Miscellaneous Perianal Afflictions.

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

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：: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：: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：: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：: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：: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：: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：: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：: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：: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：:Professional medical societies serve several functions that may benefit society, the sponsoring medical profession, and individual members. Several professional societies are available for colorectal surgeons to join and participate in. Reasons to join include service, educational offerings, networking, and companions...

journal_title：Clinics in colon and rectal surgery

authors： Beck DE

更新日期：2011-06-01 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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：:Lymphoma involving the colon and rectum is rare and can occur either as primary colorectal lymphoma or as a manifestation of systemic disease. Most patients with primary colorectal lymphoma present with abdominal pain, and obstruction is unusual. Although lesions may be evident on radiographic studies, the findings ar...

journal_title：Clinics in colon and rectal surgery

authors： Quayle FJ,Lowney JK

更新日期：2006-05-01 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：: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：:Crohn's disease is a complex disease with a varying clinical and anatomical spectrum. One-third of patients with Crohn's will have disease confined to the colon. In this article, the authors review the surgical treatment options for colonic Crohn's disease including the current status of performing segmental colectomy...

journal_title：Clinics in colon and rectal surgery

authors： Heriot A,Smart P

更新日期：2019-07-01 00:00:00