Prevention of wound infection in elective colorectal surgery by local application of a gentamicin-containing collagen sponge<...
TY - JOUR. T1 - Prevention of wound infection in elective colorectal surgery by local application of a gentamicin-containing collagen sponge. AU - Rutten, HJT. AU - Nijhuis, PHA. PY - 1997/4. Y1 - 1997/4. N2 - Preoperative antibiotic prophylaxis is known to significantly reduce the incidence of postoperative wound infection in elective colorectal surgery, and is a recognized part of surgical management. Antibiotics are usually given systemically or orally, or by a combination of the two routes. Local antibiotic delivery to the wound site using an implanted, reabsorbable, gentamicin-containing collagen sponge is a novel concept. We compared postoperative wound infection rates in 221 colorectal surgery patients randomized to receive systemic gentamicin/metronidazole with (Group I, n = 107) or without (Group II, n = 114) the gentamicin-collagen sponge. The two patient groups were identical on the basis of demographics and operations undergone. The postoperative wound infection rate was ...
George Tsavellas - Consult General, Laparoscopic and Colorectal Surgeon - Colonic Polyps
A colonic polyp is a protrusion in the lining of the bowel caused by an abnormal production of cells. It may be a tiny raised area; it may look like a grape or take the form of many tiny projections clustered together. Polyps are very common (occurring in 15-20% of the population) and most are not cancerous. Polyps should be removed if found as some may eventually (over many years) become a cancer in the colon (large bowel) or rectum (back passage).. Symptoms of colonic polyps. Most people are unaware of having polyps as they usually produce no symptoms and are often an incidental finding. Some polyps can however cause rectal bleeding or an excess production of mucus (slime) with bowel motions. Polyps are usually found as a result of bowel investigations - such as a sigmoidoscopy or barium enema. If they are found colonoscopy is required to view the whole of the large bowel and remove the polyp(s).. Treatments for colonic polyps. The most common method of removal is by:. ...
Something comes out of my bottom when I go to the toilet: (Prolapse) | Mr Al Windsor | Colorectal Surgeon
When some people open their bowels they can get a prolapse from their back passage.. This can simply be a haemorrhoid (pile) which has popped out and either pops back on its own once the deaf action has completed or it has to be pushed back in by the patient. In some people, the haemorrhoid can be permanently on the outside and cannot be pushed back inside. Alternatively, the prolapse can be more serious such as full thickness rectal prolapse when the rectum turns inside out and hangs down quite a way. Sometimes just the lining of the back passage will come out as in mucosal prolapse. If you feel that you have something which comes out when you go to the toilet you should visit your GP who can give you an idea as to what the problem is. If you ask your GP to refer you to The Surgeons Clinic one of our clinicians will listen to your story carefully and then examine you to make the diagnosis. Treatment options can then be discussed according to the problem diagnosed.. Here at The Surgeons ...
Webnewswire | Hemorrhoid Removal Los Angeles Offered By Top-rated Surgeon
Over the counter care for hemorrhoids is only a temporary solution. Internal hemorrhoids and persistent external hemorrhoids require analysis from an expert in Hemorrhoid Removal Los Angeles . Dr. Kamrava, an experienced colorectal surgeon, will diagnose the type and severity of your hemorrhoids through simple procedures. This top Hemorrhoid Removal Los Angeles colorectal surgeon will be able to get you living comfortably again.. There is no reason to experience discomfort from hemorrhoids for an extensive period of time. Dr. Kamrava offers a minimally invasive Hemorrhoid Removal Los Angeles called sclerotherapy. Sclerotherapy is a swift and harmless procedure that gets you relief from internal hemorrhoids. This treatment has a high success rate for Hemorrhoid Removal Los Angeles. He applies years of experience and advanced technology to treat hemorrhoids in a variety of ways. His wide-ranging background gives him the expertise to understand and treat patients on an individual basis.. Hemorrhoid ...
Anal Soap Equals Anal Pain & Itching | LA Colorectal Surgeons
Simply put, pruritus ani is a condition of an intense, often unrelenting itching around the anus or even the skin near the anus. It most commonly causes the urge to scratch the itch.. Most people incorrectly assume that the cause may be due to a lack of cleanliness. Or, they feel that if only they could clean the area more thoroughly, the itch would disappear. This mistaken belief sets off a cycle of more cleaning, followed by more itching, followed by more cleaning.. ...
