Colorectal Surgery: A surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the COLON; RECTUM; and ANAL CANAL.Rectum: The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL.Rectal Diseases: Pathological developments in the RECTUM region of the large intestine (INTESTINE, LARGE).Colectomy: Excision of a portion of the colon or of the whole colon. (Dorland, 28th ed)Colorectal Neoplasms: Tumors or cancer of the COLON or the RECTUM or both. Risk factors for colorectal cancer include chronic ULCERATIVE COLITIS; FAMILIAL POLYPOSIS COLI; exposure to ASBESTOS; and irradiation of the CERVIX UTERI.Colonic Diseases: Pathological processes in the COLON region of the large intestine (INTESTINE, LARGE).Digestive System Surgical Procedures: Surgery performed on the digestive system or its parts.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.Premedication: Preliminary administration of a drug preceding a diagnostic, therapeutic, or surgical procedure. The commonest types of premedication are antibiotics (ANTIBIOTIC PROPHYLAXIS) and anti-anxiety agents. It does not include PREANESTHETIC MEDICATION.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.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.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.Hand-Assisted Laparoscopy: Placement of one of the surgeon's gloved hands into the ABDOMINAL CAVITY to perform manual manipulations that facilitate the laparoscopic procedures.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Surgical Sponges: Gauze material used to absorb body fluids during surgery. Referred to as GOSSYPIBOMA if accidentally retained in the body following surgery.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.Cathartics: Agents that are used to stimulate evacuation of the bowels.Perioperative Care: Interventions to provide care prior to, during, and immediately after surgery.Cefotetan: A semisynthetic cephamycin antibiotic that is administered intravenously or intramuscularly. The drug is highly resistant to a broad spectrum of beta-lactamases and is active against a wide range of both aerobic and anaerobic gram-positive and gram-negative microorganisms.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.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)Embalming: Process of preserving a dead body to protect it from decay.Postoperative Care: The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)Infusions, Intralesional: The administration of medication or fluid directly into localized lesions, by means of gravity flow or INFUSION PUMPS.Length of Stay: The period of confinement of a patient to a hospital or other health facility.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.Rectal Neoplasms: Tumors or cancer of the RECTUM.Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Learning Curve: The course of learning of an individual or a group. It is a measure of performance plotted over time.Diverticulitis: Inflammation of a DIVERTICULUM or diverticula.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.Ileus: A condition caused by the lack of intestinal PERISTALSIS or INTESTINAL MOTILITY without any mechanical obstruction. This interference of the flow of INTESTINAL CONTENTS often leads to INTESTINAL OBSTRUCTION. Ileus may be classified into postoperative, inflammatory, metabolic, neurogenic, and drug-induced.Intraoperative Period: The period during a surgical operation.Robotics: The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.Postoperative Period: The period following a surgical operation.Surgical Stapling: A technique of closing incisions and wounds, or of joining and connecting tissues, in which staples are used as sutures.Adenoma: A benign epithelial tumor with a glandular organization.Antibiotic Prophylaxis: Use of antibiotics before, during, or after a diagnostic, therapeutic, or surgical procedure to prevent infectious complications.Fluid Therapy: Therapy whose basic objective is to restore the volume and composition of the body fluids to normal with respect to WATER-ELECTROLYTE BALANCE. Fluids may be administered intravenously, orally, by intermittent gavage, or by HYPODERMOCLYSIS.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.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Metronidazole: A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS. It has also been proposed as a radiation sensitizer for hypoxic cells. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985, p133), this substance may reasonably be anticipated to be a carcinogen (Merck, 11th ed).Colonoscopy: Endoscopic examination, therapy or surgery of the luminal surface of the colon.Colorectal Neoplasms, Hereditary Nonpolyposis: A group of autosomal-dominant inherited diseases in which COLON CANCER arises in discrete adenomas. Unlike FAMILIAL POLYPOSIS COLI with hundreds of polyps, hereditary nonpolyposis colorectal neoplasms occur much later, in the fourth and fifth decades. HNPCC has been associated with germline mutations in mismatch repair (MMR) genes. It has been subdivided into Lynch syndrome I or site-specific colonic cancer, and LYNCH SYNDROME II which includes extracolonic cancer.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.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.Pain, Postoperative: Pain during the period after surgery.Recovery of Function: A partial or complete return to the normal or proper physiologic activity of an organ or part following disease or trauma.Colonic Polyps: Discrete tissue masses that protrude into the lumen of the COLON. These POLYPS are connected to the wall of the colon either by a stalk, pedunculus, or by a broad base.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Colonic Neoplasms: Tumors or cancer of the COLON.Double-Blind Method: A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.Adenocarcinoma: A malignant epithelial tumor with a glandular organization.Statistics, Nonparametric: A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)Bariatric Surgery: Surgical procedures aimed at affecting metabolism and producing major WEIGHT REDUCTION in patients with MORBID OBESITY.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Sigmoidoscopy: Endoscopic examination, therapy or surgery of the sigmoid flexure.General Surgery: A specialty in which manual or operative procedures are used in the treatment of disease, injuries, or deformities.Adenomatous Polyps: Benign neoplasms derived from glandular epithelium. (From Stedman, 25th ed)Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Neoplasm Staging: Methods which attempt to express in replicable terms the extent of the neoplasm in the patient.Fluorouracil: A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid.

Does the subspecialty of the surgeon performing primary colonic resection influence the outcome of patients with hepatic metastases referred for resection? (1/111)

OBJECTIVE: To compare resection rates and outcome of patients subsequently referred with hepatic metastases whose initial colon cancers were resected by surgeons with different specialty interests. SUMMARY BACKGROUND DATA: Variation in practice among noncolorectal specialist surgeons has led to recommendations that colorectal cancers should be treated by surgeons trained in colorectal surgery or surgical oncology. METHODS: The resectability of metastases, the frequency and pattern of recurrence after resection, and the length of survival were compared in patients referred to a single center for resection of colorectal hepatic metastases. The patients were divided into those whose colorectal resection had been performed by general surgeons (GS) with other subspecialty interests (n = 108) or by colorectal specialists (CS; n = 122). RESULTS No differences were observed with respect to age, sex, tumor stage, site of primary tumor, or frequency of synchronous metastases. Comparing the GS group with the CS group, resectable disease was identified in 26% versus 66%, with tumor recurrence after a median follow-up of 19 months in 75% versus 44%, respectively. Recurrences involving bowel or lymph nodes accounted for 55% versus 24% of all recurrences, with respective median survivals of 14 months versus 26 months. CONCLUSION: Fewer patients referred by general surgeons had resectable liver disease. After surgery, recurrent tumor was more likely to develop in the GS group; their overall outcome was worse than that of the CS group. This observation is partly explained by a lower local recurrence rate in the CS group.  (+info)

Preoperative radiotherapy combined with total mesorectal excision for resectable rectal cancer. (2/111)

BACKGROUND: Short-term preoperative radiotherapy and total mesorectal excision have each been shown to improve local control of disease in patients with resectable rectal cancer. We conducted a multicenter, randomized trial to determine whether the addition of preoperative radiotherapy increases the benefit of total mesorectal excision. METHODS: We randomly assigned 1861 patients with resectable rectal cancer either to preoperative radiotherapy (5 Gy on each of five days) followed by total mesorectal excision (924 patients) or to total mesorectal excision alone (937 patients). The trial was conducted with the use of standardization and quality-control measures to ensure the consistency of the radiotherapy, surgery, and pathological techniques. RESULTS: Of the 1861 patients randomly assigned to one of the two treatment groups, 1805 were eligible to participate. The overall rate of survival at two years among the eligible patients was 82.0 percent in the group assigned to both radiotherapy and surgery and 81.8 percent in the group assigned to surgery alone (P=0.84). Among the 1748 patients who underwent a macroscopically complete local resection, the rate of local recurrence at two years was 5.3 percent. The rate of local recurrence at two years was 2.4 percent in the radiotherapy-plus-surgery group and 8.2 percent in the surgery-only group (P<0.001). CONCLUSIONS: Short-term preoperative radiotherapy reduces the risk of local recurrence in patients with rectal cancer who undergo a standardized total mesorectal excision.  (+info)

Use of surgical procedures and adjuvant therapy in rectal cancer treatment: a population-based study. (3/111)

OBJECTIVE: To assess the use of surgical procedures by tumor location and compliance with adjuvant therapy recommendations by tumor stage. The study was conducted in a population-based setting to identify target patient groups for improved care. SUMMARY BACKGROUND DATA: Rectal cancer therapy potentially involves similar patients receiving different treatments. Low anterior resection (LAR), sparing the anal sphincter, and abdominoperineal resection (APR), ablating the anal sphincter, offer equivalent local recurrence and survival rates but may differ in quality of life measurements. The 1990 NIH Consensus Conference recommended that patients with stage II and III rectal cancer receive radiation and chemotherapy in conjunction with surgical resection, but this is not uniformly applied. To interpret the use of these therapies, information on tumor location in the rectum, which is rarely known in population-based studies, is necessary. Patient, hospital, or surgeon characteristics may influence which procedure is performed and whether adjuvant therapy is given. METHODS: Information about primary, invasive rectal adenocarcinomas diagnosed between 1994 to 1996 in 13 California counties was obtained from the regional cancer registry. Tumor location, determined from abstracted medical text, was divided into the upper, middle, and lower rectum. Hospitals were characterized by teaching status, number of beds, and cancer center designation. Surgeons were categorized as general or colorectal surgeons. Factors associated with a higher use of LAR versus APR in patients with middle and lower rectum tumors and factors associated with a higher use of NIH-recommended therapy in patients with stage II and III disease were separately analyzed. RESULTS: Among 637 eligible patients, APR was used in 22% of those with middle rectum tumors and 55% of those with lower rectum tumors. Factors significantly associated with a higher use of LAR included female gender, middle rectum location, and treatment in a major teaching hospital versus a nonteaching hospital. Recommended therapy was received by 44% of patients with stage II disease and 60% of those with stage III disease. Factors significantly associated with higher compliance with NIH recommendations included age younger than 60 versus older than 75, age 60 to 75 years versus older than 75, tumor location in the middle or lower rectum versus the upper rectum, stage III disease, and treatment at a teaching hospital versus a nonteaching hospital. CONCLUSIONS: Patients with similar rectal cancers receive different treatments independent of tumor stage or location. This may result in more APRs performed for middle and lower rectum tumors than necessary and less adequate treatment for stage II and III tumors than recommended.  (+info)

Management of obstetric anal sphincter injury: a systematic review & national practice survey. (4/111)

BACKGROUND: We aim to establish the evidence base for the recognition and management of obstetric anal sphincter injury (OASI) and to compare this with current practice amongst UK obstetricians and coloproctologists. METHODS: A systematic review of the literature and a postal questionnaire survey of consultant obstetricians, trainee obstetricians and consultant coloproctologists was carried out. RESULTS: We found a wide variation in experience of repairing acute anal sphincter injury. The group with largest experience were consultant obstetricians (46.5% undertaking > or = 5 repairs/year), whilst only 10% of responding colorectal surgeons had similar levels of experience (p < 0.001). There was extensive misunderstanding in terms of the definition of obstetric anal sphincter injuries. Overall, trainees had a greater knowledge of the correct classification (p < 0.01). Observational studies suggest that a new 'overlap' repair using PDS sutures with antibiotic cover gives better functional results. However, our literature search found only one randomised controlled trial (RCT) on the technique of repair of OASI, which showed no difference in incidence of anal incontinence at three months. Despite this, there was a wide variation in practice, with 337(50%) consultants, 82 (55%) trainees and 80 (89%) coloproctologists already using the 'overlap' method for repair of a torn EAS (p < 0.001). Although over 50% of colorectal surgeons would undertake long-term follow-up of their patients, this was the practice of less than 10% of obstetricians (p < 0.001). Whilst over 70% of coloproctologists would recommend an elective caesarean section in a subsequent pregnancy, only 22% of obstetric consultants and 14% of trainees (p < 0.001). CONCLUSION: An agreed classification of OASI, development of national guidelines, formalised training, multidisciplinary management and further definitive research is strongly recommended.  (+info)

