Mesenteric-based gastrointestinal and colorectal surgery has been practiced internationally for over a century. However, it is not yet universally adopted, and considerable variations exist. Such variations are explained by the historical disparity that has persisted between anatomic and surgical approaches to the intestinal mesentery. While mesenteric-based surgery is far from new, it is remarkable that its anatomic basis has only recently been formally described. This means that key mesenteric principles of intestinal and colorectal surgery can now be taught, conducted and developed, in an entirely standardised manner. This book is composed of two parts. In this new book surgical anatomy, activities and operations are carefully defined, and beautifully illustrated, to enable all surgeons to conduct mesenteric-based intestinal and colorectal surgery, appropriately and with confidence.
Gastrointestinal Surgery: Pathophysiology and Management is an invaluable reference text for surgeons and surgical trainees. Written entirely by Dr. Haile T. Debas, Dean of School of Medicine and former Professor and Chairman, Department of Surgery, at the University of California, San Francisco, this book provides the unified approach only found in a single-authored text. Based on the three pillars of understanding particular disease processes -- fundamental anatomy and physiology, pathopysiology, and clinical correlations -- surgical treatment of GI disease is presented as the means to correct abnormal physiology and restore health. Using an integrated approach of basic science and clinical practice, Dr. Debas allows the student of surgery to gain a solid understanding of disease processes that minimizes the need for rote memorization. Thirteen lavishly illustrated chapters cover the GI system as well as gastrointestinal peptides and peptide-secreting tumors, abdominal trauma, the abdominal wall, surgery for morbid obesity, the liver, spleen, retroperitoneum, and perioperative care. Dozens of summary tables throughout each chapter condense "essentials" for quick reference. Comprehensive discussions of clinical disorders review the surgical treatment options. With 400 illustrations and tables, including hundreds of anatomical line drawings commissioned exclusively for this textbook, Gastrointestinal Surgery provides a clinical and therapeutic approach to surgical diseases which will prove invaluable to the surgical trainee and the practitioner preparing for recertification.
The surgeon who desires an atlas of techniques covering operations on the colon and rectum almost surely prefers a concise volume rather than an encyclopedic compilation of the innumerable procedures that have been described in the literature. This book includes the operations that have proved to be useful and have survived the test of time. They now are in general use in the Massachusetts General Hospital. Space limitations have necessitated exclusion of detailed illustrations of a number of infrequently performed procedures, such as pelvic exenter ation for cancer of the rectum. In such instances bibliographic references have been provided for ready reference. The bibliography emphasizes recent contributions because they are easily available to the reader. Critical comments by the authors concerning certain technical pro cedures may be due to personal bias and certainly do not imply that the alternative methods are undesirable. Furthermore, the brevity of discus sion of anatomy, physiology, and pathology and the neglect of details of medical therapy of numerous colorectal diseases must be attributed to the fact that this volume is directed primarily toward the practicing surgeon. Thanks are due to the artists Mrs. Edith Tagrin and Mr. Robert Galla, and to Miss Evelyn Hall for help in the preparation of the manuscript. Claude E. Welch, M.D. Leslie W. Ottinger, M.D. John P. Welch, M.D. .
This book is a concise guide to colorectal surgery for general surgeons, gastroenterologists and trainees. Beginning with a description of the surgical anatomy and embryology of the rectum, the following chapters discuss different surgical techniques for the treatment of rectal cancer, including transanal endoscopic microsurgery, neoadjuvant treatment and laparoscopic surgery. Newer and more aggressive approaches to the management of peritoneal carcinomatosis and rectal prolapse are also covered. Content is enhanced by clinical, pathological and genetic data, as well as images and illustrations. Key points Concise guide to colorectal surgery for general surgeons, gastroenterologists and trainees Covers different surgical techniques for treatment of rectal cancer Includes newer and aggressive approaches to management of peritoneal carcinomatosis Content enhanced by clinical, pathological and genetic data
All surgeons treasure the practial tips that they pick up from their teachers. Unfortunately, students are only exposed to a limited number of teachers during their training. Top Tips in Gastrointestinal Surgery aims to present to surgeons, both established and in training, a host of great masters and a wealth of knowledge gleaned from many years of experience.
