• BACKGROUND: Laparoscopic colorectal resection is becoming a trend in modern surgery. (sages.org)
  • Introduction: Minimally invasive colorectal surgery has shown to afford several short-term benefits over open surgery including enhanced recovery, shorter length of stay, and diminished complication rates. (sages.org)
  • Conclusions: Complications requiring surgery following laparoscopic colorectal resection may be successfully managed, in selected cases, with a minimally invasive surgical technique. (sages.org)
  • The majority of the patients in the phase 3 trials had undergone either abdominal/pelvic, orthopedic, or thoracic surgery. (springer.com)
  • The surgery types included are bariatric ( N = 3), prostate ( N = 2), colorectal ( N = 1), and perirectal abscess drainage ( N = 1). (springer.com)
  • This research concerns perioperative recovery for patients undergoing major abdominal surgery. (figshare.com)
  • Aim: The aim of this study was to investigate the factors that influence the implementation of an enhanced recovery programme in patients undergoing elective colorectal surgery. (figshare.com)
  • The first phase was to assess the feasibility of introducing fast track surgery in our unit by recruiting patients undergoing reversal of loop ileostomy so as to reduce hospital stay. (figshare.com)
  • The second phase, compared laparoscopic colorectal surgery with open colorectal surgery with regards to hospital stay and complication rates. (figshare.com)
  • Laparoscopic surgery does not improve short term outcomes following colorectal surgery compared with open surgery. (figshare.com)
  • Conclusion: The enhanced recovery programme is feasible and safe and should be practiced by individual units offering colorectal surgery. (figshare.com)
  • The majority experience suboptimal pain management following surgery, and, particularly for patients who receive a major procedure (eg, colorectal surgery), the pain can be severe, heighten the stress response, and compromise the restoration of function. (hcplive.com)
  • 3 Regarding ERAS protocols for colorectal surgery specifically, recommendations in the 2017 clinical practice guidelines from the American Society of Colon and Rectal Surgeons (ASCRS) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) include implementation of a multimodal, opioid-sparing pain management plan prior to anesthesia administration. (hcplive.com)
  • The ASCRS/SAGES guidelines state that local anesthetics, such as EXPAREL ® (bupivacaine liposome injectable suspension), that are administered via wound infiltration or transverse abdominis plane (TAP) block may effectively manage pain associated with both open and laparoscopic colorectal surgery. (hcplive.com)
  • DREAMS (Dexamethasone Reduces Emesis After Major Gastrointestinal Surgery) is a double-blind, phase IV, multi-centre randomised controlled trial designed to determine if pre-operative dexamethasone reduces post-operative nausea and vomiting in patients undergoing elective colorectal resections. (birmingham.ac.uk)
  • The purpose of this study is to determine whether the gentamicin-collagen sponge is safe and effective for preventing surgical wound infections in patients undergoing colorectal surgery. (stanford.edu)
  • Low anterior resection (LAR) surgery treats colorectal cancer. (medicalnewstoday.com)
  • Sometimes, the surgery is elective. (medicalnewstoday.com)
  • Surgeons may perform low anterior resection (LAR) surgery to treat colorectal cancer. (medicalnewstoday.com)
  • Before undergoing LAR surgery, a clinician will put a person to sleep using general anesthesia. (medicalnewstoday.com)
  • LAR surgery specifically treats colorectal cancers, including stage I, II, and III rectal cancers. (medicalnewstoday.com)
  • A 2019 study compared the success rates and complications of elective and emergency LAR surgery in 80 people. (medicalnewstoday.com)
  • The same study also showed that those who received emergency LAR surgery were more likely to experience postoperative complications than those who underwent planned surgeries. (medicalnewstoday.com)
  • Not everyone undergoing LAR surgery will have the same preparation. (medicalnewstoday.com)
  • WP31: Does the use of intraoperative fluorescence imaging with indocyanin green (ICG) reduce the rate of anastomotic leakage after colorectal surgery? (eu.com)
