2-D and 3-D anal ultrasound are among the most recent and advanced tools available for both the diagnosis and the management of anorectal diseases. They are neither expensive nor harmful for the patients and progressively replaced anal mapping with EMG electrodes for the diagnosis of sphincter's defects and anismus, which represents nearly 50% of the cases of chronic constipation. Anal US may provide the clinician with useful information for both classification, diagnosis and management of anorectal sepsis, anal incontinence and anorectal-perineal chronic pain. Almost any case presented in this Atlas shows both imaging and clinical pictures, thus allowing both the radiologist and the clinician to assess the reliability of the exam and the outcome of the selected treatment.
Coloproctology is a surgical specialty which dynamically changes every few years. There is a profusion of colorectal textbooks but specialty series on particularly complex topics as well as on the specialized management approach for trainees and training colorectal surgeons are actually few. The aim of this text is a superior quality colorectal book written by world experts targeted at senior surgical and colorectal trainees and young consultant coloproctologists in current areas of subspecialty expertise. The structure of the chapters is current and is based on what does not appear and is not addressed in current colorectal textbooks. This series has proven useful in areas already represented, including Neurosurgery, Vascular Surgery, Transplantation Surgery, etc. The text is aimed at being relatively didactic with an algorithm approach to specialized areas within coloproctology which could potentially be updated every 3 years or so with new topics to create a set for didactic training in colorectal surgery. It is anticipated that these texts will become valuable teaching textbooks and part of every coloproctologist’s armamentarium as well as appealing to all general surgeons and surgical trainees engaged in complex elective and emergency colorectal surgery.
Three-dimensional endoanal ultrasonography with emphasis on the anatomy of the pelvic floor and diagnosis of anorectal benign diseases. Numerous schematic representations coupled with ultrasonographic and radiologic images provide a didactic approach. Readers gain a clear understanding of the fundamental principles and techniques of ultrasonography as well as of the normal anatomy of the pelvic floor and its modification in various benign anorectal diseases. Both general and specialist clinical practices will benefit from this book.
The prevalence of anorectal disorders in the general population is probably much higher than that seen in clinical practice. Anorectal diseases have for a long time been considered of little interest, with their treatment considered of little prestige despite the social impact they cause to patients. Proctology was initiated late and developed slowly over the years. However, in the last 20 years, a renewed interest has begun, and today, we can say that proctology is a specialized branch of general surgery. This book "Proctological Diseases in Surgical Practice" provides a practical introduction to proctology, with a particular attention to the topics that have not yet been investigated. This book may be useful for the general physician as well as for the specialist.
During recent decades, more than 100 surgical procedures have been proposed to treat pelvic organ prolapse, and surgeons are still searching for the ideal approach. Although generally accepted guidelines and algorithms are still lacking, careful preoperative work-up and patient selection can serve as a sound basis for tailored surgery. In this comprehensive book, leading experts from around the world provide a detailed, up-to-date overview of the diagnostic and surgical approaches employed in patients with prolapse of the middle or posterior pelvic floor compartment. Each surgical technique is explained step by step with the aid of instructive figures. Guidance is also included on the management of surgical complications and of recurrent disease – aspects that are too frequently overlooked in the scientific literature. This book will prove essential reading for all who are interested in functional colorectal disorders of the pelvic floor and will represent a unique and invaluable source of knowledge for general surgeons, colorectal surgeons, and urogynecologists, whether in training or practice.
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.
In this unique book, Professor Mario Pescatori brings his remarkable perspective to the management of a wide array of proctologic problems encountered in his tertiary specialist referral practice, from simple and complex procedures involving perirectal sepsis (abscess and fistula), hemorrhoids, obstruction, defecation, rectal prolapse, and tumors. There are special sections on the problems encountered following endoanal stapled surgery and in the surgery for rectovaginal fistula. Each section presents a series of artistic representations of each of the operative do's and don'ts, providing practical tips and "tricks of the trade" designed to prevent intra- and postoperative complications. The fusion of these images with a pragmatic series of perioperative recommendations gleaned from extensive experience in the treatment of complex proctologic disorders emphasizes the way Professor Pescatori has developed his craft and how the operative skill of proctology is indeed an art form. The Art of Surgical Proctology is an essential addition to the library of every colorectal surgeon and trainee with an interest in proctologic disorders.
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.
Colorectal surgery is a very ancient art that has, over the last few decades, found a sound basis in science. Amongst its famous ancient practitioners was Hippocrates himself. Colorectal-surgical departments have been springing up worldwide and many of the surgical colleges and academies are beginning to see the importance of this branch of medicine. After rising from humble beginnings, the specialty of colorectal surgery is now a much-sought-after career amongst young doctors all over the world.Topics in Colorectal Surgery is an invaluable book from one of the leading colorectal centres in the world. It represents some of the most important lectures given over the last eight years at the Annual Singapore General Hospital Colorectal Week. This event has become an internationally acclaimed gathering and the book contains updated lecture notes from the last seven conferences. These lecture notes, together with the book chapters, contain material not often found in other books and will be a valuable source of reference for clinicians dealing with the problems discussed in the text.
