Clinical Decision Making in Colorectal Surgery (2^nd Ed., 2nd ed. 2020)

This second edition is an all-inclusive textbook with a unique algorithm-based approach to the evaluation and management of colorectal surgery disease.  It examines the thought processes, technical tricks, and decision-making strategies for specific clinical situations.

The book aims to utilise the experience its contributors have gained caring for patients with a wide range of colorectal diseases. The technical challenges of managing complex patients and the technical details that make these situations challenging are covered, and evidence and experience-based solutions are offered for surgeons of all levels. 

This book focuses on providing pragmatic advice and reproducible techniques that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems through an algorithmic approach.

Section I. Evaluation and Perioperative.- Chapter 1. Anorectal Examination.- Chapter 2. Anorectal and Colonic Evaluation.- Chapter 3. Physiologic Testing.- Chapter 4. Mechanical Bowel Preparation for Elective Colon and Rectal Surgery.- Chapter 5. Perioperative Assessment and Risk Stratification.- Chapter 6. Enhanced Recovery Pathways in Colorectal Surgery.- Chapter 7. Hematochezia and Melena.- Chapter 8. Anal Disease in the Neutropenic Patient.- Chapter 9. Evaluation and Perioperative.  Anal Mass.- Section II. Anal Conditions.- Chapter 10.  Anal Conditions.  Anal Fissure/Recurrent Anal Fissure.- Chapter 11.  Anal Conditions.  Anal Stenosis and Stricture.- Chapter 12.  Anorectal Abscess.- Chapter 13.  Anal Conditions.  Fistula in ano.- Chapter 14.  Anal Conditions.  Rectovaginal Fistula.- Chapter 15.  Anal Conditions.  Anorectal Crohn's Disease – Fistula.- Chapter 16.  Anorectal Crohn’s Disease.  Anal Stenosis and Anal Fissure.- Chapter 17.  Management of Internal Hemorrhoids.- Chapter 18.  Anal Conditions.  External Hemorrhoids.- Chapter 19.  Anal Conditions.  Pilonidal Disease/Complex and Recurrent Pilonidal Disease.- Chapter 20.  Anal Conditions.  Pruritus Ani.- Chapter 21.  Anal Conditions.  Hidradenitis Suppurativa.- Chapter 22.  Anal Conditions.  Anorectal Trauma.- Chapter 23.  Anal Conditions STDs.- Chapter 24.  Anal considerations.  Fournier’s gangrene.- Chapter 25.  Non-healing Perineal Wounds.- Chapter 26.  Anal Intraepithelial Neoplasms.- Chapter 27.  Anal Conditions.  Anal Margin Tumors.- Chapter 28.  Invasive Anal Canal Neoplasia.- Section III. Pelvic Floor.- Chapter 29.  Pelvic Floor Conditions.  Rectal Prolapse/Recurrence.- Chapter 30.  Pelvic Floor Conditions.  Rectal Intussusception.- Chapter 31.  Pelvic outlet obstruction.-  .- Chapter 32. Pelvic Floor Conditions.  Biofeedback.- Chapter 33. Pelvic Floor Conditions.  Fecal Incontinence.- Chapter 34. Pelvic Floor Conditions.  Diarrhea.- Chapter 35. Chronic Constipation.- Section IV. Rectal.- Chapter 36. Retrorectal tumors.- Chapter 37. Rectal Cancer.   Local Therapy.- Chapter 38. Rectal Conditions.  Rectal Cancer – Proctectomy.- Chapter 39. Rectal Conditions.  Rectal Cancer – Adjuvant and Neoadjuvant Therapy.- Chapter 40. Rectal Conditions.  Stage IV Rectal Cancer.- Chapter 41. Rectal Cancer.  Watch and Wait.- Chapter 42. Rectal Conditions.  Rectal Cancer.  Postoperative Surveillance.- Chapter 43. Recurrent Rectal Cancer.- Chapter 44. Locally Advanced Rectal Cancer.- Section V. Colonic.- Chapter 45. Colonic.  Diverticulitis.- Chapter 46. Colonic Conditions.  Large Bowel Obstruction.- Chapter 47. Colonic Conditions – Volvulus.- Chapter 48. Colonic Stricture.- Chapter 49. Acute Colonic Pseudo-Obstruction (ACPO) – Ogilvie’s Syndrome.- Chapter 50. Colonic Conditions.  Irritable bowel syndrome (IBS).- Chapter 51. Colorectal Trauma.- Chapter 52. Endometriosis.- Chapter 53. Colonic Conditions.  Ulcerative Colitis.- Chapter 54. Colonic Conditions.   Indeterminate Colitis.- Chapter 55. Colonic Conditions.  Toxic Colitis.- Chapter 56. Crohn’s Colitis.- Chapter 57. Ischemic Colitis.- Chapter 58. Colonic Conditions.  Infectious Colitis.- Chapter 59. Colonic Conditions.  Benign colonic neoplasia.- Chapter 60. Familial Adenomatous Polyposis.- Chapter 61. Colonic Conditions.  Lynch Syndrome.- Chapter 62. Malignant Colon Polyps.- Chapter 63. Colonic Conditions.  Adenomatous Polyps.- Chapter 64. Colon Cancer Surgical Therapy.- Chapter 65. Colonic Conditions.   Locally Advanced Colon Cancer.- Chapter 66. Recurrent Colon Cancer.- Chapter 67. Appendiceal Neoplasms.- Section VI. Small bowel.- Chapter 68. Small bowel conditions.  Small bowel Crohn's disease.- Chapter 69. Small bowel desmoid disease.- Chapter 70. Mesenteric Ischemia.- Chapter 71. Small Bowel Conditions.  Small Bowel Obstruction.- Chapter 72. Small Bowel Conditions.  Radiation-Induced Small Bowel Disease (RISBD).  Radiation Enteritis.- Chapter 73. Enterocutaneous and Enteroatmospheric Fistula.-
Chapter 74. Small Bowel Polyps.- Chapter 75. Small Bowel Lymphoma.- Chapter 76. Small Bowel Conditions.  Carcinoid.- Section VII. Stomas.- Chapter 77. Stomal Prolapse.- Chapter 78. Stomas.  Parastomal hernias.- Chapter 79. Stoma retraction and stenosis.- Chapter 80. Stomal varices.- Chapter 81. Stomas.  Peristomal Skin Complication.- Section VIII. Complications.- Chapter 82. Complications.  Ureteral Injury.- Chapter 83. Splenic Injury complicating Colorectal surgery.- Chapter 84. Complications.  Colonic perforations.- Chapter 85. Complications.  Early Anastomotic Complications—Leak, Abscess, and Bleeding.- Chapter 86. Late Anastomotic Complications (Stricture and Sinus).- Chapter 87. Post-Polypectomy Bleeding .- Chapter 88. Post-polypectomy Thermal Injury.- Chapter 89. Presacral Bleeding.- Chapter 90. Complications.  Short gut syndrome.- Chapter 91. Complications.  Surgical Site Infections.- Chapter 92. J Pouch Complications.- Chapter 93. Complications.  Pouchitis.- Chapter 94. Complications.  Reoperative Pelvic Surgery.

