Difficult Decisions in Colorectal Surgery

Introduction.- Evaluating evidence.-IBD/ Management of symptomatic anal fistulas in pts with Crohn's disease.-
Management of a painful anal fissure and skin tags in pts with Crohn's disease.- Elective surgical management in
patients with ulcerative colitis-how many stages?.- Which UC patients should not have IPAA?.- Management of pouch-
vaginal fistulas.- IPAA for Crohn's colitis?.- Steroid management in patients undergoing surgery for IBD.- Management
of dysplasia in patients with ulcerative colitis.- Postoperative prophylaxis in patients with Crohn's disease.- Colon
cancer/ Followup in patients after curative resection for colon cancer.- Management of patients with acute large bowel
obstruction from colon cancer,- Management of patients with colon cancer and synchronous liver metastases.- Management
of the patient with an endoscopically unresectable cecal polyp.- Role of chemotherapy for resected Stage 2 colon
cancer.- Rectal cancer/ Management of T1 rectal cancer.- Management of T2 rectal cancer.- Management of the pt with a
complete clinical response after neoadjuvant chemoradiation.- Management of the patient with rectal cancer presenting
with synchronous liver metastases.- Who needs a loop ileostomy after LAR for rectal cancer?.- Selection factors for
reoperative surgery for local recurrent rectal cancer.- Anal dysplasia/ Management of patients with AIN 3.- Management
of the abnormal pap smear in HIV positive patients.- Benign colon disease/ Indications for surgery in patients with
severe C dificile colitis.- Do we need to operate on patients after successful percutaneous drainage of a diverticular
abscess?.- Acute surgery for Hinchey 3 diverticulitis-resect or washout?.- Surgery for acute complicated diverticulitis-
Hartmann vs primary anastomosis.- Who needs elective surgery for recurrent diverticulitis?.- Deciding on IRA vs IPAA
for FAP.- How do we select the operation for pts with rectal prolapse?.-Benign anal disease/ Optimal management of the
transsphincteric anal fistula.- Management of the recurrent anovaginal fistula.-When to do surgery for the pt with an
anal fissure.- Management of the recurrent fissure after LIS.- Third degree hemorrhoids-Who really needs surgery?.-
Which patients with fecal incontinence require physiologic workup?.- Who are the right candidates for sacral nerve
stimulation?.- When is an anal sphincter repair indicated?.- Quality improvement/ What role checklists?.- Where are we
with bowel preps for patients undergoing colon resection?.-Are fast track pathways for laparoscopic surgery needed?.-
What are the right ingredients for a successful fast track pathway for open surgery?.- Preventing readmission after
colon and rectal surgery.- Technique/ What is the best approach to transanal surgery: TEM vs TAMIS vs traditional
transanal excision.-/ Lap vs robotic vs open surgery for rectal cancer.- Reservoir construction after LAR-Who and
what?.- Hand assisted vs multiport vs single port approaches to laparoscopic colectomy.- Management of an anastomotic
leak after LAR.- Management of the unhealed perineal wound after proctectomy.