  • To achieve these goals, we used data collected during a recently published randomized trial on preoperative nutrition in patients undergoing major gastro-intestinal (GI) surgery [ 8 ]. (biomedcentral.com)
  • The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. (edu.pk)
  • Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. (edu.pk)
  • Enhanced Recovery After Surgery Program in Patients Undergoing Pancreaticoduodenectomy: A PRISMA-Compliant Systematic Review and Meta-Analysis. (edu.pk)
  • Describe how variability in processes of care can increase the risk to patients undergoing emergency surgery. (ahrq.gov)
  • Emergency general surgery is common and has significantly greater morbidity and mortality than elective surgery. (ahrq.gov)
  • 1 ) This case describes an emergency laparotomy-a term for surgery performed to explore the abdominal cavity that may include additional procedures, such as bowel resection, formation of a stoma, or treatment of blocked or ruptured blood vessels. (ahrq.gov)
  • 4-6 ) Patients undergoing emergent procedures are often elderly and have more comorbidities than those having elective surgery. (ahrq.gov)
  • The ERAS protocol has been well established in elective surgery and has been implicated in all possible gastrointestinal (GI) and non-GI surgical procedures. (medscape.com)
  • This stratification allows equivalent results to be achieved in high and low risk elderly patients undergoing colorectal surgery. (cosmed.com)
  • Oral mechanical bowel preparation is a routine practice prior to colorectal surgery in many centers. (banglajol.info)
  • A comparative prospective interventional analysis of preoperative elective bowel preparation in children with polyethylene glycol versus polyethylene glycol and mannitol was conducted on 60 children underwent elective GIT surgery between July 2014 and June 2016. (banglajol.info)
  • Sixty children underwent mechanical bowel preparation prior to GIT surgery. (banglajol.info)
  • mortality from colorectal surgery often exceeded 20%, mainly due to sepsis. (jnsbm.org)
  • Mechanical bowel preparation (MBP) is aimed at cleansing the large bowel of fecal content thus reducing morbidity and mortality related to colorectal surgery. (jnsbm.org)
  • Furthermore, lower R0 resection rates in an emergency setting suggest a potential role for bridging strategies in order to enable optimal staging, neoadjuvant treatment, and elective surgery by a surgical team most optimally qualified for the procedure. (jnccn.org)
  • A study by Vanderbilt University Medical Center investigators, published in JAMA Surgery in October 2017 , was the first to examine association of HL with postoperative outcomes in major, elective abdominal surgeries. (vanderbilthealth.com)
  • In an adjusted analysis, lower HL levels were independently associated with longer LOS for patients undergoing major abdominal surgery. (vanderbilthealth.com)
  • In 2017, Carlo Feo introduced the colorectal ERP in a rural district served by the Unit of General Surgery of the AUSL of Ferrara. (eupemen.eu)
  • Antonio Arroyo is a general surgeon with special dedication to colorectal surgery and a professor at the university, and belongs to the Board of Directors of the GERM and will chair the next national congress on multimodal rehabilitation in October 2020 in Alicante. (eupemen.eu)
  • Patients that have an anastomotic leak after colorectal surgery have a greater hospital length of stay, morbidity, mortality, permanent stoma rate, and even poorer oncological outcomes [ 8 , 9 ]. (coloproctol.org)
  • The effect of regional anaesthesia on haemodynamic changes occurring during laparoscopic colorectal surgery. (pirogov-vestnik.ru)
  • Energy sources for laparoscopic colorectal surgery: is one better than the others. (pirogov-vestnik.ru)
  • The effectiveness, safety, and cost-savings of intraoperative cell salvage in people who are undergoing thoracic or abdominal surgery following trauma is not known. (wikipedia.org)
  • High levels of 2,3-DPG Normothermic pH relatively normal Lower risk of infectious diseases Functionally superior cells Lower potassium (compared to stored blood) Quickly available May reduce the need for allogeneic red cell transfusion during certain surgeries, such as, adult elective cardiac and orthopaedic surgery. (wikipedia.org)
