Learning Transanal Total Mesorectal Excision.

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：: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：: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：: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：: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：: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：: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

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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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：: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