Colorectal Disease最新文献

The application of sandwich theory in robot-assisted right hemicolectomy-A video vignette. 三明治理论在机器人辅助右半结肠切除术中的应用--视频短片。

IF 2.9 3区医学

Colorectal Disease Pub Date : 2024-11-20 DOI: 10.1111/codi.17250

Xin Zhang, Jiachen Zhang, Xijie Zhang, Yuzhou Zhao

引用次数: 0

A UK wide survey of general surgeons' experience of the primary repair of obstetric anal sphincter injuries. 英国普外科医生产科肛门括约肌损伤初级修复经验调查。

IF 2.9 3区医学

Colorectal Disease Pub Date : 2024-11-20 DOI: 10.1111/codi.17244

Nada Elsaid, Gregory P Thomas, Emma V Carrington, Ruwan J Fernando, Carolynne J Vaizey

{"title":"A UK wide survey of general surgeons' experience of the primary repair of obstetric anal sphincter injuries.","authors":"Nada Elsaid, Gregory P Thomas, Emma V Carrington, Ruwan J Fernando, Carolynne J Vaizey","doi":"10.1111/codi.17244","DOIUrl":"https://doi.org/10.1111/codi.17244","url":null,"abstract":"Aim: Obstetric anal sphincter injuries (OASIs) are associated with devastating consequences, mainly faecal incontinence. A timely and correct repair is necessary to reduce the risk of maternal morbidity. The aim was to explore the experience and practice of on-call general surgeons in the acute repair of OASIs.Method: A cross-sectional, observational questionnaire study was performed. Registrars and consultants participating in an emergency general surgical rota in the UK were included. A 33-item questionnaire was disseminated over a 9-month period from April 2023. A descriptive, thematic analysis of the data was undertaken.Results: In all, 310 responses were analysed. 42.3% of colorectal respondents (of which 29% were pelvic floor specialists), 24.3% of general surgeons, 16.7% of hepato-biliary surgeons and 13.7% of upper gastrointestinal surgeons were contacted to assist with an acute repair. Of those contacted, 52.3% typically assisted with a 3C or 4 tear, 54.2% received no training and 95.5% performed less than three acute repairs in the previous year. 57.6% of all respondents were not confident at all in the repair of these injuries, 55% highlighted a lack of experience and 36% mentioned a curricular gap.Conclusion: Surgeons may be called to assist with an acute OASI repair, particularly in cases of severe anatomical disruption. This occurs infrequently. There is a lack of consensus as to who is responsible for these injuries. Obstetricians have structured training in both the recognition and repair of these injuries. This paper serves to highlight the lack of training for surgeons who report doing this surgery despite lacking the required competences.","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Environmental impact of the enhanced recovery pathway in colorectal surgery: A simulation study. 结直肠手术中强化恢复路径对环境的影响：模拟研究。

IF 2.9 3区医学

Colorectal Disease Pub Date : 2024-11-20 DOI: 10.1111/codi.17247

Karem Slim, Julie Veziant, Audrey Enguix, Laurent Zieleskiewicz

{"title":"Environmental impact of the enhanced recovery pathway in colorectal surgery: A simulation study.","authors":"Karem Slim, Julie Veziant, Audrey Enguix, Laurent Zieleskiewicz","doi":"10.1111/codi.17247","DOIUrl":"https://doi.org/10.1111/codi.17247","url":null,"abstract":"Aim: Most of the literature on the environmental impact of surgery has analysed operating theatre practice in terms of its contribution to global warming (by greenhouse gas effects). The aim of this study was to assess the overall environmental impact of a complete perioperative pathway with and without implementation of an enhanced recovery programme (ERP).Method: We compared two scenarios: an ERP scenario and a conventional scenario (CONV) for colorectal surgery. We carried out a lifecycle analysis for perioperative procedures, devices and consumables. We measured the impact on 17 environmental variables in addition to global warming.Results: The overall environmental impact of ERP was 6% lower than that of conventional care. The reduction of impact due to ERP ranged from 5% for greenhouse gas emissions (18 kg CO2 equivalent less per intervention) to 27% for water consumption (3 m3 less). The stages that had the most impact on the environment were the preoperative stage (essentially owing to patient travel) and the intraoperative stage with the surgical part (medical devices representing 83.3% of the impact of the procedure) and the anaesthesia part (halogenated gases and ventilation representing 54.9% of the impact of anaesthesia care).Conclusion: This study found an ERP approach to be more eco-responsible than conventional care. This is an additional benefit of ERP implementation. The impact of ERP implementation might be further reduced by action on the preoperative and intraoperative stages.","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editor's Choice November 2024 编辑推荐 2024 年 11 月。

