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technics in coloproctology

I A Matveev
It was analyzed the work of the specialized service to assist patients after obstructive colon resection in Tyumen region for the period 2007-2013. Aid organization has functional character including definite number of physician's specialization in reconstructive surgery, attraction of patients from the entire subject of the federation, use of material, technical, medical and diagnostic basis of multifield hospital with current equipment. Such service is created due to the difficult restoring continuity of the colon, deficit of coloproctological beds in the region, need for their efficient use, as well as low morbidity...
2015: Khirurgiia
Sergio Danilo Tanahara Tomiyoshi, Carlos Henrique Marques Dos Santos
BACKGROUND: The abscesses and anal fistulas represent about 70% of perianal suppuration, with an estimated incidence of 1/10000 inhabitants per year and representing 5% of queries in coloproctology. AIM: To evaluate the effectiveness of the interesphincteric ligation technique of the fistulous tract in the treatment of anal fistula. METHODS: The records of eight patients who underwent this technique, evaluating age, gender and presence of incontinence were studied...
April 2014: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Matthias Goos, Ulrich Baumgartner, Mathias Löhnert, Oliver Thomusch, Günther Ruf
BACKGROUND: Fecal incontinence is a common and severely disabling disorder. For patients with severe fecal incontinence, surgery may prove to be the only adequate treatment option. METHODS: This study reports on 43 patients that were treated with a prosthetic sphincter system between 2005 and 2009 in three coloproctological centres. MAIN OUTCOME MEASURES: complications, anal pressures before and after surgery, fecal continence score. RESULTS: The new artificial sphincter system significantly improves continence but leads to some complications in clinical practice...
2013: BMC Surgery
D P Harji, B Griffiths, D R McArthur, P M Sagar
AIM: The study aimed to determine current UK practice in the management of locally recurrent rectal cancer (LRRC). METHOD: An electronic based survey was sent to UK based Association of Coloproctology of Great Britain and Ireland members to establish current management in this patient group. A total of 188 questionnaires were sent out to consultant surgeons in a total of 105 colorectal units. RESULTS: Seventy-nine consultants from 69 units responded, giving an overall response rate from consultants of 42% and from colorectal units of 66%...
December 2012: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
J A Cornish, H S Tilney, E Tan, M R Thompson, J J Smith, P P Tekkis
PURPOSE: The National Bowel Cancer Audit Project (NBOCAP) collects data from hospitals in the UK and aims to improve surgical outcomes and quality of care for patients. The aims of this study were to understand why trusts were/were not participating in the NBOCAP and how to improve the quality of data collected and feedback. METHODS: This was a prospective e-survey on colorectal surgeons' attitudes towards and opinions of the NBOCAP, within trusts in the UK. A questionnaire was emailed to members of the Association of Coloproctology of Great Britain and Ireland (ACPGBI)...
March 2011: Techniques in Coloproctology
Fabio Gaj, Antonello Trecca, Michele Gabrio Antonelli
The authors illustrate the technical characteristics and the clinical results of a new anal retractor in proctology and pelviperineology This new device, designed and produced by the authors, enables the surgeon to operate in a traditional or isostatic modality. The small external diameter and the original morphology seem to guarantee a less invasive introduction into the anal canal with minimal mechanical damage to the anal sphincter. The main indications for its use are pelvic floor surgery and patients with a diagnosis of anal incontinence or with suspected sphincter damage...
May 2007: Chirurgia Italiana
A P Zbar, C Rambarat, R K Shenoy
BACKGROUND: There is no proven utility for preoperative scanning of intraperitoneal colonic cancer with computed tomography (CT). A prospective study was conducted where CT was preoperatively incorporated into the management algorithm to ascertain its role in patient treatment. METHODS: Thoraco-abdominal CT was performed in both the elective and emergency settings in an unselected group of 73 patients referred to a coloproctology unit established over the last 30 months at the Queen Elizabeth Hospital, Barbados...
June 2007: Techniques in Coloproctology
C Pehl, P Enck, A Franke, T Frieling, W Heitland, A Herold, H Hinninghofen, M Karaus, J Keller, H-J Krammer, M Kreis, R Kuhlbusch-Zicklam, H Mönnikes, U Münnich, T Schiedeck, M Schmidtmann, , , et al.
This document contains the guidelines of the German Societies of Neurogastroenterology and Motility, Gastroenterology (committee for proctology), Abdominal Surgery (coloproctology working group), and Coloproctology for anorectal manometry in adults. Recommendations are given about technical notes, study preparation (equipment; patient), technique for performing manometry and data analysis, reproducibility, and indications. Minimum standards for anorectal manometry are measurement of resting and squeeze pressure, testing of rectoanal inhibitory reflex, determination of rectal sensation (first perception and urge), and calculation of rectal compliance...
May 2007: Zeitschrift Für Gastroenterologie
Efraim Idelevich, Hanoch Kashtan, Eli Mavor, Baruch Brenner
Small bowel obstruction in an oncology patient is a common and serious medical problem which is associated with diagnostic as well as therapeutic dilemmas. While the condition is most commonly caused by postoperative adhesions and peritoneal carcinomatosis, other causes have been reported [Cormier WJ, Gaffey TA, Welch JM, et al. Linitis plastica caused by metastatic lobular carcinoma of the breast. Mayo Clinical Proceedings 1980;55:747-53; Clavien P-A, Laffer U, Torhos J, et al. Gastrointestinal metastases as first clinical manifestation of the dissemination of a breast cancer...
July 2006: Surgical Oncology
W Schwenk, O Haase, J Neudecker, J M Müller
BACKGROUND: Colorectal resections are common surgical procedures all over the world. Laparoscopic colorectal surgery is technically feasible in a considerable amount of patients under elective conditions. Several short-term benefits of the laparoscopic approach to colorectal resection (less pain, less morbidity, improved reconvalescence and better quality of life) have been proposed. OBJECTIVES: This review compares laparoscopic and conventional colorectal resection with regards to possible benefits of the laparoscopic method in the short-term postoperative period (up to 3 months post surgery)...
2005: Cochrane Database of Systematic Reviews
G I Vorob'ev, K N Salamov, Ia V Mints, D V Vyshegorodtsev
From 1972 to 1988 restorative operations were carried out at the Institute of Proctology on 252 patients after resection of the colon by Hartmann's technique. Analysis showed that restoration of natural intestinal passage after Hartmann's operation for resection of the colon is a complex and dangerous surgical intervention. When undertaking such intervention, the surgeon should take into account not only the patient's wish to be relieved from the colostomy, but also correct appraisal of the possibility of accomplishing the restorative operation from the standpoint of the patients' somatic condition, the technical conditions for restoration of intestinal continuity, and his own professional possibilities...
May 1991: Khirurgiia
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