CleanCision Shown to Significantly Reduce High Surgical Site Infection Rates in Colorectal Surgery as Compared to Standard...
The purpose of the study, conducted by Dr. J. Scott Thomas, associate professor of surgery at the Texas A&M University Health Science Center College of Medicine and Baylor Scott & White Health and co-author of the poster presented at the American Society of Colorectal Surgeons, was to determine if the new irrigating wound protection therapy could aid in lowering the typically high surgical site infection rates of colorectal surgery.. The study evaluated 30-day SSI outcomes for CleanCision, the novel wound retraction device that combines barrier protection and continuous intraoperative wound irrigation, against the standard wound protector used at Baylor Scott & White Health.. A total of 38 subjects were treated with CleanCision between 2015 and 2019 with 102 control-matched subjects identified during the same period. No significant difference existed between control-matched variables with exception of steroid use, which was significantly higher in the novel retractor group. Steroid use has been ...
Serum Procalcitonin Predicts Anastomotic Leaks in Colorectal Surgery | Physicians Weekly for Medical News, Journals & Articles
Background: Anastomotic leaks in colorectal surgery results in a high morbidity and mortality rate. Serum procalcitonin levels is known as a sensitive and specific marker of sepsis and could be use as a marker for early detection of a leak allowing early intervention. It may help a clinician decide to perform a CT scan even earlier especially when the diagnosis of a leak is uncertain. The aim of this study is to determine whether serum procalcitonin is a good predictor of anastomotic leak in colorectal surgery. Methodology: Between July 2014 until October 2015, 70 patients undergoing colorectal surgery were prospectively analyzed in a single-center tertiary teaching hospital. Demographic and surgical data were obtained. Serum procalcitonin was taken before surgery and at day 3 (72 hours) postoperatively. During the postoperative period, the patients were observed in the ward for features of anastomotic leak and if present, it was managed accordingly. The primary outcome was to prospectively ...
Randomized Clinical Trial of Bisacodyl Versus Placebo on Postoperative Bowel Motility in Elective Colorectal Surgery - Full...
All adult (,18 years) patients admitted for elective colorectal resection were evaluated for eligibility.. Patients were randomized using a computer programme and received either 10mg of bisacodyl in non-transparent capsules or identical placebo capsules, containing glucosemonohydricum. The capsules were administered twice daily, starting one day before surgery and ending on postoperative day three.Patients and all involved medical personnel were blinded.. Bowel preparation was not routinely used in open surgery, whereas in patients undergoing laparoscopic resection two litres of sodium-sulfate / macrogol solution (Cololyt®, Spirig Pharma AG, Switzerland) was administered. Standard colorectal surgery was performed in all patients. In open surgery a midline incision was used for laparotomy. In laparoscopic resections a four-port technique with removal of the specimen through a small transverse incision in the lower abdomen was used. All patients received perioperative single shot antibiotics, ...
Systematic review of internet patient information on colorectal cancer surgery<...
TY - JOUR. T1 - Systematic review of internet patient information on colorectal cancer surgery. AU - Wasserman, M.. AU - Baxter, N. N.. AU - Rosen, B.. AU - Burnstein, M.. AU - Halverson, A. L.. PY - 2014/1. Y1 - 2014/1. N2 - Patients diagnosed with colorectal cancer often seek information on the Internet to help them make treatment decisions. OBJECTIVE: The aim of this study is to evaluate the quality of Web-based patient information regarding surgery for colorectal cancer. DESIGN: This study is a cross-sectional survey of patientdirected Web sites. SETTINGS: The search engine Google (Mountain View, CA) and the search terms colorectal cancer surgery, colon cancer surgery, and rectal cancer surgery were used to identify Web sites. MAIN OUTCOME MEASURES: To assess quality, we used the DISCERN instrument, a validated questionnaire developed to analyze written consumer health information on treatment options to aid consumers in evaluating the quality of health-related information on treatment ...
Early postoperative outcome after curative colorectal cancer surgery by M. R. Khan, H. Bari et al.
Introduction:Colorectal cancer is uncommon in the Indian subcontinent, so there is a paucity of outcome data from this region. The aim of our study was to identify risk factors for early postoperative morbidity and mortality following curative colorectal cancer surgery in our set-up.
