the Right Candidates for Sacral Nerve Stimulation?
Pages 423-438
When Is an Anal Sphincter Repair Indicated?
Pages 439-447
Checklists in Surgery
Pages 451-465
Quality Improvement: Where Are We with Bowel Preps for Patients Undergoing Colon Resection?
Pages 467-473
Quality Improvement: Are Fast Track Pathways for Laparoscopic Surgery Needed?
Pages 475-484
Quality Improvement: Enhanced Recovery Pathways for Open Surgery
Pages 485-502
Quality Improvement: Preventing Readmission After Ileostomy Formation
Pages 503-508
Trans-anal Endoscopic Surgery vs. Conventional Transanal Surgery
Pages 511-517
Laparoscopic Versus Robotic Versus Open Surgery for Rectal Cancer
Pages 519-533
Reservoir Construction After Low Anterior Resection: Who and What?
Pages 535-544
Conventional vs Single Port Approaches to Laparoscopic Colectomy
Pages 545-555
Anastomotic Leak Management Following Low Anterior Resections
Pages 557-566
Management of the Unhealed Perineal Wound After Proctectomy
Pages 567-579
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