Dose surgical sub-specialization influence survival in patients with colorectal cancer? (5/111)

AIM: To perform a review of patients with colorectal cancer to a community hospital and to compare the risk-adjusted survival between patients managed in general surgical units versus a colorectal unit. METHODS: The study evaluated all patients with colorectal cancer referred to either general surgical units or a colorectal unit from 1/1996 to 6/2001. These results were compared to a historical control group treated within general surgical units at the same hospital from 1/1989 to 12/1994. A Kaplan-Meier survival analysis compared the overall survivals (all-cause mortality) between the groups. A Cox proportional hazards model was used to determine the influence of a number of independent variables on survival. These variables included age, ASA score, disease stage, emergency surgery, adjuvant chemotherapy and/or radiotherapy, disease location, and surgical unit. RESULTS: There were 974 patients involved in this study. There were no significant differences in the demographic details for the three groups. Patients in the colorectal group were more likely to have rectal cancer and Stage I cancers, and less likely to have Stage II cancers. Patients treated in the colorectal group had a significantly higher overall 5-year survival when compared with the general surgical group and the historical control group (56 % versus 45 % and 40 % respectively, P<0.01). Survival regression analysis identified age, ASA score, disease stage, adjuvant chemotherapy, and treatment in a colorectal unit (Hazards ratio: 0.67; 95 % CI: 0.53 to 0.84, P =0.0005), as significant independent predictors of survival. CONCLUSION: The results suggest that there may be a survival advantage for patients with colon and rectal cancers being treated within a specialist colorectal surgical unit.  (+info)

Referral letters to colorectal surgeons: the impact of peer-mediated feedback. (6/111)

BACKGROUND: General practitioners (GPs) select few patients for specialist investigation. Having selected a patient, the GP writes a referral letter which serves primarily to convey concerns about the patient and offer background information. Referral letters to specialists sometimes provide an inadequate amount of information. The content of referral letters to colorectal surgeons can now be scored based on the views of GPs about the ideal content of referral letters. AIM: To determine if written feedback about the contents of GP referral letters mediated by local peers was acceptable to GPs and how this feedback influenced the content and variety of their referrals. DESIGN: A non-randomised control trial. SETTING: GPs in North Nottinghamshire. METHOD: In a controlled trial, 26 GPs were offered written feedback about the documented contents of their colorectal referral letters over 1 year. The feedback was designed and mediated by two nominated local GPs. The contents of referral letters were measured in the year before and 6 months after feedback. GPs were asked about the style of the feedback. The contents of referral letters and the proportion of patients with organic pathology were compared for the feedback GPs and other local GPs who could be identified as having used the same hospital for their referrals in the period before and after feedback. RESULTS: All GPs declared the method of feedback to be acceptable but raised concerns about their own performance, and some were upset by the experience. None withdrew from the project. There was a difference of 7.1 points (95% confidence interval = 1.9 to 12.2) in the content scores between the feedback group and the controls after adjusting for baseline differences between the groups. Of the GPs who referred to the same hospital before and after feedback, the feedback GPs referred more patients with organic pathology than other local colleagues. CONCLUSIONS: GPs welcome feedback about the details appearing on their referral letters, although peer comparisons may not always lead to changes in practice. However, in some cases feedback improves the content of GP referral letters and may also impact on the type of patients referred for investigation by specialists.  (+info)

Pharmacokinetics and tissue penetration of single-dose cefotetan used for antimicrobial prophylaxis in patients undergoing colorectal surgery. (7/111)

The pharmacokinetics and tissue penetration of cefotetan were studied after a single injection of 2 g given intravenously for antimicrobial prophylaxis to 16 consecutive patients undergoing colorectal surgery. Concentrations in tissue greater than or equal to the MIC for 90% of the main pathogens tested were considered adequate. The elimination half-life at beta phase was 4.6 +/- 1.4 h, the total body clearance was 0.75 +/- 0.19 ml/kg/min, and the volume of distribution was 260 +/- 71 ml/kg. At the time of incision (33 +/- 16 min after the injection), cefotetan concentrations were 14.2 +/- 7 micrograms/g in abdominal-wall fat, 16.4 +/- 1 micrograms/g in epiploic fat, and 163 +/- 62 mg/liter in serum. At the time of surgical anastomosis (151 +/- 54 min), cefotetan concentrations were 33.3 +/- 6 micrograms/g in the colonic wall and 73 +/- 34 mg/liter in serum. Upon closure of the abdomen (216 +/- 76 min), cefotetan concentrations were 6.3 +/- 3 micrograms/g in abdominal-wall fat, 6.1 +/- 4 micrograms/g in epiploic fat, and 64 +/- 38 mg/liter in serum. Cefotetan tissue penetration was 10% into abdominal and epiploic fat and 46% into the colonic wall. Levels in tissue were compared with the MIC for 90% of the most frequently encountered pathogenic germs (Staphylococcus aureus, Bacteroides fragilis, and Escherichia coli). Adequate concentrations in tissue were obtained up to anastomosis but not upon closure. The authors therefore recommend the injection of an additional dose of 1 g before closure in order to ensure optimal efficacy throughout the surgical procedure.  (+info)

Anterior resection for rectal cancer with mesorectal excision: a prospective evaluation of 622 patients. (8/111)

OBJECTIVE: This study aims to review the operative results and oncological outcomes of anterior resection for rectal and rectosigmoid cancer. Comparison was made between patients with total mesorectal excision (TME) for mid and distal cancer and partial mesorectal excision (PME) for proximal cancer, when a 4- to 5-cm mesorectal margin could be achieved. Risk factors for local recurrence and survival were also analyzed. SUMMARY BACKGROUND DATA: Anterior resection has become the preferred treatment option rectal cancer. TME with sharp dissection has been shown to be associated with a low local recurrence rate. Controversies still exist as to the need for TME in more proximal tumor. METHODS: Resection of primary rectal and rectosigmoid cancer was performed in 786 patients from August 1993 to July 2002. Of these, 622 patients (395 men and 227 women; median age, 67 years) underwent anterior resection. The technique of perimesorectal dissection was used. Patients with mid and distal rectal cancer were treated with TME while PME was performed for those with more proximal tumors. Prospective data on the postoperative results and oncological outcomes were reviewed. Risk factors for anastomotic leakage, local recurrence, and survival of the patients were analyzed with univariate and multivariate analysis. RESULTS: The median level of the tumor was 8 cm from the anal verge (range, 2.5-20 cm) and curative resection was performed in 563 patients (90.5%). TME was performed in 396 patients (63.7%). Significantly longer median operating time, more blood loss, and a longer hospital stay were found in patients with TME. The overall operative mortality and morbidity rates were 1.8% and 32.6%, respectively, and there were no significant differences between those of TME and PME. Anastomotic leak occurred in 8.1% and 1.3% of patients with TME and PME, respectively (P < 0.001). Independent factors for a higher anastomotic leakage rate were TME, the male gender, the absence of stoma, and the increased blood loss. The 5-year actuarial local recurrence rate was 9.7%. The advanced stage of the disease and the performance of coloanal anastomosis were independent factors for increased local recurrence. The 5-year cancer-specific survival was 74.5%. The independent factors for poor survival were the advanced stage of the disease and the presence of lymphovascular and perineural invasion. CONCLUSIONS: Anterior resection with mesorectal excision is a safe option and can be performed in the majority of patients with rectal cancer. The local recurrence rate was 9.7% and the cancer-specific survival was 74.5%. When the tumor requires a TME, this procedure is more complex and has a higher leakage rate than in those higher tumors where PME provides adequate mesorectal clearance. By performing TME in patients with mid and distal rectal cancer, the local control and survival of these patients are similar to those of patients with proximal cancers where adequate clearance can be achieved by PME.  (+info)

