Barry Salky - Intracorporeal Anastomosis: The Definitive Guide for the Minimally Invasive Surgeon

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Laparoscopic surgery and colorectal diseases are a perfect match. Techniques to lessen incision size have been shown to decrease wound infection, incisional hernia, and postoperative pain requirements. All good things for patients and our healthcare system. Intracorporeal anastomoses (IC) lessen incision size and, in some cases, avoid the extraction incision entirely. IC is not new, but as minimally invasive surgeons become more adept at complicated techniques, there has been much more interest in pursuing IC. This surge in interest in IC is the basis for this book.

Many different techniques exist for IC. I have assembled some of the worlds experts in IC, and as expected, these surgeons have evolved different techniques in the performance of IC. However, they all have several things in common: (1) patient safety is of utmost importance, (2) intracorporeal suturing and knot tying are required skills in the performance of IC, (3) instrumentation is up to the surgeon, and (4) keeping the operative area clean and dry is important.

This is the first solely dedicated book to IC. It includes high-quality photographs and video to describe in detail a variety of surgical procedures to demonstrate the performance of IC. All minimally invasive surgeons should strive for IC whenever possible. It is in patients best interests. I believe this book will help achieve this goal.

Technical advancement is also occurring. I have included a potential new technology that is in the process of development. It is designed to make IC easier for the surgeon. It is novel in design and has the potential to significantly increase the usage of IC. My hope is that IC becomes the gold standard for surgery and I believe this new technology will go a long way to make that happen.

Finally, I want to sincerely thank the contributors to this book. Clearly, they philosophically believe in IC, and each have a strong desire to impart their techniques to other surgeons. Teaching well-honed technical skills is a tradition in our specialty, and I am truly honored to have them contribute. Enjoy!