Locally Advanced Disease and Pelvic Exenterations.

abstract：:Abdominal wall reconstruction in the digestive tract fistula patient is a complex issue. The authors review the available data and present information regarding the timing of surgery, techniques of abdominal wall reconstruction, hernia repair, and discuss pitfalls associated with the various options. A simple and basi...

journal_title：Clinics in colon and rectal surgery

authors： Johnson EK,Tushoski PL

更新日期：2010-09-01 00:00:00

abstract：:Parasitic infections are a major worldwide health problem, and they account for millions of infections and deaths each year. Most of the infections as well as the morbidity and mortality from these diseases occur in the developing world in rural regions. However, these diseases have become more common in Western count...

journal_title：Clinics in colon and rectal surgery

authors： Goldberg JE

更新日期：2007-02-01 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：:The incidence of Crohn's disease in the pediatric population is increasing. While pediatric patients with Crohn's disease exhibit many of the characteristics of older patients, there are important differences in the clinical presentation and course of disease that can impact the clinical decisions made during treatmen...

journal_title：Clinics in colon and rectal surgery

authors： von Allmen D

更新日期：2018-03-01 00:00:00

abstract：:Fluid management is an essential component of the Enhanced Recovery after Surgery (ERAS) pathway. Optimal management begins in the preoperative period and continues through the intraoperative and postoperative phases. In this review, we outline current evidence-based practices for fluid management through each phase o...

journal_title：Clinics in colon and rectal surgery

authors： Zhu AC,Agarwala A,Bao X

更新日期：2019-03-01 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：: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：:Bladder dysfunction following colorectal surgery may be related to extirpative procedures in the region of the pelvic autonomic plexus. The most common etiology is from autonomic disruption during abdominoperineal or low anterior resections. Contemporary technical modifications have allowed surgeons to achieve oncolog...

journal_title：Clinics in colon and rectal surgery

authors： Delacroix SE Jr,Winters JC

更新日期：2010-06-01 00:00:00

abstract：:Our understanding of the genetics of colorectal cancer has changed dramatically over recent years. Colorectal cancer can be classified in multiple different ways. Along with the advent of whole-exome sequencing, we have gained an understanding of the scale of the genetic changes found in sporadic colorectal cancer. We...

journal_title：Clinics in colon and rectal surgery

authors： Hardiman KM

更新日期：2018-05-01 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：:Transanal total mesorectal excision (taTME) is a novel technique that has evolved over the years to address the challenges of low rectal cancer surgery by applying the principles and benefits of laparoscopic surgery to more historic transanal techniques. It has been popularized through its use in rectal cancer, but th...

journal_title：Clinics in colon and rectal surgery

authors： Soares AS,Chand M

更新日期：2020-05-01 00:00:00

abstract：:In the United States, the prevalence of adenomatous polyps found during colonoscopic evaluation ranges from 25 to 41%, and of these, 2 to 5% contain invasive malignancy. The management of the malignant polyp continues to be challenging. Endoscopic resection by polypectomy has been shown to be sufficient for management...

journal_title：Clinics in colon and rectal surgery

authors： Ramirez M,Schierling S,Papaconstantinou HT,Thomas JS

更新日期：2008-11-01 00:00:00

abstract：:Perineal wound complications following abdominoperineal resection (APR) is a common occurrence. Risk factors such as operative technique, preoperative radiation therapy, and indication for surgery (i.e., rectal cancer, anal cancer, or inflammatory bowel disease [IBD]) are strong predictors of these complications. Pati...

journal_title：Clinics in colon and rectal surgery

authors： Wiatrek RL,Thomas JS,Papaconstantinou HT

更新日期：2008-02-01 00:00:00

abstract：:As a result of the obvious benefits of laparoscopic cholecystectomy, minimally invasive techniques have been applied to more complex gastrointestinal procedures, including colorectal resections. The goal in adapting laparoscopic techniques for colorectal surgery is to offer an operation that results in less pain, shor...

journal_title：Clinics in colon and rectal surgery

authors： Bonnor RM,Ludwig KA

更新日期：2005-08-01 00:00:00

abstract：:This article provides an overview of the pathophysiology, causes, investigations, and management of high-output enterostomy and enterocutaneous fistula. High-output stoma and enterocutaneous fistula can result in intestinal failure and this is often fatal if not managed properly. The management involves reducing fluid...

journal_title：Clinics in colon and rectal surgery

authors： Adaba F,Vaizey CJ,Warusavitarne J

更新日期：2017-07-01 00:00:00

abstract：:Locally advanced colorectal cancer is a challenge for surgeons and medical oncologist; 10 to 20% colorectal cancer debut as locally advanced disease, with tumors extending through the colon wall with perforation and/or invasion of adjacent organs or structures. Those locally advanced tumors have a worse prognostic at ...

journal_title：Clinics in colon and rectal surgery

authors： Cortes-Guiral D,Glehen O

更新日期：2020-09-01 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：:Pruritus ani is a common condition with many different potential causes. Because of this, it can be difficult to treat. It is important to identify and eliminate any inciting factors, which are often unintentional consequences of the patient's attempts to alleviate symptoms. If no reversible cause is found, simple mea...

journal_title：Clinics in colon and rectal surgery

authors： Ansari P

更新日期：2016-03-01 00:00:00

abstract：:Large bowel obstruction is a common problem with many different causes, the most common being colorectal adenocarcinoma, extracolonic adenocarcinoma, diverticular disease, volvulus, and inflammatory bowel disease. The nature of the obstruction can influence the best management. Historically, treatment of obstruction c...

journal_title：Clinics in colon and rectal surgery

authors： Sawai RS

更新日期：2012-12-01 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：: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：:Clostridium (reclassified as " Clostridioides ") difficile colitis is a common nosocomial infection associated with increased morbidity and mortality. Like many clinical encounters, a focused history and physical examination will help to guide initial management. Further laboratory testing will assist with diagnosis t...

journal_title：Clinics in colon and rectal surgery

authors： Baker SJ,Chu DI

更新日期：2020-03-01 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：: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：:Radiologic assessment plays a vital role in the management of diverticulitis. It not only helps in the diagnosis, but also helps to guide the management. As technology has progressed, different modalities have offered insight into the treatment of this disease process. Through various trials and studies, certain modal...

journal_title：Clinics in colon and rectal surgery

authors： Kandagatla PG,Stefanou AJ

更新日期：2018-07-01 00:00:00

abstract：:Transanal minimally invasive surgery (TAMIS) was first described in 2010 as a crossover between single-incision laparoscopic surgery and transanal endoscopic microsurgery (TEM) to allow access to the proximal and mid-rectum for resection of benign and early-stage malignant rectal lesions. The TAMIS technique can also ...

journal_title：Clinics in colon and rectal surgery

authors： deBeche-Adams T,Nassif G

更新日期：2015-09-01 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：:Squamous cell carcinoma of the anus (SCCA) is a rare tumor. However, its incidence has been increasing in men and women over the past 25 years worldwide. Risk factors associated with this cancer are those behaviors that predispose individuals to human papillomavirus (HPV) infection and immunosuppression. Anal cancer i...

journal_title：Clinics in colon and rectal surgery

authors： Poggio JL

更新日期：2011-09-01 00:00:00