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https://www.readbyqxmd.com/read/27891285/complex-perineal-trauma-with-anorectal-avulsion
#1
Adelina Maria Cruceru, Ionut Negoi, Sorin Paun, Sorin Hostiuc, Ruxandra Irina Negoi, Mircea Beuran
Introduction. The objective of this case report is to illustrate a severe perineal impalement injury, associated with anorectal avulsion and hemorrhagic shock. Results. A 32-year-old male patient was referred to our hospital for an impalement perineal trauma, associated with complex pelvic fracture and massive perineal soft tissue destruction and anorectal avulsion. On arrival, the systolic blood pressure was 85 mm Hg and the hemoglobin was 7.1 g/dL. The patient was transported to the operating room, and perineal lavage, hemostasis, and repacking were performed...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27878132/ruptured-cystic-mesothelioma-diagnosed-after-blunt-trauma-case-report-and-literature-review
#2
Francisco Igor B Macedo, Alice J Race, Laszlo M Hoesel
The majority of blunt trauma is secondary to motor vehicle crashes,especially in those wearing seatbelts or sitting in the front or passenger seat location.Hollow viscus gastrointestinal injuries occur more frequently in small bowel, followed by colorectal, duodenum, stomach and appendix. A 25-year-old male presents after being involved in a motor vehicle accident. Initialworkup was significant for moderate amount of pelvic free fluid and curvilinear,cysticlike structures in the pelvis. He subsequently developed peritonitis and underwentdiagnostic laparoscopy, which revealed multiple cystic nodules arising from theperitoneum...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27875034/risk-factors-of-post-traumatic-stress-symptoms-in-patients-with-cancer
#3
Yu-Hua Lin, Chia-Chan Kao, Shu-Fen Wu, Shu-Ling Hung, Hsing-Yu Yang, Hong-Yu Tung
AIM AND OBJECTIVES: To determine the level of PTSS and to identify demographics, disease history, and clinical symptoms that were associated with PTSS among gynecological, breast, or colorectal cancer patients in Taiwan. BACKGROUND: Literature indicated that 7.3 % to 35.2% of patients with cancer had experienced level of post-traumatic stress symptoms (PTSS). However, the PTSS among patients with cancer in Taiwan was not documented. DESIGN: A cross-sectional study...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27849491/quality-of-life-in-united-states-veterans-with-combat-related-ostomies-from-iraq-and-afghanistan
#4
Michael S Clemens, Thomas A Heafner, J Devin B Watson, James K Aden, Todd E Rasmussen, Sean C Glasgow
OBJECTIVE: Assess the impact of ostomy formation on quality of life for U.S. Service Members. METHODS: U.S. personnel sustaining colorectal trauma from 2003 to 2011 were identified using the Department of Defense Trauma Registry. A cross-sectional observational study was conducted utilizing prospective interviews with standard survey instruments. Primary outcome measures were the Stoma Quality of Life Scale and Veterans RAND 36 scores and subjective responses. Patients with colorectal trauma not requiring ostomy served as controls...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27783025/early-discharge-after-colorectal-resection-the-positive-impact-of-an-enhanced-recovery-program-on-a-rural-colorectal-surgery-service
#5
Giovanni D Tebala, Sean Keane, Abdelsalam Osman, Mina Ip, Abdul Q Khan, Luciano Perrone
BACKGROUND: Enhanced recovery (ER) programs are policies and protocols meant to improve postoperative recovery after surgery. As a consequence of a smoother recovery, patients can be discharged early. This paper describes the impact of an ER program in colorectal surgery in a rural hospital. MATERIALS AND METHODS: In total, 132 patients had colorectal resection within the ER program. Data were collected prospectively. The ER pathway affects perioperative management in the following ways in order to: (1) improve patient's general condition before surgery, (2) minimize intraoperative surgical trauma by using a laparoscopic approach in all cases, and (3) facilitation of a quicker postoperative return of physiological function...
December 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27680184/cellular-and-humoral-inflammatory-response-after-laparoscopic-and-conventional-colorectal-surgery-preliminary-report
#6
Rita Laforgia, Giovanna D'Elia, Serafina Lattarulo, Anna Mestice, Annalisa Volpi
: Our aim is to compare the immune response after colorectal surgery performed laparoscopically and via traditional technique. This response seems to be proportional to the level of the surgical trauma and presumably is directed to improve host defence. This is a prospective reported study based on patients' randomisation. Fourteen patients with colorectal diseases undergoing laparoscopic or open surgery were enrolled. After both laparoscopic and open colorectal surgery, we observed a significant increase of circulating C-Reactive Protein (CRP) levels...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27666540/management-of-gastrointestinal-perforation-from-blunt-and-penetrating-abdominal-trauma-in-children-analysis-of-96-patients
#7
Serkan Arslan, Mehmet Hanifi Okur, Mehmet Serif Arslan, Bahattin Aydogdu, Hikmet Zeytun, Erol Basuguy, Mustafa Icer, Cemil Goya
AIM: The objective of the present study was to evaluate the diagnostic methods, concomitant organ injuries, factors affecting mortality and morbidity, treatment methods, and outcomes of patients treated for traumatic gastrointestinal (GI) perforation. MATERIALS AND METHODS: We conducted a retrospective review of the medical records of 96 patients who had been treated for GI perforation between January 2000 and October 2015. Data were collected and organised according to the following categories: general patient information, age, gender, hospitalisation period, trauma mechanisms, concomitant injuries, radiological assessment, diagnosis and treatment methods, treatment forms, and complications...
