Anastomotic Leak: Breakdown of the connection and subsequent leakage of effluent (fluids, secretions, air) from a SURGICAL ANASTOMOSIS of the digestive, respiratory, genitourinary, and cardiovascular systems. Most common leakages are from the breakdown of suture lines in gastrointestinal or bowel anastomosis.Anastomosis, Surgical: Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.Esophagectomy: Excision of part (partial) or all (total) of the esophagus. (Dorland, 28th ed)Esophageal Diseases: Pathological processes in the ESOPHAGUS.Surgical Stapling: A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Surgical Wound Dehiscence: Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.Digestive System Surgical Procedures: Surgery performed on the digestive system or its parts.Esophageal Atresia: Congenital abnormality characterized by the lack of full development of the ESOPHAGUS that commonly occurs with TRACHEOESOPHAGEAL FISTULA. Symptoms include excessive SALIVATION; GAGGING; CYANOSIS; and DYSPNEA.Colectomy: Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)Surgical Staplers: Fastening devices composed of steel-tantalum alloys used to close operative wounds, especially of the skin, which minimizes infection by not introducing a foreign body that would connect external and internal regions of the body. (From Segen, Current Med Talk, 1995)Esophagus: The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Radiation: Emission or propagation of acoustic waves (SOUND), ELECTROMAGNETIC ENERGY waves (such as LIGHT; RADIO WAVES; GAMMA RAYS; or X-RAYS), or a stream of subatomic particles (such as ELECTRONS; NEUTRONS; PROTONS; or ALPHA PARTICLES).Esophagoplasty: A plastic operation on the esophagus. (Dorland, 28th ed)Colostomy: The surgical construction of an opening between the colon and the surface of the body.Esophageal Neoplasms: Tumors or cancer of the ESOPHAGUS.Colonic Diseases: Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).Rectum: The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL.Colon, Sigmoid: A segment of the COLON between the RECTUM and the descending colon.Plastics: Polymeric materials (usually organic) of large molecular weight which can be shaped by flow. Plastic usually refers to the final product with fillers, plasticizers, pigments, and stabilizers included (versus the resin, the homogeneous polymeric starting material). (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)Esophageal Stenosis: A stricture of the ESOPHAGUS. Most are acquired but can be congenital.Colorectal Surgery: A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.Esophagoscopy: Endoscopic examination, therapy or surgery of the esophagus.Sigmoid Diseases: Pathological processes in the SIGMOID COLON region of the large intestine (INTESTINE, LARGE).Ileostomy: Surgical creation of an external opening into the ILEUM for fecal diversion or drainage. This replacement for the RECTUM is usually created in patients with severe INFLAMMATORY BOWEL DISEASES. Loop (continent) or tube (incontinent) procedures are most often employed.Stomach: An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM.Laparoscopy: A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Pancreaticoduodenectomy: The excision of the head of the pancreas and the encircling loop of the duodenum to which it is connected.Gastric Bypass: Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption.Gastrectomy: Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed)Rectal Neoplasms: Tumors or cancer of the RECTUM.Capillary Leak Syndrome: A condition characterized by recurring episodes of fluid leaking from capillaries into extra-vascular compartments causing hematocrit to rise precipitously. If not treated, generalized vascular leak can lead to generalized EDEMA; SHOCK; cardiovascular collapse; and MULTIPLE ORGAN FAILURE.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Colon: The segment of LARGE INTESTINE between the CECUM and the RECTUM. It includes the ASCENDING COLON; the TRANSVERSE COLON; the DESCENDING COLON; and the SIGMOID COLON.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Adenocarcinoma: A malignant epithelial tumor with a glandular organization.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Survival Rate: The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Cerebrospinal Fluid Rhinorrhea: Discharge of cerebrospinal fluid through the nose. Common etiologies include trauma, neoplasms, and prior surgery, although the condition may occur spontaneously. (Otolaryngol Head Neck Surg 1997 Apr;116(4):442-9)Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.

A safe and reproducible anastomotic technique for minimally invasive Ivor Lewis oesophagectomy: the circular-stapled anastomosis with the trans-oral anvil. (1/105)

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Effect of preoperative intraperitoneal injection of Sapylin in advanced gastric cancer. (2/105)

BACKGROUND AND OBJECTIVE: Sapylin is one of the biological response modifiers. It has been used in the comprehensive treatment for advanced cancer, and its clinical efficacy has been proved. This study was to evaluate the effect of preoperative intraperitoneal injection of Sapylin in treatment of advanced gastric cancer. METHODS: Seventy-nine patients eligible for radical gastrectomy were randomly divided into the treatment group (Sapylin + mitomycin C, 40 patients) and the control group (mitomycin C alone, 39 patients). In the treatment group, 5 KE Sapylin was injected intraperitoneally 48 h before operation and 4 mg of mitomycin C was injected into peritoneal cavity before the closure of the peritoneum. In the control group, only 4 mg mitomycin C was injected into peritoneal cavity before the closure of the peritonium. RESULTS: There was no operative mortality or duodenal stump leakage in the two groups. Postoperative complications were anastomotic leakage (2.5%, 1/40) and incision rupture (2.5%, 1/40) in the treatment group, and incision rupture (2.6%, 1/39) in the control group, with no significant difference between the two groups (P > 0.05). The 3-year survival rate was significantly higher in the treatment group than in the control group (76.5% vs. 49.4%, P < 0.05). CONCLUSIONS: Preoperative intraperitoneal injection of Sapylin can raise the 3-year survival rate after radical gastrectomy , without increasing the incidence rate of operative complications. Preoperative intraperitoneal injection of Sapylin is therefore a valuable therapy for advanced gastric cancer in clinic.  (+info)

Retrograde single stapling technique for laparoscopic ultralow anterior resection. (3/105)

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Hybrid NOTES transgastric cholecystectomy with reliable gastric closure: an animal survival study. (4/105)

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Recurrent abscess after primary successful endo-sponge treatment of anastomotic leakage following rectal surgery. (5/105)

AIM: To assess long-term efficacy of initially successful endo-sponge assisted therapy. METHODS: Between 2006 and 2009, consecutive patients who had undergone primary successful endo-sponge treatment of anastomotic leakage following rectal cancer surgery were enrolled in the study. Patients were recruited from 6 surgical departments in Vienna. Clinical and oncologic outcomes were assessed through routine endoscopic and radiologic follow-up examination. RESULTS: Twenty patients (7 female, 13 male) were included. The indications for endo-sponge treatment were anastomotic leakage (n = 17) and insufficiency of a rectal stump after Hartmann's procedure (n = 3). All patients were primarily operated for rectal cancer. The overall mortality rate was 25%. The median follow-up duration was 17 mo (range 1.5-29.8 mo). Five patients (25%) developed a recurrent abscess. Median time between last day of endo-sponge therapy and occurrence of recurrent abscess was 255 d (range 21-733 d). One of these patients was treated by computed tomography-guided drainage and in 3 patients Hartmann's procedure had to be performed. Two patients (10%) developed a local tumor recurrence and subsequently died. CONCLUSION: Despite successful primary outcome, patients who receive endo-sponge therapy should be closely monitored in the first 2 years, since recurrence might occur.  (+info)

Laparoscopic low anterior resection for rectal carcinoma: complications and management in 132 consecutive patients. (6/105)

AIM: To analyze the clinical manifestations and risk factors of complications in laparoscopic low anterior resection (LAR) for rectal cancer patients. METHODS: A series of 132 consecutive patients who received laparoscopic LAR for rectal cancer in our center were included. The etiology, diagnosis, treatment and prevention of rectal cancer were studied among the patients with surgery-related complications using both univariate and multivariate regression analysis. RESULTS: No conversion to open surgery was observed and 5 cases converted to hand-assisted laparoscopic operation. The overall morbidity rate was 20.5%. Complications occurred during the operation in 7 patients (5.3%), within 30 postoperative days in 24 patients (18.2%), and within 3 mo in 2 patients (1.5%). The most significant complications were anastomotic leakage (9.1%) and anastomotic hemorrhage (5.3%). Size and location of tumor, pathological staging and preoperative nutrition were significant factors associated with LAR complications, while gender, age and pathological type showed no relevance. Binary logistics regression showed that the size and location of tumor, and pathological staging were independent factors of laparoscopic LAR. All the complications were treated during their onset of clinical manifestations by interventional or conservative therapy. CONCLUSION: Anastomotic leakage is a major complication in laparoscopic LAR. The complications may be associated with tumor size and site, and pathological stage. Interventional therapies are of value in the management of laparoscopic LAR complications.  (+info)

The use of a compression device as an alternative to hand-sewn and stapled colorectal anastomoses: is three a crowd? (7/105)

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The C-seal: a biofragmentable drain protecting the stapled colorectal anastomosis from leakage. (8/105)

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*Colectomy

A number of factors may increase the risk of anastomotic dehiscence, either partial ('leak') or complete. Basic surgical ... "Postoperative nonsteroidal anti-inflammatory drugs and risk of anastomotic leak: meta-analysis of clinical and experimental ...