IF 2.9 3区医学

Colorectal Disease Pub Date : 2024-11-18 DOI: 10.1111/codi.17223

Dieter Hahnloser

引用次数: 0

The creation of an AI taskforce for colorectal surgery in the United Kingdom and Ireland 在英国和爱尔兰成立结直肠外科人工智能工作组。

IF 2.9 3区医学

Colorectal Disease Pub Date : 2024-11-18 DOI: 10.1111/codi.17235

James Kinross, Justin Davies

引用次数: 0

Distinct recurrence patterns according to disease manifestation in pilonidal sinus disease treated with cleft lift surgery at 5 years' follow-up in a large prospective Danish cohort. 在一个大型前瞻性丹麦队列中，对采用裂隙提升手术治疗的朝天鼻窦疾病进行 5 年随访，发现不同疾病表现的复发模式各不相同。

IF 2.9 3区医学

Colorectal Disease Pub Date : 2024-11-17 DOI: 10.1111/codi.17238

Natashja Pedersen, Ida Kaad Faurschou, Julie Lykke Ankersen, Marlene Julia Sørensen, Mikkel Lønborg Friis, Allan Gorm Pedersen, Dietrich Doll, Susanne Haas

{"title":"Distinct recurrence patterns according to disease manifestation in pilonidal sinus disease treated with cleft lift surgery at 5 years' follow-up in a large prospective Danish cohort.","authors":"Natashja Pedersen, Ida Kaad Faurschou, Julie Lykke Ankersen, Marlene Julia Sørensen, Mikkel Lønborg Friis, Allan Gorm Pedersen, Dietrich Doll, Susanne Haas","doi":"10.1111/codi.17238","DOIUrl":"https://doi.org/10.1111/codi.17238","url":null,"abstract":"Aim: Pilonidal sinus disease (PSD) is a common condition particularly affecting the young population. The disease is incompletely understood, and optimal treatment is still debated. However, off-midline closure techniques have become the standard of care in more advanced cases. The literature is, however, lacking disease stratification in evaluation of surgical results. The aim of this study was to evaluate the surgical outcomes in a prospective cohort following Bascom's cleft lift (BCL) in primary extensive disease, nonhealing wounds after previous surgery and recurrence on a large Danish cohort from a high-volume centre.Method: The study is based on a prospective database established at Randers Regional Hospital in 2016. All patients undergoing BCL surgery from June 2016 until June 2020 were included in this study.Results: Three hundred and ninety two patients (326 men/66 women) underwent BCL surgery over a 4-year period. Of these, 127 (32.4%) presented with primary extensive PSD, 136 (34.7%) with nonhealing wounds and 129 (33.9%) with recurrent PSD. Overall, 87% healed uneventfully within the first 3 months, and 17% had recurrence at a median follow-up of 60 months (45-73 months). However, the risk of recurrence was higher among patients with nonhealing wounds (20%) and recurrence (17%) compared with primary extensive manifestation (13%).Conclusion: Treatment of advanced PSD remains challenging with a high rate of wound complications and recurrences, stressing the need for dedicated care. Patients with either failed surgery or recurrence need particular attention.","PeriodicalId":10512,"journal":{"name":"Colorectal Disease","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Revisional ileoanal pouch surgery with in situ pouch augmentation for recurrent pouch inlet stricture. 针对复发性回肠袋入口狭窄，采用原位回肠袋增大术进行回肠袋再造手术。

IF 2.9 3区医学

Colorectal Disease Pub Date : 2024-11-17 DOI: 10.1111/codi.17241

Orsalia Mangana, Filomena Liccardo, Elisabetta Sepe, Valerio Celentano

引用次数: 0

Artificial intelligence real-time mapping with Eureka during robotic total mesorectal excision for rectal cancer: A video vignette. 在直肠癌机器人全直肠系膜切除术中使用 Eureka 进行人工智能实时绘图：视频短片。

IF 2.9 3区医学

Colorectal Disease Pub Date : 2024-11-17 DOI: 10.1111/codi.17240

Guglielmo Niccolò Piozzi, Rauand Duhoky, Ania Przedlacka, Diana Ronconi Di Giuseppe, Jim S Khan

引用次数: 0

Correction to 'Oncological outcome following Hartmann's procedure compared with anterior resection and abdominoperineal resection for rectal cancer-The type of procedure does not influence local recurrence or distant metastasis: A population-based study'. 哈特曼手术与前切除术和腹会阴切除术治疗直肠癌的肿瘤学结果比较--手术类型不影响局部复发或远处转移》的更正：基于人群的研究"。