Abdominal wall reconstruction in patients with digestive tract fistulas.

abstract：:A range of topics are covered in this issue dedicated to complex and reoperative colorectal surgery, from radiation-induced surgical problems, to enterocutaneous fistulas and locally advanced or recurrent rectal cancer. Common themes include the importance of operative planning and patient counseling on the expected f...

journal_title：Clinics in colon and rectal surgery

authors： Kin C

更新日期：2016-06-01 00:00:00

abstract：:Evidence-based medicine (EBM) is increasingly important for clinical surgery and for promotion of best practices into surgical decision making. Although barriers exist in the current surgical literature, for certain surgical scenarios, formal efforts to promote evidence-based surgery (EBS) into surgical education are ...

journal_title：Clinics in colon and rectal surgery

authors： Kwaan MR,Melton GB

更新日期：2012-09-01 00:00:00

abstract：:Since the early 1900s, skeletal muscle transpositions have been employed for complicated cases of fecal incontinence to augment or replace the anal sphincter. Multiple techniques have evolved that vary with the type and configuration of muscle used in the reconstruction. Transposition of the gluteus maximus muscle was...

journal_title：Clinics in colon and rectal surgery

authors： Cera SM,Wexner SD

更新日期：2005-02-01 00:00:00

abstract：:All colorectal operations carry significant associated risk. To facilitate the best outcomes it is essential to perform a comprehensive evaluation of patient risk preoperatively. Once risk factors are identified the appropriate steps must be taken to minimize their effects. The evaluation of the patient can be broken ...

journal_title：Clinics in colon and rectal surgery

authors： Parsons DP

更新日期：2009-02-01 00:00:00

abstract：:Lynch syndrome is the familial clustering of colorectal and endometrial cancers. This syndrome is passed in an autosomal dominant fashion within families with defective mismatch repair as the genetic basis for cancer development in these patients. There remains a group of patients who fit clinical diagnostic criteria ...

journal_title：Clinics in colon and rectal surgery

authors： Bansidhar BJ,Silinsky J

更新日期：2012-06-01 00:00:00

abstract：:The timing of elective surgery for the treatment of diverticular disease is constantly evolving. Historically, the indications for elective surgery were relatively consistent. It was recommended that patients undergo elective resection after two documented attacks of uncomplicated diverticulitis or after one attack of...

journal_title：Clinics in colon and rectal surgery

authors： Margolin DA

更新日期：2009-08-01 00:00:00

abstract：:Diverticular disease is common in the Western world and is a considerable source of morbidity. Many have proposed an association between diverticular disease, its complications, and obesity. We examine this question through a review of the available literature. While it is likely that an association between diverticul...

journal_title：Clinics in colon and rectal surgery

authors： Johnson EK,Champagne BJ

更新日期：2011-12-01 00:00:00

abstract：:Rectal bleeding is a common presentation to the colon and rectal surgeon's office. It is important to develop a systematic approach to its evaluation so as not to miss the presence of a malignancy. The possibility of more than one diagnosis contributing to the symptom should always be kept in mind. It may therefore be...

journal_title：Clinics in colon and rectal surgery

authors： Ferguson MA

更新日期：2005-11-01 00:00:00

abstract：:A multispecialty clinic practice is a common practice arrangement for colorectal surgeons. A practice of this type has a variety of features, both positive and negative. This article explores the location, practice patterns, lifestyles, compensation, and academic opportunities associated with a multispecialty clinic p...

journal_title：Clinics in colon and rectal surgery

authors： Beck DE,Margolin DA

更新日期：2006-08-01 00:00:00

abstract：:Colorectal surgery patients frequently suffer from postoperative complications. Patients with complications have been shown to be at higher risk for mortality, poor oncologic outcomes, additional complications, and worse quality of life. Complications are increasingly recognized as markers of quality of care with more...

journal_title：Clinics in colon and rectal surgery

authors： Tevis SE,Kennedy GD

更新日期：2016-09-01 00:00:00

abstract：:Crohn disease remains a challenging clinical entity, both medically and surgically. It frequently presents in early adulthood and imposes a lifetime exposure to chronic inflammation that can affect the entire gastrointestinal tract. Although the mainstay of therapy is treatment with immunomodulating drugs, ∼70 to 90% ...