November 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27506692/epidemiology-of-genitourinary-injuries-among-male-u-s-service-members-deployed-to-iraq-and-afghanistan-early-findings-from-the-trauma-outcomes-and-urogenital-health-tough-project
#8
Judson C Janak, Jean A Orman, Douglas W Soderdahl, Steven J Hudak
PURPOSE: In this study we report the number, nature and severity of genitourinary injuries among male U.S. service members deployed to Operations Iraqi Freedom and Enduring Freedom. MATERIALS AND METHODS: This retrospective cross-sectional study of the Department of Defense Trauma Registry used ICD-9-CM codes to identify service members with genitourinary injuries, and used Abbreviated Injury Scale codes to determine injury severity, genitourinary organs injured and comorbid injuries...
August 6, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27493947/minimally-invasive-surgery-for-the-treatment-of-colorectal-cancer
#9
REVIEW
W Konrad Karcz, William von Braun
BACKGROUND: Reduction in operative trauma along with an improvement in endoscopic access has undoubtedly occupied surgical minds for at least the past 3 decades. It is not at all surprising that minimally invasive colon surgery has come a long way since the first laparoscopic appendectomy by Semm in 1981. It is common knowledge that the recent developments in video and robotic technologies have significantly furthered advancements in laparoscopic and minimally invasive surgery. This has led to the overall acceptance of the treatment of benign colorectal pathology via the endoscopic route...
June 2016: Visceral Medicine
https://www.readbyqxmd.com/read/27426668/zoosexuality-an-unusual-cause-of-colorectal-injury
#10
Edoardo Virgilio, Ester Franzese, Salvatore Caterino
Zoosexuality (the sexual intercourse between humans and animals) represents an extremely rare but potentially fatal cause of colorectal trauma and sepsis. A case of penetrating rectal injury associated with a rapidly progressive sepsis following sexual intercourse with a Maremma Sheepdog is presented.
June 2, 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27392390/effect-of-age-patient-s-sex-and-type-of-trauma-on-the-correlation-between-size-of-sphincter-defect-and-anal-pressures-in-posttraumatic-fecal-incontinence
#11
Sameh Hany Emile, Mohamed Youssef, Hossam Elfeki, Waleed Thabet, Hesham Elgendy, Waleed Omar, Wael Khafagy, Mohamed Farid
BACKGROUND: The physiologic assessment of anal sphincters in cases of posttraumatic fecal incontinence is a fundamental step in planning operative treatment. In this study, we evaluate the correlation between size of anal sphincter defect, anal pressures, and clinical symptoms in patients with posttraumatic fecal incontinence. We also investigate the impact of patients' age, sex, and type of trauma on this correlation. METHODS: Records of 70 patients fitting the study's eligibility criteria were collected retrospectively from the archives of Mansoura University Hospitals' colorectal surgery unit...
July 5, 2016: Surgery
https://www.readbyqxmd.com/read/27353095/-advances-of-minimally-invasive-technique-in-colorectal-cancer-surgery
#12
Xishan Wang
Colorectal surgery is rapidly developing in the direction of minimally invasive surgery and functional surgery. New technology and ideas are constantly emerging recently. Laparoscopic colon surgery has already been recommended by NCCN guideline. However, laparoscopic rectal cancer surgery still needs to wait for survival and recurrence rates of long-term follow-up data for verification. In recent years, with the rapid progression of imaging equipment of laparoscope, the new 3D laparoscopic system will process image more quickly, and surgeons can get space depth feeling like open surgery only with a pair of glasses...
June 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27351717/topical-injury-evaluation-of-the-murine-colorectal-mucosa-using-confocal-endomicrosopy-a-valuable-method-for-assessing-mucosal-injuries-associated-with-risk-of-pathogen-transmission
#13
Gracie Vargas, Kathleen Listiak Vincent, Jingna Wei, Nigel Bourne, Massoud Motamedi
BACKGROUND: Concern regarding the effect of epithelial damage to the colorectal surface and possible impact on sexually transmitted infection transmission prompts the need for methods to evaluate the mucosal microscopic surface in preclinical studies examining such injury. This includes determining the effect of topical HIV prevention products on mucosal barrier integrity. In vivo imaging with high-resolution endomicroscopy could reveal defects in the mucosal barrier resulting from injury/surface trauma...