Methods:
The data on Patients with pathologically confirmed colorectal cancer who underwent curative surgery at Aga Khan University Hospital, Karachi, Pakistan, between January 1999 and December 2008 were recorded. Patients who developed early postoperative morbidity or mortality were compared with those who followed a healthy course after surgery.
Results:
A total of 250 consecutive Patients underwent colorectal cancer surgery during the study period. Postoperative complications were found in 34.8 percent of the Patients, out of which four deaths occurred. Serum albumin level less than 3.5 g/dl (odds ratio [OR] 3.75, 95 percent confidence interval [CI] 1.37-10.23) and tumours involving the left colon (OR 2.60, 95 percent
Transversus abdominis plane block versus perioperative intravenous lidocaine versus patient-controlled intravenous morphine for...
A laparoscopic approach is now considered the gold standard in colorectal resection for benign and malignant disease [1]. Laparoscopic surgery is associated with a significant reduction in postoperative pain and opioid consumption, lower morbidity, faster recovery and shorter hospital stay [1]. However, strategies for postoperative pain management after laparoscopic surgery are mainly derived from concepts that have been established for open surgical procedures [2]. As such, patient-controlled epidural and intravenous analgesia are still the most frequently used techniques for postoperative analgesia after laparoscopic colorectal surgery [3]. Epidural analgesia (EA) is known to provide excellent pain control; however, the role of EA in laparoscopic surgery is increasingly being scrutinized [1]. Following laparoscopic colorectal surgery, the use of EA has been shown to result in a prolonged time to mobilization, an increase in hospital costs, length of hospital stay and a higher incidence of ...
Andrew Hill - Auckland Proctologist & General Surgeon • Healthpoint
Andrew Hill is a Colorectal Surgeon living and working in South Auckland. He is fully trained and experienced in all aspects of Proctologic Surgery. Professor Hill does his surgery at Ormiston Hospital and sees patients for consultation at Botany Town Centre at the Botany Medical Specialists Centre. Professor Hill will see patients with all types of proctologic problems including rectal bleeding, anal fissures, rectal prolapse, disorders of defaecation, haemorrhoids, pruritus, anal fistulae and pilonidal disease. In addition he specialises in the management of inguinal hernia, recurrent inguinal hernia, umbilical hernia and incisional hernia.. Academically, Professor Hill is the author of over 200 scientific papers focusing on colorectal surgery and medical education. He is the author of the international PROSPECT guidelines for pain management after haemorrhoidectomy and has recently edited the Proctology section of Keighley and Williams Colorectal Textbook, a major resource for colorectal ...
Mechanical bowel preparation does not affect the intramucosal bacterial colony count
The management of patients undergoing colorectal surgery has changed in recent decades. Efforts have been made to show that perioperative physiological stress to the patient can be minimised with standardised care programmes and thus improve short term outcome after colorectal surgery. Mechanical bowel preparation (MBP), for instance, has been questioned as part of standard management. There are studies highlighting the effect of cancer treatment and its side effects in the elderly, showing that geriatric patients benefit from oncological therapy in much the same way as younger patients. The impact of this information on surgical and oncological practice in Sweden today is not known. To assess the effectiveness of colorectal surgery we need both randomised controlled trials and population-based cohort studies. We have performed a trial on colonic surgery with and without preoperative mechanical bowel preparation, as well as a nation-wide register study comparing treatment and outcome of rectal ...
MASIC Foundation - helping mothers suffering from anal sphincter injuries in childbirth - McSweeney Solicitors | Medical...
Education Event Dublin 2nd July 2019. The MASIC Foundation was set up in the UK in 2017 to assist mothers suffering from anal sphincter injuries in childbirth. Thankfully, most births are straightforward. When a mother delivers a baby through the birth canal they may suffer from some form of anal incontinence due to serious tears.. The Foundation aims to help mothers who often suffer in silence due to embarrassment and social stigma associated with their symptoms, unaware that there are any other mothers going through what they are experiencing.. In 2019, the MASIC Foundation held an education event in Dublin. The Womens Medical Negligence department at James McSweeney Solicitors were delighted to be invited to this event and we were able to extend the invitation to a number of women whom we represent.. We had the pleasure of listening to colorectal surgeons, physiotherapists, nurses and psychologists providing information to women. Mothers in attendance heard that over 10% of women having a ...