Find local Colorectal Surgeons practicing in Sarver, PA. Read ratings and reviews to help find the best Colorectal Surgeon in your area.
Find 3 local Colorectal Surgeons practicing in White Plains, NY. Read ratings and reviews to help find the best Colorectal Surgeon in your area.
TY - JOUR. T1 - Risk of readmission after laparoscopic vs. open colorectal surgery. AU - Esemuede, Iyare O.. AU - Gabre-Kidan, Alodia. AU - Fowler, Dennis L.. AU - Kiran, Ravi P.. PY - 2015/8/13. Y1 - 2015/8/13. N2 - Purpose: Laparoscopic colorectal resection (LC) is associated with known recovery benefits and earlier discharge when compared to open colorectal resection (OC). Whether earlier discharge leads to a paradoxical increase in readmission has not been well characterized. The aim of this study is to compare the risk of readmission after the two procedures in a large, nationally representative sample. Methods: Patients who underwent colorectal resection in 2011 were identified from the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database. LC and OC patients were compared for patient factors, complications, and readmission rates. A multivariable analysis controlling for significant factors was performed to evaluate factors associated with ...
Rubber band ligation. Certain internal hemorrhoids look like a cherry on a stalk. They cause the same symptoms as flatter hemorrhoids, but because of their configuration, they may be amenable to rubber band ligation. Again, while you are lying on your side, your colorectal surgeon will slip a tight rubber band around the hemorrhoid in an effort to let it then fall off. You may or may not feel a slight feeling of pressure following the treatment. This pressure should resolve quickly. One hemorrhoidal group is treated per session. Although occasionally prone to failure, these treatments can be permanent. Rubber band ligation should be performed only by a colorectal surgeon trained in the technique. Other specialists have attempted to try ligation with new, supposedly "fool proof" banding techniques. These techniques have been found to be a problem and banding should best be performed by a specialist ...
If you have got any of the above-mentioned symptoms for a longer time, then make sure you visit the colorectal surgeon. Check with your doctor when you should start the screening for colon cancer. Generally, the screenings are recommended at the age of 50 years. Based on your condition, your surgeon may suggest earlier screening as well.. If you are diagnosed with colorectal cancer, then you should not get panic. There are treatment options available to cure cancer. The treatment is subject to the stages of cancer.. Treatment for Stage 1 Colorectal Cancer. In the early stage, cancer has grown but has not spread outside of the colon wall. In this stage, the cancer is treated with a surgery and no additional therapy is required. Approximately 95% of patients are cured with surgery only.. Treatment for Stage 2 Colorectal Cancer. In stage 2, cancer has grown through the colon wall and may affect the nearby tissue but has not extended to lymph nodes. For this stage of cancer, surgery is needed, and ...
The colorectal cancer team at UC San Diego Health includes colorectal surgeons, gastroenterologists, medical oncologists, and radiation oncologists who have specialized expertise and experience treating cancers of the colon, rectum, and anus.
Mr Michael Dworkin, Consultant General and Colorectal Surgeon, MB BS, FRCS, MS at Spire Healthcare. Learn more about this consultant here.
Profile of Dr. Rajeev Kapoor, Colorectal Surgeon in Chandigarh: Get complete information about Dr. Rajeev Kapoor MS Surgery; Colorect practicing at Fortis Hospital, his specialities, expertise with complete address, appointment phone numbers, timings, awards and associated hospital information | Sehat
Mr Michael Duff, Consultant Colorectal Surgeon, MB BCh BAO, FRCS, MCh at Spire Healthcare. Learn more about this consultant here.
Visit Dr. Andrew J. Vorenberg, colorectal surgeon & general surgeon in Mechanicsville, VA & Richmond, VA. Are you Dr. Vorenberg? Sign up for MD.com.
Visit Dr. Sanath Kumar, colorectal surgeon & general surgeon in Crown Point, IN & Orland Park, IL. Are you Dr. Kumar? Sign up for MD.com.
Trusted Colon and Rectal Surgery serving Beverly Hills, CA. Contact us at 424-274-0667 or visit us at 8929 Wilshire Boulevard, Suite 302, Beverly Hills, CA 90211: California Colorectal Surgeons
Dr. Thomas Lake III, MD of Oakhurst, NJ patient reviews, appointments, phone number and quality report. Compare Dr. Lake to other nearby Colorectal Surgeons (Proctologists) in New Jersey.
Dr. Paravasthu Ramanujam, MD of Sun City, AZ patient reviews, appointments, phone number and quality report. Compare Dr. Ramanujam to other nearby Colorectal Surgeons (Proctologists) in Arizona.
Colorectal surgery is a surgical specialty concerned with the diagnosis and treatment of disorders and abnormalities of the small bowel, colon, rectum, and anal canal. Common conditions treated by colorectal surgeons include bowel (colorectal) cancer, inflammatory diseases of the small bowel and colon such as Crohns disease, ulcerative colitis and diverticular disease of the colon. Finally, colorectal surgeons also frequently assess and treat patients with a number of conditions affecting the anal canal such as abscesses, fistulae and haemorrhoids. Colorectal surgeons generally work very closely with gastroenterologists and radiologists.. ...
F Carballo, MD, M Laporte, MD, E Grzona, MD, A Canelas, MD, M Bun, MD, C Peczan, MD, N Rotholtz, MD. Colorectal Surgery Division - Hospital Aleman de Buenos Aires. Argentina.. Background: The laparoscopic approach for colorrectal disease has become a safe and reproducible method in the hands of trained surgeons. A proper selection criteria allows to decrease the rate of conversion, mainly in surgeons with less experience. The main objective of this study is to identify factors that favor conversion in a large series of laparoscopic colorectal procedures. The second objective is to evaluate if there any differences in outcome between the groups.. Methods: Retrospective study on a database prospectively made in 1090 patients who underwent laparoscopic colorectal surgery from June 2000 to June of 2012. They were considered as potential predictors of conversion: demographic factors; characteristics related to surgery and to the disease. univariate analysis to identify individual predictive factors ...
With over 15 years of experience, Dr Giuseppe Pellegrino from ITALY is an accomplished Specialist Surgeon who specializes in treating any concerns related to the....... Comprehensive Colorectal Surgery, Full Range of Colorectal Surgeries. Laparoscopic surgery cost in UAE. Gallbladder surgery cost in Dubai
Many people seek a second opinion from our expert colorectal surgeons at NewYork-Presbyterian/ Columbia University Medical. The Division of Colorectal Surgery understands that surgery is a big decision and can be scary. Every effort is made upfront to schedule our patients for a complete and thorough examination with a colorectal surgeon. Here are a few steps to take if you are seeking a second opinion from one of our surgeons:
Diseases of the Colon & Rectum is the worlds leading publication in colorectal surgery, ranking in the top 14% of all peer-reviewed surgery journals. DC&R is the recognized authority on conditions affecting the colon, rectum, and anus, publishing original articles, case reports, reviews, short communications, book reviews and society news. For more than fifty years, DC&R has been the journal of choice among colorectal surgeons and gastroenterologists for the transfer of both medical and surgical knowledge and information in this highly specialized field. It is a Brandon-Hill recommended title. General surgeons, colorectal surgeons, gastroenterologists, surgical oncologists and oncologists worldwide rely on DC&R online, or its monthly print edition, to keep pace with all the advances in this rapidly-evolving and changing discipline.
Diseases of the Colon & Rectum is the worlds leading publication in colorectal surgery, ranking in the top 14% of all peer-reviewed surgery journals. DC&R is the recognized authority on conditions affecting the colon, rectum, and anus, publishing original articles, case reports, reviews, short communications, book reviews and society news. For more than fifty years, DC&R has been the journal of choice among colorectal surgeons and gastroenterologists for the transfer of both medical and surgical knowledge and information in this highly specialized field. It is a Brandon-Hill recommended title. General surgeons, colorectal surgeons, gastroenterologists, surgical oncologists and oncologists worldwide rely on DC&R online, or its monthly print edition, to keep pace with all the advances in this rapidly-evolving and changing discipline.
Dr James Toh is a consultant Colorectal and General surgeon appointed at Westmead Hospital. He specialises in minimally invasive laparoscopic surgery and has expertise and experience in treating a wide range of colorectal and general surgical conditions.
I think Ive decided to go for a second opinion. I would like to go to Barnes Hopsital in St. Louis and was wondering if anyone has a surgeon they would recommend ...
Results 783 colonoscopies were included, with mean patient age of 58.51 years (SD 15.5). The mean ADR was 21.45% in the study. The CWT could be calculated for 62.83% of the cases (n=492). 80% (393) of colonoscopies had CWT of ≥6 min. Mean CWT was 9.15 min (SD 4.4). The ADR positively correlated with longer CWT (r=0.31, p=0.0001). The ADR was significantly higher when CWT was ≥8 min compared with CWT ,6 min or CWT of 6-8 min (p=0.0001). More polyps were detected in the proximal colon when CWT ≥8 min (p=0.078). Mean CWT of gastroenterologists was 9.8 min (SD 4.5), similar to the trainee group (10.3 min, SD 3.8), while mean CWT for colorectal surgeons was 5.7 min (SD 3.2). The ADR for gastroenterologists was 25.9% versus 17.5% for colorectal surgeons and 17.8% for trainees. ...
â ¢ Group achieved â Top 10% Recognition for Patient Experienceâ and â Top 10% Recognition for Qualityâ in 2018. Sharp Rees-Stealy is the only medical group in San Diego County to achieve these two distinctions two years in a row and one of only four in California to earn the Quality recognition award ...
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Several studies have addressed the issue of the feasibility of laparoscopic colorectal surgery in elderly patients, usually by choosing an arbitrary cut-off age limit, and retrospectively evaluating patient outcomes. The aim of this study was to assess the effects of age on the outcome of laparoscopic colorectal surgery for cancer in a single department, by comparing younger and older patients, matched by ASA score and type of operation. The perioperative outcome of patients ≥75 years old who underwent laparoscopic colorectal surgery for cancer between June 2005 and January 2009 were compared with findings in younger patients, matched by ASA score and type of operation. The study included 100 patients, fifty |75 years old (Group A) and fifty ≥75 (Group B) years old. There were 18 right hemicolectomies, 16 left hemicolectomies, 4 anterior resections, 9 low anterior resections, 2 Miles operations and 1 segmental resection in each group. We observed a significantly higher overall morbidity rate among
Colorectal surgery is generally performed by a colorectal surgeon, states HealthTap. These specialists have completed training on general surgery and advanced training in the treatment of colorectal...
Middlesex Hospitals Surgical Alliance team includes expert colorectal surgeons who are experienced in using the most advanced techniques, including minimally invasive procedures, to diagnose and treat a wide variety of conditions and disorders of the rectum, anus and colon. Using these innovative colorectal surgery techniques allows our surgeons to perform procedures with more precision, smaller incisions, fewer complications and faster recoveries than ever before.. ...
Colorectal cancer is one of the most common cancer diagnoses and undergoing colorectal cancer surgery is reported to be associated with physical symptoms and psychological reactions. Social support is described as important during the postoperative period. The purpose of this paper was to describe how patients experience the early postoperative period after colorectal cancer surgery.. Interviews according a phenomenological approach were performed with 13 adult participants, within 1 week after discharge from hospital. Data were collected from August 2006 to February 2007. Analysis of the interview transcripts was conducted according to Giorgi.. The essence of the phenomenon was to regain control over ones body in the early postoperative period after colorectal cancer surgery. Lack of control, fear of wound and anastomosis rupture, insecurity according to complications was prominent findings.. When caring for these patients it is a challenge to be sensitive, encourage and promote patients to ...
