Difficult Decisions in Colorectal Surgery

Front Matter....Pages i-xxii
Introduction....Pages 1-5
Evaluating Evidence....Pages 7-16
Front Matter....Pages 17-17
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
Front Matter....Pages 113-113
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
Front Matter....Pages 173-173
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
Front Matter....Pages 173-173
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
Front Matter....Pages 253-253
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
Front Matter....Pages 273-273
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
Front Matter....Pages 359-359
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
Front Matter....Pages 449-449
Checklists in Surgery....Pages 451-465
Front Matter....Pages 449-449
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
Front Matter....Pages 509-509
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
Back Matter....Pages 581-590