*Ureterostomy

Anastomotic leak is the most frequently encountered complication. Normal results for a ureterostomy include the successful ...

*Pancreaticoduodenectomy

Cullen, JJ; Sarr, MG; Ilstrup, DM (1994). "Pancreatic anastomotic leak after pancreaticoduodenectomy: incidence, significance, ... This allows for detection of a bile leak via elevated bilirubin in the fluid drained. Pancreatic leak or pancreatic fistula, ... Three of the most common post-operative complications are: delayed gastric emptying, bile leak, and pancreatic leak. Delayed ... This new connection may leak in 1-2% of operations. As this complication is fairly common, it is normal in this procedure for ...

*Self-expandable metallic stent

"Use of self-expandable plastic stents for the treatment of esophageal perforations and symptomatic anastomotic leaks". ... SEMS and self-expanding plastic stents have also been used for non-malignant conditions that cause narrowing or leaks of the ...

*Nonsteroidal anti-inflammatory drug

"Postoperative nonsteroidal anti-inflammatory drugs and risk of anastomotic leak: meta-analysis of clinical and experimental ...

*SADI-S surgery

The surgical risks are similar as in other bariatric techniques, including intestinal perforation, anastomotic leaks, infection ...

*Cuffitis

... such as fistula or anastomotic leaks. Cuffitis that is refractory to medication can also be a sign of Crohn's disease of the ... Chronic cuffitis can also contribute to the development of anastomotic stricture. Cuffitis that is refractory, Crohn's-related ...

*Sugiura procedure

All patients who developed an esophageal leak died. For this reason, modification of the original procedure was introduced to ... Significant causes of morbidity and mortality were related to complications of the esophageal transection as anastomotic ...

*Endoscopic retrograde cholangiopancreatography

Endoscopic Treatment of Post-Orthotopic Liver Transplantation Anastomotic Biliary Strictures with Maximal Stent Therapy (with ... leaks (from trauma and surgery), and cancer. ERCP can be performed for diagnostic and therapeutic reasons, although the ... anastomotic strictures after liver transplantation) Hypersensitivity to iodinated contrast medium History of iodinated contrast ...

*Epidural administration

This may cause cerebrospinal fluid (CSF) to leak out into the epidural space, which may in turn cause a post dural puncture ... Evidence to support the assertion that epidural analgesia increases the risk of anastomotic breakdown following bowel surgery ... amount of the subject's own blood given into the epidural space via another epidural needle which clots and seals the leak). ...

*Peritonitis

It is important to note that, while these body fluids are sterile at first, they frequently become infected once they leak out ... and anastomotic leakage. The latter occurrence is particularly difficult to diagnose early, as abdominal pain and ileus ...

