Ambulatory colorectal surgery
Sands R., Sands D.R.
The face of medicine has changed significantly in the 21st century. Emphasis is
placed onminimally invasive techniques and shorter hospitalization. This medical climate
has challengedphysicians to provide excellent care of increasingly complex problems often in
the outpatientsetting and frequently using multidisciplinary approaches.
As such, we have been motivated to write a new colon and rectal surgery textbook
capitalizingon the shifting practices of medicine in the 21st century. This book represents
a compilationof office-based diagnoses, conditions, and treatments that are commonly
encountered in generaland colon and rectal surgical practices. Attention is paid to all facets of
outpatient colorectalsurgery including the evaluation and treatment of complex pelvic floor pathology.
Many office-based outpatient conditions and anorectal diseases in general are
often poorlyunderstood. This disease spectrum is frequently glossed over in surgical
training programs.Most surgical trainees today have limited access to the outpatient office
setting, especiallywithin the confines of the restricted working hours of residents. Conditions
such as the onesreviewed in this book make up the core of many surgical practices. Therefore, we
believe thatthis book will be useful to all practicing colon and rectal surgeons, general
surgeons withan interest in anorectal disease, and particularly those young surgeons just
completing theirsurgical training and starting in practice.
The chapters are listed by condition and include a comprehensive review of the
diseaseentity followed by the available diagnostic modalities and treatment options.
The perioperativecare is also included in order to provide the reader with a guide to the
complete managementof these patients. A review of the literature, both classic and new, will help
the reader to gaina thorough understanding of each disease process. Prominent authors who have
expertise inthese areas have been brought together in this effort to bring some simplicity
to the treatmentof a group of common conditions, which are often ineffectively managed by