Improving Outcomes in Colon & Rectal Surgery

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 textpresentsthe current knowledge of outcomes, as well as the techniques for minimizing and managing complications from the common diseases and procedures within colorectal 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

The Ochsner Clinic group of Editors are a world class group of clinicians leading the way in improving the outcomes of all aspects of colon and rectal surgery.