Saint Francis GI Endoscopy Center
Welcome to Saint Francis GI Endoscopy, LLC. This state-of-the art outpatient facility is a joint venture between Saint Francis Hospital and Medical Center and Central Connecticut GI Endoscopy, LLC providing gastrointestinal procedures by fifteen board certified gastroenterologists and three colorectal surgeons.. Conveniently situated in Windsor, Connecticut, Saint Francis GI Endoscopy LLC is minutes from New Englands largest Catholic Hospital and provides exceptional patient care by experienced physicians in an outpatient setting. Our location offers easy access from Interstate-91, no-hassle free parking, a comfortable and modern waiting area and free wireless Internet service.. This 5,600 square foot center has three procedure rooms and is equipped with the most advanced technology and the most efficient GI care. Saint Francis GI Endoscopy, LLC is a paperless facility, using the latest electronic medical records and management systems. Privacy and compassion is our commitment to your good ...
Lourdes T. Santiago, MD<...
Visit Dr. Lourdes T. Santiago, colorectal surgeon & general surgeon in Clearwater, FL & Knoxville, TN. Are you Dr. Santiago? Sign up for MD.com.
Do I have Crohns? Frequent bowel movements. Please help me. - Colitis - MedHelp
Im a 30 year old ophthalmologist and Ive had idiopathic iritis 6 years ago and an anal fistula 2 years ago. During my workup for iritis, I was HLA B27 negative. I asked my colorectal surgeon 2 year...
DMOZ - Health: Conditions and Diseases: Digestive System Disorders: Anorectal: Hemorrhoids
For sites pertaining to hemorrhoids (piles). Not for sites selling hemorrhoid relief products or for colorectal surgeons practices.
Colorectal Surgery: Ostomy and Ostomy Reversal | Columbia University Department of Surgery
When the Division of Colorectal Surgery prepares for surgery resulting in an ostomy, they also plan for its reversal. Matts Story
Abdomen Colorectal Surgery Service in Rawalpindi - upto 50% DISCOUNT on In-Person & Online Video Appointments, View Fees,...
Find the best doctors for Abdomen Colorectal Surgery in Rawalpindi. Book in-person or online video appointments with the help of up to date practice locations, reviews and fees and save upto 50%.
Early Alimentation Following Colorectal Surgery
This study wants to address the question of whether or not oral alimentation should be begun
early in patients following colorectal surgery compared to
Clinical Trial Special Interests word selected: ENDOSCOPY in town: KEIGHLEY
Colorectal surgery, laparoscopic surgery, laparoscopic hernia repairs, laparoscopic cholecystectomies, laparoscopic colorectal surgery, endoscopy/colonoscopies, haemorrhoidectomy/stapled/open/ligature, pilonidal sinus, colorectal cancer, perianal conditions, lumps and bumps, faecal ...
FDA Approves New Indication for INVANZ(R) (Ertapenem) for the Prevention of Surgical Site Infections (SSI) Following Elective...
Merck & Co., Inc. announced today that the U.S. Food and Drug Administration (FDA) recently approved INVANZÃ ® (ertapenem), a once-daily injectable antibiotic, for the prophylaxis of surgical site infection (SSI) following elective colorectal surgery in adults. This approval was based upon the results of the landmark PREVENT trial, the largest prospective, randomized double-blind, comparative clinical trial ever conducted in antibiotic prophylaxis for elective colorectal surgery (N=1002). Results from the study were presented today in the New England Journal of Medicine. Given the high incidence of SSI, Merck is very pleased to be able to offer a new alternative with clinically demonstrated efficacy, said Murray A. Abramson, M.D., M.P.H., senior medical director, Merck Research Labs, Infectious Diseases, Merck & Co. Inc. In the PREVENT study, a statistically significant difference favoring INVANZ over cefotetan with respect to the primary endpoint has been observed. A second adequate and ...
