Evidence-based surgical practice is rapidly becoming synonymous with “quality” care. The topics of evidence-based care in colorectal surgery are immense and diverse, and many have been covered in other chapters of this textbook. In the following pages, we attempt to…
Mastering the challenges of reoperative pelvic surgery requires preparation, a thorough understanding of pelvic anatomy, the ability to think several steps ahead, considerable experience, and no small measure of courage on the part of the surgeon. This chapter covers the…
Colorectal surgery is associated with a greater risk for infections than most other surgical specialties and is considered an outlier for surgical site infections (SSIs). In addition to SSI, as with other types of surgical operations, patients undergoing colectomy are…
More than a million patients in North America live with some type of intestinal stoma. These stomas are typically constructed as one of the last components of a long and challenging surgical procedure. Stomal construction is important because their function…
Incidence and Consequences of Anastomotic Leak Anastomotic leak is perhaps the most physiologically significant and psychologically devastating complication that commonly occurs following operations for colon or rectal disease. The reported incidence of anastomotic leak following colorectal surgery has varied from…
Colorectal cancer (CRC) is the third most common cancer and the fourth most common cancer cause of death worldwide. The incidence of CRC is low at ages younger than 50 years but increases significantly with age. Although the T (tumor…
Rare tumors of the colon and rectum account for 5% of all colorectal malignancy and can be broadly separated into four categories: epithelial ( Fig. 175.1 ), lymphoid, mesenchymal, or other ( Table 175.1 ). In this chapter we will…
Retrorectal tumors comprise an uncommon group of lesions, originating from one or more of the three germ cell layers that occupy the retrorectal or presacral space. The reported incidence of less than 1% likely represents an underestimate, given the indolent…
The perianal region includes the (1) anal canal, (2) perianus, and (3) perianal skin. This chapter will review the definition and anatomy of the anal canal and perianus and discuss the diagnosis and management of neoplasms that occur in these…
Colorectal cancer is the third most common cancer diagnosed in both males and females in the United States. As of January 2016 there are an estimated 1.4 million men and women living with a diagnosis of colorectal cancer, with an…