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The ASCRS Manual of Colon and Rectal Surgery

:	Steven D. Wexner, Michael J. Stamos, John Rombeau, Patricia L. Roberts, David E. Beck
:	David Beck, John L. Rombeau, Michael J. Stamos, Yosef Nasseri
:	The ASCRS Manual of Colon and Rectal Surgery
:	Springer-Verlag
:	9780387734408
:	1
:	CHF 72.30
:

:	Klinische Fächer
:	English

:	1046
:	DRM
:	PC/MAC/eReader/Tablet
:	PDF

The ASCRS Textbook of Surgery of the Colon and Rectum offers a comprehensive textbook designed to provide state of the art information to residents in training and fully trained surgeons seeking recertification. The textbook also supports the mission of the ASCRS to be the world's authority on colon and rectal disease. The combination of junior and senior authors selected from the membership of the ASCRS for each chapter will provide a comprehensive summary of each topic and allow the touch of experience to focus and temper the material. This approach should provide the reader with a very open minded, evidence based approach to all aspects of colorectal disease.

Derived from the textbook, The ASCRS Manual of Surgery of the Colon and Rectum offers a 'hands on' version of the textbook, written with the same comprehensive, evidence-based approach but distilled to the clinical essentials. In a handy pocket format, readers will find the bread and butter information for the broad spectrum of practice. In a consistent style, each chapter outlines the condition or procedure being discussed in a concise outline format - easy to read, appropriately illustrated and referenced.

David E. Beck, MD
Louisiana State University Health Sciences Center, Department of Colon and Rectal Surgery, New Orleans, LA, USA

	Preface	5
	Contents	6
	Contributors	11
	1. Anatomy and Embryology of the Colon, Rectum, and Anus	25
	A. Anatomy	25
	B. Embryology	47
	2. Physiology: Colonic	54
	A. Colonic Function	54
	B. Colonic Motility	56
	C. Defecation and Colonic Sensation	58
	D. Disturbances in Colonic Physiology	59
	E. Implications of Colonic Physiology for the Surgeon	61
	3. Anal Physiology	63
	A. Introduction	63
	B. Pelvic Floor Muscles	63
	C. Reflexes	64
	D. Mechanical Factors of Continence and Defecation	66
	E. Pathologic Conditions	68
	F. Continence	69
	4. Physiologic Testing	71
	A. Introduction	71
	B. Manometry	71
	C. Defecography	83
	D. Balloon Expulsion Test	87
	E. Anal Ultrasound	87
	F. Magnetic Resonance Imaging	88
	G. EMG of the Anal Sphincter	89
	H. Evaluation of Transit	91
	5. Diagnostic Evaluations: Endoscopy: Rigid, Flexible Complications	94
	A. Anoscopy	94
	B. Rigid Proctosigmoidoscope	99
	C. Flexible Sigmoidoscopy	101
	D. Ileoscopy	103
	E. Pouchoscopy	104
	F. Colonoscopy	105
	6. Diagnostic Evaluations: Radiology, Nuclear Scans, PET, CT Colography	113
	A. Plain Films	113
	B. Contrast Studies	121
	C. Computed Tomography	133
	D. Radionuclide Imaging	143
	E. Arteriography	145
	F. CT Colonography	146
	G. Positron Emission Tomography (PET)	149
	H. Magnetic Resonance Imaging (MRI)	152
	7. Endoluminal Ultrasound	154
	A. Introduction	154
	B. Endoanal Ultrasound	166
	8. Preoperative Management: Risk Assessment, Medical Evaluation, and Bowel Preparation	177
	A. Perioperative Risk Assessment Scoring Systems	177
	B. Preoperative Medical Evaluation	183
	C. Bowel Preparation	190
	D. Prophylactic Antibiotic Usage ( See Appendix 2)	193
	E. Prophylaxis for Endocarditis and Prosthesis	194
	F. Communication with the Patient and Laying the Groundwork for Postoperative Recovery	194
	G. Conclusion	194
	Appendix 1: Practice Parameters for the Prevention of Venous Thromboembolism	195
	Appendix 2: Practice Parameters for Antibiotic Prophylaxis to Prevent Infective Endocarditis or Infective Prosthesis During Colon and Rectal Endoscopy	196
	9. Postoperative Management: Pain and Anesthetic, Fluids and Diet	199
	A. Pain Control	199
	B. Perioperative Fluid Management	205
	C. Ulcer Prophylaxis	205
	D. DVT Prophylaxis	207
	E. Duration	210
	F. Anticoagulation	211
	G. Diet	211
	H. Steroids	213
	I. Clinical Pathways	215
	10. Postoperative Complications	216
	A. Unrecognized Enterotomies and Enterocutaneous Fistulae	216
	B. Anastomotic Complications	218
	C. Genitourinary Complications	224
	D. Pelvic Bleeding	236
	11. Benign Anorectal: Hemorrhoids	241
	A. Anatomy	241
	B. Etiology	243
	C. Epidemiology	244
	D. Classification	244
	E. Symptoms	244
	F. Differential Diagnosis	246
	G. Examination	248
	H. Treatment	249
	I. Strangulated Hemorrhoids	267
	J. Hemorrhoids, Varices, and Portal Hypertension	268
	K. Hemorrhoids in Pregnancy	268
	L. Hemorrhoids and Crohn’s Disease	269
	M. Hemorrhoids and the Immunocompromised	269
	N. Posthemorrhoidectomy Hemorrhage	269
	Appendix: Practice Parameters for Ambulatory Anorectal Surgery	270
	Ambulatory Facilities	270
	Preoperative Evaluation	271
	Intraoperative Considerations	272
	Postoperative Considerations	272
	12. Benign Anorectal: Anal Fissure	274
	A. Epidemiology	274
	B. Etiology	274
	C. Symptoms	276
	D. Diagnosis	276
	E. Management	277
	F. Special Situations	286
	13. Benign Anorectal: Abscess and Fistula	288
	A. Introduction	288
	B. Abscess	288
	C. Fistula-in-Ano	301
	D. Rectourethral Fistulas	319
	Appendix: Practice Parameters for Treatment of Fistula- in- Ano	321
	Acute Suppuration (Abscess)	321
	Chronic Suppuration (Fistula)	322
	Special Considerations	323
	14. Benign Anorectal: Rectovaginal Fistulas	325
	A. Etiology	325
	B. Evaluation	326
	C. Classification	327
	D. Conservative Management	328
	E. Surgical Techniques	328
	Choice of Treatment	333
	15. Pilonidal Disease and Hidradenitis Suppurativa	338
	A. Pilonidal Disease	338
	B. Hidradenitis Suppurativa	351
	16. Perianal Dermatology and Pruritus Ani	356
	A. Introduction	356
	B. Definitions	356
	C. Physiologic Considerations	358
	D. Etiology of Pruritus	359
	E. Diagnosis of Perianal Disease	365
	F. Treatment of Pruritus Ani	369
	17. Sexually Transmitted Diseases	375
	A. Introduction	375
	B. Overview of Anorectal Immunology	376
	C. Diagnosis and Management of Bacterial Pathogens	377