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Benign Anorectal Disorders: A Guide to Diagnosis and Management PDF

226 Pages·2015·16.07 MB·English
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Nisar Ahmad Chowdri Fazl Q. Parray Editors Benign Anorectal Disorders A Guide to Diagnosis and Management 123 Benign Anorectal Disorders Nisar Ahmad Chowdri (cid:129) Fazl Q. Parray Editors Benign Anorectal Disorders A Guide to Diagnosis and Management Editors Nisar Ahmad Chowdri Fazl Q. Parray Colorectal surgery Colorectal Surgery Sher-i-Kashmir Inst of Medical Sciences Sher-i-Kashmir Inst of Medical Sciences Srinagar Srinagar Jammu and Kashmir Jammu and Kashmir India India ISBN 978-81-322-2588-1 ISBN 978-81-322-2589-8 (eBook) DOI 10.1007/978-81-322-2589-8 Library of Congress Control Number: 2015953053 Springer New Delhi Heidelberg New York Dordrecht London © Springer India 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer (India) Pvt. Ltd. is part of Springer Science+Business Media (www.springer.com) Foreword for B enign Anorectal Disorders My fi rst reaction to a request from Professor Nisar Chowdri to write a foreword for his book entitled B enign Anorectal Disorders was of sheer delight because someone with his background and reputation was undertaking a project necessary in institutions in India. Colorectal surgery is making such dynamic strides that any contribution to update various techniques is laudatory. The Benign Anorectal Disorders book has encompassed all of the anorec- tal disorders from surgical anatomy and physiology to the common disorders including a chapter on benign tumors of anorectum. Professor Chowdri has solicited a galaxy of contributing authors who are recognized giants in the fi eld of colorectal surgery across India. The various chapters, particularly the one on hemorrhoids, anal fi ssure, and the perianal sepsis fi stula, are compre- hensive with the updated material right up to the latest publications. Unfortunately, it becomes necessary in a textbook such as this to include the procedures that are outdated and are of historical signifi cance only. However, an attempt has been made by the authors to separate the wheat from the chaff and given appropriate prominence to the necessary interventions. The book will address the needs of surgical residents, general surgeons, and colorectal surgeons. Realizing that much of the anorectal surgery in dif- ferent parts of the country is performed by general surgeons, this book will be particularly useful for the specialists. I am honored to present this foreword to introduce the monumental task that Professor Chowdri from Kashmir Institute of Medical Sciences in Srinagar has undertaken and has done it admirably. Indru T. Khubchandani, MD, MS, FRCS, FACS, FASCRS, FICS (Hon) Prof. Honoris Causa (Bolivia); Prof. Surgery (University of Complutensis, Madrid) Adjunct Professor of Surgery; Hahnemann Medical School, Philadelphia, PA President; International Society of University Colon & Rectal Surgeons v Prefa ce 1 I t gives me immense pleasure and satisfaction on completion of editing this book Benign Anorectal Disorders: Approach to Diagnosis and Management , a dream in my life. When I took this project, I was not aware of the diffi culties, but thanks to the almighty, with whose grace I have been able to complete this book which took me more than a year, much beyond my expectations. Benign anorectal disorders are of great concern not only to the patient but also pose a great challenge to surgeons. This is because of the fact that symp- toms associated with anorectal diseases are not only distressing but also alarming to the patient. Any surgical intervention in this part of the gastroin- testinal tract may be associated with lifelong disabilities like incontinence. The complex anatomy of this region makes surgery all the more diffi cult. T hough many books have been published on colorectal diseases, benign anorectal disorders are not available in a book format. This book on benign anorectal diseases is the fi rst of its kind in the world literature. The experi- enced colorectal surgeons of national and international fame from all over India have worked hard to prepare various chapters for the book. I am highly obliged and thankful to all for their contribution. I have tried my best to make sure that all issues pertaining to diagnosis and management of these disorders are addressed so that decision making is simple for the readers. All the efforts have been made to write each and every topic up to date and interesting for the readers. M r Naren Aggarwal, Executive Editor, Clinical Medicine, Springer, has been kind enough to give me the opportunity to write this book. I am highly indebted to him for his profi cient guidance from time to time. O ur thanks are due to Mr Javid Hussain for his experienced skills to com- pute this book. My family and friends have been a source of great encourage- ment for me, and probably without their encouragement, love, and affection, it would have not been possible to take this project to completion. I pray and hope that this book on benign anorectal disorders will be useful not only for the colorectal surgeons but also for residents, postgraduate stu- dents, and surgeons in general. Srinagar, India Nisar Ahmad Chowdri , MS,FAIS,FICS,FACRSI,FMAS,FACS vii Prefa ce 2 The quality of life and surgical results have improved in the hands of dedi- cated colorectal specialists in the last two decades. With the increase in scope of this surgical subspecialty, more and more surgeons are getting attracted toward it and trying hard for specialized training in this branch of surgery. There is a lot of literature and text focusing on colorectal malignancies avail- able, but it is diffi cult to fi nd a book in the market which really deals with benign colorectal diseases in detail. Therefore, it was thought worthwhile to publish a book on benign colorectal diseases which can be of help to all post- graduates, fellows of colorectal surgery, postdoctoral students, and all clini- cians practicing colorectal surgery. We tried our level best to get the book chapters authored by the masters in the fi eld. We are thankful to all the great contributors who made this dream come true through their valuable contribu- tion. We have also tried to keep the language very simple and hope that read- ers will fi nd this book quite interesting and helpful in taking exams and their clinical practice. It is expected to further their knowledge and skill in the fi eld of colorectal surgery. Srinagar, India Fazl Q. Parray , MS, FICS, FACRSI, FMAS, FACS ix

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