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Completely revised and expanded to include the most recent technological advances, the Second Edition illustrates key anatomical structures, examination procedures, and surgical techniques for proper diagnosis, management, and treatment of patients with colorectal disorders—providing unequaled coverage of various methods in preoperative preparation and assessment, pain management, sedation, and wound care for conditions such as ulcerative colitis, Crohn’s disease, diverticulitis, and colorectal carcinoma.
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Handbook of Colorectal Surgery Second Edition, Revised and Expanded edited by David E. Beck Ochsner Clinic Foundation New Orleans, Louisiana, U.S.A. MARCEL MARCEL DEKKER, INC. NEW YORK • BASEL The first edition was published by Quality Medical Publishing, Inc., 1997. Although great care has been taken to provide accurate and current information, neither the author(s) nor the publisher, nor anyone else associated with this publication, shall be liable for any loss, damage, or liability directly or indirectly caused or alleged to be caused by this book. The material contained herein is not intended to provide specific advice or recom-mendations for any specific situation. Trademark notice: Product or corporate names may be trademarks or registered trademarks and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress. ISBN: 0-8247-4025-4 This book is printed on acid-free paper. Headquarters Marcel Dekker, Inc., 270 Madison Avenue, New York, NY 10016, U.S.A. tel: 212-696-9000; fax: 212-685-4540 Distribution and Customer Service Marcel Dekker, Inc., Cimarron Road, Monticello, New York 12701, U.S.A. tel: 800-228-1160; fax: 845-796-1772 Eastern Hemisphere Distribution Marcel Dekker AG, Hutgasse 4, Postfach 812, CH-4001 Basel, Switzerland tel: 41-61-260-6300; fax: 41-61-260-6333 World Wide Web http://www.dekker.com The publisher offers discounts on this book when ordered in bulk quantities. For more information, write to Special Sales/Professional Marketing at the headquarters address above. Copyright 2003 by Marcel Dekker, Inc. All Rights Reserved. Neither this book nor any part may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, microfilming, and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Current printing (last digit): 10 9 8 7 6 5 4 3 2 1 PRINTED IN THE UNITED STATES OF AMERICA To My wife, Sharon for her love, understanding, support, ability, and ongoing efforts to improve me My daughter, Allison who desires to pursue a medical career without having to deal with incompetence My daughter, Lauren for enjoying life and learning that some people always get caught My son, John for demonstrating the primal forces acting on young males in our culture: music, girls, and sleep My residents, fellows, and colleagues, who challenge me on a daily basis My patients who remind me of how much we still need to learn while allowing me to assist in their regaining and maintaining their health Foreword Despite the explosion of texts in colorectal surgery over the past few years, reflecting the importance of teaching and learning the essentials of care for patients with disease of the colon, rectum and anus, the Handbook of Colorectal Surgery is being released in its second edition just six years from its first publication. In the original preface, Dr. Beck indicated that the book was an ‘‘ideal portable reference’’ for nurses, students, and residents; time has proven this to be correct. Organizational aspects of the book include a brief outline at the outset of each chapter and a list of classic