This book presents a comprehensive overview of all available surgical techniques for complex perineal reconstruction. Divided into 17 chapters and employing a multi-disciplinary approach, it provides valuable insights into the re- sectional aspects of this field, considerations in multiple organ removal (bladder, anus/colon, stomach), and the inclusion of radiology in preoperative planning for complex reconstructions, as well as anaesthetic aspects in perioperative patient care. Written by leading experts in the field, the respective chapters offer step-by-step descriptions of all available reconstructive options and detailed information on perineal and pelvic defects, together with valuable insights into surgical execution, indications, and common complications and pitfalls encountered when dealing with this challenging defect. Given its breadth of coverage, the book provides a practical and comprehensive guide for Consultant Plastic and Reconstructive Surgeons, and for surgeons of allied specialties involved in re-sectional aspects of perineal and pelvic surgery.

Reconstructive Colorectal and Anal Surgery presents a didactic discussion of complex colonic, rectal, anal, and perineal problems which require reoperative surgery. The book provides a very practical description of the management towards these problems including preoperative investigation, postoperative follow-up and detailed operative approach. The text is aimed at being relatively didactic with an algorithm approach to these complicated cases using operative photographs and composite explanatory line drawings which are complemented by ‘how-to’ guides in all cases describing the operative technical tips and pitfalls from experienced world-renowned commentators. Given the rapid change in techniques over the last 10 years newer procedures will be incorporated. This book will be essential reading for all colorectal surgeons and trainees, general surgeons and trainees, gynecologists as well as specialist nurses in the OR room.

This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.

The second edition of Operative Plastic Surgery is a fully-updated, comprehensive text that discusses the most common plastic surgery procedures in great detail. It covers the classic techniques in plastic surgery, as well as the most recent technical advances, while maintaining a systematic approach to patient care within each chapter. Traversing the entirety of the human body, each chapter addresses assessment of defects, preoperative factors, pathology, trauma, operative indications and procedure, and more. Also covered is the operative room setup, with special consideration given to the operative plan, patient positioning and markings, and technique for each type of surgery. Detailing over 90 specific surgical techniques, this book covers both reconstructive and aesthetic plastic surgery. A new section addresses non-invasive techniques such as Botox, injectables, lasers, and skincare. New chapters throughout the book also include ALT flaps, nasal cleft deformities, ZMC fractures, augmentation mastoplexy, body contouring for the massive weight loss patient, and endoscopic carpal tunnel repair. Led by Gregory R.D. Evans, this volume assembles thought leaders in plastic surgery to present operative surgery in a clear, didactic, and comprehensive manner, and lays the groundwork for ideas that we have just scratched the surface of, such as translational research, fat grafting, stem cells, and tissue engineering.

An innovative guide to the practice of pelvic exenterative surgery for the management of advanced pelvic neoplasms Exenterative surgery plays an important role in the management of advanced pelvic cancer. However, while a large body of evidence regarding outcomes following pelvic exenteration now exists, practical strategies and management options remain unclear. Surgical Management of Advanced Pelvic Cancer addresses this problem by assembling world-leaders in the field to provide insights into the latest techniques and best practices. It includes detailed coverage of: Surgical anatomy Operative approaches and exenterative techniques Reconstruction options Current evidence on survival and quality of life outcomes Featuring essential information for those managing patients with advanced pelvic neoplasms, Surgical Management of Advanced Pelvic Cancer consolidates the latest data and practical advice in one indispensable guide.