Surgical Treatment Of Hemorrhoids

The second edition of Surgical Treatment of Hemorrhoids covers this important and common disorder, offering a comprehensive critical analysis of advantages and disadvantages of recognized treatment options, covering both recent advances and traditional treatments in the field. The topics covered include essential elements of diagnosis, surgical technique and after-care for the main operations used in hemorrhoid surgery. Providing authoritative in-depth presentations of all perspectives and latest techniques available, the individual procedures are each described by an internationally recognized expert, and the full range of treatment options is covered. The chapters have been revised, with some additions and updates, including stapled hemorrhoidectomy and office management, and also hemorrhoidectomy with several concomitant comorbidities. This uniquely comprehensive guide is essential reading for all practicing and trainee colorectal and general surgeons.

This book provides up-to-date knowledge on hemorrhoids for proctologists. It covers all aspects, including the history of hemorrhoids, the anatomy of the anal canal, pathophysiology, diagnosis, and treatment. Both conservative treatment approaches and surgical methods are explained with the aid of numerous high-quality illustrations and schematic drawings. Particular attention is paid to lift-up submucosal hemorrhoidectomy, developed by the author by modifying Parks’ original method. Additionally, other important techniques proposed by world leaders in the field are described and illustrated. The international trend towards use of day-case hemorrhoidectomy is acknowledged by considering this approach in detail, with discussion of patient preparation, anesthesia, surgical technique, and postoperative management. The treatment of hemorrhoids in a variety of special circumstances is examined, including new trends in PPH. The closing chapter is devoted to the various forms of anesthesia for anal surgery.​

The second edition of Surgical Treatment of Hemorrhoids covers this important and common disorder, offering a comprehensive critical analysis of advantages and disadvantages of recognized treatment options, covering both recent advances and traditional treatments in the field. The topics covered include essential elements of diagnosis, surgical technique and after-care for the main operations used in hemorrhoid surgery. Providing authoritative in-depth presentations of all perspectives and latest techniques available, the individual procedures are each described by an internationally recognized expert, and the full range of treatment options is covered. The chapters have been revised, with some additions and updates, including stapled hemorrhoidectomy and office management, and also hemorrhoidectomy with several concomitant comorbidities. This uniquely comprehensive guide is essential reading for all practicing and trainee colorectal and general surgeons.

As the field of general surgery continues to expand, the diagnostic and therapeutic pathways are becoming more complex. The diagnostic modalities available to the clinician can be both very helpful but also overwhelming considering the findings can often determine the scope of treatment for a patient. This text will take the major pathologies of the systems commonly studied in general surgery and present them in a unique format based upon algorithms. The algorithms will begin with the clinical presentation of the patient, work its way through the various diagnostic modalities available to the surgeon, and finally allow the physician to make a decision regarding treatment options based upon various patterns in the algorithms. This text will become a very useful resources for surgeons as it allows complex clinical pathways to be conveniently organized in logical algorithms. It will become a concise yet comprehensive manual to assist in clinical decision making. All algorithms will be reviewed by experts in their field and include the most up-to-date clinical and evidence-based information. Clinical Algorithms in General Surgery provides a useful resource for surgeons in clinical practice as well as surgical residents, and surgical attendings who are preparing for board examinations. See sample algorithm in Attachments.

Operative Dictations in General and Vascular Surgery, Second Edition is intended to teach residents the principles of succinct and precise operative dictations for a wide spectrum of surgical procedures. Designed as a portable resource, the book provides typical dictations to guide the resident. Comprised of 226 procedures, this new edition comprises the majority of procedures commonly performed by general and vascular surgeons. For each procedure, a list of common indications is given. This list covers 95% of the situations in which a particular procedure will be used. A list of essential steps follows. These can be used to mentally rehearse the procedure before it is performed. The next heading, Note these technical variations, introduces a list that is intended to prompt the surgeon for particular things to note and dictate within the template. A list of possible complications that are typically associated with that particular surgical procedure follows. Finally, a template operative dictation is provided. Common opening and terminating sequences (for example, how to enter and close the abdomen) in all laparotomy dictations are included. The volume has two primary objectives. First, it is designed to serve as a source of model operative dictations that may be individualized and used as templates. Second, it is intended as an aide-memoir, giving the surgeon a short list of pertinent information about each procedure. Ample space is provided to allow each surgeon to add notes. By reviewing this introductory material before scrubbing on a procedure, the trainee surgeon will enter the operating room better prepared to participate actively and to learn as much as possible. At the end of training, this book, with the notes accumulated by the resident, will serve as an invaluable review resource analogous to the individualized notebooks many surgeons keep. Operative Dictations in General and Vascular Surgery, Second Edition is intended for practicing surgeons, who may modify each template to reflect their own individual practice. It also serves as a concise reminder of essential steps in those operations that may be only rarely performed.

This book offers a comprehensive guide to hemorrhoidal disease, the most frequent coloproctological affection. In addition to amply illustrated chapters covering the epidemiology and anatomic, physiologic, and pathophysiologic bases of hemorrhoids, readers will find helpful information on the classification of hemorrhoidal disease and modalities to assess it, as well as their significant impact on the choice of treatment. The work presents a complete panel of all therapies usually adopted to treat this condition and their outcomes, which are critically commented on by prominent specialists. Further, management of the disease in special conditions is also discussed. Lastly, a literature review and evaluation of the impact of different treatments on the patient’s quality of life round out the volume, which is part of the Reference Work series entitled Coloproctology.

A high-level text covering both traditional treatments and recent advances in haemorrhoid surgery. The book contains an authoritative and in-depth discussion on all areas of the subject as well as a look at the latest techniques. In over twenty chapters the author covers the essential elements of diagnosis, surgical technique and after-care for the main operations. The full range of treatment options is covered - each procedure is described by an internationally recognised expert. This unique and comprehensive guide is invaluable to both trainee and practising colorectal and general surgeons. The author, Charles Mann, former President of the Section of Colo-Proctology of the Royal Society of Medicine, is a respected UK coloproctologist who has written extensively on all aspects of coloproctology.

This is a user-friendly reference on all aspects of office-based anorectal surgery for general surgeons and surgeons in training. Well-illustrated, this practical manual shows step-by-step procedures for commonly performed anorectal procedures. The book includes ancillary considerations of ambulatory surgery with timely chapters on set-up of the facility, anesthetic considerations, selection of patients, pre-op and post-op management, nursing aspects, and coding and billing.

This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.