  • ERAS has shown documented efficacy in elective surgery, and the concept of "multimodal" and "multidisciplinary" approach seems still to be of higher importance than each single item within ERAS protocols. (hindawi.com)
  • For patients undergoing surgery or those in the intensive care units (ICUs), CO monitoring has been used to guide intravenous fluid replacement and pharmacologic therapy to maintain adequate organ perfusion. (cms.gov)
  • In patients undergoing colon surgery, careful perioperative fluid restriction has been associated with lower mortality and better wound healing. (aneskey.com)
  • Post-operative anastomotic leakage (AL) is a common and severe complication following colorectal surgery that leads to high morbidity and mortality. (suntextreviews.org)
  • Therefore, this study aimed to determine the relation of hematological and biochemical markers with AL among the patients underwent colorectal surgery. (suntextreviews.org)
  • The aim of the study was to assess the predictive value of haematological and biochemical markers for anastomotic leakage after colorectal surgery. (suntextreviews.org)
  • A total of 70 patients who underwent colorectal surgery were included by convenient, consecutive sampling as study patients according to inclusion and exclusion criteria. (suntextreviews.org)
  • According to present study findings, NLR, WBC, CRP, PLR and serum albumin might play a valuable role in predicting AL among the patients underwent colorectal surgery. (suntextreviews.org)
  • It is one of the most dreaded complications following colorectal surgery, with rates of 3-27% depending on specific risk factors [4]. (suntextreviews.org)
  • Sarah Hill - 'Should we be doing routine post-operative blood tests in patients undergoing elective bariatric surgery? (augis.org)
  • Rectal cancer surgery has undergone major advances in the past century. (ugeskriftet.dk)
  • Various nomenclatures are used in the literature such as transanal TME (TaTME), transanal minimally invasive TME (TAMIS-TME), perirectal natural orifice transluminal endoscopic surgery (NOTES) access, natural orifice TME, transanal endoscopic TME, endoscopic transanal proctectomy (ETAP), transanal transabdominal resection (TATAR), and transanal endoscopic proctectomy (TAEP) etc. [10, 12-14]. (ugeskriftet.dk)
  • Early postoperative pain as a marker of anastomotic leakage in colorectal cancer surgery. (cancercentrum.se)
  • Epidural analgesia and mortality after colorectal cancer surgery: A retrospective cohort study. (cancercentrum.se)
  • Other terms used include low anterior resection (LAR), which classically refers to removal of the sigmoid colon and upper rectum and derives its name from the fact that the dissection is below the anterior reflection of the peritoneal lining. (medscape.com)
  • What does low anterior resection involve? (medicalnewstoday.com)
  • What can low anterior resection treat? (medicalnewstoday.com)
  • How does a person prepare for low anterior resection? (medicalnewstoday.com)
  • What happens after low anterior resection? (medicalnewstoday.com)
  • What are the risks of low anterior resection? (medicalnewstoday.com)
  • What is recovery from low anterior resection like? (medicalnewstoday.com)
  • Permanent stoma rates after anterior resection for rectal cancer: risk prediction scoring using preoperative variables. (cancercentrum.se)
  • Defunctioning stoma and short- and long-term outcomes after low anterior resection for rectal cancer - a nationwide register-based cohort study. (cancercentrum.se)
  • Defunctioning stomas may reduce chances of a stoma-free outcome after anterior resection for rectal cancer. (cancercentrum.se)
  • Patients undergoing elective left sided colonic or rectal resection with primary anastomosis between 1 January 2017 and 15 March 2017 by any operative approach were included. (lu.se)
  • OBJECTIVE: The aim of this study is to identify the incidence and factors associated with the development of postoperative perianal fistula in patients undergoing ileoanal pouch anastomosis for ulcerative colitis. (bvsalud.org)
  • PATIENTS: We studied a series of 475 consecutive patients with preoperative diagnosis of ulcerative colitis who underwent ileoanal pouch anastomosis. (bvsalud.org)