Using a case-based approach, Colorectal Surgery: Clinical Care and Management provides practical, clinical and expert guidance to illustrate the best care and clinical management of patients requiring colorectal surgery for colorectal disease.. Real-life cases illustrate the entire syllabus of GI/colorectal surgery, being specially selected to highlight topical or controversial aspects of colorectal care. Cases have a consistent approach throughout and as well as outlining the actual management of each individual case, also offer an honest appraisal of the chosen management route, its successes and areas that could have been managed differently. Pedagogic features such as learning and decision points boxes aid rapid understanding/learning, enabling the reader to improve their patient management.. In full colour and containing over 100 outstanding clinical photos and slides to support the cases, each section also covers recent developments/ landmark papers/ scoring systems and a thorough ...
The key factors that keep a patient in hospital after uncomplicated major colorectal surgery include the need for parenteral analgesia(persistent pain), intravenous fluids (persistent gut dysfunction), and bed rest (persistent lack of mobility). These factors often overlap and interact to delay return of function. Obviously, postoperative complications will also prolong the time until recovery and ultimately length of stay. A clinical pathway, called Enhanced Recovery After Surgery(ERAS), to accelerate recovery after colonic resection based on a multimodal programme with optimal pain relief, stress reduction with regional anaesthesia, early enteral nutrition and early mobilisation has demonstrated improvements in physical performance, pulmonary function, body composition and a marked reduction of length of stay.. Comparison(s): A total of 500 cases colorectal surgery were randomized to receive ERAS protocol or the traditional protocol, such as mechanical bowl preparation, intravenous fluids ...
Laparoscopic colorectal cancer surgery by a colon lifting-up technique that decreases the number of access ports: comparison by propensity scoring of short-term
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ESCP (European Society of Coloproctology) is dedicated to promoting and advancing the science, knowledge and practice of coloproctology in Europe.
Patients will be randomized into one of 3 groups - A, B or C. In order to remove the major confounding factor of hypovolaemia, all patients will have an oesophageal doppler inserted in order to achieve fluid optimisation. Each group will then either have an epidural, spinal or a PCA for post operative analgesia depending on the randomisation. All patients will follow a common postoperative care pathway to standardize the other factors.. Patients will be asked to report parameters including pain visual analogue score (VAS) chart three times a day. Recovery of bowel functions (passage of flatus, bowel movement, and diet intake), additional analgesia consumption, time to first ambulation, analgesia related side-effects and time to discharge will be recorded.. In addition whilst the patients fluid status is optimized during surgery with the oesophageal Doppler, the physiological changes that occur with the steep trendelenberg position and the pneumoperitoneum will be recorded. ...
FALS is an instructional master class to educate and train practicing general, gastro-intestinal and oncological surgeons in the art and science of minimal access colo rectal surgery.
Clinics in Colon and Rectal Surgery DOI: 10.1055/s-0039-1693010Workplace exposure in colorectal surgery is unique compared with other surgical specialties and generally underreported. Although the most common device-associated exposure in surgery is suture needle injury, colorectal surgeons are increasingly exposed to gastrointestinal-related infectious agents, radiation, and other hazards in mult...
While enhanced recovery protocols (ERPs) reduce physiologic stress and improve outcomes in general, their effects on postoperative renal function have not been directly studied. Patients undergoing major colorectal surgery under ERP (February 2010 to March 2013) were compared with a traditional care control group (October 2004 October 2007) at a single institution. Multivariable regression models examined the association of ERP with postoperative creatinine changes and incidence of postoperative acute kidney dysfunction (based on the Risk, Injury, Failure, Loss, and End-stage renal disease criteria). Included were 1054 patients: 590 patients underwent surgery with ERP and 464 patients without ERP. Patient demographics were not significantly different. Higher rates of neoplastic and inflammatory bowel disease surgical indications were found in the ERP group (81 vs. 74%, p = 0.045). Patients in the ERP group had more comorbidities (ASA ≥ 3) (62 vs. 40%, p | 0.001). In unadjusted analysis, postoperative
Many elements of perioperative care in elective colorectal surgery in Malopolska Voivodeship are still dictated by dogma and are not evidence-based. The level of acceptance of many important ERAS protocol elements is low. Surgeons are ready to accept only changes that do not interfere with their pra …
Dr. Ashwin Porwal - is a Consultant Colorectal Surgeon practising in Pune. He has obtained his graduation in M.B.B.S from B.J. Medical College, Pune, and went on to do his post-graduation in D.N.B. (General Surgery). He received his training in anorectal disorders from Dr. Antonio Longo following which he acquired his Diploma in Proctology (Clinica Madonna Della, Italy). Dr. Porwal also underwent certified training in Pelvic floor disorders and holds a Dip. Laparoscopy (EITS- IRCAD, France). He is the Head of Department - Proctology at Inamdar Multispeciality Hospital, Pune.. In his short but dynamic career spanning over a decade, Dr. Porwal has achieved a few remarkable feats. He has performed the first S.T.A.R.R. (Stapled Trans Anal Rectal Resection) Surgery for Chronic Constipation in Maharashtra. He introduced MRI Defecography (a test used for the diagnosis of Chronic Constipation) for the first time in Pune. Dr. Porwal performed the first P.O.P.S. (Pelvic Organ Prolapse Suspension) surgery ...
Laparoscopic operating techniques are gaining wider acceptance among colorectal surgeons, as their efficacy is proven. These techniques offer patients the advantages of fewer complications, decreased need for postoperative narcotics, faster 1
Results Over the study period there were 307 resections in 263 patients, with a mean of 51 resections/yr (median 50.5). The proportions of elective and laparoscopic procedures increased over time from 50% to 58% and 16% to 34% respectively. 182 resections (165 patients) were for CD, 114 resections (89 patients) for UC, and 11 resections (9 patients) were classified as IC. Of the resections for CD; 59% were female, median age 38 (IQ range 25-55). 91/182 procedures were emergency, and 140/182 were open. The number of resections/yr for CD decreased over time, peaking at 37 in 2009, falling to 27 in 2013. Of the resections for UC; 55% were male, median age 49.5 yrs (IQ range 31-65). 45/114 were emergency, and 74/114 were open. The median number of resections/yr was 18.5, with peaks of 25, 24 in 2010, 2013 respectively. Colorectal surgeons accounted for 10/16 operators performing elective surgery and undertook 96% of resections, compared to 12/29 and 70% for emergency surgery. Over the study period, ...
Your colorectal surgeon can remove the complex colorectal polyp with either an EMR or an ESD, depending on your exact health situation. Trust the experts at the University of Miami Health System to treat your specific condition.
Dr. Andrea Zimmern, MD, FACS, FASCRS is a fellowship trained, board certified Colorectal Surgeon treating a full range of diseases/conditions affecting the colon, rectum, and anus. This includes colon/rectal/anal cancer, diverticular disease, colon polyps, fecal incontinence, pilonidal disease, rectal prolapse, anorectal abscess, fistula, fissure, anal warts, rectocele, and hemorrhoids.. After completing a general surgery residency at SUNY Stony Brook, she went on to complete a fellowship in Robotic surgery at University of Illinois at Chicago followed by her colorectal fellowship at St. Vincents health System in Erie, PA. Dr. Zimmern specializes in the use of robotic and laparoscopic minimally invasive surgery and also performs advanced diagnostic/therapeutic colonoscopy as well as pelvic floor testing.. Dr. Zimmern is extremely involved in resident and medical student education. In addition to the general surgery residency program she holds faculty positions in the colorectal and ...
Surgery is not just science. Surgery is an art. One can learn about science from courses, conferences and books. In art, one has to have talent first and then seek out a master who can bring that skill to perfection." Prof Seow-Choen. Dr Francis Seow Choen is a medical miracle - he recovered from major surgery for a cancer in his small intestine; and as a 7 year old and faced a horrendous 6 months of radiation treatment and chemotherapy way back in 1964 when treatments were very harsh. A survivor and now world famous colorectal surgeon he breaks a lot of myths that surround colorectal cancer. In his life and Practice he is a seeker of truth for the public well-being when it comes to cancer and cancer prevention and cure claims.. Although he is well published in Singapore as a social commentator on colorectal cancer prevention and treatments - it must be said that he has not used his cancer survival as a way of attracting followers - but rather, he has taken the scientific method path of research ...
When you call the office to schedule a colonoscopy, your scheduler will review a preliminary medical checklist with you. In some cases, it will be necessary to schedule a clinic visit with a colorectal surgeon before getting scheduled for a colonoscopy.. In general, a bowel preparation is needed to cleanse the colon and remove all debris that makes it hard to see the lining of the colon. The bowel preparation is usually started one or two days before your procedure. A diet of clear liquids is recommended while you are completing your preparation. It is important to complete the preparation as instructed and to call your surgeons office before the day of the procedure if you are having any issues.. Most people receive sedation for comfort during the procedure. Sometimes this medication can cause you to fall asleep or forget the details of the procedure. The colonoscope is a long flexible tube with a light and camera at the end. This end is inserted into the rectum and advanced carefully to the ...
Colon and rectal specialists, also known as colorectal surgeons, are experts in the medical and surgical management of diseases of the intestinal trac...
Meet the colorectal surgeons & specialists who help patients with IBS, Crohns disease, hemorrhoids & colorectal cancers at Novant Health Colon & Rectal Clinic
This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems.whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a how to manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative tips and tricks that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past ...
Special Interests: Dr Bradley Morris is a General and Colorectal Surgeon experienced in minimally invasive and advanced laparoscopic techniques for conditions including colorectal cancer, inflammatory bowel disease, diverticular disease and rectal prolapse. ...
Im a pretty staunch defender of surgeons. I tend to take their (our) side on most issues, but a recent case from England raised some conflicting thoughts for me.. David Sellu, a consultant (attending) colorectal surgeon at a private hospital in London, was convicted of manslaughter by a jury and sentenced to 2 and a half years in prison, of which he must serve at least half, for delaying surgery for man with a perforated intestine.. The patient was recovering from a knee replacement when he developed abdominal pain. Dr. Sellu took over management of the case and failed to treat the patient in a timely way. After seeing the patient, he waited 24 hours before operating.. According to the judge, whose sentencing remarks are available in full, the surgeon had several lapses.. Although he suspected a bowel perforation when he first saw the patient, he did not have a CT scan done until the next morning and did not pursue findings of what proved to be free intra-abdominal air on that CT scan. He ...
Some surgeons work with other medical professionals in order to treat complex cases: such as a colorectal surgeon, urogynecological surgeon, or thoracic surgeon. This does not mean that the specialist has a lower skill set by any means. While a group of surgeons are now using robotic surgery, some have opted to continue using traditional surgical techniques. This does not mean that one is better or more qualified than the other. Surgery is not based on the tools used, but the hands controlling the tools and the knowledge behind those hands. ...
The volume is authored by a colorectal surgeon with long-standing clinical and scientific experience and is devoted to the management of complications following surgery of the anorectum and the pelvic