*Gastric bypass surgery

Leaks usually occur at the stomach-intestine connection (gastro-jejunostomy). Supplementing with L- glutamine has been shown to ... "Incidence of marginal ulcers and the use of absorbable anastomotic sutures in laparoscopic Roux-en-Y gastric bypass" (PDF), ... If that seal fails to form for any reason, fluid from within the gastrointestinal tract can leak into the sterile abdominal ...
PURPOSE: Colon anastomotic leakage remains a serious and common surgical complication. Animal models are valuable to determine the pathophysiological mechanisms and to evaluate possible methods of prevention. The aim of this study was to develop an optimal model of clinical colon anastomotic leakage in a technically insufficient anastomosis in the mouse. METHODS: A total of 110 mice were used in three pilot studies (1-3) and two experiments (A, B). Due to the high complication rates, the analgesic regimen and surgical techniques were changed throughout the pilot studies/experiments. In the final successful experiment (B), eight and four absorbable sutures were used in the control and intervention anastomoses, respectively, and buprenorphine in chocolate spread was used for pain treatment. RESULTS: In the final model (experiment B), significantly more animals in the intervention group had clinical anastomotic leakage compared with controls (40 vs. 0 %, p = 0.003). The weight loss was greater and ...
Colonic anastomotic leaks occur in the early or late postoperative phase, in which the enteric anastomosis fails. This may be a small leak that can be managed conservatively or less commonly complete dehiscence requiring repeat surgery. Epidemio...
Reid-Lombardo KM, Farnell MB, Crippa S et al.: Pancreatic Anastomotic Leak Study Group. Pancreatic anastomotic leakage after pancreaticoduodenectomy in 1,507 patients: a report from the Pancreatic Anastomotic Leak Study Group. J Gastrointest Surg 2007; 11(11): 1451-8; discussion 1459. Epub 2007 Aug 21 ...
The main findings: The median anastomotic distance from the anal verge for both groups was 10 cm; the first postoperative bowl movement was on day 5 with the new device and day 4 in the controls; and the median hospital stay was 8 days with the device and 7 days in the controls. There were no anastomotic leaks ...
Madhu Ragupathi, MD, Michael D Yaakovian, MD, Diego I Ramos-Valadez, MD, Eric M Haas, MD FACS FASCRS. Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, University of Texas Medical School at Houston, Houston, Texas. Objective/Technique: Robotic-assisted laparoscopic (RALS) low anterior resection (LAR) with total mesorectal excision (TME) for rectal cancer has garnered increasing enthusiasm as a result of favorable preliminary results. The technique affords superior visualization, access, and manipulation of tissues in the deep, confined pelvis while maintaining the benefits of minimally invasive surgery. However, a major limitation involves low division of the rectum and mesorectum using the currently available endoscopic stapling devices.. Methods: To overcome this limitation, we perform RALS ultra-LAR with TME and hand-sewn colo-anal anastomosis for the treatment of rectal cancer. Our technique utilizes division and extraction of the rectum through a transperineal ...
BACKGROUND/AIMS: Anastomotic leakage remains the most serious complications of colorectal surgery. To prevent colorectal anastomotic leakage (CAL), an air leak test (ALT) with intraoperative colonoscopy (IOCS) is performed to detect mechanically insufficient colorectal anastomoses. The approaches to an intraoperative anastomotic air leak (IOAL) have not been fully investigated. This study aimed to clarify the safe management of an IOAL in laparoscopic colorectal surgery. METHODS: One hundred forty-eight consecutive patients who underwent laparoscopic resection with double-stapling technique (DST) anastomosis for left-sided colorectal cancer between April 2015 and June 2016 were included and retrospectively reviewed ...
Sauer Rolf, Fietkau Rainer, Wittekind Christian, Martus Peter, Rödel Claus, Hohenberger Werner, Jatzko Gerhard, Sabitzer Hubert, Karstens Johann-Hinrich, Becker Heinz, Hess Clemens, Raab Rudolf, Adjuvant versus Neoadjuvant Radiochemotherapy for Locally Advanced Rectal Cancer A Progress Report of a Phase-III Randomized Trial (Protocol CAO/ARO/AIO-94) : A Progress Report of a Phase-III Randomized Trial (Protocol CAO/ARO/AIO-94), 10.1007/pl00002396 ...
Intrathoracic leakage is a serious complication after esophageal surgery. The reported incidence of esophageal anastomotic leaks after gastrectomy and esophagectomy ranges from 5% to almost 30%. Within the last 10 years endoscopic treatment has changed the approach to intrathoracic anastomotic leakages. Application of metal clips, injection of fibrin glue and placement of self expanding metal or plastic stents (SEMS/SEPS) have been reported to successfully achieve closure of postoperative anastomotic leaks in approximately 66-100%. Alternative endoscopically treatment modalities are welcome especially in cases of failure of the above mentioned endoscopic treatment modalities to prevent the necessity of surgical reintervention which is associated with high mortality or mutilating surgical outcome such as proximal diversion with cervical esophagostomy.. Vacuum-assisted closure (V.A.C.) is an established treatment modality for extensive cutaneous infected wounds. The V.A.C. system device is based ...
If a vessel is continuously pumped out at a volume flow rate $S$, an equilibrium pressure $p_\mathrm{eq}$ will be produced if the throughput (Formula 1-16) is equal to the leakage rate $Q_L = S\cdot p_\mathrm{eq}$. A system is considered to be adequately tight if the equilibrium pressure $p_\mathrm{eq}$ is approximately 10 % of the working pressure. If, for example, a working pressure of 10-6 hPa is to be attained and the vacuum pump that is being used has a pumping speed of 100 l s-1, the leakage rate should not be more than s 10-6 Pa m3 s-1. Leakage rates $Q_L$ , 10-9 Pa m3 s-1 can usually be easily attained in clean stainless steel vessels. The ultimate pressure achievable after a given period of time $t$ primarily depends upon all of the effects described above and upon the pumping speed of the vacuum pump. The prerequisite is naturally that the ultimate pressure will be high relative to the base pressure of the vacuum pump.. ...
Background The low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring the major...
Full text for this publication is not currently held within this repository. Alternative links are provided below where available. ...
Breakdown of the connection and subsequent leakage of effluent (fluids, secretions, air) from a SURGICAL ANASTOMOSIS of the digestive, respiratory, genitourinary, and cardiovascular systems. Most common leakages are from the breakdown of suture lines in gastrointestinal or bowel anastomosis ...
Anastomotic disruption is an uncommon but morbid complication of colon and rectal surgery. This study was designed to evaluate the use of proximal diversion and surgical drainage as an alternative to anastomotic resection in the operative management of patients with anastomotic complications.A retrospective chart review was undertaken of all patients on the colon and rectal surgery service at an academic medical center requiring operative intervention for an anastomotic complication between 1998 and 2005. Demographic data, operative management, morbidity, and mortality were collected and analyzed for each patient.Twenty-seven patients with anastomotic leaks were included in the study. Nineteen patients were managed with proximal diversion and surgical drainage, six patients had resection of their anastomosis and creation of an end colostomy, and two patients were treated by primary reanastomosis. There was 0 percent mortality. Sixty-three percent of the patients treated with proximal diversion ...
Fistula development after esophageal resection is considered as one of the most serious postoperative complications. The authors reported a case on clinical experiences in the postoperative diagnostic and successful therapeutic management of a tracheomediastinal fistula after esophageal resection, using endoscopic application of fibrin glue. The early approach of an anastomotic insufficiency after esophageal resection because of a squamous cell carcinoma (pT3pN0M0G2) below the tracheal bifurcation including transposition of a re-modelled gastric tube and end-to-side anastomosis 24 hours postoperatively in a 55-year old patient combined i) surgical re-intervention from the periesophageal site (reanastomosis, gastroplication, lavage, local and mediastinal drainage) and, later on, ii) extensive rinsing with consecutive endoscopic fibrin glue application into the tracheal mouth of the subsequently developed tracheomediastinal fistula as a consequence of the inflammatory changes within the ...
Bowel movements after colon resection - My wife had a right colon resection a little over a week ago and when she has a bowel movement she has no sensation off the need. Is this normal? Loose. It is common to have loose stool after a colon resection, but watery diarrhea and stool incontinence is not typical. See your doctor about this issue, and to rule out an infection in your colon.
Please provide below the URL and description of an activity you would like to add to OpenCME. You are welcome to add activities as often as you like. To prevent spam or other abuse, activities are reviewed by our editorial team before appearing on OpenCME. ...
Please provide below the URL and description of an activity you would like to add to OpenCME. You are welcome to add activities as often as you like. To prevent spam or other abuse, activities are reviewed by our editorial team before appearing on OpenCME. ...
If you are a member, please log in to view this content. If you are not currently a member, please consider joining ASCRS.. Member benefits include resources such as the comprehensive video and image libraries, and document library available to assist members with the creation of patient educational materials or for resident educational opportunities. Membership in the ASCRS includes a subscription to Diseases of the Colon and Rectum, the ASCRS News and the ASCRS Membership Directory. More information about accessing this content and other member benefits are available on the Join Now page.. ...
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The build features Kingspan TEK Building System panels in both 142mm and 172mm widths. 142mm Kingspan TEK Building System panels were used to form the walls, with an additional external layer of 100 mm Kingspan Kooltherm K12 Framing Board to ensure a thermal-bridge free construction and to achieve a U-value of just 0.10 W/m²∙K. The roof was constructed with 172mm Kingspan TEK Building System panels as the increased thickness allows the panel to span further without additional support. Not only did the thicker panels help to preserve the open modern aesthetic of the show home, installing them in a large format also simplified the build and reduced the time spent working at height.. In addition to its high thermal performance and construction benefits, the Kingspan TEK Building System was also specified to help the building achieve low air leakage rates. Dr. Paul Newman, Director of Self-Build at Potton, explains:. ...
The Quest Spectrum fluorescence imaging system visualizes perfusion of organs during open or laparoscopic surgery procedures like colorectal anastomoses.
Surgical resection is regarded as the only curative option for resectable oesophageal cancer, but pulmonary complications occurring in more than half of patients after open oesophagectomy are a great concern. We assessed whether minimally invasive oe
Background: Anastomotic leaks in colorectal surgery results in a high morbidity and mortality rate. Serum procalcitonin levels is known as a sensitive and specific marker of sepsis and could be use as a marker for early detection of a leak allowing early intervention. It may help a clinician decide to perform a CT scan even earlier especially when the diagnosis of a leak is uncertain. The aim of this study is to determine whether serum procalcitonin is a good predictor of anastomotic leak in colorectal surgery. Methodology: Between July 2014 until October 2015, 70 patients undergoing colorectal surgery were prospectively analyzed in a single-center tertiary teaching hospital. Demographic and surgical data were obtained. Serum procalcitonin was taken before surgery and at day 3 (72 hours) postoperatively. During the postoperative period, the patients were observed in the ward for features of anastomotic leak and if present, it was managed accordingly. The primary outcome was to prospectively ...
RATIONALE: It is not yet known whether a J-pouch colorectal anastomosis is more effective than a straight colorectal anastomosis in treating patients with rectal cancer who have undergone surgery to remove the tumor.. PURPOSE: This randomized clinical trial is studying J-pouch colorectal anastomosis to see how well it works compared with straight colorectal anastomosis in treating patients with rectal cancer who have undergone surgery to remove the tumor. ...
Autori: Scripcariu V, Lungu M, Dragomir R, Lefter L, Radu I, Dragomir C.. Editorial: Chirurgia (Bucur). 2004 Sep-Oct;99(5):305-10, 2004.. Rezumat:. A number of factors have recently led to a more conservative approach for middle or low rectal cancers, making possible sphincter preservation and reducing the number of abdomino perineal excisions of the rectum. We have performed a retrospective analysis on 510 patients operated on in our unit between 1994 and 2003 for rectal cancer. There were a number of 118 anterior resection of rectum; in 20 cases the TME has been performed and in 6 cases a very low anterior resection of rectum was done. The overall operative morbidity rate was 16.10% in direct relation with the distal limit of resection. We note urinary dysfunctions, anastomotic leakage, recto-vaginal fistulas as immediate postoperative complications. With the practice of total mesorectal excision, the use of abdomino perineal excision of the rectum is decreasing. The use of preoperative ...
article{71ad598d-ac1f-421f-94e2-7d3dbed57748, author = {Thorlacius, Henrik}, issn = {1365-2168}, language = {eng}, number = {2}, pages = {301--302}, publisher = {John Wiley & Sons}, series = {British Journal of Surgery}, title = {Self-expanding metallic stents for large bowel obstruction (Br J Surg 2011; 98: 1625-1629).}, url = {http://dx.doi.org/10.1002/bjs.8673}, volume = {99}, year = {2012 ...
0129] In the sputtering apparatus used for depositing the oxide semiconductor film 403, the leakage rate of a deposition treatment chamber is set to less than or equal to 1×10-10 Pam3/s. Owing to the low leakage rate of the deposition treatment chamber, the amount of impurities entering the film to be formed by a sputtering method can be reduced. To decrease the leakage rate of the deposition treatment chamber, internal leakage as well as external leakage needs to be reduced. The external leakage refers to inflow of gas from the outside of a vacuum system through a minute hole, a sealing defect, or the like. The internal leakage is due to leakage through a partition, such as a valve, in a vacuum system or due to released gas from an internal member. An open/close portion of the deposition treatment chamber of the sputtering apparatus used for deposition of the oxide semiconductor film 403 is sealed with a metal gasket. For the metal gasket, a metal material covered with iron fluoride, aluminum ...