  • Virtually all colorectal surgeons consider a mechanically cleansed and empty bowel as one of the prerequisites for a safe colonic resection and anastomosis. (banglajol.info)
  • Run over two weeks in late 2013, the study aimed to determine the safety profile of non-steroidal anti-inflammatory drugs (NSAIDs) following gastrointestinal resection, articles at the time having raised concerns that NSAID administration following colorectal anastomosis may have been associated with an increased risk of anastomotic leak. (starsurg.org)
  • Complications after intestinal resection and anastomosis include bleeding, stricture, and anastomotic leakage [2]. (suntextreviews.org)
  • The aim of this study was to identify prognostic factors associated with resection of intracranial metastases. (surgicalneurologyint.com)
  • A retrospective case series including patients who underwent resection of cranial metastases from March 2014 to April 2021 at a single center. (surgicalneurologyint.com)
  • BACKGROUND: Primary hepatocellular carcinoma (HCC) and colorectal liver metastases (CRLM) represent the liver's two most common malignant neoplasms. (bvsalud.org)
  • METHODS: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 Left Sided Colorectal Resection audit was performed. (lu.se)
  • CONCLUSION: This non-randomised study adds 'real-world', contemporaneous, and prospective evidence of the beneficial effects of combined mechanical bowel preparation and oral antibiotics in the prevention of anastomotic leak following left sided colorectal resection across diverse settings. (lu.se)
  • This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. (ucl.ac.uk)
  • Methods: This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. (ucl.ac.uk)
  • Results: In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. (ucl.ac.uk)
  • Conclusion: Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone. (ucl.ac.uk)
  • AIM: To evaluate the clinical outcomes of laparoscopic resection of colorectal cancer in patients over 80 years old. (sages.org)
  • Metaanalysis of non-randomized comparative studies of the short-term outcomes of laparoscopic resection for colorectal cancer. (pirogov-vestnik.ru)
  • Anastomotic leak (AL) is an uncommon but potentially devastating complication after rectal resection. (coloproctol.org)
  • A retrospective audit of all rectal resection patients performed at a colorectal unit in Sydney, Australia over the past 10 years, as well as associated private hospitals, was performed. (coloproctol.org)
  • The inclusion criteria were studies on rectal resection in which the mesorectal excision involved transanal dissection - solely or in addition to abdominal dissection. (ugeskriftet.dk)
  • From July 2000 to May 2007, there were 150 and 77 patients underwent open and laparoscopic resection of colorectal cancer respectively. (sages.org)
  • WP13: Does CRP monitoring help for the postoperative management of patients after ileocolonic resection for Crohn's disease? (eu.com)
  • Small bowel obstruction, incisional hernia and survival after laparoscopic and open colonic resection (LAFA study). (pirogov-vestnik.ru)
  • Aim This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic.Method This was an international cohort study of patients undergoing elective resection of colon or rectal cancer without preoperative suspicion of SARS-CoV-2. (unicatt.it)
  • For this reason, surgical procedures involving the rectum (eg, abdominoperineal resection [APR]) have also been included in this article. (medscape.com)
  • More than 73 million patients undergo surgical procedures each year in the United States. (hcplive.com)
  • In patients undergoing moderate surgical procedures, generous administration of fluids is associated with fewer minor complications, such as nausea, vomiting, and drowsiness. (aneskey.com)
  • The role of CPET as a valuable preoperative assessment tool for colorectal cancer resection patients (80 yeas and above) has been examined in this article published on Colorectal Disease Journal. (cosmed.com)
  • Pre-operative CPET testing in patients over 80 years undergoing elective colorectal cancer resection allows identification of higher risk patients and mitigation of risk by pre-emptive CCU admission. (cosmed.com)