The University of Birmingham in the UK secured £7m funding from the National Institute for Health Research (NIHR) to launch a joint research unit with the Universities of Edinburgh and Warwick to develop global surgical research.. To be based at the University of Birmingham, the new NIHR Global Health Research Unit on Global Surgery will be led by the universitys Institute of Cancer and Genomic Sciences colorectal surgeon professor Dion Morton and the Birmingham Clinical Trials Unit director professor Peter Brocklehurst.. The unit is set to establish sustainable international research hubs in low and middle-income countries (LMICs) over four years, until March 2021.. ...
Colon and rectal specialists, also known as colorectal surgeons, are experts in the medical and surgical management of diseases of the intestinal trac...
During last quarters conference call, Guthart spent considerable time talking about the opportunity in hernias. Based on his comments this week, it appears that growth in the procedure continues to increase at a healthy pace.. Just as importantly, it seems Intuitives newest robot, the Xi -- which has enhanced mobility and visualization -- is resonating with doctors outside of the gynecology core. Guthart said, "Urologist, colorectal surgeons and general surgeons have been the main proponents for Xi System purchases to date." For long-term investors -- like myself -- this is key. While short-term concerns like product recalls and resistance to large capital purchases in the face of the Affordable Care Act could hold the company back over the next few quarters, long-term trends are considerably better.. For every additional procedure where Intuitive proves that daVincis use provides better patient outcomes, the opportunity for recurring revenue snowballs. Looking ahead, I hope to see this ...
Mr Ashish Gupta Colorectal Surgeon in Epsom, Ashtead, Sutton, Surrey offers a diagnostic & therapeutic endoscopy and colonoscopy for polyp removal with sedation
Proctologists (colon and rectal surgeons or colorectal surgeons) are medical doctors who specialize in conditions of the lower digestive tract.
A team of doctors led by colorectal surgeon Dr Intaek Lee at the Shaikh Khalifa Specialty Hospital in Ras Al Khaimah (SKSH-RAK ...
Doctor answers on Symptoms, Diagnosis, Treatment, and More: Dr. Cattano on chrons diseas: Inflammatory bowel disease includes crohns and ulcerative colitis. Crohns has the potential of being a lifelong disease as it can involve any portion of the GI tract from mouth to anus. Ulcerative colitis only involves the colon; thus worse case scenario, removing the entire colon is a cure. See a GI doctor/colorectal surgeon for more details. for topic: Chrons Diseas
Dr. Robert D. Fry has a 2.7/5 rating from patients. Visit RateMDs for Dr. Robert D. Fry reviews, contact info, practice history, affiliated hospitals & more.
Nothing found at this website should be construed as medical advice or treatment recommendations by SFGIE. This information is not a substitute for consultation for any symptoms you may have. Note that you should consult your gastroenterologist, colorectal surgeon or family physician for medical advice ...
Nothing found at this website should be construed as medical advice or treatment recommendations by SFGIE. This information is not a substitute for consultation for any symptoms you may have. Note that you should consult your gastroenterologist, colorectal surgeon or family physician for medical advice ...
Doctors give trusted, helpful answers on causes, diagnosis, symptoms, treatment, and more: Dr. Essers on mucus with veins of blood in stool: Usually but can be many other things including infection, inflammatory bowel disease and tumors, both benign and malignant. See a colorectal surgeon sooner rather than later.
Healio Gastroenterology | The narrative surrounding the development of stem cell therapy for the treatment of inflammatory bowel disease was best said by Amy Lightner, MD, when she noted that we as gastroenterologists and colorectal surgeons are still in the early phases of navigating this therapy.Although the data are promising, it may take a long time for this to become a common therapy for patients with IBD.
Buy surgical Rectal Instruments from Surgipro for use by licensed colorectal surgeons or proctologists. All surgical instruments from Surgipro are lifetime guaranteed.
Colorectal surgery expert witnesses may be found here. The professionals found on this page may advise regarding colon surgery,rectal surgery, and colon cancer surgery. They may write reports and opine on rectal cancer surgery, hemorrhoids, fistulas, anal fissures, Crohns Disease, and ulcerative colitis, among other related topics.
One of the strong points of colorectal robotic surgery is that it provides high-definition, 3-Dimensional cameras for more detailed views inside the body. Two cameras are used on the robotic arm for a 3 dimensional view of the operative anatomy. The cameras can zoom in for detailed close-ups of the colon and the nerves controlling the colon or rectum. This is invaluable to ensure more accuracy in surgery and to see other abnormalities that may not have shown up on imaging scans. Additionally, the surgeon has the capability to view CT or MRI scans along side the operative image while working in the robotic console.. Surgeons can also visualize the blood supply to the operative area during robotic surgery, using newly designed fluorescent imaging capabilities of the robotic system. In the future, this new technology may allow the surgeon to better evaluate the anastomosis (the site where the two pieces of normal colon are reconnected.). ...
The CME webcast reviews how to select patients, the various techniques and limitations of laparoscopic reoperative colorectal surgery.
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.. ...
INTRODUCTION: Laparoscopy is used increasingly to treat malignant and benign colorectal surgical diseases. However, this practice is still not offered to all patients. Many barriers halt the widespread use of laparoscopic colorectal surgery. Both surgeons and patients factors contribute to limit a wider use of laparoscopy in colorectal surgery. MATERIALS AND METHODS: We retrospectively analyzed 408 consecutive colorectal resections in a 4-year period, to find out if a selection bias exists in using laparotomy or laparoscopy for colorectal surgical diseases, and which factors are associated with a poor use of laparoscopy or to a preferred laparotomy ...
Here at the colorectal surgery division, we specialize in providing the best patient care regarding all colon and rectal disorders.
How to Cite: Johnson D, Singh K, Saba S, Pekarev M, Zomaya M, et al. Acute Renal Failure as a Complication of Preoperative Ureter Catheterization for Colorectal Surgery, Nephro-Urol Mon. 2011 ; 4(1):384-387. doi: 10.5812/kowsar.22517006.2041. ...
Inova s Colorectal Surgery Program includes the area s top fellowship trained surgeons specializing in the surgical treatment of conditions related to the colon and rectum
This book bridges gap between the practicing community of surgeons and the surgical innovators, and it provides a foundation for all classic and new techniques in minimally invasive colorectal surgery
Find out more about colorectal surgery at BMI The Droitwich Spa Hospital in Worcestershire. BMI Healthcare are the UKs largest independent provider of private healthcare.
At Colorectal Surgery, we are dedicated to the sensitive, sophisticated treatment of patients with diseases and disorders affecting the colon, rectum and anus. Conditions treated include, but are not limited
This trial is entitled "Multimodal Analgesic Using Morphine and COX-2 With or Without Dexmedetomidine for Colorectal Surgery". The primary endpoint
Find the best Colorectal-Surgery in Chennai. Browse through our list of Colorectal Surgery Doctors in Chennai to seek medical advice. Book an Appointment on Ask Apollo today!
Colorectal surgery, laparoscopic surgery and laparoscopic colonic surgery, gallbladder surgery, laparoscopic hernia surgery, laparoscopic colorectal surgery, colonoscopy and gastroscopy, transanal haemorrhoidal dearterialisation - THD and HALO procedure for haemorrhoids, fistula-in-ano surgery and anal fissure, incisional hernia repair, bowel screening, inflammatory bowel disease, colon cancer, abdominal adhesion surgery, ERAS - enhanced recovery after surgery ...
Read "Synchrone solitäre Pankreasmetastase eines neu diagnostizierten Kolonkarzinoms, coloproctology" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
BACKGROUND: Colorectal surgery has an important impact on a patients quality of life, and postoperative rehabilitation shows large variations. To enhance the understanding of recovery after colorectal cancer, health-related quality of life has become a standard outcome measurement for clinical care and research. Therefore, we aimed to correlate the influence of preoperative global life satisfaction on subjective feelings of well-being with clinical outcomes after colorectal surgery. METHODS: In this pilot study of consecutive colorectal surgery patients, various dimensions of feelings of preoperative life satisfaction were assessed using a self-rated scale, which was validated in French ...
for all mesenteric dissection, colon and small bowel mobilization and vessel sealing. Dr. Geisler localized the tumor with lower endoscopy, then transected the rectum with Covidiens Endo GIA™ 45 mm articulating medium/thick reload with Tri-Staple™ technology. He then exteriorized the bowel to remove the suspicious lesion and reattached the colon. "Due to recent technical advances in instrumentation and an increased interest in exploring the feasibility of even less invasive surgical procedures, single port laparoscopic colorectal surgery is quickly gaining acceptance," Dr. Geisler said. "Patients with chronic illnesses, such as ulcerative colitis or Crohns disease, often have to endure multiple invasive procedures, so surgeons are evaluating methods that remain clinically effective while reducing the recovery burden for patients. In this case, which was part of a larger 102-patient study, we demonstrate that, with proper training, its possible to resect the colon through a single ...
Based on sample size calculations for primary outcome, we plan to enrol 120 participants. Adult patients without significant medical comorbidities or ongoing opioid use and who are undergoing laparoscopic colorectal surgery will be enrolled. Participants are randomly assigned to receive either VVZ-149 with intravenous (IV) hydromorphone patient-controlled analgesia (PCA) or the control intervention (IV PCA alone) in the postoperative period. The primary outcome is the Sum of Pain Intensity Difference over 8 hours (SPID-8 postdose). Participants receive VVZ-149 for 8 hours postoperatively to the primary study end point, after which they continue to be assessed for up to 24 hours. We measure opioid consumption, record pain intensity and pain relief, and evaluate the number of rescue doses and requests for opioid. To assess safety, we record sedation, nausea and vomiting, respiratory depression, laboratory tests and ECG readings after study drug administration. We evaluate for possible confounders ...
If your doctor recommends surgery to treat a colorectal condition, you may be a candidate for minimally invasive da Vinci Surgery. Using state-of-the-art technology, the da Vinci System enables doctors to perform delicate and complex operations through a few tiny incisions with breakthrough vision, precision, dexterity and control. da Vinci Surgery is used to treat such colorectal conditions as: colon cancer, rectal cancer, diverticulitis, and inflammatory bowel disease (ulcerative colitis and Crohns disease). Surgery to remove all or part of the colon is known as a colectomy. Rectal cancer surgery is known as a low anterior resection. da Vinci offers patients facing colon surgery (right, left or sigmoid colectomy) such potential benefits as:. ...
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
Results Overall 30-day mortality was 6.7% but decreased over time from 6.8% in 1998 to 5.8% in 2006. The largest reduction in mortality was seen in 2005 and 2006. Postoperative mortality increased with age (15.0% (95% CI 14.1% to 15.9%) for those aged ,80 years), comorbidity (24.2% (95% CI 22.0% to 26.5%) for those with a Charlson comorbidity score ≥3), stage of disease (9.9% (95% CI 9.3% to 10.6%) for patients with Dukes D disease), socioeconomic deprivation (7.8% (95% CI 7.2% to 8.4%) for residents of the most deprived quintile) and operative urgency (14.9% (95% CI 14.2% to 15.7%) for patients undergoing emergency resection). Risk-adjusted control charts showed that one trust had consistently significantly better outcomes and three had significantly worse outcomes than the population mean. ...