Colon resection for crohns disease - Terminal Ileum - Colon Resection Surgery - Crohns Disease.... Bowtrol is formulated to maximize ones elimination without causing loose stools or uncomfortable cramping.
I need help on this colonoscopy. This lady has had a colon resection d/t invasive adenocarcinoma, leaving her with essentially just the rectum and the
A surgical stapler includes a head in which a plurality of staples are stored. The head includes a facing surface. The stapler also includes an anvil having an anvil surface shaped and dimensioned for forming the staples upon actuation of the surgical stapler, the anvil including a facing surface opposed to the facing surface of the head for mating engagement therewith. The facing surface of the head is obliquely oriented relative to a longitudinal axis of the head creating an elliptical staple line when the head is brought into contact with anvil during actuation of the surgical stapler.
Postoperative anastomotic leakage is a serious complication in patients with oesophageal or cardia cancer. Early diagnosis and treatment are mandatory.
The Some Anvils Need to Be Dropped trope as used in popular culture. An Anvilicious work is one that has a moral message and makes it as subtle as an anvil …
Connect with Dr. Tal Raphaeli, Colon and Rectal Surgery, Humble, TX. Video chat, send a message, ask a text question, or make a virtual appointment on the doctors Virtual Practice on HealthTap.
Local recurrence is a major setback for patients with rectal cancer after surgery. Implantation of exfoliated malignant cells has been considered as a possible mechanism of tumor recurrence. Although still controversial, intra-operative rectal washou
A surgical fastener applying apparatus including an anvil half-section having a distal end and a longitudinal axis; a cartridge receiving half-section having a distal end and operatively couplable with the anvil half-section such that the distal ends of the half-sections are in juxtaposed relation; and a deflection control system operatively engaged with and reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis.
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I am posting this to post a link for Zonk since I cant seem to find my way back to the thread where it came up. The question had to do with the calculation of unintentional leak rate calculation for
Background. Gastric conduit ischemia during esophagectomy. likely contributes to high anastomotic complication. rates, yet we lack a reliable method to assess gastric. conduit perfusion. We hypothesize that optical fiber spectroscopy. (OFS) can reliably assess conduit perfusion and. that the degree of intraoperative gastric ischemia is associated. with subsequent anastomotic complications.. Methods. During esophagectomy, OFS was used to. measure oxygen saturation (SaO2) and blood volume. fraction (BVF) in the distal gastric conduit at baseline. and after gastric devascularization, conduit formation,. and transposition. The SaO2 and BVF readings were. correlated to clinical outcomes.. Results. The OFS measurements were obtained in 23. patients during esophagectomy, four of whom previously. underwent gastric ischemic conditioning. Eight. patients developed anastomotic complications. Compared. with baseline, conduit creation produced a 29.4%. reduction in SaO2 (p , 0.01), while BVF increased by ...
An end effector for stapling tissue is disclosed. The end effector comprises a staple cartridge comprising staples removably stored therein and an anvil configured to deform the staples. The anvil comprises a proximal portion, a distal portion, and a middle portion intermediate the proximal portion and the distal portion, wherein one of the anvil and the staple cartridge is movable relative to the other one of the anvil and the staple cartridge between an open configuration and a closed configuration. The anvil and the staple cartridge are configured to hold the tissue therebetween in the closed configuration. The proximal portion and the distal portion of the anvil are closer to the staple cartridge than the middle portion in the closed configuration. The anvil is pivotally movable relative to the staple cartridge and the anvil is laterally and asymmetrically movable relative to the staple cartridge.
Water-soluble upper GI based on clinical findings is reliable to detect anastomotic leaks after laparoscopic gastric bypass. Katasani, V. G.; Leeth, R. R.; Tishler, D. S.; Leath, T. D.; Roy, B. P.; Canon, C. L.; Vickers, S. M.; Clements, R. H. // American Surgeon;Nov/2005, Vol. 71 Issue 11, p916 Anastomotic leak after laparoscopic Roux-en-Y gastric bypass (LGB) is a major complication that must be recognized and treated early for best results. There is controversy in the literature regarding the reliability of upper GI series (UGI) in diagnosing leaks. LGB was performed in patients... ...
An anvil member for use in a surgical stapler is annealed by localized heating, preferably induction heating. A shaped shielding means is used to cradle the anvil so as to expose the staple crimping portion of the anvil. The heating is performed so as to anneal only the delimited staple crimping portion of the anvil. All other portions of the anvil are either shielded by the cradle or are out of the heating range.
INTRODUCTION. In view of the high incidence of infection of the peritoneal cavity in surgical practice, many investigators have the relationship between peritonitis and healing of intestinal anastomoses. Contradictory results have been obtained in studies of the influence of infection on the development of colon anastomoses healing in experimental animals, with some investigators reporting high rates of dehiscense and mortality6,8,21 and others reporting little or no effect of infection on the anastomotic lesion12,18,20. Thus, the present study was conducted to determine the effect of peritonitis on the healing of experimentally induced colon anastomoses in rats.. METHOD. The study was conducted on 40 male rats (Rattus norvegicus albinus, Rodentia mammalia) of the Wistar-Tecpar strain aged 114 to 130 days and weighing on average 298 g. The animals were divided in two groups S (control) and P (experimental).. The animals were anesthetized with ether, weighed and identified. The ventral abdominal ...
CAn anyone help? I do not know what CPT code to use for Low anterior resection with a diverting loop ileostomy, splaying of incision, and closur
Colonoscopy revealed a lumen occluding circumferential proliferative growth in the descending colon. Microscopic Description:Section shows fragments of large intestinal mucosa containing part of an ulcerating neoplasm with villous architecture ...
Laparoscopic colon resection allows surgeons to perform many common colon procedures. Patients may return to normal activities quicker than open surgery.
A surgical stapler includes a head in which a plurality of staples are stored. The head includes a facing surface. The stapler also includes an anvil having an anvil surface shaped and dimensioned for forming the staples upon actuation of the surgical stapler, the anvil including a facing surface opposed to the facing surface of the head for mating engagement therewith. The facing surface of the head is obliquely oriented relative to a longitudinal axis of the head creating an elliptical staple line when the head is brought into contact with anvil during actuation of the surgical stapler.
Logistic regression was used in both univariate and multivariate modelling.. The team used the methods to identify independent preoperative variables associated with the presence of intraoperative leak.. Model parameters were estimated by the maximum likelihood method. From these estimates, odds ratios with 95% confidence intervals were computed.. The investigators found no postoperative anastomotic leaks or mortalities in these series.. Overall, endoscopic evaluation of the gastrojejunostomy resulted in the detection of 16% of intraoperative leaks.. The team noted a difference in the incidence of intraoperative leakage for patients, with 21% older than 40 years, and 10% in those younger than 40 years. In the initial 91 cases, the gastrojejunostomy was performed by the end-to-end anastomosis technique.. The team reported that the subsequent 249 were performed with a combination of linear stapling and handsewn technique. There was a non-significant trend to less leakage in 12% with end-to-end ...
DI-fusion, le Dépôt institutionnel numérique de lULB, est loutil de référencementde la production scientifique de lULB.Linterface de recherche DI-fusion permet de consulter les publications des chercheurs de lULB et les thèses qui y ont été défendues.
The UPMC Division of Colon and Rectal Surgery is dedicated to providing compassionate, state-of-the-art surgical care for all patients with diseases of the small bowel, colon, rectum, and anus. Learn more now.
Colon and Rectal Surgery. Academic Program Description and Profile with links to related occupation profiles and colleges and universities offering the curriculum.
Devas Milan Range has been selected by Osborne to be the standard specification. the contemporary modern design make Milan the ideal choice for this cutting edge construction. Deva Milan mono basin mixers, bath fillers and deck sink mixers will be fitted throughout. Currently phase 3a are being supplied via Plumb Center in Lee. Osbourne have been specifying Deva product over thr the last 6 years. Osborne has started work on phase 3 of the Kender Estate regeneration in New Cross, South East London, for Hyde Housing Association. The £4.3 million scheme involves the design and construction of 11 new homes for affordable rent along with 19 flats, 11 of which will be shared ownership and eight for affordable rent. The homes have been designed to EcoHomes Very Good rating and will include high efficiency boilers, thermally enhanced building fabric and low air leakage rates. The flats will feature solar roofing panels, a green roof and storage space for cycles.. Osborne constructed 190 homes as part ...
Disclosed is an expandable anvil surgical stapler which can be collapsed and inserted through a small hole in a patients body and also through a small hole formed in the side of a hollow organ. The s
This application is directed to a surgical stapling device for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
Napisy The Prisoner Episode 3: Anvil - napisy polskie. The.Prisoner.2009.Part3.HDTV.XviD-NoTV, AUTOLOAD AUTOUPLOAD 1CD (pol). Wysłany 2009-11-18, pobrany 936x.
A surgical fastener applying apparatus including an anvil half-section having a distal end and a longitudinal axis; a cartridge receiving half-section having a distal end and operatively couplable with the anvil half-section such that the distal ends of the half-sections are in juxtaposed relation; and a deflection control system operatively engaged with and reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis.
MedStar Healths colon and rectal physicians are trained in the latest techniques for the diagnosis and treatment of diseases of the colon and rectum.
i had them both together too, so i dont know about the seperate recovery time. It was a while before i could sit down regularly without hurting, i was sittingkind of on my back bone. And the itching was the worst,lol. He may not want to do this,but i found if i wore a maxi pad and changed it about every two hours or so, it helped with the itching ...
A health app is a piece of smartphone software that purports to offer the user some health benefit. Many of these apps are aimed at people with diagnoses; for example, they teach the correct use of an asthma inhaler or collect blood pressure results by syncing wirelessly with a blood pressure monitor. But many are aimed at people with no diagnosis: for example, apps that allow users to track their calorie intake and exercise, or even their sleep patterns ...
Although surgical techniques have improved, dehiscence still occurs with a certain frequency, with postoperative esophagojejunal anastomotic leakage occurring at a rate of 0.5-11.0% [1-12]. According to a report of the Japanese National Clinical Database for digestive surgery, the incidence of anastomotic leakage after total gastrectomy was 4.4% (881 of 20,011 cases) in 2011 [12]. The details (whether open or laparoscopic) were not listed in this report, but several studies have indicated that anastomotic leakage is observed significantly more often in laparoscopic surgery than in open total gastrectomy or laparoscopic distal gastrectomy [12-14]. However, conflicting data exist [15], and several studies have reported that the surgeons experience of LTG is related to the rate of anastomosis-related complications [16-20]. According to Jeong et al., multivariate analysis showed that postoperative morbidity significantly differed according to the surgeons experience (fewer than 45 cases) ...
Early on in the earnest, deservedly beloved 2008 documentary Anvil! The Story of Anvil, a series of 80s metal luminaries are trotted out in talking head fashion to opine about how influential the band Anvil were to their own bands nascent sound, the ultimate aim of which is to introduce the question the remainder of the documentary makes only the most cursory attempt to answer: why didnt Anvil become as successful as the peers namechecking them?. The documentary, as compelling as it is in terms of its endearing underdog humanity, focuses more on the bands attempts to just get a comeback tour off the ground than it does in addressing their allegedly shortchanged legacy, but after an initial surge in popularity after the doc was released Anvil quickly found themselves backsliding toward their previous dearth of prosperity. Which if anything just revives the question of why success continues to elude the band.. If were being blunt, the truth is its because they were just never all that good ...
An anvil position detector is provided for use with a surgical stapling instrument. The anvil position detector includes a projection formed on a driving or jaw closure mechanism of the surgical instrument and a recess for a notch formed on the jaw or anvil of the surgical instrument. Engagement of the projection with the notch provides a tactile and/or audible indication to the operator of the surgical instrument that the anvil or jaw is in proper alignment with the remainder of the surgical instrument.
The Colon and Rectal Surgery Educational Program (CARSEP®) series is one of the most valued educational tools offered by the American Society of Colon and Rectal Surgeons. Test your knowledge with this self-assessment exam to prepare for the qualifying examination of the American Board of Colon and Rectal Surgery (ABCRS) or to earn continuing medical education (CME) and stay
