Improving Outcomes in Colon and Rectal Surgery

Foreword to Improved Outcomes

Preface

Editors

Contributors

1. Preexisting conditions

Arida Siripong and Farouq Manji

2. Preoperative bowel preparation

Aaron L. Klinger and David A. Margolin

3. Anesthesia and intraoperative positioning

W. David Sumrall, III and David E. Beck

4. Sepsis

Jennifer S. Beaty and Moriah E. Wright

5. Intraoperative anastomotic challenges

David E. Beck

6. Other intraoperative challenges

Jesus Flores and Sharon G. Gregorcyk

7. Optimizing use of electronic health records

Allison B. McCoy and Genevieve B. Melton-Meaux

8. Postoperative anastomotic complications

Traci L. Hedrick

9. General postoperative complications

J. Marcus Downs and Kristina K. Booth

10. Care paths and optimal postoperative management

Benjamin D. Shogan and Heidi K. Chua

11. Limitations of anorectal physiology testing

Thomas E. Cataldo and Syed G. Husain

12. Limitations of colorectal imaging studies

Andrew C. Matthews and Charles C. Matthews

13. Transanal endoscopy

Aaron L. Klinger and Brian R. Kann

14. Laparoscopy for colorectal disease

Bradley R. Davis and Kevin R. Kasten

15. Medical legal issues

Terry C. Hicks and David E. Beck

16. Miscellaneous conditions

Alexander T. Hawkins and M. Benjamin Hopkins

17. Outcomes and quality

Shaun R. Brown and Kurt G. Davis

18. Hemorrhoidal surgery

Jeffery Mino and Massarat Zutshi

19. Nonoperative therapy for hemorrhoidal disease

Joseph C. Adongay and Scott A. Brill

20. Surgery and nonoperative therapy of perirectal abscess and anal fistulas

Mohammed Iyoob Mohammed Ilyas and Craig A. Reickert

21. Surgery and nonoperative therapy of anal fissure

Mary T. O’Donnell and Cary B. Aarons

22. Surgery for pilonidal disease and hidradenitis suppurativa

John D. Hunter and Leander M. Grimm Jr.

23. Surgical treatment of fecal incontinence

Nicole M. Saur and Joshua I.S. Bleier

24. Surgery for rectal prolapse

Steven R. Hunt

25. Management of diverticulitis

David E. Beck, H. David Vargas, and Molly M. Ford

26. Abdominal surgery for colorectal cancer

Jason F. Hall and Rocco Ricciardi

27. Abdominal restorative surgery for rectal cancer

Charles C. Vining and Nijjia N. Mahmoud

28. Transanal approaches to rectal cancer

Charles B. Whitlow and Lara McKean Basté

29. Abdominoperineal resection

W. Brian Perry and Huisar Dao Campi

30. Management of rectal cancer after complete clinical response to neoadjuvant chemoradiotherapy

Rodrigo O. Perez and Laura Melina Fernandez

31. Indications and outcomes for treatment of recurrent rectal cancer and colorectal liver/lung metastases

Luanne M. Force and David J. Maron

32. Evaluation and management of peritoneal metastatic disease

James Fleshman and Katerina O. Wells

33. Chemotherapy for colon and rectal cancer

Jonathan Lu and Marc R. Matrana

34. Adjunctive treatment of rectal cancer with radiation and the adverse effects of radiation exposure of the rectum

Roland Hawkins

35. Surgical management of ulcerative colitis

Shannon McChesney and Brian R. Kann

36. Surgery for Crohn disease

Emily Steinhagen and Sharon L. Stein

37. Evaluation and management of lower gastrointestinal bleeding

Arjun N. Jeganathan and Skandan Shanmugan

38. Ostomies

Danielle Pickham and Supriya S. Patel

39. Operative and nonoperative therapy for chronic constipation

Robert J. Sinnott, Michelle C. Julien, and Daniel E. Sarmiento

40. Colorectal trauma

Alison Althans and Scott R. Steele

41. Prevention and management of urologic complications after colorectal surgery

Jacob A. McCoy, J. Christian Winters, and Scott E. Delacroix Jr.

Index

Quality measures and outcomes are receiving greater attention by the lay and medical communities. The occurrence or mismanagement of complications often results in poor outcomes, increased cost, and significant morbidity. Answering the call for transparency and improvement requires action by all involved in the care of patients. The collection of objective data and quality measures enables the provision of optimal care and desired outcomes while identifying areas for improvement.

This text presents the current knowledge of outcomes, as well as the techniques for minimizing and managing complications from the common diseases and procedures within colorectal surgery.