Although use of these screening tools may enable effective nutritional assessment, differences in the characteristics of patients between hospitals may result in differences in screening criteria that can sensitively reflect the risk of malnutrition. Some medical institutions have therefore developed their own nutritional screening tools and are making efforts to verify their validity. The SNUH has developed its own screening tool, the SNUH-NSI, to assess the nutritional status of patients [27]. The SNUH-NSI includes several parameters, including age; BMI; changes in body weight; appetite; digestive disorders and meal patterns at admission; serum concentrations of albumin, total cholesterol, and CRP; total lymphocyte counts, and hemoglobin level measured within 2 weeks before admission. In addition to measures of current weight, such as BMI, weight changes over time are recognized as important indices reflecting malnutrition [13,14,22]. Other factors included in the SNUH-NSI, such as appetite ...
The Division of Colorectal Surgery understands that special challenges face patients and their families travelling from afar for consultations / surgery with surgeons in the Division of Colorectal Surgery. Every effort is made upfront to schedule and coordinate appointments for anticipated laboratory, endoscopy and radiology investigations as well as appointments with other providers with your office visit so as to streamline your appointments on the day of your visit and minimize wait times. Please confirm this with the office prior to your visit.
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
The annual Medibank Private Chart Toppers Index has again demonstrated the acute costs associated with ensuring a bill of good health. The value of the top claim paid by Medibank Private, for the year ending 30 June 2005, peaked at nearly $275,000 and was paid out on behalf of a 65-year-old member undergoing major colorectal surgery.. The Medibank Private Chart Toppers Index is a review of Medibank Private member claims and benefit payouts, and ranks Medibank Privates Top 10 claims and most common reasons for hospitalisation.. This years Index listed digestive treatments as the highest reason for Medibank Private members to go to hospital with close to 96,500 admissions and more than $118 million paid in benefits for the treatment. More than $309 million was paid in benefits on behalf of members for Orthopaedic treatment - approximately $56.5 million higher than the previous financial year. The number of orthopaedic cases also rose by almost 10,000 from nearly 52,000 in 2003/2004 to nearly ...
Laparoscopic colectomy has been introduced in the early 90ies as a new technique with proven improvement in short and long term outcome. Despite significant patient benefits the overall adoption rate remains low. On the other hand significant more advanced techniques such as single incision
Ethicon is devoted to shaping the future of surgery by advancing innovation, addressing the most pressing healthcare issues and improving lives every day.
Ethicon is devoted to shaping the future of surgery by advancing innovation, addressing the most pressing healthcare issues and improving lives every day.
Dr. Morin Hanson, MD is a Colorectal Surgery Specialist in Richmond Heights, MO. Dr. Hanson has more experience with Colorectal Surgery than other specialists in his area. He is affiliated with medical facilities SSM Health DePaul Hospital - St. Louis and SSM Health St. Marys Hospital - St. Louis. He is accepting new patients. Be sure to call ahead with Dr. Hanson to book an appointment.
Crohns disease is a chronic inflammatory process primarily involving the intestinal tract. Although it may involve any part of the digestive tract from the mouth to the anus
A single protein from a worm parasite may offer new therapeutic options for treating inflammatory bowel diseases like Crohns Disease or ulcerative colitis, that avoid the potentially serious side effects of current immunosuppressant medications. The study, A structurally distinct TGF-β mimic from an intestinal helminth parasite potently induces regulatory T cells, is published in Nature Communications, published in Nature Communications, demonstrates the discovery of a distinct new worm protein which mimics a cytokine found in humans, known as transforming growth factor-beta (TGF-β ...
Kelly et al identified factors affecting the length of stay following a colorectal resection. These can help to identify a patient who may have a longer hospital stay and higher risk of readmission. The authors are from the National Cancer Registry in Cork, Ireland.
ColoRectal Educational Systems Template, commonly known as CREST®, is the premier online educational portal for physicians interested in colorectal surgery. A complimentary benefit for all ASCRS members, CREST® offers health care providers an interactive venue to review all aspects of colorectal disease to ensure their delivery of the highest quality of patient care. CREST® is part of ASCRS Online Learning Center, now hosted on a new platform that offers an improved, user-friendly experience to easily access CREST® modules.. ...
Edited by Chris Callaghan, J. Andrew Bradley and Christopher Watson.. September 2008; p ublished online August 2010 . Book. Subjects: Surgery; Anaesthetics; Peri-operative Care; Trauma and Orthopaedic Surgery; Upper Gastrointestinal Surgery; Hepatobiliary Surgery; Colorectal Surgery; Breast Surgery; Vascular Surgery; Paediatric Surgery; Urology; Neurosurgery; Cardiothoracic Surgery. 576 pages. ...
Reconstructive foot & ankle surgery. Proctology PRO Medicine (or Colorectal Surgery) Treats disease in the rectum, anus, and ... Surgery Curative and palliative surgical approaches to cancer treatment. Thoracic surgery TS Surgery Surgery of the organs of ... Orthopedic surgery ORS Surgery Hand surgery, surgical sports medicine, adult reconstruction, spine surgery, foot and ankle, ... Oral and maxillofacial surgery Maxfacs, OMS Surgery *Oral and Craniofacial surgery (Head and neck) ...
Beck, David; Beck, David E. (2012). "23". Handbook of Colorectal Surgery: Third Edition. JP Medical Ltd. ISBN 9781907816208. . ... "Clinics in colon and rectal surgery. 25 (4): 236-44. doi:10.1055/s-0032-1329535. PMC 3577612. PMID 24294126.. ... Gordon, Philip H.; Nivatvongs, Santhat (2007). Principles and Practice of Surgery for the Colon, Rectum, and Anus, Third ... If surgery is not performed, there is a high rate of recurrence.[citation needed] ...
"Patient selection for cytoreductive surgery and HIPEC for the treatment of peritoneal metastases from colorectal cancer". ... In 1934, Joe Vincent Meigs in New York originally described tumor debulking surgery (cytoreductive surgery) for ovarian cancer ... when surgery is not likely to be possible or effective. It can also be applied, during surgery, directly on the area, for those ... The treatment of peritoneal carcinomatosis of colorectal origin with cytoreductive surgery (CRS) plus hyperthermic ...
"The effect of epidural analgesia on postoperative outcome after colorectal surgery". Colorectal Dis. 9 (7): 584-98; discussion ... This is suitable for a wide variety of surgery, for example gynaecological surgery (e.g. hysterectomy), orthopaedic surgery (e. ... Epidural analgesia after surgery[edit]. Epidural analgesia has been demonstrated to have several benefits after surgery, ... g. hip replacement), general surgery (e.g. laparotomy) and vascular surgery (e.g. open aortic aneurysm repair). ...
Colorectal Surgery; Ear, Nose, and Throat (ENT); Gastroenterology; General Surgery; Geriatric Services; Hand Surgery; Hand ... Surgery; Breast Care Center; Breast Surgery; Cardiology; Cancer Services; Chiropractic Medicine; Colorectal Surgery; ... Colorectal Surgery; Dermatology; Ear, Nose, and Throat (ENT); Endocrinology; Family Medicine; Gastroenterology; General Surgery ... Spine Surgery Center; Sports Medicine; Summit Atlantic Surgery Center, an outpatient surgery center, which is a joint venture ...
Surgery for abscess or fistula is indicated either urgently or electively. The timing of the elective surgery is determined by ... Colorectal Disease. 11 (6): 619-24. doi:10.1111/j.1463-1318.2008.01667.x. PMID 18727727. Diverticulosis and Diverticulitis at ... Elective surgery is not indicated until at least six weeks after recovery from the acute event. Emergency surgery is indicated ... In most cases, elective surgery is deemed to be indicated when the risks of the surgery are less than the risks of the ...
List of surgeries by type Hyperarts, Rob Mayfield -. "Colorectal Surgery - Proctocolectomy". Retrieved 6 January 2017. " ...
Colorectal Dis. 2008;10(3):298-302 Santoro GA, Di Falco G. Benign Anorectal Diseases. Springer-Verlag Italia 2006:71-72. ISBN ... During rectal surgery and mesorectum excision, dissection along the avascular aveolar plane between these two fascias, ... The colloquial term, among colo-rectal surgeons, for this inter-fascial plane, is known as the holy plane of dissection first ... The 'Holy Plane' of rectal surgery. J R Soc Med 1988;81:503-80 MacFarlane JK, Ryall RD, Heald RJ: Mesorectal excision for ...
"Colorectal Surgery - Anal Fistula". colorectal.surgery.ucsf.edu. Retrieved 2016-07-03. Mappes, H. J.; Farthmann, E. H. (2001-01 ... The stitch is placed close to the ano-rectal ring - which encourages healing and makes further surgery easy. Fistulotomy - till ... Treatment, in the form of surgery, is considered essential to allow drainage and prevent infection. Repair of the fistula ... The procedure was developed by Thai colorectal surgeon, Arun Rojanasakul, The first reports of preliminary healing result from ...
2003), "Surgery for inflammatory bowel diseases", Dig Dis. 21(2):168-79. "Colorectal Diseases and Treatments". ASCRS. Retrieved ... The stomal- or colorectal-nurse does this initially for a patient and advises them on the exact size required for the bag ( ... An ileostomy may also be necessary in the treatment of colorectal cancer or ovarian cancer. One example is a situation where ... In such a case the ileostomy may be temporary, as the common surgical procedure for colorectal cancer is to reconnect the ...
Surgery through the vagina is successful 90% of the time. Surgical correction can be accomplished by abdominal surgery, by ... International Journal of Colorectal Disease. 31 (1): 19-22. doi:10.1007/s00384-015-2395-3. PMC 4701784 . PMID 26423060. Das B, ... Surgery is often needed to correct a fistula leading to the vagina. Conservative treatment with an in-dwelling catheter can be ... Fistulas are usually caused by injury or surgery, but they can also result from malignancy, infection, long and obstructed ...
The John Goligher Colorectal Surgery Unit at Leeds Hospital is named after Goligher. Memorial medals and lectures have been ... "John Goligher Colorectal Surgery Unit". The Leeds Teaching Hospitals NHS Trust. Retrieved 31 December 2017. Corman, Marvin L. ( ... He left London in 1955 to take up a post as professor of surgery and chairman of the university department of surgery at Leeds ... Goligher, J. C. (1976). "Visceral and parietal sutures in abdominal surgery". The American Journal of Surgery. 131 (2): 130-140 ...
"Pediatric Surgery", Mosly. *^ Colorectal Center, Cincinnati Children's Hospital Medical Center. "Anorectal Malformations / ... For children who have a poor outcome for continence and constipation from the initial surgery, further surgery to better ... He has reported the use of wine for wound care in this surgery. Some reports of survived children undergoing this surgery are ... Imperforate anus usually requires immediate surgery to open a passage for feces unless a fistula can be relied on until ...
March 2001). "Harmonic scalpel in laparoscopic colorectal surgery". Dis. Colon Rectum. 44 (3): 432-6. doi:10.1007/bf02234745. ... Instruments used in general surgery Fitzgerald JEF, Malik M, Ahmed I. A single blind controlled study of electrocautery and ... DOI: 10.1007/s00464-011-1872-1 Sabiston Textbook of Surgery. 2012. p. 236. ISBN 978-1-4377-1560-6. Msika S, Deroide G, ... "The use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery". Arch Surg. 137 (2): 137-42 ...
The McGraw-Hill Manual of Colorectal Surgery says: Coined in the pre-HIV era, the term "gay bowel syndrome" comprised a rather ... ISBN 0-443-06464-4, ISBN 978-0-443-06464-7. p. 817 Kaiser, Andreas (2008). McGraw-Hill Manual of Colorectal Surgery. p. 205. ...
"Early enteral nutrition within 24h of colorectal surgery versus later commencement of feeding for postoperative complications ... "Bariatric Surgery Highlights and Facts". Bariatric Surgery Information Guide. bariatricguide.org. Retrieved 13 June 2013.. ... Many patients will be in pain and have a loss of appetite after surgery.[25] Part of the body's response to surgery is to ... Bariatric surgery may be indicated in cases of severe obesity. Two common bariatric surgical procedures are gastric bypass and ...
"Pre-operative oral carbohydrate loading in colorectal surgery: A randomized controlled trial". Colorectal Disease. 8 (7): 563-9 ... Carbohydrate loading is also used in healthcare to optimise the condition of patients prior to colorectal surgery. Carbohydrate ...