Scott R. Steele, MD

Dr. Steele is a graduate of the United States Military Academy at West Point, NY, and is the Chief of Colon & Rectal Surgery at Madigan Army Medical Center, Fort Lewis, WA.  He is an active participant in 11 surgical societies and several national committees for both the Society of University Surgeons and American Society of Colon & Rectal Surgeons including the Standards committee, for which he has written several national Practice Parameter guidelines.  He currently serves on the editorial boards of Clinics in Colon and Rectal Surgery, World Journal of Gastroenterology, Cochrane Colorectal Cancer Group, Journal of Gastrointestinal Surgery, Journal of Surgical Oncology, Annals of Surgery, and is a Section Editor for Diseases of the Colon & Rectum.  In addition, he serves as the Colorectal Surgery Community Web Portal Editor for the American College of Surgeons.  He also serves on theAmerican Board of Colon & Rectal Surgery, as both a Written Examination Committee member and a member of the Oral Examination Committee.  His contributions to the medical literature include several peer-reviewed articles, invited reviews and book chapters, and national practice parameters. He has also served as a guest editor for five volumes dedicated to colorectal disease and is the co-editor of 5 upcoming Colorectal Surgery textbooks.

Steven Wexner, MD, PhD (Hon), FACS, FASCRS, FRCS(Ed)

Dr. Wexner is currently the Director, Digestive Disease Centerand Chairman Department of Colorectal Surgery at Cleveland Clinic Florida. He is the past President of the American Society of Colon and Rectal Surgeons Research Foundation (2014-2016), the American Society of Colon and Rectal Surgeons (2011-2012), the American Board of Colon and Rectal Surgery (2010-2011), and the Society of American Gastrointestinal and Endoscopic Surgeons (2006-2007).He has published o