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Colorectal Surgery
A Companion to Specialist Surgical Practice
- 7th Edition - July 5, 2023
- Editors: Sue Clark, Phil Tozer
- Language: English
- Hardback ISBN:9 7 8 - 0 - 7 0 2 0 - 8 5 0 1 - 7
- eBook ISBN:9 7 8 - 0 - 7 0 2 0 - 8 5 0 2 - 4
Colorectal Surgery provides a short, up-to-date and practical reference guide for surgical trainees and established consultants needing a refresher. The seventh edition has been… Read more
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Request a sales quoteColorectal Surgery provides a short, up-to-date and practical reference guide for surgical trainees and established consultants needing a refresher.
The seventh edition has been edited and fully revised by respected experts in their fields, and provides a full list of current references and relevant resources. It includes recent developments in colorectal surgery, including changes to colorectal cancer screening, multimodal therapy for rectal cancer and changes to the terminology and management of anal neoplasia. Several new authors and co-authors have joined the expert team.
This volume is part of the Companion to Specialist Surgical Practice series, the pre-eminent reference for trainees in general surgery and those preparing for the FRCS examinations. Each volume summarises key issues within each surgical sub-specialty and provides evidence-based recommendations to support practice.
- Concise and easy to follow – ideal for exam revision or as a refresher aid
- Fully updated with latest evidence on recent developments, management issues and operative procedures
- Details of relevant investigations and evidence-based recommendations to support practice
- Key references to support content, plus a comprehensive list of references in the accompanying eBook
- Links to recommended online videos for further learning
Higher surgical trainees preparing for the FRCS examinations. Surgical residents preparing for the board exams in specific specialties.
Students wishing to progress from Specialty Training (ST)1 through to ST3 need to pass their MRCS exams. Once these have been completed and their place in a surgical post secured they then go on to working on the necessary skills to pass the FRCS exam. This exam marks the completion of 6 years of higher surgical training. This series is designed primarily for those studying for the FRCS, but those still working on their MRCS exams will also find these useful.
Over 6000 UK and overseas doctors take the MRCS postgraduate surgical exams each year. MRCS is a 2 part exam – 5hrs of an MCQ exam then an OSCE clinical exam (18 manned, 9 minute long stations).
The FRCS (2 part MCQ exam / then patient based clinical examinations and scenario based structured interviews).
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Copyright
- Series Editors’ preface
- Editors’ preface
- Evidence-based practice in surgery
- Contributors
- 1. Lower gastrointestinal endoscopy
- Introduction
- Indications and contraindications
- Checklist
- Sedation
- Insertion technique
- Withdrawal and examination technique
- New techniques in endoscopic mucosal visualisation
- Quality assurance
- Sustainable endoscopy
- Endoscopy training
- Endoscopic therapy
- Competing technologies
- Conclusions
- 2. Colorectal cancer
- Introduction
- Natural history
- Aetiology
- Presentation
- Investigation
- Screening
- Surveillance after adenoma detection
- The suspicious or malignant polyp
- Surgery
- Adjuvant therapy
- Management of advanced disease
- Multi-disciplinary team
- Pathological staging
- Summary recommendations for best practice
- 3. Colorectal cancer and genetics
- Introduction
- Assessment of risk
- Management
- Lynch syndrome
- Familial adenomatous polyposis
- MYH-associated polyposis
- Peutz–Jeghers syndrome
- Juvenile polyposis
- Serrated polyposis syndrome
- Other inherited colorectal cancer syndromes
- Molecular pathways of colorectal cancer development
- Summary
- 4. Surgery for colon cancer
- Introduction
- Peri-operative risk mitigation for elective surgery
- Surgery for colon cancer
- Complications of surgery for colonic cancer
- Emergency management
- Emerging technologies
- Future developments
- 5. Surgery for rectal cancer
- Introduction
- Objectives of surgery
- Multi-disciplinary meeting
- Circumferential resection margin and local recurrence
- Neoadjuvant therapy
- Patient optimisation and prehabilitation
- Extent of excision – total mesorectal excision versus mesorectal transection, level of vascular ligation and pelvic lymphadenectomy
- Surgical approach for rectal cancer resection
- Distal clearance and coloanal anastomoses
- Reconstruction (colonic pouch, end-to-side or end-to-end anastomosis)
- Defunctioning stoma
- Abdominoperineal excision
- Beyond total mesorectal excision surgery
- Non-radical resection of rectal cancer
- Complications of rectal cancer surgery
- Quality of life