Beck, David E. (2011). The ASCRS textbook of colon and rectal surgery (2nd ed.). New York: Springer. p. 175. ISBN 978-1-4419- ... Many anorectal problems, including fissures, fistulae, abscesses, colorectal cancer, rectal varices, and itching have similar ... "Clinics in Colon and Rectal Surgery. 29 (1): 22-29. doi:10.1055/s-0035-1568144. PMC 4755769. PMID 26929748.. ... Surgery. A number of surgical techniques may be used if conservative management and simple procedures fail.[6] All surgical ...
"Treatment of colorectal carcinoids: A new paradigm". World Journal of Gastrointestinal Surgery. 2 (5): 153-56. doi:10.4240/wjgs ... Even if the tumor has advanced and metastasized, making curative surgery infeasible, surgery often has a role in neuroendocrine ... The role of surgery and chemoembolization in the management of carcinoid. California Carcinoid Fighters Conference. October 25 ... This type of treatment is FDA approved for liver metastases secondary to colorectal carcinoma and is under investigation for ...
... and MGMT genes in colorectal cancer associated with adenoma-carcinoma sequence". Langenbeck's Archives of Surgery. 396 (7): ... Kanavy HE, Gerstenblith MR (December 2011). "Ultraviolet radiation and melanoma". Seminars in Cutaneous Medicine and Surgery. ... For example, for 113 colorectal cancers examined in sequence, only four had a missense mutation in the DNA repair gene MGMT, ... Fearon ER, Vogelstein B (June 1990). "A genetic model for colorectal tumorigenesis". Cell. 61 (5): 759-67. doi:10.1016/0092- ...
American Journal of Surgery, 2001; 182(1): 64-68 Ganio, E., Altomare, D.F., Gabrielli F., et al. Prospective randomised ... International Journal of Colorectal Disease, 2004; 19: 239-244 Rowsell, M., Bello, M., Hemmingway, D.M. Circumfrential ... British Journal of Surgery, 2001; 88: 669-674 Safadi, W.; Altshuler, A.; Kiv, S.; Waksman, I. (30 October 2014). "Severe ... PPH is generally indicated for the more severe cases of internal hemorrhoidal prolapse (3rd and 4th degree) where surgery would ...
For most patients, the procedure can be performed in a day-surgery setting[6] and normal activities can be resumed on average ... Colorectal Dis. 12 (8): 804-9. doi:10.1111/j.1463-1318.2009.01915.x. PMID 19508513.. ... December 2007). "Transanal haemorrhoidal dearterialisation: nonexcisional surgery for the treatment of haemorrhoidal disease". ... ANZ journal of surgery. 86 (1-2): 59-62. doi:10.1111/ans.12816. ISSN 1445-2197. PMID 25142863.. ...
... and in 2006 was recognized as Bariatric Surgery Center of Excellence by the American Society for Bariatric Surgery, in 2004 its ... Celebration Colorectal (11 January 2006). "Florida Hospital Celebration Health Is Recognized for High-Quality Care in Bariatric ... In 2010, the hospital's s Metabolic Medicine and Surgery Institute and Joint Replacement Center earned the Gold Seal of ... Head and Neck Surgery, sports medicine, joint and hip replacement and spine treatment. There are several special facilities: ...
In certain cases surgery may include a liver transplantation.[3] Even when surgery is successful 5-year survival is typically ... "The association between cholangiocarcinoma and hereditary nonpolyposis colorectal carcinoma". Cancer. 69 (5): 1112-4. doi: ... "Annals of Surgery. 224 (4): 463-73, discussion 473-5. doi:10.1097/00000658-199610000-00005. PMC 1235406. PMID 8857851.. ... "Annals of Surgery. 221 (6): 788-97, discussion 797-8. doi:10.1097/00000658-199506000-00017. PMC 1234714. PMID 7794082.. ...
... surgery. Fewer complications were seen in robotic-assisted colorectal, adrenalectomy and lysis of adhesion." In 2014, NIH ... "Learning curve for robotic-assisted laparoscopic colorectal surgery". Surgical Endoscopy. CS1 maint: Multiple names: authors ... That same year, the FDA approved use of the da Vinci Surgical System for general laparoscopic surgery, which can be used to ... While the use of robotic surgery has become an item in the advertisement of medical services, early on critics voiced concern ...
As a result, it may be useful as a chemopreventative agent for colorectal cancer. Additionally, acyl hydrazones have been shown ... may help prevent clinical recurrence of the disease after surgery, but much more work is needed before an adequate treatment ... Catenins are known to be associated with colorectal and ovarian cancer, and they have been identified in pilomatrixoma, ... Summary: Associated Cancers: colorectal and ovarian cancer; pilomatrixoma; medulloblastoma; pleomorphic adenomas; malignant ...
open colorectal surgery. In: International Journal of Colorectal Disease. 2015 ; Vol. 30, No. 11. pp. 1489-1494. ... open colorectal surgery",. abstract = "Purpose: Laparoscopic colorectal resection (LC) is associated with known recovery ... open colorectal surgery. / Esemuede, Iyare O.; Gabre-Kidan, Alodia; Fowler, Dennis L.; Kiran, Ravi P. ... open colorectal surgery, International Journal of Colorectal Disease, vol. 30, no. 11, pp. 1489-1494. https://doi.org/10.1007/ ...
The colorectal cancer team at UC San Diego Health includes colorectal surgeons, gastroenterologists, medical oncologists, and ... Surgery. Bard Cosman, MD. Colorectal and anal surgery. Samuel Eisenstein, MD. Colorectal and anal surgery ... The colorectal cancer team at UC San Diego Health includes colorectal surgeons, gastroenterologists, medical oncologists, and ... Home ▶ Medical Services ▶ Moores Cancer Center ▶ Treatment Programs ▶ Colorectal Cancer ▶ Our Team ...
Colorectal surgery. Colorectal surgery is a surgical specialty concerned with the diagnosis and treatment of disorders and ... Common conditions treated by colorectal surgeons include bowel (colorectal) cancer, inflammatory diseases of the small bowel ... Finally, colorectal surgeons also frequently assess and treat patients with a number of conditions affecting the anal canal ...
Colorectal surgeons, who are also referred to as proctologists, are responsible for carrying out this procedure, which may be ... Colorectal surgery is a medical operation that is performed on the colon, rectum and anus. ... Colorectal surgery is a medical operation that is performed on the colon, rectum and anus. Colorectal surgeons, who are also ... Colorectal Surgery. News-Medical, viewed 06 June 2020, https://www.news-medical.net/health/Colorectal-Surgery.aspx. ...
... advances in laparoscopic colorectal surgery have been made in the arenas of education, research, and practice. In education, ... Hand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease: a prospective randomized trial. ... Hyman N. How much colorectal surgery do general surgeons do? J Am Coll Surg. 2002;194:37-9.PubMedCrossRefGoogle Scholar ... A colorectal surgeons viewpoint on natural orifice translumenal endoscopic surgery. Minerva Chir. 2008;63(5):385-8.PubMedGoogle ...
... Jacqueline Paolino1 and Randolph M. Steinhagen2 ... Patients with cirrhosis have a greater risk of morbidity and mortality following colorectal surgery. Therefore, preoperative ... This review highlights the assessment of risk and perioperative management of cirrhotic patients undergoing colorectal surgery. ... 2Division of Colon and Rectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, P.O. Box 1259, One ...
These specialists have completed training on general surgery and advanced training in the treatment of colorectal... ... Colorectal surgery is generally performed by a colorectal surgeon, states HealthTap. ... Colorectal surgery is generally performed by a colorectal surgeon, states HealthTap. These specialists have completed training ... What happens during kidney surgery?. A: During kidney removal surgery, the surgeon makes an incision in the patients side, ...
Learn more about Colorectal Surgery at Hillcrest Hospital and the variety of treatment options available for Crohns disease, ... Home / Find a Location / Hillcrest Hospital / Specialties / Surgical Services / Colorectal Surgery Colorectal Surgery ... Our surgeons in the Department of Colorectal Surgery have extensive training and experience in the management of anorectal ... some people require emergency surgery or drainage of an abscess. When emergency surgery occurs it frequently involves placement ...
Colorectal cancer surgery is usually the main form of treatment recommended for a colorectal cancer patient, and a surgeons ... There are several types of surgery that may be recommended to treat colorectal cancer. Moffitts surgeons are skilled in many ... After a patients colorectal cancer surgery is completed, Moffitts talented team - which includes surgeons, medical ... To learn more about colorectal cancer surgery and other treatment options, call 1-888-663-3488 or complete our new patient ...
Difficult decisions in colorectal surgery. [Neil Hyman; Konstantin Umanskiy;] -- This book looks at the highest quality ... evidence available to guide management decisions in colorectal surgery. The chapters, written by a select and highly respected ... surgery>. a schema:CreativeWork ;. rdfs:label "Difficult Decisions in Colorectal Surgery." ;. schema:description "Print version ... Difficult decisions in colorectal surgery schema:name "Difficult decisions in surgery : an evidence-based approach" ;. . ...
... a program aimed at improving skill across the spectrum of colorectal surgery. ... Learn about the colorectal surgery fellowship program at Cleveland Clinic; ... Colorectal Surgery Clinical Training Program (Fellowship). Kathrina Allen. Colorectal Surgery Education Coordinator. 216.445. ... Beachwood Family Health and Surgery Center. Beachwood Family Health and Surgery Center is an ambulatory surgery center staffed ...
Inova s Colorectal Surgery Program includes the area s top fellowship trained surgeons specializing in the surgical treatment ... Inova s Colorectal Surgery Program includes the area s top fellowship trained surgeons specializing in the surgical treatment ... Inovas Colorectal Surgery Highlights. *Over 700 inpatient colorectal cases are performed per year at Inova, with over half at ... The Colorectal Surgery Program at Inova includes the areas top fellowship trained surgeons specializing in the surgical ...
The book introduced 10 different techniques of NOSES for colorectal neoplasms based on extensive high-quality surgical images. ... Natural Orifice Specimen Extraction Surgery. Book Subtitle. Colorectal Cancer. Editors. * Xishan Wang ... Editor Xishan Wang is a professor and chief physician at the department of colorectal surgery, National Cancer Center, Cancer ... This book is suitable for the colorectal cancer surgeons and doctors of general surgery. ...
Hospital readmissions following colorectal surgery occur frequently and at a cost of approximately $9,000 each, according to ... Hospital readmissions following colorectal surgery occur frequently and at a cost of approximately $9,000 each, according to ... Source Reference: Wick E, et al "Readmission rates and cost following colorectal surgery" Dis Colon Rectum 2011; DOI:10.1097/ ... The strongest predictors of readmission within the first 30 days after colorectal surgery were: * Initial hospitalization of ...
The UCSF Center for Colorectal Surgery offers the latest surgical treatments for conditions affecting the colon, rectum and ... The UCSF Center for Colorectal Surgery offers the latest surgical treatments for conditions affecting the colon, rectum and ... These include colorectal cancers as well as noncancerous conditions such as ulcerative colitis, Crohns disease and pelvic ... and perform advanced laparoscopic and robot-assisted surgery. ...
Colorectal Surgery The colorectal surgery team at USF Health offers the latest in diagnosis and treatment of disorders of the ... A team of fellowship trained colorectal surgeons work closely with colleagues in gastroenterology, oncology, radiation oncology ...
More complications for Crohns Disease patients following emergency colorectal surgery Also presented today at Clinical ... New Research Presented By Army Surgeons On Cancer Vaccine, Colorectal Surgery. Published Monday 8 October 2012 Published Mon 8 ... "New Research Presented By Army Surgeons On Cancer Vaccine, Colorectal Surgery." Medical News Today. MediLexicon, Intl., 8 Oct. ... 2012, October 8). "New Research Presented By Army Surgeons On Cancer Vaccine, Colorectal Surgery." Medical News Today. ...
Chief, Division of Colorectal Surgery, Department of Surgery, Queen Mary Hospital, Hong Kong, China. HKU-Shenzhen Hospital, ... Single Incision Laparoscopic and Transanal Colorectal Surgery provide a comprehensive and state-of-the art review of single ... Written by experts in their fields, Single Incision Laparoscopic and Transanal Colorectal Surgery is valuable resource for ... It is a must have for practicing colorectal and general surgeons who is interested in minimally invasive surgery and will very ...
This study investigated the value of intense follow-up compared with no follow-up after curative surgery of cancer in the colon ... Kronborg O, Fenger C, Deichgräber E, Hansen L. Follow-up after radical surgery for colorectal cancer: design of a randomized ... CEA-directed second-look surgery in the asymptomatic patient after primary resection of colorectal carcinoma. Ann Surg 1985;202 ... Follow-up after curative surgery for colorectal carcinoma. Randomized comparison with no follow-up ...