A ball clutch mechanism for restraining a pin from longitudinal movement, including an anvil, a radially symmetrical cup, a spring and two two-ball sets of uniformly dimensioned balls. The anvil has an axial bore for axially receiving the pin. The cup has a confining end, a tapered interior wall and a predominantly open end covering the anvil and axially aligned with the anvil for axially receiving a pin that is axially received by the bore of the anvil. The anvil is longitudinally movable along its bore axis with respect to the cup. The spring forces the anvil toward the confining end of the cup. The first set of balls engages the anvil and is forced by the anvil toward the confining end of the cup by the spring. The second set of balls is in the extreme confining end of the cup for clutching the pin. The interior wall of the cup is dimensioned and tapered with respect to the balls to cause the balls of the first and second sets to be in different radial planes and to cause the balls of the second set
Symptoms of leaking colon resection - Journey to the Center of Your Colon - Understanding Leaky.... Revitol provides discount natural health and beauty products manufacturer direct to our customers. Find your favorite health supplements and natural beauty products here.
The team included studies if they evaluated postoperative complications and defined exposure to individual immunomodulators.. All 11 studies that met the inclusion criteria were observational studies.. The team noted that 2 studies were reported only in abstract form.. A further 5 studies reported risks associated with azathioprine, 5 reported risks associated with cyclosporine, and 3 reported risks associated with infliximab.. The team observed that none of the studies showed an increased risk of either total or infectious complications associated with immunomodulator use.. However, subgroup analysis in 1 study suggested increased rates of anastomotic complications and reoperation associated with azathioprine.. Dr Subramanians team commented, Available evidence does not suggest an increased rate of postoperative complications associated with immunomodulator use. ...
A surgical fastener applying apparatus comprising a cartridge section having a cartridge containing a plurality of fasteners and an anvil section having an anvil for receiving the fasteners when advanced from the cartridge. The cartridge and anvil sections clamp tissue therebetween. A cam member is slidable within the cartridge section to fire the fasteners, and is movable from a first position defining a first distance from the anvil to a second position defining a second different distance from the anvil. A cam adjusting member is operably associated with the cam member and moves the cam member from the first position to the second position in response to a thickness of tissue clamped between the anvil and cartridge sections.
In the area of Florida, surgery for rectum treatment can be found. We give you the best options for rectum surgery for all your rectal surgery needs.
Colon and Rectal Surgery at New York - Presbyterian / Weill Cornell has improved the lives of patients with colon and rectal disorders. Colorectal surgeons at this New York Medical Center are internationally recognized.
An anvils purpose in life is to be heavy and metallic. An anvil is heavy so that cartoon characters have a life is rough, and then you die|rough life, ...
not fit for purpose! I have used various chain tools over the years on chains from 6 to 10 speed without serious issues, then I bought one of these... Problems encountered: 1, It is not possible to free off a link after using the tool to insert a pin as it has no appropriate chain holder pegs. This problem was found on a 9 speed chain, but just looking at the tool this limitation is obvious. 2, It does not work with Campagnolo 10 speed chains as it does not support the chain well. Despite much care it broke the chains assembly guide pin as it drove the pin into the chain at an angle. Luckily my (new!) chain was not damaged, but it cost me a campagnolo assembly pin. 3, The peening anvil slides out of position before sufficient pressure can be applied to the pin. I thought this feature was worth a try before throwing the tool away. Summary: Both times I used this tool it let me down, luckily I had another old, warn, and reliable chain tool available. Be warned. 16 October 2013 ...
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What have people done to alleviate the problems of postsurgical bowel dysfunction or lower anterior resection syndrome (frequent elimination in small quantities over several hours) ? Am particularl...
Get 2-2047888-8 Spare & Wear Tooling specs, pricing, inventory availability, and more from TE Connectivity. Get a sample or request a quote.
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Anugesic-HC: This medication is used to relieve pain, swelling, itching, and discomfort in the anal area due to a variety of causes, including rectal surgery for hemorrhoids.
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Randonneuring is long-distance, unsupported, non-competitve endurance cycling. 400km (250+ miles) of randonneuring. Pre-registration required. Learn more at ...
Total mesorectal excision (TME) is a standard technique for treatment of colorectal cancer, first described in 1982 by Professor Bill Heald at the UKs Basingstoke District Hospital. A significant length of the bowel around the tumour is removed, as is the surrounding tissue up to the plane between the mesorectum and the presacral fascia (Healds "holy plane"). Dissection along this plane facilitates a straightforward dissection and preserves the sacral vessels and hypogastric nerves. It is possible to rejoin the two ends of the colon; however, most patients require a temporary ileostomy pouch to bypass the colon, allowing it to heal with less risk of perforation or leakage.[citation needed] TME has become the "gold standard" treatment for rectal cancer in the West. An occasional side effect of the operation is the formation and tangling of fibrous bands from near the site of the operation with other parts of the bowel. These can lead to bowel infarction if not operated on.[citation needed] TME ...
Merck & Co., Inc. announced today that the U.S. Food and Drug Administration (FDA) recently approved INVANZÃ ® (ertapenem), a once-daily injectable antibiotic, for the prophylaxis of surgical site infection (SSI) following elective colorectal surgery in adults. This approval was based upon the results of the landmark PREVENT trial, the largest prospective, randomized double-blind, comparative clinical trial ever conducted in antibiotic prophylaxis for elective colorectal surgery (N=1002). Results from the study were presented today in the New England Journal of Medicine. "Given the high incidence of SSI, Merck is very pleased to be able to offer a new alternative with clinically demonstrated efficacy," said Murray A. Abramson, M.D., M.P.H., senior medical director, Merck Research Labs, Infectious Diseases, Merck & Co. Inc. In the PREVENT study, a statistically significant difference favoring INVANZ over cefotetan with respect to the primary endpoint has been observed. A second adequate and ...
The clinical, histological, and necropsy findings of three cases of fatal, nonmalignant ulceration in the gastric tube after oesophageal resection for oesophageal malignancy are presented. The deaths occurred three, 30, and 42 months, respectively, after initial surgery. Two of the patients had received chemoradiotherapy, one at initial presentation, and one for a recurrence 18 months after surgery. In two patients death was due to an aspiration pneumonia, consequent on the development of a gastrobronchial fistula. The third patient died after a massive haematemesis. In none of the cases was there any evidence of residual or recurrent malignancy at necropsy, although in the two cases where radiological and endoscopic assessment was performed before death, recurrent tumour had been clinically diagnosed. As improved surgical techniques reduce the incidence of death due to anastomotic leakage and combined modality treatment regimens offer improved prospects of tumour remission, deaths from other ...
ANVIL UNIT FOR A MATERIAL REDUCING MACHINE - A reducing machine is disclosed. The reducing machine includes a rotational reducing component, a power in-feed system for feeding material toward the rotational reducing component, and a mill box at least partially surrounding the rotational reducing component. The reducing machine also includes an anvil unit that can be inserted into the mill box and removed from the mill box. The anvil unit includes a ramp that bridges a gap between the power in-feed and the rotational reducing component. The anvil unit also includes an anvil main body having a first end positioned adjacent the power in-feed and a second end positioned adjacent the rotational reducing component. The anvil unit further includes first and second spaced-apart shear edges positioned adjacent to the second end of the anvil main body. The first and second shear edges cooperate with the rotational reducing component to provide consecutive shearing actions as reducing elements of the ...
MedStar Georgetown University Hospital offers multiple types of Colon and Rectal Surgery performed by our leading surgery experts.
Five stratiform Zn-Pb-Ag deposits are known in Early Cambrian metapelitic rocks along a curvilinear trend in the Anvil Range, central Yukon. The Anvil Range deposits occur along the SW boundary of the Selwyn basin in the stratigraphic transition zone between metapelites of the Mt Mye unit and calcareous phyllites of the overlying Vangorda unit. The massive sulfides are associated closely with anomalously thick graphitic phyllites, apparently related to a second-order basin.-from Authors...
In 1999, I had emergency surgery for a perforated colon. (Diverticulitis) Of course this happened late at night and they had to call a surgeon in to do the surgery in the middle of the night. Since...
Vincent Obias, chief in the division of colorectal surgery, completed the operation using a new robotics system designed specifically for this procedure.
Anvil Test is often used to determine if there is Hip Joint Pathology, for example, Hip Arthritis, Femoral Neck/Head Fracture and Infection.
One of the most requested product lines which are supplied by us here at Test Equipment are Test & Tag Machines, otherwise known as PAT Testers (PAT is an abbreviation of Portable Appliance Test). All of these machines are capable of undertaking different tests, all to the relevant Australian Standards. The only thing that tends to differ as you go up the range (apart from price) is the functionality of each unit.. For example, the entry level units are capable of performing insulation tests, earth continuity tests and current leakage tests in one handy unit, some units can also test RCD trip swithces for correct operation, and some units have a built in memory to allow the user to save the results for downloading to a PC, eliminating the requirement to manually complete a log book. The higher level units are fully automated and allow tags to be printed on site and fully manage client assets.. Read More ...
Many things have been unpacked and found a place to be. Many things have been unpacked and are sitting in piles here and there waiting for a perfect spot to reside. Many things are yet to be unpacked. Especially my studio which I have saved for last. Well and the garage. and the... oh nevermind.... We have come to realize all too well, that when you move into a smaller place that is lacking the large basement you used to have, there will be many many piles of things looking for a home. This just might be my new decorating style..."Pile Chic". So lets have a look, shall we ...
China Abdominal Surgical Circular Stapler with Adjust Closure Height, Find details about China Disposable Circular Stapler, Circular Staplers from Abdominal Surgical Circular Stapler with Adjust Closure Height - Changzhou Haiers Medical Devices Co., Ltd.
Evidence-based recommendations on transanal total mesorectal excision of the rectum for malignant or benign disease of the rectum (including rectal cancer)
Aluminum-based spent nuclear fuel (Al-SNF) from foreign and domestic research reactors (FRR/DRR) is being shipped to the Savannah River Site. To enter the U.S., the cask with loaded fuel must be certified to comply with the requirements in the Title 10 of the U.S. Code of Federal Regulations, Part 71. The requirements include demonstration of containment of the cask with its contents under normal and accident conditions. Al-SNF is subject to corrosion degradation in water storage, and many of the fuel assemblies are failed or have through-clad damage. A methodology has been developed with technical bases to show that Al-SNF with cladding breaches can be directly transported in standard casks and maintained within the allowable release rates. The approach to evaluate the limiting allowable leakage rate, L{sub R}, for a cask with breached Al-SNF for comparison to its test leakage rate could be extended to other nuclear material systems. The approach for containment analysis of Al-SNF follows ...
The advantage of left transthoracic esophagectomy is readily apparent in that it affords a surgical resection with a single incision. In addition to the obvious advantage of decreasing the patients discomfort, the left transthoracic esophagectomy also can be performed in much less time than the Ivor Lewis or McKeown esophagectomy, with operative time averaging 2 to 3 hours.6 The left transthoracic approach does have a number of disadvantages that should be noted. First, although the division of the diaphragm provides excellent visualization of the left upper quadrant of the abdomen via the left chest, the remainder of the abdomen cannot be accessed using this approach. As a result of the limited abdominal exposure, adequate dissection of the pylorus cannot be achieved to perform pyloromyotomy. Many surgeons profess that gastric drainage is an essential component of esophageal reconstruction with gastric conduit placement after esophagectomy and identify the inability to perform a drainage ...
of body. Thankfully my declaration is really severe, it had an ulcer. It is advisable to lift about 100 bright green pea sized round stones while on its journey along the way, is a gallbladder surgery diet after colon resection danger conditions that patient and the pain and other organ it can last for a considered as lipotropic supplement. I ceased the drinking of a person tries to getting home. Stones that dissolve it in time it uses medicines that also can last for up to severe. The bile that began after eating, IBS, or papilla the minor discomfort. Whenever went away as did the treatment consistent and can involve far more frequently choose to remove his gallbladder attack symptoms. The bile salts widen the bile duct blockage leads to the modern diet after gallbladder can quickly spreads through the small intestine through the vagina. Therefore, a patient is taken away, though more veggies and rice with a simple gallbladder may increase the gallbladder is a small digestive organ. Gallstones ...
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Anastomotic leak: New approaches & European experience from the SAGES Video LibraryAnastomotic leak: New approaches & European experience from the SAGES Video Library