November 2016: Journal of Microscopy
https://www.readbyqxmd.com/read/27338579/risks-of-subsequent-abdominal-operations-after-laparoscopic-ventral-hernia-repair
#14
Puraj P Patel, Michael W Love, Joseph A Ewing, Jeremy A Warren, William S Cobb, Alfredo M Carbonell
INTRODUCTION: Laparoscopic ventral hernia repair (LVHR) with intraperitoneal mesh placement is well established; however, the fate of patients requiring future abdominal operations is not well understood. This study identifies the characteristics of LVHR patients undergoing reoperation and the sequelae of reoperation. METHODS: A retrospective review of a prospectively maintained database at a hernia referral center identified patients who underwent LVHR between 2005 and 2014 and then underwent a subsequent abdominal operation...
June 23, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27279397/use-of-a-multi-instrument-access-device-in-abdominoperineal-resections
#15
Yoen Tk van der Linden, Doeke Boersma, Koop Bosscha, Daniel J Lips, Hubert A Prins
BACKGROUND: Laparoscopic colorectal surgery results in less post-operative pain, faster recovery, shorter length of stay and reduced morbidity compared with open procedures. Less or minimally invasive techniques have been developed to further minimise surgical trauma and to decrease the size and number of incisions. This study describes the safety and feasibility of using an umbilical multi-instrument access (MIA) port (Olympus TriPort+) device with the placement of just one 12-mm suprapubic trocar in laparoscopic (double-port) abdominoperineal resections (APRs) in rectal cancer patients...
July 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27251831/use-of-a-multi-instrument-access-device-in-abdominoperineal-resections
#16
Yoen Tk van der Linden, Doeke Boersma, Koop Bosscha, Daniel J Lips, Hubert A Prins
BACKGROUND: Laparoscopic colorectal surgery results in less post-operative pain, faster recovery, shorter length of stay and reduced morbidity compared with open procedures. Less or minimally invasive techniques have been developed to further minimise surgical trauma and to decrease the size and number of incisions. This study describes the safety and feasibility of using an umbilical multi-instrument access (MIA) port (Olympus TriPort+) device with the placement of just one 12-mm suprapubic trocar in laparoscopic (double-port) abdominoperineal resections (APRs) in rectal cancer patients...
April 28, 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27232639/penetrating-colorectal-injuries-diagnostic-performance-of-multidetector-ct-with-trajectography
#17
David Dreizin, Alexis R Boscak, Michael J Anstadt, Nikki Tirada, William C Chiu, Felipe Munera, Uttam K Bodanapally, Michael Hornick, Deborah M Stein
Purpose To determine the diagnostic performance of multidetector computed tomography (CT) with trajectography for penetrating colorectal injuries. Materials and Methods This institutional review board-approved and HIPAA-compliant study was a 6-year blinded retrospective review by two independent readers of 182 consecutive patients who preoperatively underwent 40- or 64-row multidetector CT for penetrating torso trauma below the diaphragm and had surgically confirmed findings. Colorectal perforation was present in 42 patients...
December 2016: Radiology
https://www.readbyqxmd.com/read/27215513/-robotic-surgery-for-colorectal-cancer-in-elderly-patients
#18
Pingping Xu, Ye Wei, Jianmin Xu
The outstanding advantages of robotic surgery include the stable and three-dimension image and the convenience of surgery manipulation. The disadvantages include the lack of factile feedback, high cost and prolonged surgery time. It was reported that robotic surgery was associated with less trauma stress and faster recovery in elderly patients(≥75 years old) when compared with open surgery. Elderly people have a higher incidence of carcinogenesis and also have more comorbidities and reduced functional reserve...
May 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27193985/high-velocity-missile-related-colorectal-injuries-in-theatre-application-of-injury-scores-and-their-effects-on-ostomy-rates
#19
Şahin Kaymak, Aytekin Ünlü, Ali Harlak, Nail Ersöz, Rahman Şenocak, Ali Kağan Coşkun, Nazif Zeybek, Emin Lapsekili, Orhan Kozak
BACKGROUND: Treatment of colorectal injuries (CRIs) remains a significant cause of morbidity and mortality. The aim of the present study was to analyze treatment trends of Turkish surgeons and effects of the American Association for the Surgery of Trauma (AAST), Injury Severity (ISS), and Penetrating Abdominal Trauma Index (PATI) scoring systems on decision-making processes and clinical outcomes. METHODS: Data regarding high velocity missile (HVM)-related CRIs were retrospectively gathered...
March 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27158537/minimally-invasive-surgery-for-inflammatory-bowel-disease-review-of-current-developments-and-future-perspectives
#20
REVIEW
Philipp-Alexander Neumann, Emile Rijcken
Patients with inflammatory bowel disease (IBD) comprise a population of patients that have a high likelihood of both surgical treatment at a young age and repetitive operative interventions. Therefore surgical procedures need to aim at minimizing operative trauma with best postoperative recovery. Minimally invasive techniques have been one of the major advancements in surgery in the last decades and are nowadays almost routinely performed in colorectal resections irrespective of underlying disease. However due to special disease related characteristics such as bowel stenosis, interenteric fistula, abscesses, malnutrition, repetitive surgeries, or immunosuppressive medications, patients with IBD represent a special cohort with specific needs for surgery...
May 6, 2016: World Journal of Gastrointestinal Pharmacology and Therapeutics
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