  • Colorectal Cancer Resection. (cancercentrum.se)
  • Methods: From August 2006 to August 2012, consecutive patients who underwent laparoscopic reoperation within 30 days following elective minimally invasive colorectal resection were included in this study. (sages.org)
  • This study involved 225 consecutive adults undergoing elective screening or surveillance colonoscopy. (nih.gov)
  • PATIENTS: Consecutive patients undergoing elective major colorectal resections between 2011 and 2016 were included. (elsevierpure.com)
  • Over 250 medical students and 100 junior doctors participated across 109 hospital centres and collected data on over 1503 consecutive patients undergoing elective or emergency gastrointestinal resection. (starsurg.org)
  • Material and methods: We conducted a retrospective analysis of patients undergoing reversal after the Hartmann's procedure over a 16-year period with review of the literature and of our database and transferred the available information to a data grid constructed with variables commonly analyzed in the literature. (bvsalud.org)
  • METHODS/DESIGN: In this single-center, superiority designed prospective randomized open blinded endpoint controlled trial, patients scheduled for a colorectal resection via a laparotomy will be considered eligible. (mcw.edu)
  • Methods: The American College of Surgeons NSQIP database was queried for patients undergoing elective major oncologic operations from 2005 to 2017. (elsevierpure.com)
  • Aims-To investigate the correlation between the expression of the p53 and mdm-2 oncoproteins and to assess their prognostic value in colorectal cancer.Methods-Using a polyclonal (CM1) and a monoclonal antibody directed against p53 and mdm-2, respectively, these oncoproteins were stained immunohistochemically in 109 colorectal adenocarcinomas.Result. (researchgate.net)
  • From November 2010 to December 2013, 1,239 Vanderbilt patients who underwent elective gastric, colorectal, hepatic and pancreatic resections for both benign and malignant disease were retrospectively reviewed. (vanderbilthealth.com)
  • The reported incidence of morbidity and mortality in elderly patients undergoing open cholecystectomy is about 25 per cent and two per cent respectively. (bahrainthismonth.com)
  • The procedures were performed by one of two board-certified colorectal surgeons in two institutions in the Texas Medical Center (E.M.H and T.B.P). Preoperative characteristics and perioperarive short-term outcomes within 30 days following discharge after the secondary procedure were evaluated. (sages.org)
  • Since all patients underwent a comprehensive nutritional assessment, we took this unique opportunity to correlate preoperative nutritional parameters with patient outcome in subjects who were all identified as high-risk patients by means of the NRS-2002 and hence receiving oral nutritional supplements. (biomedcentral.com)
  • Laparoscopic colon resection has added a new treatment modality for patients with colon cancer, ulcerative colitis and Crohn's Disease. (bahrainthismonth.com)
  • [ 8 ] In a retrospective cohort of 370 patients undergoing emergency major abdominal procedures, Wisely et al reported shorter hospital stays and better outcomes in the ERAS group. (medscape.com)
  • hospitals with low mortality in elective operations may have high mortality in emergency surgeries. (ahrq.gov)
  • One-year excess mortality and treatment in surgically treated patients with colorectal cancer: a EURECCA European comparison. (cancercentrum.se)
  • For elective surgeries, cell salvage techniques may not be linked to more negative outcomes or adverse effects and there is weak evidence indicating that this approach may reduce the chances that the person needs an allogenic transfusion. (wikipedia.org)
  • Patients undergoing MBP+ABx had the lowest overall rate of anastomotic leak (6.1%, 9.2%, 8.7% respectively) in unadjusted analysis. (lu.se)
  • In our study, we hope to provide an updated assessment of bowel function and quality of life after anastomotic leak from rectal resections. (coloproctol.org)
  • Background: End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. (ucl.ac.uk)