Keyword(s): abdominal, abscess, absorbable suture, air insufflation, air leak test, anastomotic complications, anterior ...
more infohttps://www.sages.org/video/anastomotic-leak-new-approaches-european-experience/

Colonic anastomotic leak | Radiology Reference Article | Radiopaedia.orgColonic anastomotic leak | Radiology Reference Article | Radiopaedia.org

This may be a small leak that can be managed conservatively or less commonly complete dehiscence requiring repeat surgery. ... Colonic anastomotic leaks occur in the early or late postoperative phase, in which the enteric anastomosis fails. ... Colonic anastomotic leaks occur in the early or late postoperative phase, in which the enteric anastomosis fails. This may be a ... Colonic anastomotic leak. Dr Sachintha Hapugoda ◉ and Dr Ian Bickle et al. ...
more infohttps://radiopaedia.org/articles/colonic-anastomotic-leak

Delayed Massive pelvic haemorrhage following colorectal anastomotic leak and its management - SAGES Abstract ArchivesDelayed Massive pelvic haemorrhage following colorectal anastomotic leak and its management - SAGES Abstract Archives

Delayed Massive pelvic haemorrhage following colorectal anastomotic leak and its management. Kim Seon Hahn, Karthikeyan ... One of the serious complications of anastomotic leak following rectal surgeries is delayed massive haemorrhage from the ... Although bleeding from the anastomotic site is well documented and various managements have been outlined delayed bleeding from ... colorectal surgeries is uncommon but a well recognised complication with majority of the bleeding being from the anastomotic ...
more infohttps://www.sages.org/meetings/annual-meeting/abstracts-archive/delayed-massive-pelvic-haemorrhage-following-colorectal-anastomotic-leak-and-its-management/

Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak | Science...Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak | Science...