- Follow-up
- The future
- 6. Chemotherapy and radiotherapy for colorectal cancer
- Introduction
- Adjuvant chemotherapy for colon cancer
- Neoadjuvant chemotherapy in colon cancer
- Adjuvant chemotherapy in rectal cancer
- Principles of systemic anti-cancer therapy in advanced or metastatic disease
- Radiotherapy
- Neoadjuvant chemotherapy and total neoadjuvant therapy
- Future directions
- 7. Advanced and recurrent colorectal cancer
- Introduction
- Incidence
- Diagnosis and staging of advanced and recurrent colorectal cancer
- The advanced colorectal cancer multi-disciplinary team
- Locally advanced primary and recurrent rectal cancer
- Colorectal peritoneal metastases
- Cytoreductive surgery with hyperthermic intra-peritoneal chemotherapy
- Colorectal liver metastases
- 8. Anal neoplasia
- Introduction
- Anatomy
- Human papillomavirus
- Warts (Condyloma acuminata)
- Anal intra-epithelial neoplasia
- Anal cancer
- Future directions
- 9. Diverticular disease
- Historical perspectives
- Terminology
- Anatomical and physiological perspectives
- Incidence and geographical differences
- Aetiology and pathogenesis
- Diverticulitis
- Segmental colitis associated diverticulosis
- Diagnosis and imaging
- Treatment
- Emergency surgery
- Elective resection – facts, fiction and functional outcome
- Diverticular haemorrhage
- 10. Ulcerative colitis
- Introduction
- Epidemiology
- Aetiopathogenesis
- Clinical presentation
- Diagnosis and evaluation
- Colorectal cancer and surveillance
- Severity assessment
- Extra-intestinal manifestations
- Medical management
- Surgical management
- 11. Crohn’s disease
- Introduction
- Epidemiology
- Aetiology
- Pathogenesis
- Pathology
- Macroscopic appearance
- Microscopy
- Differentiating Crohn’s colitis from ulcerative colitis
- Clinical
- Systemic symptoms
- Gastrointestinal symptoms
- Perianal disease
- Gastrointestinal complications
- Investigations
- Radiology
- Disease activity assessment and quality of life
- Differential diagnosis
- Medical treatment
- Induction of remission
- Additional treatments
- Maintenance therapy
- Multi-disciplinary care
- Overall management strategies in Crohn’s disease
- Post-operative prophylaxis
- Other drugs
- Surgery
- Pre-operative optimisation
- Intra-operative considerations
- Site specific considerations
- Small bowel and ileocaecal disease
- Surgery for colonic and rectal Crohn’s disease
- Perianal disease
- 12. Intestinal failure
- Introduction
- Epidemiology
- Causes
- Pathophysiology
- Intestinal failure: criteria for referral
- Management of intestinal failure and surgical catastrophe
- Prehabilitation
- Supporting organisations
- Summary
- 13. Faecal incontinence
- Introduction
- Anatomy and physiology of the anal canal
- Rectoanal inhibitory reflex
- Aetiology of faecal incontinence
- Presentation
- Management of faecal incontinence in adults
- Conclusion
- Recommended videos
- 14. Pelvic floor surgery for the colorectal surgeon
- Introduction
- Assessment
- Symptom assessment
- Examination
- Preliminary investigation
- Colonic transit studies
- Anorectal physiology
- Anal endosonography/endorectal ultrasound
- Integrated total pelvic floor ultrasound
- Transperineal ultrasound (Fig. 14.1)
- Transvaginal ultrasound
- Proctography – defecography/evacuation proctography
- Defaecation magnetic resonance imaging
- Mucosal prolapse
- Full-thickness rectal prolapse
- Rectal prolapse surgery
- Perineal approaches
- Abdominal approaches
- Laparoscopic approaches
- Multi-compartmental prolapse
- Recurrent rectal prolapse
- Rectocele
- Rectal intussusception
- Enterocoele
- Solitary rectal ulcer syndrome
- Conservative treatment
- Surgical approaches
- Hitching procedures for the rectum (rectal suspension)
- Rectal wall excisional procedures (rectal excision)
- Rectovaginal reinforcement procedures
- Sacral nerve stimulation
- Mesh and pelvic floor surgery
- Future developments
- 15. Functional problems and their medical management
- Introduction
- Irritable bowel syndrome
- Functional constipation
- Idiopathic megarectum and megacolon
- 16. Anal fistula
- Introduction
- Aetiology
- Management of acute sepsis
- Classification of anal fistula
- Assessment
- Principles of fistula surgery
- The loose seton
- Sphincter dividing operations
- Sphincter preserving procedures
- Newer techniques
- Management of the recurrent fistula
- 17. Minor anorectal conditions
- Haemorrhoids
- Anal fissure
- Pruritus ani
- Pilonidal sinus
- Anal stenosis
- Sexually transmitted infections
- Index
- No. of pages: 232
- Language: English
- Edition: 7
- Published: July 5, 2023
- Imprint: Elsevier
- Hardback ISBN: 9780702085017
- eBook ISBN: 9780702085024
SC
Sue Clark
Affiliations and expertise
Consultant Colorectal Surgeon, St Mark's Hospital, Harrow; Adjunct Professor of Surgery, Imperial College, London, UKPT
Phil Tozer
Affiliations and expertise
Consultant Colorectal Surgeon, St Mark's Hospital London UK