  • Patients diagnosed or with suspicion of colorectal cancer or adenoma, inflammatory bowel disease, late complications to colon diverticulosis, colostomy reversal or other diagnoses requiring colorectal resection. (who.int)
  • Nevertheless, complications following minimally invasive colorectal may warrant reoperation in 2-10% of cases. (sages.org)
  • We evaluated outcomes of minimally invasive reoperations performed for the management of complications after laparoscopic colorectal resections. (sages.org)
  • Although direct comparisons are challenging because of the diverse presentations of patients undergoing emergency laparotomy, there is increasing evidence of variability in patient outcomes between institutions. (ahrq.gov)
  • DISCUSSION: NEPTUNE is the first randomized controlled trial to investigate the role of incisional negative pressure wound therapy in decreasing the rates of surgical site infections in the abdominal incisions of patients following an elective, open colorectal resection. (mcw.edu)
  • Colorectal Disease. (monash.edu)
  • It is estimated that 140,000 new cases of colorectal cancer are diagnosed annually, and 50,000 patients die from the disease each year. (bahrainthismonth.com)
  • Duepree HJSenagore AJDelaney CPBrady KMFazio VW Advantages of laparoscopic resection for ileocecal Crohn's disease. (jamanetwork.com)
  • Wu JSBirbaum EHKodner IJRead TEFleshman JW Laparoscopic-assisted ileocolic resections in patients with Crohn's disease: are abscess, phlegmons, or recurrent disease contraindications? (jamanetwork.com)
  • Tabet JHong DKim CWWong JGoodrace RAnvari M Laparoscopic versus open bowel resection for Crohn's disease. (jamanetwork.com)
  • A prospective randomized controlled trial of multimodal perioperative management protocol in patients undergoing elective colorectal resection for cancer. (edu.pk)
  • Those patients who undergo laparoscopic cholecystectomy for elective indications typically return home the same day, while others return home on the first post-operative day. (bahrainthismonth.com)
  • admitted in in-patient department undergoing resection of left colon and rectum for benign and malignant conditions in both emergency and elective conditions. (jnsbm.org)
  • Colectomies are usually performed by general surgeons or colorectal surgeons. (medscape.com)
  • In 2017 the US Multi-Society Task Force on Colorectal Cancer issued updated screening recommendations that divide screening tests into three tiers, based upon their effectiveness. (medscape.com)
  • In collaboration with a colorectal surgeon and by using a multimodal approach, we successfully addressed the patient's gastrointestinal issues and incisional hernia. (jwmr.org)
  • While surgical resection, liver transplantation, and ablation therapies have traditionally been the mainstay of treatment for HCC, radiation therapy has become increasingly recognized as an effective alternative, particularly for those who are not surgical candidates. (bvsalud.org)
  • Exclusion criteria are patients receiving an abdominoperineal resection or a palliative procedure, as well as pregnant patients and those with an adhesive allergy. (mcw.edu)
  • Patients undergoing laparoscopic resection will be enrolled but only randomized and included if the operation is converted to an open procedure. (mcw.edu)
  • The fourth phase, compared short term outcomes between patients undergoing elective colorectal resection early in the week(Monday to Wednesday) with those later in the week(Thursday to Friday). (figshare.com)
  • Patterns and resectability of colorectal cancer recurrences - an outcome study within the COLOFOL trial. (cancercentrum.se)
  • This population-based study suggests that there is room for improvement in the treatment of LACC, with regard to short-term surgical outcomes and oncologic outcomes (ie, radicality of resection). (jnccn.org)
  • Negative pressure wound therapy use to decrease surgical nosocomial events in colorectal resections (NEPTUNE): study protocol for a randomized controlled trial. (mcw.edu)
  • In the present study the prognostic value of bcl-2 proto-oncoprotein was immunohistochemically investigated in a series of 104 colorectal carcinomas. (researchgate.net)
  • A population-based study on time trends of hemoglobin in primary care comparing prediagnostic colorectal cancer patients vs age- and sex-matched controls. (cancercentrum.se)