Ertapenem adverse reactions - wikidoc
Additional laboratory adverse experiences that were reported during therapy in ,0.1% of patients treated with INVANZ in clinical trials include: increases in serum creatinine, serum glucose, BUN, total, direct and indirect serum bilirubin, serum sodium and potassium, PT and PTT; decreases in serum potassium, serum albumin, WBC, platelet count, and segmented neutrophils. In a clinical trial for the treatment of diabetic foot infections in which 289 adult diabetic patients were treated with INVANZ, the laboratory adverse experience profile was generally similar to that seen in previous clinical trials. Prophylaxis of Surgical Site Infection following Elective Colorectal Surgery In a clinical trial in adults for the prophylaxis of surgical site infection following elective colorectal surgery in which 476 patients received a 1 g dose of INVANZ 1 hour prior to surgery and were then followed for safety 14 days post surgery, the overall laboratory adverse experience profile was generally comparable to ...
Intraoperative identification and analysis of lymph nodes at laparoscopic colorectal cancer surgery using fluorescence imaging...
BACKGROUND: Standard surgical practice for colorectal cancer involves resection of the primary lesion and all draining lymph nodes. Accurate intraoperative assessment of nodal status could allow stratified resectional extent. One-step nucleic acid (OSNA) can provide a rapid method of interrogating nodal tissue, whilst near-infrared (NIR) laparoscopy together with indocyanine green (ICG) can identify relevant nodal tissue intraoperatively. METHODS: ICG was administered around the tumour endoscopically prior to the operation. Fluorescent nodes identified by NIR were marked and submitted for whole-node OSNA analysis. Further fresh lymph nodes dissected from the standard resection specimen were examined and analysed by both conventional histology and OSNA. In addition, the status of the fluorescent nodes was compared to that of non-ICG nodes to assess their predictive value. RESULTS: Sixteen patients were recruited with a total final lymph node count of 287. 78 fresh lymph nodes were identified on fresh
Short Term Results According To Gender by Prospective Study of 490 Laparoscopic C-Stage 0/I Rectal Cancer Resection - SAGES...
Shigeki Yamaguchi, MD, Seiichiro Yamamoto, MD, Junji Okuda, MD, Koki Otsuka, MD, Masanori Sugito, MD, Takashi Yamaguchi, MD, Yoshiharu Sakai, MD, Takatoshi Nakamura, MD, Kenichi Yoshimura, Masahiko Watanabe, MD. Saitama Medical University International Medical Center and the Japan Society of Laparoscopic Colorectal Surgery. INTRODUCTION: Gender is known as one of the risk factor of postoperative complication especially leakage after proctectomy. Multi-center prospective study had registered for 490 laparoscopic rectal cancer resections since 2008 to 2010. This study was accessed about difference of short term results between male and female for laparoscopic proctectomy.. PATIENTS AND METHODS: There were 281 males (M) and 110 females (F). Mean age was 59.6 each. BMI and prior abdominal operation were 23.3, 21.9 (p,0.01) and 16.4%, 32.5% (p,0.01), respectively. Mean tumor location from anal verge was 6.7 cm each. Procedures were anterior resection (AR): 79%, 86%, intersphincteric resection (ISR): ...
Techniques in Coloproctology 5/2020 | springermedizin.de
G. Pellino, D. S. Keller, G. M. Sampietro, I. Angriman, M. Carvello, V. Celentano, F. Colombo, F. Di Candido, S. Laureti, G. Luglio, G. Poggioli, M. Rottoli, S. Scaringi, G. Sciaudone, G. Sica, L. Sofo, S. Leone, S. Danese, A. Spinelli, G. Delaini, F. Selvaggi, the Italian Society of Colorectal Surgery ...
Transanal surgery: A tool in colorectal anastomotic leakage | Cirugía Española (English Edition)
El tratamiento de la dehiscencia de sutura después de cirugía oncológica del cáncer de recto supone un reto quirúrgico. El objetivo de este trabajo es mostrar como la cirugía transanal combinada con el abordaje abdominal es una herramienta muy útil para decidir el tratamiento individualizado en función del grado de dehiscencia y ayudarnos al manejo local de la misma. Presentamos tres casos de pacientes con dehiscencia de sutura colorectal. En dos de ellos se muestra el tratamiento de una dehiscencia colorectal aguda y como la cirugía transanal nos permite comprobar la viabilidad y descartar isquemia subyacente. Por otro lado, nos facilita un buen drenaje de la colección adyacente; así como si es necesaria la colocación de un sistema vaccum y de sus recambios siguientes. El último caso se trata de una dehiscencia tardía con sinus presacro crónico, y su tratamiento mediante acceso transanal para destechamiento del mismo.. ...