Choose Non-Opioid for Laparoscopic Colorectal Surgery. - Bupivacaine liposome use warrants controlled trials, say researchers. ... "Evaluating the impact of opioid-sparing pain management agents in laparoscopic colorectal surgery: results from a national ... was linked to improved patient outcomes in those undergoing laparoscopic colorectal surgery, according to research reported ...
Post-operative colonoscopy is linked with improved overall survival for colorectal cancer patients, and 0.7 to 7% of patients ... Colo-rectal cancer - Management. Treatment for Colorectal Cancers may involve surgery,chemotherapy, radiation therapy or ... Colorectal Cancer. Colorectal cancer is a cancer that starts in the colon or the rectum. Colorectal cancer is the third most ... 2. One year after surgery or one year after the perioperative (pre-surgery) colonoscopy.. 3. Four years after surgery or the ...
Robotic surgery is safe and feasible for approaching colorectal cancer surgeries, presenting satisfactory results regarding ... Keywords: Colorectal robotic surgery; Morbidity and mortality in robotic surgery; Colon neoplasms; Rectal neoplasms ... Minimally invasive surgery is a fundamental tool in colorectal cancer treatment due to its associated advantages, such as less ... Robotic surgery is safe and feasible for surgical approach of colorectal cancer, showing satisfactory results in hospital stay ...
At BMI Healthcare we offer colorectal surgery across our hospitals, find out more about our services, facilities and enquire ... What is colorectal surgery?. Colorectal surgery as a field of medicine deals with repairing the damage caused by disorders in ... When you should see a colorectal specialist?. For certain intestinal disorders colorectal surgery is the only treatment that ... Surgery for rectal prolapse. How can BMI Healthcare help? Our consultant colorectal specialists can help diagnose, treat or ...
Associate Professor of Surgery. Chief Division of Colon & Rectal Surgery. Program Director Colon&Rectal Surgery Fellowship. ... Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery will serve as a inspirational guide for the innovator ... Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery. Editors. * Ovunc Bardakcioglu ... Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery bridges that gap and provides a foundation summarizing ...
Here at the colorectal surgery division, we specialize in providing the best patient care regarding all colon and rectal ... Professor of Surgery and Oncology. Program Director. Division of Colorectal Surgery. University of Rochester Medical Center. ... Colon & Rectal Surgery Fellowship Overview of the Colon & Rectal Surgery Fellowship Program. The Division of Colon and Rectal ... The Division of Colon and Rectal Surgery is part of the University of Rochester Department of Surgery and the University of ...
  • Editor Xishan Wang is a professor and chief physician at the department of colorectal surgery, National Cancer Center, Cancer Hospital Chinese Academy of Medical Sciences, Beijing, China. (springer.com)
  • Within a year, at the age of 35, he was Chairman of the clinic's Department of Colorectal Surgery, one of the youngest doctors to hold such a post in the United States. (wikipedia.org)
  • He was the founder of the Department of Colorectal Surgery in Bangabandhu Sheikh Mujib Medical University (BSMMU) in Dhaka. (wikipedia.org)
  • Colorectal cancer is among the most frequent malignant tumours. (intechopen.com)
  • Colorectal cancer (CRC) represents one of the leading malignant tumours both by incidence and death rate [ 1 , 2 ]. (intechopen.com)
  • Through didactic lectures, video-based presentations and panel discussions with audience participation, attendees will learn to select and apply optimal strategies to manage benign and malignant colorectal conditions, based on the latest available evidence and expert opinion. (sages.org)
  • Two biomarkers of the potential activity of resveratrol are measured in nonmalignant and malignant colorectal tissue biopsy samples: levels of M_1G adducts by immunoslot blot analysis and levels of cyclooxygenase-2 protein/Ki67 by immunohistochemistry. (clinicaltrials.gov)
  • Whereas, even though he finally returned to the hospital to accept surgery of removal of the malignant tumor, his cancer of colo-rectal had advanced to the final stage. (wikipedia.org)
  • One rotation per academic year will be spent in our regional service, which is comprised of our Beachwood Surgery Center and Hillcrest Hospital. (clevelandclinic.org)
  • Explain that a study has found that hospital readmissions following colorectal surgery occur frequently and are associated with a cost of approximately $9,000 each. (medpagetoday.com)
  • Hospital readmissions following colorectal surgery occur frequently and at a cost of approximately $9,000 each, according to the results of a study of BlueCross BlueShield (BCBS) databases. (medpagetoday.com)
  • Costs were calculated from the paid claims for total hospital, emergency department, home health, and outpatient pharmacy services beginning on the day of surgery and continuing for that admission. (medpagetoday.com)
  • A new study in Infection Control and Hospital Epidemiolog y found that prophylactic antibiotics are becoming less effective at preventing surgical-site infections following colorectal surgery. (uspharmacist.com)
  • For the current study a retrospective analysis was conducted from our prospectively collected database including all colorectal cancer patients who underwent surgery in our hospital between 2004 and 2011. (hindawi.com)
  • Patients undergoing primary colorectal resection between 2002 and 2008 were included from the Hospital Episode Statistics database. (nih.gov)
  • The aim is to ascertain which method out of epidural, spinal or patient controlled analgesia (PCA) is the most appropriate in fluid optimised patients after laparoscopic colorectal surgery in terms of pain control, length of hospital stay and time for gut recovery. (clinicaltrials.gov)
  • BMI The Droitwich Spa Hospital offers a range of colorectal surgical procedures as well as diagnostic tests and treatments. (bmihealthcare.co.uk)
  • If you are concerned about any colorectal issues you may have and have requested a GP referral, get in touch with BMI The Droitwich Spa Hospital on 01905 793333. (bmihealthcare.co.uk)
  • The key factors that keep a patient in hospital after uncomplicated major colorectal surgery include the need for parenteral analgesia(persistent pain), intravenous fluids (persistent gut dysfunction), and bed rest (persistent lack of mobility). (clinicaltrials.gov)
  • Colorectal Surgery Division - Hospital Aleman de Buenos Aires. (sages.org)
  • His training was completed with the London Colorectal Fellowship at University College Hospital and St Thomas's Hospital. (spirehealthcare.com)
  • We offer minimally invasive surgical options because we know, based on data for laparoscopic surgery, that patients will have shorter hospital stays, will need less narcotic pain medication, and will return to normal activities faster than after open surgery. (columbiasurgery.org)
  • The John Goligher Colorectal Surgery Unit at Leeds Hospital is named after Goligher. (wikipedia.org)
  • The Bariatric program began in 2002, and in 2006 was recognized as Bariatric Surgery Center of Excellence by the American Society for Bariatric Surgery, in 2004 its Imaging Center introduces Max & Buddy The Bear - the first animatronic in a hospital setting In 2002 it conducted its first minimally invasive hip replacement surgery, and a Joint Replacement Center opened in 2007. (wikipedia.org)
  • He completed his surgery residency at Strasbourg University in France and at Middlesex Hospital in London, where he also obtained his FRCSndem. (wikipedia.org)
  • He was also a senior registrar and Medical Research Council fellow at St. Mark's Hospital for Colorectal Diseases in London, and a senior registrar in surgery at University College Hospital in London. (wikipedia.org)
  • On Colorectal Surgery Trained from Singapore National University Hospital in 1994 In 1995-96 completed intensive training from Singapore General Hospital for 1 (one) year. (wikipedia.org)
  • Observer Training on Colorectal surgery from Lahey Hospital & Medical Center, United States Observer Training on Colorectal surgery from Cleveland Clinic, United States Observer Training on Colorectal surgery from Mayo Clinic, United States Hepatobiliary Surgery & Colorectal Surgery from Singapore General Hospital. (wikipedia.org)
  • Smith serves as Director of Plastic Surgery for Continuum Cancer Centers of New York, a multi-hospital cancer program including Beth Israel, St. Luke's-Roosevelt Hospital Center, and New York Eye and Ear Infirmary. (wikipedia.org)
  • Northern Westchester Hospital is a designated training and case observation center for the da Vinci Surgical System in colorectal surgery. (wikipedia.org)
  • He received a scholarship from the British Council to complete additional training in colorectal surgery at London's St. Mark's Hospital. (wikipedia.org)
  • Shafi works in the Academic Centre of Surgery and has established minimally invasive colorectal surgery at the Royal London Hospital, Barts Health NHS Trust. (wikipedia.org)
  • Shafi is the Associate Dean for Barts and the London undergraduate medical students at the Royal London Hospital and is the module lead for surgery in year 3 and year 5. (wikipedia.org)
  • He was programme director for core surgical trainees for North East London 2012-2013 and Tutor in Surgery for the Royal London Hospital 2011-2013. (wikipedia.org)
  • The 305 bed Stamford Hospital and its 440 affiliated physicians provide patient care in all of the typical medical specialties, including internal medicine, surgery, obstetrics/gynecology, psychiatry, and medical and critical care units. (wikipedia.org)
  • In addition, the hospital performs open heart surgery and urgent or elective angioplasty. (wikipedia.org)
  • Cohen Children's Specialty Center at Stamford Hospital An extensive pediatric ward within Stamford hospital, the Cohen Children's Center provides all branches of pediatric medicine and surgery. (wikipedia.org)
  • The nearest Accident and Emergency departments are based at Darlington Memorial Hospital and University Hospital of North Durham The hospital provides day case surgery, and low risk planned operations for the County Durham and Darlington area. (wikipedia.org)
  • Australia's first Day Surgery Unit was opened at Campbelltown Hospital on the 24th March 1984, with new Operating Theatres, CSSD, and the Cooper's Cottage Drug and Alcohol Unit opening in the years to follow. (wikipedia.org)
  • Since September 2003, he became Head of the Colorectal Unit at the San Camillo Hospital in Madrid, where he also acts as Director of the Team Care Management since June 2006. (wikipedia.org)
  • Cleveland Clinic's Colorectal Surgery educational program offers a 1-year ACGME accredited residency following the completion of a general surgery residency in the US or Canada. (clevelandclinic.org)
  • This commitment includes having specialty-specific credentialing and privileging guidelines in colorectal surgery separate from general surgery. (surgicalreview.org)
  • I specialize in Emergency Surgery, Trauma, and Surgical Critical Care, and am double board certified in General Surgery and Surgical Critical Care by the American Board. (jurispro.com)
  • Instruments used in general surgery Fitzgerald JEF, Malik M, Ahmed I. A single blind controlled study of electrocautery and ultrasonic scalpel smoke plumes in laparoscopic surgery. (wikipedia.org)
  • He completed his General Surgery residency and obtained a PhD degree in Molecular Pathobiology at Drexel University in Philadelphia in 2000. (wikipedia.org)
  • He also served as the chief of general surgery for the Michael E. DeBakey VA Medical Center, where he developed Surgical Oncology and Minimally Invasive surgical services as well as a Colorectal Cancer Center. (wikipedia.org)
  • He is a co-editor of the Operative Techniques in General Surgery and the editor for the Operative Techniques in Colorectal Surgery textbooks. (wikipedia.org)
  • A specially planned and facilitated Day Surgery Unit opened in 2001, with its own theatre, providing general surgery, ophthalmic and orthopaedic services. (wikipedia.org)
  • Soft-tissue laser surgery is used in a variety of applications in human (general surgery, neurosurgery, ENT, dentistry, orthodontics, and oral and maxillofacial surgery) as well as veterinary surgical fields. (wikipedia.org)
  • Stelzner soon after began his surgical residency at the University of Erlangen where he was boarded in General Surgery in 1949. (wikipedia.org)
  • He completed his general surgery residency at Mount Sinai Medical Center in Chicago, Illinois, and was concurrently a research assistant in the Vascular Surgery Research Lab at the Loyola Stritch School of Medicine in Maywood, Illinois. (wikipedia.org)
  • Shafi completed his basic and higher surgical training in North East London in general surgery. (wikipedia.org)
  • He is also a CQC specialist advisor in general surgery. (wikipedia.org)