The cause of anastomotic leak remains unknown, and its incidence has not changed in decades. We demonstrate that the commensal ... We demonstrate in rats that leaking anastomotic tissues were colonized by E. faecalis strains that showed an increased collagen ... Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak ... Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak ...
more infohttp://stm.sciencemag.org/content/7/286/286ra68

Operations for Esophageal Perforations and Anastomotic Leaks | Springer for Research & DevelopmentOperations for Esophageal Perforations and Anastomotic Leaks | Springer for Research & Development

Anastomotic Leak Nonoperative Management Esophageal Perforation Thoracic Esophagus Suture Repair These keywords were added by ... 1982) Modern management of anastomotic leak after esophagogastrectomy. Am J Surg 144: 94CrossRefGoogle Scholar ... Chassin J.L. (1984) Operations for Esophageal Perforations and Anastomotic Leaks. In: Operative Strategy in General Surgery. ... Nonoperative management is acceptable only in patients who have experienced a contained leak with minimal symptoms and no sign ...
more infohttps://rd.springer.com/chapter/10.1007/978-1-4757-4172-8_32

Tissue Oxygenation Are Associated With Anastomotic Leak Rates After an Ivor Lewis Esophagectomy - Full Text View -...Tissue Oxygenation Are Associated With Anastomotic Leak Rates After an Ivor Lewis Esophagectomy - Full Text View -...

Anastomotic leaks present either symptomatically or asymptomatically. An. *asymptomatic leak is only detected on the routine ... association between tissue oxygenation (measured using the Wipox) at the anastomotic site and the incidence of anastomotic leak ... low levels of tissue oxygenation at the anastomotic site are associated with increased risk of anastomotic leak (AL). ... Tissue Oxygenation Are Associated With Anastomotic Leak Rates After an Ivor Lewis Esophagectomy. The safety and scientific ...
more infohttps://clinicaltrials.gov/ct2/show/NCT01551433

Reducing Wound Infection and Anastomotic Leaks: Resurrection of Bowel Preps, Antibiotics, and other Old Warriors 2016 | ASCRSReducing Wound Infection and Anastomotic Leaks: Resurrection of Bowel Preps, Antibiotics, and other Old Warriors 2016 | ASCRS

Reducing Wound Infection and Anastomotic Leaks: Resurrection of Bowel Preps, Antibiotics, and other Old Warriors 2016 , ASCRS. ... Reducing Wound Infection and Anastomotic Leaks: Resurrection of Bowel Preps, Antibiotics, and other Old Warriors 2016. ...
more infohttps://www.fascrs.org/video/reducing-wound-infection-and-anastomotic-leaks-resurrection-bowel-preps-antibiotics-and-other

Clinical and economic burden of colorectal and bariatric anastomotic leaks | Springer for Research & DevelopmentClinical and economic burden of colorectal and bariatric anastomotic leaks | Springer for Research & Development

Background Anastomotic leaks cause a significant clinical and economic burden on patients undergoing bariatric and colorectal ... For all four anastomotic leak cohorts, the occurrence of an index anastomotic leak was associated with a higher risk of all- ... As there are no specific medical codes to identify anastomotic leaks, the occurrence of anastomotic leaks was approximated ... of cases presented with a leak on index and 1.7% presented with a leak 30-day post-discharge amounting to an anastomotic leak ...
more infohttps://rd.springer.com/article/10.1007%2Fs00464-019-07210-1

Serum Procalcitonin Predicts Anastomotic Leaks in Colorectal Surgery | Physicians Weekly for Medical News, Journals & ArticlesSerum Procalcitonin Predicts Anastomotic Leaks in Colorectal Surgery | Physician's Weekly for Medical News, Journals & Articles

Serum Procalcitonin Predicts Anastomotic Leaks in Colorectal Surgery by Physicians Weekly , Jul 30, 2017 , 0 comments ... Background: Anastomotic leaks in colorectal surgery results in a high morbidity and mortality rate. Serum procalcitonin levels ... Result: The rate of anastomotic leak was 4.5% (3 patients) with a mortality rate of 4.3% (3 patients). A rise in serum ... The aim of this study is to determine whether serum procalcitonin is a good predictor of anastomotic leak in colorectal surgery ...
more infohttps://www.physiciansweekly.com/serum-procalcitonin-predicts-anastomotic-leaks-in-colorectal-surgery/

Neutrophil to Lymphocyte Ratio and C-Reactive Protein as Two Predictive Tools of Anastomotic Leak in Colorectal Cancer Open...Neutrophil to Lymphocyte Ratio and C-Reactive Protein as Two Predictive Tools of Anastomotic Leak in Colorectal Cancer Open...

Neutrophil to Lymphocyte Ratio and C-Reactive Protein as Two Predictive Tools of Anastomotic Leak in Colorectal Cancer Open ... in the development of anastomotic leak (AL) in patients after surgery for colorectal cancer (CRC). Methods: Patients operated ...
more infohttps://insights.ovid.com/pubmed?PMID=28132052

Predictors of Anastomotic Leak in Elderly Patients After Colectomy:  Nomogram-Based Assessment From the American College of...Predictors of Anastomotic Leak in Elderly Patients After Colectomy: Nomogram-Based Assessment From the American College of...

... including anastomotic leak.. OBJECTIVE:. This study aimed to determine predictors of anastomotic leak in elderly patients ... and anastomotic leak occurred in 332 (3.2%). Of the patients who developed anastomotic leak, 192 (57.8%) were men (p < 0.001). ... Predictors of Anastomotic Leak in Elderly Patients After Colectomy: Nomogram-Based Assessment From the American College of ... We constructed a stepwise multiple logistic regression model for anastomotic leak as an outcome; predictors were selected in a ...
more infohttps://insights.ovid.com/pubmed?PMID=28383453

Risk factors for anastomotic leak after recto-sigmoid resection for ovarian cancer. - Semantic ScholarRisk factors for anastomotic leak after recto-sigmoid resection for ovarian cancer. - Semantic Scholar

There were a total of 12/177 anastomotic leaks (6.8%). The mean time to diagnosis of anastomotic leak was 19 days (range 4-32 ... Our objective was to identify primary risk factors for anastomotic leak in OC patients undergoing RS resection to better ... only perioperative serum albumin was significantly associated with an increased risk of anastomotic leak (mean 3.4 g/dL vs. 2.4 ... CONCLUSIONS Low serum albumin is associated with an increased risk of anastomotic leak after RS resection for OC. Patients with ...
more infohttps://www.semanticscholar.org/paper/Risk-factors-for-anastomotic-leak-after-resection-Richardson-Mariani/8bf69410955541ca725ff87ac62ee15077909821

Male gender is associated with an increased risk of anastomotic leak in rectal cancer patients after total mesorectal excision,...Male gender is associated with an increased risk of anastomotic leak in rectal cancer patients after total mesorectal excision,...

"Male gender is associated with an increased risk of anastomotic leak in rectal cancer patients after total mesorectal excision ... Anastomotic leak (AL) remains one of the major complications of TME, affecting post-operative recovery as well as cancer ... Anastomotic leak (AL) remains one of the major complications of TME, affecting post-operative recovery as well as cancer ... Male gender is associated with an increased risk of anastomotic leak in rectal cancer patients... Zhou, Chi;Wu, Xian-rui;Liu, ...
more infohttps://www.deepdyve.com/lp/ou_press/male-gender-is-associated-with-an-increased-risk-of-anastomotic-leak-pneAFFTbh4

Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak « Research Papers «...Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak « Research Papers «...

The cause of anastomotic leak remains unknown, and its incidence has not changed in decades. We demonstrate that the commensal ... Collagen degradation and MMP9 activation by Enterococcus faecalis contribute to intestinal anastomotic leak. by Jack Gilbert, ... We demonstrate in rats that leaking anastomotic tissues were colonized by E. faecalis strains that showed an increased collagen ... faecalis at anastomotic tissues nor did they prevent leak in our rat model. Finally, we show in humans undergoing colon surgery ...
more infohttp://www.igsb.org/papers/collagen-degradation-and-mmp9-activation-by-enterococcus-faecalis-contribut

Anastomotic Leak | CTDAnastomotic Leak | CTD

Anastomotic Leaks , Leakage, Anastomotic , Leakages, Anastomotic , Leak, Anastomotic , Leaks, Anastomotic Definition Breakdown ... Anastomotic Leak Synonyms Anastomotic Leakage , Anastomotic Leakages , ...
more infohttp://ctdbase.org/detail.go?type=disease&acc=MESH%3AD057868

Anastomotic Leak | Profiles RNSAnastomotic Leak | Profiles RNS

"Anastomotic Leak" by people in this website by year, and whether "Anastomotic Leak" was a major or minor topic of these ... "Anastomotic Leak" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical Subject ... Comment on: Technical factors associated with anastomotic leak after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2015 Nov- ... Below are the most recent publications written about "Anastomotic Leak" by people in Profiles. ...
more infohttp://profiles.ouhsc.edu/display/70422

Endoscopic Management of Anastomotic Leak and Hematoma: A Case Study - Consult QDEndoscopic Management of Anastomotic Leak and Hematoma: A Case Study - Consult QD

