Complex Anorectal Disorders: Investigation and Management

ISBN-13: 9781849968966 / Angielski / Miękka / 2010 / 800 str.

Steven D. Wexner; Andrew P. Zbar; Mario Pescatori

Opis

A large cross-section of the world s great and good in colorectal surgery have been enticed, inveigled, I suspect at times brow-beaten, to produce this tour de force. The editors, themselves famous for their own extensive contributions in this area, must be congratulated for their ?ne achievements. Every card-carrying specialist needs a reference book of this sort. My own are well worn by many years reference, for when confronted by big problems, big issues, senior clinicians must be able to lay their hands on a well-thumbed old favourite: not a small, where are we now sort of book, or an exam crammer, but on one that is large, sedate and of traditional build. Rather than being a supergiant covering all of colorectal surgery, this book has focused on the broad structural investigation of the anorectum and on the focused management of largely functional problems. And it has done so in style. For this is a core area of specialist practice;your more general colleagues may think twice before referring you new cases of cancer and in?ammatory bowel disease (both also central areas in colorectal surgery), but they will not hesitate in referring the patients whose inves- gation and management are described here. And they will expect you to know how to deal with them. These are some of the most challenging patients to manage. Rightly have the editors covered the physiological areas, rightly the psychological issues, rightly the medicolegal aspects: here is the making of a specialist the sword and the shield."

Recenzje

From the reviews:

"It is indeed a tour de force ... . The editors ... have chosen to explore ... challenging aspects of anorectal dysfunction. ... It has been conceived and written as a specialist text ... and as such has been highly successful in achieving this goal. Clarity of text accompanied by pertinent illustrations and line drawings allow the clinician to read for interest or 'dip in' for reference ... . I have little doubt that it will be a well-used addition to my bookshelf ... ." (Alastair C. J. Windsor, Diseases of the Colon & Rectum, Vol. 49 (10), 2006)

"This book comprises two sections, the first dedicated to anorectal testing and the second to clinical anorectal assessment. Sixty-seven authors have contributed to this comprehensive reference book on anorectal pathophysiology and the editors are to be congratulated on its publication. ... the editors have produced a most comprehensive guide to the identification and assessment of anorectal dysfunction." (Ann Branigan, British Journal of Surgery, Vol. 93 (4), 2006)

Spis treści

Anorectal Testing.- Anorectal Anatomy: The Contribution of New Technology.- History, Clinical Examination, and Basic Physiology.- Rectoanal Inhibition.- Vectorvolume Manometry.- Clinical Rectal Compliance Measurement.- Impedance Planimetry: Application for Studies of Rectal Function.- Impedance Planimetry: Clinical Impedance Planimetry.- Ambulatory Manometry.- The Use of Colonic Motility and Transit Studies.- Anorectal Sensitivity.- Neurophysiology in Pelvic Floor Disorders.- Evacuation Proctography.- Defecography: A Swedish Perspective.- Ultrasound in Coloproctologic Practice: Endorectal/Endoanal Ultrasound.- Ultasound in Coloproctologic Practice: Dynamic Transperineal Ultrasound and Transvaginal Sonography.- Three-Dimensional Endoanal Ultrasound in Proctological Practice.- MRI in Colorectal Surgery: Surface Magnetic Resonance Imaging in Anorectal Practice.- MRI in Colorectal Surgery: Endoluminal MR Imaging of Anorectal Diseases.- MRI in Colorectal Surgery: Dynamic Magnetic Resonance Imaging.- Sphincter Pharmacology and Pharmacotherapy.- Anal Histopathology.- Anal Intraepithelial Neoplasia (AIN).- Clinical Anorectal Assessment.- An Overview.- Managing Slow-Transit Constipation.- Rectocele.- Anismus.- Biofeedback for Constipation and Fecal Incontinence.- Evacuatory Dysfunction Following Gynecologic Surgery.- An Overview.- Quality of Life Issues.- Fecal and Urinary Incontinence: Epidemiology and Etiology.- Sacral Neuromodulation.- Urogynecological Assessment and Perspective in Patients Presenting with Evacuatory Dysfunction.- Assessing the Postoperative Patient with Evacuatory Dysfunction: Disordered Defecation of the Neorectum and Neorectal Reservoir.- Evaluation and Management of Postoperative Fecal Incontinence.- An Overview.- Managing Functional Problems Following Dynamic Graciloplasty.- Assessing the Functional Results of the Artificial Bowel Sphincter.- Functional Problems in the Patient with a Neurological Disorder.- Psychological Assessment of Patients with Proctological Disorders.- A Practical Guide to Running an Anorectal Laboratory.- Medicolegal Aspects of Coloproctologic Practice.

O autorze

Complex Anorectal Disorders: Investigation and Management draws together preclinical assessment and clinical recommendations for complex anorectal disorders to create an integrated book. This practical guide looks at complex pathophysiologic conditions; pediatric patients; new procedures after artificial sphincter implantation; basic and complex psychological assessment; new radiologic approaches to patients with complex problems; and the post-operative patient with functional disorders.
A practical guide on complex anorectal disorders for preclinical assessment and clinical recommendations. Uniquely includes 3-D ultrasound, transperineal ultrasonography and dynamic MRI not found in other texts on anorectal disorders.
Target market: Healthcare professionals with an interest in fecal incontinence - colorectal trainees, colorectal nurse specialists, those involved in coloproctology imaging, will find this a useful reference manual. The book will also assist the clinical physiologist and biofeedback technologist, highlighting standardized treatments and their follow-up in these complex patients, such as those in the fields of neuromodulation. The specialties of proctology, gynecology and urology are brought together in one text.