journal_title：Clinics in colon and rectal surgery

authors： Aarons CB

更新日期：2013-06-01 00:00:00

abstract：:Surgery is a very complex, changing, and, sometimes, threatening environment. Emotional intelligence is a key skill for surgical leaders. Authoritarian, hierarchical, transactional, transformational, adaptive, situational, and servant-shepherd leadership can all be used in surgical leadership. Patient care must be the...

journal_title：Clinics in colon and rectal surgery

authors： Onaca N,Fleshman JW

更新日期：2020-07-01 00:00:00

abstract：:Colorectal cancer begins as a polyp that is a benign growth on the mucosal surface of the colon or rectum. Over a period of 5 to 15 years, polyps can degenerate into a cancer, thus invading the colonic wall. Colorectal screening methods are designed to diagnose and remove polyps before they acquire invasive potential ...

journal_title：Clinics in colon and rectal surgery

authors： Huck MB,Bohl JL

更新日期：2016-12-01 00:00:00

abstract：:The use of drains in colorectal surgery has been a subject of debate for several decades. Prophylactic drainage of the peritoneal cavity has become less popular in recent years. This change is due to several studies demonstrating that intraperitoneal drains do not adequately drain the peritoneal cavity and do not prev...

journal_title：Clinics in colon and rectal surgery

authors： Puleo FJ,Mishra N,Hall JF

更新日期：2013-09-01 00:00:00

abstract：:Colorectal cancer, which kills more than 50,000 patients every year in the United States and costs more than $6 billion in direct health costs, is a prime target for cancer prevention. Computed tomography colonography (CTC) has emerged as a minimally invasive, structural examination of the entire colon that can comple...

journal_title：Clinics in colon and rectal surgery

authors： Thomas J,Carenza J,McFarland E

更新日期：2008-08-01 00:00:00

abstract：:Ulcerative colitis is a chronic inflammatory disease of the colon with an increasing incidence worldwide. The medical management of this disease continues to expand as drugs to induce and maintain remission are sought to avoid the need for colectomy. This article will review the standard of care for the treatment of m...

journal_title：Clinics in colon and rectal surgery

authors： Mahadevan U

更新日期：2004-02-01 00:00:00

abstract：:Anal incontinence (AI) can be a debilitating condition for women following vaginal delivery. Operative vaginal delivery and anal sphincter laceration are important risk factors for the development of postpartum AI. Obtaining a comprehensive delivery history, along with a thorough physical examination of the perineum, ...

journal_title：Clinics in colon and rectal surgery

authors： Chin K

更新日期：2014-09-01 00:00:00

abstract：:When utilized properly, social media offers several personal and professional benefits for the practicing surgeon, including peer networking, education, e-mentorship, marketing, recruitment, and patient outreach. However, unprofessional online behavior is common among surgeons, and this improper use of social media ca...

journal_title：Clinics in colon and rectal surgery

authors： Langenfeld SJ,Batra R

更新日期：2017-09-01 00:00:00

abstract：:Paradoxical puborectalis contraction and increased perineal descent are two forms of functional constipation presenting as challenging diagnostic and treatment dilemmas to the clinician. In the evaluation of these disorders, the clinician should take special care to exclude anatomic disorders leading to constipation. ...

journal_title：Clinics in colon and rectal surgery

authors： Landmann RG,Wexner SD

更新日期：2008-05-01 00:00:00

abstract：:Colorectal cancer is common in the Western world; ~5% of individuals diagnosed with colorectal cancer have an identifiable inherited genetic predisposition to this malignancy. Genetic testing and rational clinical management recommendations currently exist for the management of individuals with a variety of colorectal...

journal_title：Clinics in colon and rectal surgery

authors： Gryfe R

更新日期：2009-11-01 00:00:00

abstract：:Despite the slower learning curve of laparoscopic colectomy and the lack of prospective randomized trials, laparoscopic procedures have repeatedly demonstrated a shortened length of stay, reduction in postoperative ileus, and earlier resumption of diet. However, laparoscopy in inflammatory bowel disease has unique cha...

