This thoroughly revised second edition reflects the exponential growth in the complex field of decision making in colorectal surgery, since the first edition published in 2017. Recommendations are based on newly published data and this book has 30% new additions with 58% chapters completely rewritten by new authors. The chapters in each volume adhere to a specific format. This approach provides uniformity to the presentations, making it possible to identify useful material at a glance.
Covering new technology, brief chapters are multi-authored, and each devoted to one or two specific questions or decisions within that specialty that are difficult or controversial.
Physicians from nonsurgical specialties give alternative and competing therapies for what was once the exclusive province of the surgeon.
1. Inflammatory Bowel Disease.- What are the treatment options for
painful anal fissure in patients with Crohns disease?.- Elective surgical
management in patients with ulcerative colitis: How many stages?.- Which
patients with ulcerative colitis benefit from ileal pouch-anal anastomosis?.-
How to manage pouch-perineal and pouch-vaginal fistula after ileal pouchanal
anastomosis.- Ileal pouchanal anastomosis failure: what to do?.-
Perioperative Steroid Management in IBD Patients Undergoing Colorectal
Surgery.- Colonic dysplasia in patients with Ulcerative Colitis. Endoscopic
or surgical management?.- Which patients benefit from biologic agents to
prevent disease recurrence after resection in Crohns disease?.-
2. Colon
Cancer.- Is intensive surveillance necessary after curative resection for
colon cancer?.- Surgical vs endoscopic options for management of malignant
large bowel obstruction.- Metastatic colorectal cancer in the asymptomatic
patient. Is there a benefit in resection of primary tumor?.- What are the
options for management of large colonic polyps?.- Management of the malignant
colon polyp. Colon resection or surveillance?.- Stage II Colon Cancer:
Towards an individualized treatment approach.- Is there a benefit in
cytoreduction and hyperthermic intraperitoneal chemotherapy in colorectal
cancer?.- CRC management in elderly frail patients. Treatment for cure vs
palliation.- Colon cancer in the splenic flexure. Which operation?.-
3.
Rectal Cancer.- Can total mesorectal excision be avoided in T2 rectal
cancer?.- Watch and wait vs conventional surgical treatment in rectal
cancer.- Which patients are the right candidates for total neoadjuvant
therapy (TNT)?.- Management of the Patient with Rectal Cancer Presenting with
Synchronous Liver Metastasis.- Who Needs a Loop Ileostomy After Low Anterior
Resection for Rectal Cancer?.- Reoperative Surgery for Locally Recurrent
Rectal Cancer.-
4. Anal Dysplasia/Cancer.- Intensive vs conservative
management of patients with low grade squamous intraepithelial lesions.- How
aggressive should we be in magement of patients with high grade squamous
intraepithelial lesion?.- Is high resolution anoscopy superior to direct
evaluation of anal dysplasia?.-
5. Benign Colon Disease.- Surgical
management options in severe difficile.- Are antibiotics needed for the
management of uncomplicated diverticulitis?.- Do We Need to Operate on
Patients After Successful Percutaneous Drainage of a Diverticular Abscess?.-
How to manage diverticular abscess not amenable to percutaneous drainage?.-
Hartmann procedure vs primary anastomosis for acute complicated
diverticulitis.- Deciding on an IRA vs. IPAA for FAP.- Rectal prolapse:
Rectopexy vs perineal proctosigmoidectomy.- Optimal Management of the
Transsphincteric Anal Fistula Surgery vs. conservative management for third
degree hemorrhoids?.- Management options for bleeding hemorrhoids in a
patients on anticoagulation.- Operative vs non-operative management of outlet
obstruction.-
6. Quality Improvement.- Is bowel prep necessary for patients
undergoing colon resection?.- Enhanced recovery vs conventional perioperative
management.-
7. Technique Intracorporeal vs extracorporeal anastomosis for
right colectomy.- Management of anastomotic leak following low anterior
resection.- Colorectal anastomosis construction: Is there a benefit to a
reservoir?.- Management of the Unhealed Perineal Wound After Proctectomy.-
Gender affirmation procedure: what are the reconstructive options?.
Neil H. Hyman, MD, has authored more than 250 peer-reviewed original articles or textbook chapters. He serves as Associate Editor for the Annals of Surgery and the Journal of Gastrointestinal Surgery. . In addition, he has been an invited Visiting Professor at many academic institutions and presented his work at invited lectureships around the world. He has been President of the American Society of Colon and Rectal Surgeons and served on the American Board of Colon and Rectal Surgery. Dr. Hyman is consistently named to the list of Best Doctors in America by Best Doctors, Inc. and America's Top Doctors for Cancer by Castle Connolly Medical Ltd.
Konstantin Umanskiy, MD, specializes in the treatment of a wide variety of colon and rectal diseases such as colon and rectal cancer, inflammatory bowel disease (ulcerative colitis and Crohns disease), complex anorectal disorders and diverticulitis. His area of clinicaland research interests include the treatment of patients with pelvic floor disorders (constipation, incontinence and pelvic organ prolapse). Dr. Umanskiy uses traditional surgical approaches, as well as state-of-the-art minimally invasive laparoscopic and robotic techniques. Dr. Umanskiy has strong clinical and research interests in innovative surgical techniques, especially robotic and telemedicine applications for colon and rectal surgery.
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