Surgical Sciences
Bachelors: Hacettepe University Speciality Education: Ankara University Research Interests : Laparoscopic/Endoscopic Surgery, Single-Port Laparoscopic Surgery, Bariatric/Metabolic Surgery, Laparoscopic Tumor Surgery, Laparoscopic Hernia Surgery, Laparoscopic Adrenalectomy, Laparoscopic Donor Nephrectomy, Laparoscopic Pancreatic Surgery, Laparoscopic Colorectal Surgery. Detailed CV ...
The effects of prehabilitation versus usual care to reduce postoperative complications in high-risk patients with colorectal...
Of all older patients that opt for elective colorectal surgery, approximately one-third has one or more postoperative complications, particularly those patients with a low cardiorespiratory fitness (ventilatory anaerobic threshold (VAT) | 11 mL/kg/min). A physical exercise training program prior to surgery (prehabilitation) can improve their cardiorespiratory fitness. It remains to be seen whether prehabilitation also reduces postoperative complications, as most of the studies so far were rather underpowered, heterogeneous, and biased toward selection of patients with a lower risk of postoperative complications. The primary objective of this study is to evaluate the effects of a three-week prehabilitation program on 30-day postoperative complications in patients with a VAT | 11 mL/kg/min planned for elective colorectal resection for colorectal cancer or dysplasia. In this multicenter prospective randomized controlled trial, patients ≥ 60 years with colorectal cancer or dysplasia grade I, II, or III,
Ambulatory Colorectal Surgery by Laurence R. Sands, Dana R. Sands - T2 Restaura Authentic Library
Erection of the penis is mediated by both parasympathetic (arteriolar vasodilatation) and sympathetic (inhibition of vasoconstriction) inflow. Sympathetic activity is responsible for emission and parasympathetic activity for ejaculation. Urinary and sexual dysfunction is commonly seen after a variety of pelvic surgical procedures, including low anterior resection and abdominoperineal resection. Permanent bladder paresis occurs in 7% to 59% of patients after abdominoperineal of the rectum (37). The incidence of impotence is approximately 15% and 45% and that of other ejaculatory dysfunction is 32% and 42% after low anterior resection and abdominoperineal resection, respectively (38). In: Gordon PH, Nivatvongs S, eds. Principle and Practice of Surgery for the Colon, Rectum and Anus. , 1992:3-37. 12. Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery-the clue to pelvic recurrence? Br J Surg 1982; 69:613-616. 13. Boxall TA, Smart PJG, Griffiths JD. The blood−supply of the ...
Quality indicators for colorectal cancer surgery and care according to patient-, tumor-, and hospital-related factors | BMC...
Colorectal cancer (CRC) care has improved considerably, particularly since the implementation of a quality of care program centered on national evidence-based guidelines. Formal quality assessment is however still needed. The aim of this research was to identify factors associated with practice variation in CRC patient care. CRC patients identified from all cancer centers in South-West France were included. We investigated variations in practices (from diagnosis to surgery), and compliance with recommended guidelines for colon and rectal cancer. We identified factors associated with three colon cancer practice variations potentially linked to better survival: examination of ≥12 lymph nodes (LN), non-use and use of adjuvant chemotherapy for stage II and stage III patients, respectively. We included 1,206 patients, 825 (68%) with colon and 381 (32%) with rectal cancer, from 53 hospitals. Compliance was high for resection, pathology report, LN examination, and chemotherapy use for stage III patients. In
Type 2 diabetes and colorectal cancer survival rates | Coloproctology News
Researchers from the University of Hawaiʻi Cancer Center and Office of Public Health Studies have found that patients who have type 2 diabetes in addition to other chronic diseases have a lower survival rate for colorectal cancer.. The study. Type 2 diabetes and colorectal cancer survival: The multiethnic cohort, published in the International Journal of Cancer, investigated the survival rates of colorectal cancer patients with or without type 2 diabetes, and with additional diseases such as heart disease or stroke. The findings showed type 2 diabetes alone does not significantly affect survival for colorectal cancer patients. However, patients with type 2 diabetes as well as other chronic diseases had a lower survival rate.. The researchers looked at 24 years of health data of more than 215,000 adults from California and Hawaiʻi who participated in the multi-ethnic cohort to identify predictors of survival. Among 3,913 new cases of colorectal cancer, the 707 participants with type 2 ...