journal_title：Clinics in colon and rectal surgery

authors： Marcello PW

更新日期：2006-02-01 00:00:00

abstract：:The applicability of laparoscopy to many complex intraabdominal colorectal procedures continues to expand, and has been shown to be feasible and safe in experienced hands. Data are available on the elderly, rectal prolapse, diverticulitis, Hartman's takedown, small bowel obstruction, Crohn's disease, and ulcerative co...

journal_title：Clinics in colon and rectal surgery

authors： Shin T,Rafferty JF

更新日期：2010-02-01 00:00:00

abstract：:In the interest of improving patient care quality and reducing costs, many hospitals across the nation participate in quality measurements. The three programs most applicable to colon and rectal surgery are the National Surgical Quality Improvement Project, the Surgical Care Improvement Project (SCIP), and the Surgica...

journal_title：Clinics in colon and rectal surgery

authors： Irani JL

更新日期：2014-03-01 00:00:00

abstract：:Electronic health records (EHRs) or electronic medical records (EMRs) contain a vast amount of clinical data that can be useful for multiple purposes including research. Disease registries are collections of data in predefined formats for population management, research, and other purposes. There are differences betwe...

journal_title：Clinics in colon and rectal surgery

authors： Carlson J,Laryea J

更新日期：2019-01-01 00:00:00

abstract：:Genitourinary structures are at risk of injury during colorectal surgery. The incidence of injury is low; however, the risk is higher in cases involving severe inflammatory or infectious processes, locally advanced or recurrent cancer, previous radiation, and reoperation. Consideration of the anatomical relationship b...

journal_title：Clinics in colon and rectal surgery

authors： Althumairi AA,Efron JE

更新日期：2016-06-01 00:00:00

abstract：:The proximity of the colon and rectum to the organs of the urologic system virtually ensures that iatrogenic urologic injuries become a distinct possibility during complex colorectal surgical procedures. An intimate knowledge of urogenital anatomy as well as strategies for identification and repair of potential injuri...

journal_title：Clinics in colon and rectal surgery

authors： Ferrara M,Kann BR

更新日期：2019-05-01 00:00:00

abstract：:Intussusception is defined as the invagination of one segment of the bowel into an immediately adjacent segment of the bowel. Idiopathic ileocolic intussusception is the most common form in children and is typically managed with nonoperative reduction via pneumatic and/or hydrostatic enemas. In the adult population, i...

journal_title：Clinics in colon and rectal surgery

authors： Marsicovetere P,Ivatury SJ,White B,Holubar SD

更新日期：2017-02-01 00:00:00

abstract：:Lower gastrointestinal bleeding (LGIB) is a common entity encountered by the surgeon. Though most LGIB stops on its own, familiarity with the diagnoses and their treatments is critical to optimal patient care. Even in 2016, surgery may be required. Advances in imaging have led to an enhanced ability to localize bleedi...

journal_title：Clinics in colon and rectal surgery

authors： Greco L,Zhang J,Ross H

更新日期：2020-01-01 00:00:00

abstract：:Crohn's disease represents a challenging operative dilemma. The nature of the disease increases the technical complexity of operations, their morbidity, and the likelihood of multiple operations. In this setting, the advantages of laparoscopic surgery, including shorter hospital stays, less adhesion formation, fewer w...

journal_title：Clinics in colon and rectal surgery

authors： Naidu MN,Trang AC,Salky BA

更新日期：2007-11-01 00:00:00

abstract：:Hemorrhoid disease is the most common reason patients seek evaluation by a colon and rectal surgeon. The majority of hemorrhoids can be managed nonoperatively with medical management or office-based procedures. The authors review the anatomy, pathophysiology, presentation, and management of hemorrhoids. ...

journal_title：Clinics in colon and rectal surgery

authors： Sanchez C,Chinn BT

更新日期：2011-03-01 00:00:00