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Coloproctology

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4 papers 0 to 25 followers
https://www.readbyqxmd.com/read/28389778/resection-enterostomy-versus-hartmann-s-procedure-for-emergency-colonic-resections
#1
M Grott, K Horisberger, C WeiƟ, P Kienle, J Hardt
BACKGROUND: If a primary anastomosis is considered too risky after emergency colon resection either a resection enterostomy or an end stoma with closure of the distal bowel (Hartmann's procedure) is possible. This study analyzes the rate of restoration of intestinal continuity and other surgical outcomes after resection enterostomy placement versus Hartmann's procedure for emergency colon resections. METHODS: All patients who underwent emergency colorectal resections between August 2009 and June 2014 at the University Medical Center Mannheim were reviewed in regard to therapeutic approach, rate of restoration of bowel continuity, and surgical morbidity after the primary operation and after reversal surgery...
April 7, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28473039/approach-to-the-patient-with-hematochezia
#2
REVIEW
Thomas G Cotter, Niamh S Buckley, Conor G Loftus
The evaluation of the patient with hematochezia can be complex because of the broad differential diagnosis and the number of management strategies available. In this article, a simplified approach to the history and physical examination is presented, with management illustrated in a case-oriented manner.
May 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/27437393/comparison-of-a-hemorrhoidectomy-with-ultrasonic-scalpel-versus-a-conventional-hemorrhoidectomy
#3
Dae Ro Lim, Dae Hyun Cho, Joo Hyun Lee, Jae Hwan Moon
PURPOSE: A variety of instruments, including circular staplers, ultrasonic scalpels, lasers, and bipolar electrothermal devices, are currently used when performing a hemorrhoidectomy. This study compared outcomes between hemorrhoidectomies performed with an ultrasonic scalpel and conventional methods. METHODS: The study was a randomized prospective review of data available between May 2013 and December 2013, involving 50 patients who had undergone a hemorrhoidectomy for grade III or IV internal hemorrhoids...
June 2016: Annals of Coloproctology
https://www.readbyqxmd.com/read/27218098/safety-and-efficacy-of-permacol-injection-in-the-treatment-of-fecal-incontinence
#4
Yahya A Al-Abed, Jennifer Ayers, Abraham Ayantunde, Bandipalyam V Praveen
PURPOSE: Permacol has been gaining popularity in recent times for the treatment of fecal incontinence (FI). This study aims to evaluate the safety and efficacy of anal submucosal Permacol injection in the treatment of FI. METHODS: All consecutive patients who underwent Permacol injection for FI over a 3-year period were included. Patients' data relating to obstetric history, anorectal/pelvic operations, type of FI, preoperative anorectal physiology results and follow-up details for outcome measures were collected...
April 2016: Annals of Coloproctology
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