Dr. Marcella W. Bradway, MD - Colorectal Surgery - Pittsfield, Massachusetts (MA)
Dr. Marcella Bradway is a Pittsfield native who has returned to the Berkshires to provide Colon and Rectal Surgery services. Her services include: colon and rectal cancer surgery, endorectal ultrasound staging of rectal cancers, surgery for ulcerative colitis and Crohns Disease, all aspects of perianal disease and colonoscopy, laparaoscopic surgery for cancer, inflammatory bowel disease and diverticulitis ...
World Journal of Colorectal Surgery
Background: Colorectal cancer (CRC) is the second most common cancer in Australia. Improvements in patient outcomes after resections for CRC have been reported in an Australian metropolitan hospital, but significant outcome variability exists between health systems and institutions. Objective: This study sought to determine whether changes in the management of CRC have translated into improved survival after surgery in an Australian regional hospital. Design: This is a retrospective study of a prospectively maintained database. Setting: This study was conducted in an Australian regional hospital. Patients and Methods: All patients who underwent surgery for CRC at our institution between January 2002 and December 2014 were studied. Demographic information, comorbidities, types of surgery performed, and tumor staging were recorded. Patients were followed up for life whenever possible. Survival analysis was done using the Kaplan-Meier method, and comparisons made using the Cox proportional-hazards ...
Pokala Ravi Kiran, MD | Columbia University Department of Surgery
Kenneth A. Forde Professor of Surgery (in Epidemiology) (212) 342-1155 Dr. Kiran received his medical degree from and completed surgical training at Osmania Medical College in Hyderabad, India, and received advanced training in colorectal surgery in the United Kingdom. He completed his general surgery residency at Yale-Saint Marys Hospital and Bronx-Lebanon Hospital Center and fellowship training in colorectal surgery at the Cleveland Clinic. He is board certified in surgery and in colon and rectal surgery from the American College of Surgeons (FACS) and the American Society of Colon and Rectal Surgeons (FASCRS) and is a fellow of the Royal Colleges of Surgeons of England and Glasgow. The author of more than 200 peer-reviewed publications, Dr. Kiran is also an editor and reviewer for numerous prominent journals and textbooks. As a student and physician, he has earned several distinctions, including the National Merit Scholarship and Gold Medals during his medical education and surgical training in
Pokala Ravi Kiran, MD | Columbia University Department of Surgery
Kenneth A. Forde Professor of Surgery (in Epidemiology) (212) 342-1155 Dr. Kiran received his medical degree from and completed surgical training at Osmania Medical College in Hyderabad, India, and received advanced training in colorectal surgery in the United Kingdom. He completed his general surgery residency at Yale-Saint Marys Hospital and Bronx-Lebanon Hospital Center and fellowship training in colorectal surgery at the Cleveland Clinic. He is board certified in surgery and in colon and rectal surgery from the American College of Surgeons (FACS) and the American Society of Colon and Rectal Surgeons (FASCRS) and is a fellow of the Royal Colleges of Surgeons of England and Glasgow. The author of more than 200 peer-reviewed publications, Dr. Kiran is also an editor and reviewer for numerous prominent journals and textbooks. As a student and physician, he has earned several distinctions, including the National Merit Scholarship and Gold Medals during his medical education and surgical training in
Single measures of performance do not reflect overall institutional quality in colorectal cancer surgery | Gut
Funding AMA is in receipt of funding from the National Institute of Health Research for research into patient safety. National Institute of Health Research had no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the article for publication. The researchers had complete independence from AMAs funders. PA and AB are employed within the Dr Foster Unit at Imperial, which is largely funded by a research grant from Dr Foster Intelligence (an independent health service research organisation). The Dr Foster Unit at Imperial is affiliated with the Imperial Centre for Patient Safety and Service Quality at Imperial College Healthcare NHS Trust, which is funded by the National Institute of Health Research. The Department of Primary Care and Social Medicine is grateful for support from the National Institute for Health Research Biomedical Research Centre Funding Scheme.. ...
Preoperative blood management in colorectal cancer surgery: the controversial role of iron - Leiden University
Supervisor Prof. J.J. Zwaginga Attend PhD defences are free; you do not have to register. PhD dissertations PhD dissertations by Leiden PhD students are available digitally after the defence through the Leiden Repository, that offers free access to these PhD dissertations. Please note that…
No benefits to robotic colorectal surgery, study says - Health Report - ABC Radio National (Australian Broadcasting Corporation)
A study of the use of robotic surgery for colorectal cancer has found its on par with traditional methods - while taking longer and costing more.