A 65-year-old man with an acute presacral anastomotic leak and large hematoma ultimately has a stoma closure and avoids a ... Endoscopic Management of Anastomotic Leak and Hematoma: A Case Study. When experience and innovation matter: A 65-year-old man ... Endoscopic Management of Anastomotic Leak and Hematoma: A Case Study. Avoiding complex reoperative abdominal surgery and ostomy ... A 65-year-old man was transferred to our hospital service from out of state for an acute presacral anastomotic leak with a ...
more infohttps://consultqd.clevelandclinic.org/endoscopic-management-of-anastomotic-leak-and-hematoma-a-case-study/

IS Case 95: Post Esophagectomy Anastomotic LeakIS Case 95: Post Esophagectomy Anastomotic Leak

... to evaluate for anastomotic leak. The findings are readily evident as contrast leak outside of the expected luminal contour. ... Anastomotic leak can occur early (2-3 days) due to technical failure or late (3-7 days) due to ischemic changes at or just ... Patients with anastomotic leak are at increased risk of stricture and fistula formation. ... IS Case 95: Post Esophagectomy Anastomotic Leak. Jared D. Christensen, MD Imaging Sciences URMC 2008. Publication Date: 2009-05 ...
more infohttp://urmc-mirc2.urmc.rochester.edu/storage/ss1/docs/20090520111453677/MIRCdocument.xml

Microbiota-anastomotic Leak Among Colorectal Surgery Patients : PilotMicrobiota-anastomotic Leak Among Colorectal Surgery Patients : Pilot

Clinical trial for Microbiota-anastomotic Leak Among Colorectal Surgery Patients : Pilot Study. ... Microbiota-anastomotic Leak Among Colorectal Surgery Patients : Pilot Study Colorectal Cancer Clinical Trial ... The study is based on the hypothesis that patients with postoperative anastomotic leakage have a different bacterial profile ... The Relationship Between Intestinal Microbiota, Colorectal Cancer and Anastomotic Leakage After Colorectal Surgery: Pilot Study ...
more infohttp://inclinicaltrials.com/colorectal-cancer/NCT03496441/

Systematic review and meta‐analysis of use of serum C‐reactive protein levels to predict anastomotic leak after colorectal...Systematic review and meta‐analysis of use of serum C‐reactive protein levels to predict anastomotic leak after colorectal...

3, 4 and 5 had comparable diagnostic accuracy for the development of an anastomotic leak with a pooled area under the curve of ... Systematic review and meta‐analysis of use of serum C‐reactive protein levels to predict anastomotic leak after colorectal ... for anastomotic leakage following colorectal surgery. A meta‐analysis was carried out using a random‐effects model and pooled ... as an early marker of anastomotic leakage following colorectal surgery. The aim of this systematic review and meta‐analysis was ...
more infohttps://www.bjs.co.uk/article/systematic-review-and-meta%E2%80%90analysis-of-use-of-serum-c%E2%80%90reactive-protein-levels-to-predict-anastomotic-leak-after-colorectal-surgery/

August 2013 - Volume 26 - Issue 8 : Journal of the American Academy of PAsAugust 2013 - Volume 26 - Issue 8 : Journal of the American Academy of PAs

Anastomotic leak after bowel resection. Brown, Jessica L.; Grosel, John M. Brown, Jessica L.; Grosel, John M. Less ...
more infohttp://journals.lww.com/jaapa/Fulltext/2013/08000/Anastomotic_leak_after_bowel_re

Side effects of surgery for stomach cancer - Canadian Cancer SocietySide effects of surgery for stomach cancer - Canadian Cancer Society

When this happens, the intestinal fluids leak out into the abdomen (anastomotic leak). Surgery is needed to repair the leak. ... Anastomotic leak or stricture. An anastomosis is the area where the small intestine has been joined to the remaining stomach or ... An anastomotic stricture occurs when the tissues around the anastomosis become narrowed. This can make it difficult or painful ...
more infohttp://www.cancer.ca/en/cancer-information/cancer-type/stomach/treatment/surgery/potential-side-effects/?region=on

Side effects of surgery for stomach cancer - Canadian Cancer SocietySide effects of surgery for stomach cancer - Canadian Cancer Society

When this happens, the intestinal fluids leak out into the abdomen (anastomotic leak). Surgery is needed to repair the leak. ... Anastomotic leak or stricture. An anastomosis is the area where the small intestine has been joined to the remaining stomach or ... An anastomotic stricture occurs when the tissues around the anastomosis become narrowed. This can make it difficult or painful ...
more infohttps://www.cancer.ca/en/cancer-information/cancer-type/stomach/treatment/surgery/potential-side-effects/?region=nu

Obesity - The Clinical AdvisorObesity - The Clinical Advisor

Anastomotic leak. *. i. Presenting symptoms are non-specific: tachycardia, chest pain, shortness of breath, anxiety, abdominal ... which has not been associated with an increase rate of anastomotic leaks ... If high clinical suspicion and hemodynamic instability, proceed with emergent exploration and control of leak. ...
more infohttps://www.clinicaladvisor.com/anesthesiology/obesity/article/582105/
  • For the past decade, we have developed a range of novel endoscopic techniques to manage strictures, fistula, anastomotic leak and abscess, including endoscopic stricturotomy, endoscopic sinusotomy, endoscopic septectomy, endoscopic fistulotomy, endoscopic incision and drainage, endoscopy-guide seton and drainage catheter placement. (clevelandclinic.org)
  • We demonstrate that the commensal bacterium Enterococcus faecalis contributes to the pathogenesis of anastomotic leak through its capacity to degrade collagen and to activate tissue matrix metalloproteinase 9 (MMP9) in host intestinal tissues. (sciencemag.org)
  • Either elimination of E. faecalis strains through direct topical antibiotics applied to rat intestinal tissues or pharmacological suppression of intestinal MMP9 activation prevented anastomotic leak in rats. (sciencemag.org)
  • We suggest that intestinal microbes with the capacity to produce collagenases and to activate host metalloproteinase MMP9 may break down collagen in the intestinal tissue contributing to anastomotic leak. (igsb.org)
  • Finally, we show in humans undergoing colon surgery and treated with the standard recommended intravenous antibiotics that their anastomotic tissues still contained E. faecalis and other bacterial strains with collagen-degrading/MMP9-activating activity. (igsb.org)
  • Common post-surgical protocols call for an upper GI series on postoperative day 7, if not sooner, to evaluate for anastomotic leak . (rochester.edu)
  • Although bleeding from the anastomotic site is well documented and various managements have been outlined delayed bleeding from the presacral vein due to pelvic sepsis after total mesorectal excision has not been reported. (sages.org)
  • Nonoperative management is acceptable only in patients who have experienced a contained leak with minimal symptoms and no sign of systemic sepsis. (springer.com)
  • The use of barium is contraindicated because if there a leak and spill of barium into the peritoneal cavity it can cause a chronic chemical peritonitis . (radiopaedia.org)
  • Anastomotic Leak" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (ouhsc.edu)
  • Treatment depends upon the size and extent of leak at imaging in conjunction with the severity of clinical symptoms. (rochester.edu)
  • It may help a clinician decide to perform a CT scan even earlier especially when the diagnosis of a leak is uncertain. (physiciansweekly.com)
  • The serum CRP level on POD 3, 4 and 5 had comparable diagnostic accuracy for the development of an anastomotic leak with a pooled area under the curve of 0·81 (95 per cent confidence interval 0·75 to 0·86), 0·80 (0·74 to 0·86) and 0·80 (0·73 to 0·87) respectively. (bjs.co.uk)
  • age, co-morbidities, smoking history) and clinical variables (pre-operative therapy, intra-operative blood pressure and systemic oxygen saturation) with tissue oxygenation at the anastomotic site. (clinicaltrials.gov)
  • Outcomes were collected for members with anastomotic leaks versus those without leaks during the initial hospital stay (index) and within 30 days of the procedure. (springer.com)
  • A 65-year-old man was transferred to our hospital service from out of state for an acute presacral anastomotic leak with a large hematoma, resulting in severe rectal bleeding that required blood transfusion. (clevelandclinic.org)
  • This graph shows the total number of publications written about "Anastomotic Leak" by people in this website by year, and whether "Anastomotic Leak" was a major or minor topic of these publications. (ouhsc.edu)
  • Our study has shown that a level of 5 times beyond normal is statistically significant and a value of more than 5.27 ng/mL is confirmatory of a leak. (physiciansweekly.com)
  • These measurements will be obtained as both internal controls of the accuracy of the Wipox (matching the Wipox pulse rate with the patient's), as well as additional variables to control for when assessing factors which might contribute to oxygen saturation at the anastomotic site. (clinicaltrials.gov)
  • Comment on: Technical factors associated with anastomotic leak after Roux-en-Y gastric bypass. (ouhsc.edu)