Urological Injuries during Colorectal Surgery.

abstract：:The morbidity and mortality associated with surgical hemorrhage are considerable, particularly when relaparotomy is necessary. This complication can usually be avoided with comprehensive preoperative patient evaluation and meticulous surgical technique. The damage control sequence is a useful surgical strategy when se...

journal_title：Clinics in colon and rectal surgery

authors： Hammond KL,Margolin DA

更新日期：2006-11-01 00:00:00

abstract：:The world of medicine is in a state of flux with major and substantive changes in its educational model. Students, residents, and junior attendings can no longer rely entirely on experiential development through clinical immersion. Instead, to attain similar levels of knowledge, technique, and situational comfort, the...

journal_title：Clinics in colon and rectal surgery

authors： Platz J,Hyman N

更新日期：2013-12-01 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：: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：: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：: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：: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：: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：:Advanced primary and recurrent colorectal cancer can be successfully treated by experienced, dedicated centers delivering good outcomes with low mortality and morbidity. Development and implementation of a comprehensive referral pathway is to be encouraged. Multidisciplinary team management is essential in the managem...

journal_title：Clinics in colon and rectal surgery

authors： Kontovounisios C,Tekkis P

更新日期：2017-11-01 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：: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：: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：:The introduction of total mesorectal excision (TME) for rectal cancer has reduced local recurrence rates and improved oncologic outcomes, although complication rates such as anastomotic leak have also been a consequence. With the advent of neoadjuvant therapy for rectal cancer, many are questioning how this developmen...

journal_title：Clinics in colon and rectal surgery

authors： Stewart DB,Dietz DW

更新日期：2007-08-01 00:00:00

abstract：:The use of laparoscopy has become widespread across many surgical specialties. Its utility as treatment for colon cancer was initially met with hesitancy due to concern for port site and wound recurrences; however, this was later disproven by large retrospective series. Subsequently, there have been multiple, large, p...

journal_title：Clinics in colon and rectal surgery

authors： Franklin BR,McNally MP

更新日期：2017-04-01 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：: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：: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：:Advances in the surgical management of rectal cancer have placed the quality of total mesorectal excision (TME) as the major predictor in overall survival. A standardized TME technique along with quality increases the percentage of patients undergoing a complete TME. Quality measurements of TME will place increasing d...

journal_title：Clinics in colon and rectal surgery

authors： Lichliter WE

更新日期：2015-03-01 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：:Diverticular disease affects approximately two thirds of the population over the age of 70. While only a small fraction of these patients will develop diverticulitis, adequate radiological evaluation of diverticulitis and its complications is imperative in determining proper medical and surgical treatment. Clinical ex...

journal_title：Clinics in colon and rectal surgery

authors： Snyder MJ

更新日期：2004-08-01 00:00:00

abstract：:Peritoneal surface disease (PSD) has historically been used interchangeably with the term peritoneal carcinomatosis (PC) and has a dismal natural history. A variety of malignant pathologies, including colorectal and appendiceal primary tumors, can disseminate throughout the peritoneal cavity, leading to bowel obstruct...

journal_title：Clinics in colon and rectal surgery

authors： Kuncewitch M,Levine EA,Shen P,Votanopoulos KI

更新日期：2018-09-01 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：: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：:The evolution over the past 20 years of anal preservation in rectal cancer surgery has been truly remarkable. Intersphincteric resection (ISR) reported by Schiessel in 1994 in Australia has been shown to enable anal preservation even for cancers quite close to the anus. In Japan, ISR via the detachment of the anal can...

journal_title：Clinics in colon and rectal surgery

authors： Ito M

更新日期：2020-11-01 00:00:00

abstract：:Functional anorectal disorders include solitary rectal ulcer syndrome, rectocele, nonrelaxing puborectalis syndrome, and descending perineal syndrome. Patients usually present with "constipation," but the clinical picture of these disorders includes rectal pain and bleeding, digitalization, incomplete evacuation, and ...

journal_title：Clinics in colon and rectal surgery

authors： Times ML,Reickert CA

更新日期：2005-05-01 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：: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：: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：:A dynamic evolution is occurring in transanal surgery. Transanal techniques began with intraluminal surgical removal of rectal masses and have progressed to transanal total mesorectal excision (taTME) for rectal cancer. TaTME was first performed in 2009 by Sylla, Rattner, Delgado, and Lacy. This article documents the ...

journal_title：Clinics in colon and rectal surgery

authors： McLemore EC,Lavi P,Attaluri V

更新日期：2020-05-01 00:00:00