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.
Written and edited by expert surgeons in collaboration with a world-renowned anatomist, this exquisitely illustrated reference consolidates surgical, anatomical and technical knowledge for the entire human body in a single volume. Part of the highly respected Gray’s ‘family,’ this new resource brings to life the applied anatomical knowledge that is critically important in the operating room, with a high level of detail to ensure safe and effective surgical practice. Gray’s Surgical Anatomy is unique in the field: effectively a textbook of regional anatomy, a dissection manual, and an atlas of operative procedures – making it an invaluable resource for surgeons and surgical trainees at all levels of experience, as well as students, radiologists, and anatomists. Brings you expert content written by surgeons for surgeons, with all anatomical detail quality assured by Lead Co-Editor and Gray’s Anatomy Editor-in-Chief, Professor Susan Standring. Features superb colour photographs from the operating room, accompanied by detailed explanatory artwork and figures from the latest imaging modalities - plus summary tables, self-assessment questions, and case-based scenarios – making it an ideal reference and learning package for surgeons at all levels. Reflects contemporary practice with chapters logically organized by anatomical region, designed for relevance to surgeons across a wide range of subspecialties, practice types, and clinical settings – and aligned to the requirements of current trainee curricula. Maximizes day-to-day practical application with references to core surgical procedures throughout, as well as the ‘Tips and Anatomical Hazards’ from leading international surgeons. Demonstrates key anatomical features and relationships that are essential for safe surgical practice - using brand-new illustrations, supplemented by carefully selected contemporary artwork from the most recent edition of Gray’s Anatomy and other leading publications. Integrates essential anatomy for robotic and minimal access approaches, including laparoscopic and endoscopic techniques. Features dedicated chapters describing anatomy of lumbar puncture, epidural anaesthesia, peripheral nerve blocks, echocardiographic anatomy of the heart, and endoscopic anatomy of the gastrointestinal tract – as well as a unique overview of human factors and minimizing error in the operating room, essential non-technical skills for improving patient outcomes and safety.
The gastrointestinal (GI) tract is the organ system comprising of the mouth, esophagus, stomach and intestines as well as the liver, pancreas and gallbladder. This system is responsible for the ingestion, digestion and absorption of food and its nutrients. Various disorders and conditions affect the gastrointestinal tract such as inflammations, infections and cancer. Many of these conditions require surgery. Gastrointestinal surgery can be upper or lower GI surgery. Upper GI surgery is characterized by its complexity and may include procedures such as liver resection, pancreaticoduodenectomy and esophagectomy. Lower GI surgery is performed on the lower GI tract, and includes surgical procedures performed on the small intestine, rectum, anus and colon. Some of the common procedures included in lower GI surgery are colectomy and colorectal surgery. This book contains some path-breaking studies in gastrointestinal surgery. Also included herein is a detailed explanation of the various surgical techniques and procedures employed in the management of GI disorders. The topics covered herein offer the readers new insights in gastroenterology and gastrointestinal surgery.
This book captures cornerstone developments in a new body of knowledge and provides an expert resource on a “hot topic” in rectal surgery. Transanal minimally invasive surgery (TAMIS) was designed for local excision of select rectal neoplasms, however soon it became realized that the TAMIS technique could be used for applications beyond local excision, most notably for transanal total mesorectal excision (taTME). This new operative technique has revolutionized our approach to the distal rectum by allowing for improved access, especially in obese male patients with an android pelvis, and by minimizing abdominal wall access trauma. The endpoints of improved oncologic resection, as defined by mesorectal envelope completeness, negative circumferential resection margins, and negative distal margin, are assessed. This book details controversies, pitfalls, and future directions of taTME and TAMIS. Chapters are authored by those on the forefront of innovation with TAMIS and taTME, and each is considered an authority on the topic. Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME) is a must-have reference for surgeons who are performing this operation and fellows in training who want to completely understand the various nuances of TAMIS and taTME.