Colorectal Surgery: Recovering in the Hospital and at Home | Articles | Mount Nittany Health System
When the surgery is done, youll be taken to the recovery room (also called the post-anesthesia care unit or PACU). Here, your blood pressure, pulse, and breathing will be carefully monitored. Youll also receive pain medicine to keep you comfortable. When youre ready, youll be moved to a regular hospital room. Youll then be monitored closely to be sure youre healing well. Your hospital stay may last from a few days to a week, or longer. Once home, follow instructions to help ensure a full recovery.. Right after surgery If you have a urinary catheter, it will probably be removed shortly after surgery. Your intravenous (IV) line will remain in place for a few days to give you fluids. And youll continue to receive medicine for pain. Soon after surgery, youll be up and walking around. This helps improve blood flow and prevent blood clots. It also helps your bowels return to normal. Youll be given breathing exercises to keep your lungs clear.. ...
Mr Steven Snooks - General Surgeon | Breast & Colorectal Surgery | Woodford, Redbridge, London | Spire London East Hospital
Mr Steven Snooks, Consultant General Surgeon, MB BS, MD, FRCS, LLB(Hons), Degree of the Utter Bar at Spire Healthcare. Learn more about this consultant here.
CHI St. Vincent Colorectal Surgery Clinic
surgical site infection | Physicians Weekly for Medical News, Journals & Articles
by Physicians Weekly , Jan 9, 2013. Surgical site infections (SSIs) are the most common complication facing colorectal surgery patients, occurring in 15% to 30% of cases. SSIs prolong hospitalization, increase readmissions, require subsequent treatment, affect quality of life, and increase healthcare costs to the tune of $1 billion annually. Research has not shown an association between adherence to well-known infection control process measures and substantial SSI reduction. While the occurrence of SSIs can never be fully eliminated in any feasible scheme, many can be prevented. Addressing SSIs as a Team In a study published in the August 2012 Journal of the American College of Surgeons, my colleagues and I found that physicians and nurses often feel as though they know what needs to be done to improve safety for colorectal surgery patients, but they feel disempowered. Using these perceptions as the basis for our study, we tested the implementation of a surgery-based comprehensive unit-based ...
Impact of Frequency of Operating Room Staff Changes on Complications in Colorectal Surgery 2017 | ASCRS
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.. ...
Colostomy, closure of loop | Colorectal Surgery | BMI Healthcare
A loop colostomy can help your bowels work in a more effective and normal way, stopping the reliance on a stoma bag. Book online today
Surgical-Site Infections May Increase Risk of Deadly Blood Clots After Colorectal Surgery
Despite receiving blood thinners and other clot prevention treatment, some patients still develop potentially lethal blood clots in the first month after their operations anyway, especially if they developed a surgical-site infection while in the hospital, according to results of a study at Johns Hopkins.
Robotic Colorectal Surgery | The GW Medical Faculty Associates
The GW Medical Faculty Associates is the largest independent physician group in the DC area with more than 750 providers and 51 clinical specialties.
Constipation | ATL Colorectal Surgery P.C.
Constipation occurs when bowel movements are infrequent or hard, or when a person has difficulty passing stool. Bowel habits are different from person to person
New condition involving numerous GI polyps in cancer survivors | Coloproctology News
Dana-Farber Cancer Institute researchers have provided new details about a recently discovered condition in which childhood cancer survivors develop numerous colorectal growths called polyps despite not having a hereditary susceptibility to the condition. The condition, known as therapy-associated polyposis (TAP) was first described by Dana-Farber scientists in 2014 based on a group of five patients. The new study presents a deeper look at the condition, based on data from 34 patients at eight cancer centres around the US. The study, A Multi-Institutional Cohort of Therapy-Associated Polyposis in Childhood and Young Adulthood Cancer Survivors, was published in Cancer Prevention Research.. The development of colorectal polyps - abnormal bump-like growths of tissue - in any individual is a risk factor for colorectal cancer. Polyposis, a condition in which many polyps grow in the intestinal tract, often signals a predisposition to colorectal cancer and other malignancies. People diagnosed with ...