Seminars in Colon and Rectal Surgery最新文献

Postoperative venous thromboembolism after colon and rectal surgery 结肠和直肠手术后静脉血栓栓塞

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Seminars in Colon and Rectal Surgery Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.scrs.2025.101163

Hannah K. Holland MD , Timothy J. Ridolfi MD, MS

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Nonhealing perineal wounds: Current strategies and emerging therapies 会阴不愈合伤口：当前的策略和新出现的治疗方法

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Seminars in Colon and Rectal Surgery Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.scrs.2025.101161

Laura M. Nicolais MD , Gerald Gantt MD

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Perineal Hernias: Diagnosis and surgical management 会阴疝：诊断和外科治疗

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Seminars in Colon and Rectal Surgery Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.scrs.2025.101162

Ahad Azimuddin , Saieesh A. Rao , Mohammad Ali Abbass

{"title":"Perineal Hernias: Diagnosis and surgical management","authors":"Ahad Azimuddin , Saieesh A. Rao , Mohammad Ali Abbass","doi":"10.1016/j.scrs.2025.101162","DOIUrl":"10.1016/j.scrs.2025.101162","url":null,"abstract":"<div><div>Perineal hernias are an uncommon but clinically significant condition faced by the colorectal surgeon, commonly as a complication following abdominoperineal resection or pelvic exenteration. Clinical presentation varies based on hernia size and contents, often involving gastrointestinal or urinary symptoms. Diagnosis primarily relies on clinical examination and cross-sectional imaging, with computed tomography as the preferred modality in acute settings. Although rare, perineal hernias can result in serious complications, including enterocutaneous fistulas, bowel obstruction, and herniation of pelvic organs. Management requires an individualized surgical approach based on defect size, hernia contents, and patient factors. Abdominal approaches, particularly open approaches, tend to offer lower recurrence rates compared to perineal repairs but are associated with longer recovery times. Mesh reinforcement is generally preferred for large defects, while flap reconstruction remains crucial for radiated or complex surgical fields. Despite advances in technique, recurrence remains a challenge, particularly following primary suture repairs. Reconstructions with synthetic mesh via abdominal or perineal approaches, with or without flaps, may provide the best outcomes.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"37 1","pages":"Article 101162"},"PeriodicalIF":0.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147408063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Postoperative adrenal insufficiency and perioperative steroid management 术后肾上腺功能不全及围手术期类固醇治疗

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Seminars in Colon and Rectal Surgery Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.scrs.2025.101159

Lucille Y. Yao, Lisa M. Cannon

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Postoperative ileus 术后肠梗阻

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Seminars in Colon and Rectal Surgery Pub Date : 2026-03-01 Epub Date: 2025-12-17 DOI: 10.1016/j.scrs.2025.101160

Carine Dornbush MD , Jennifer Hrabe MD FACS FACRS

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Colorectal Billing, Coding, and Reimbursement: Understanding the Basics and Navigating Complexity 结直肠癌计费、编码和报销：理解基础知识和导航复杂性

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Seminars in Colon and Rectal Surgery Pub Date : 2025-12-01 Epub Date: 2025-09-17 DOI: 10.1016/j.scrs.2025.101133

Kelly M. Tyler M.D. (Guest Editor)

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Coding and reimbursement for unlisted anorectal and abdominal surgical procedures seminars in colon and rectal surgery 结肠和直肠手术中未列明的肛肠和腹部手术程序的编码和报销

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Seminars in Colon and Rectal Surgery Pub Date : 2025-12-01 Epub Date: 2025-09-15 DOI: 10.1016/j.scrs.2025.101137

Lynn M. O’Connor , Joshua A. Waters

{"title":"Coding and reimbursement for unlisted anorectal and abdominal surgical procedures seminars in colon and rectal surgery","authors":"Lynn M. O’Connor , Joshua A. Waters","doi":"10.1016/j.scrs.2025.101137","DOIUrl":"10.1016/j.scrs.2025.101137","url":null,"abstract":"<div><div>The use of unlisted procedural codes in surgical billing poses risks of under-reimbursement or denial, especially in innovative fields like minimally invasive surgery. These codes are required when procedures lack specific CPT codes, often for new, experimental, or discontinued services. Proper documentation and preparation are crucial to secure reimbursement and reduce risks.</div><div>Unlisted codes should be compared to reference CPT codes to aid pricing and justification. Detailed documentation must include a description of the procedure, its complexity, necessity, and outcomes. This supports claims and ensures payer collaboration.</div><div>Reimbursement and RVU negotiations benefit from transparency regarding costs, resource demands, and historical data. Highlighting advanced technologies, specialized teams, or prolonged hospital stays can justify higher rates. For RVU-based models like Medicare, comparing complexity and resource use to reference codes is essential.</div><div>Preauthorization, appeals, and adherence to payer guidelines remain critical for success, ensuring fair compensation while reflecting the procedure’s true effort and value.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 4","pages":"Article 101137"},"PeriodicalIF":0.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145658895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Corrigendum to “Advanced practice providers: An evolution of the scope of practice and clinical integration across the surgical healthcare landscape” [Seminars in Colon and Rectal Surgery Volume 35, issue 3 (2024) 101039] “高级实践提供者：整个外科保健领域的实践范围和临床整合的演变”的勘误[结肠和直肠外科研讨会第35卷，第3期（2024）101039]

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Seminars in Colon and Rectal Surgery Pub Date : 2025-12-01 Epub Date: 2025-08-20 DOI: 10.1016/j.scrs.2025.101132

Kelly M. Tyler MD

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Benchmarking physician productivity: The modern reality of physician compensation 基准医师生产力：医师薪酬的现代现实

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Seminars in Colon and Rectal Surgery Pub Date : 2025-12-01 Epub Date: 2025-09-15 DOI: 10.1016/j.scrs.2025.101138

By Nicholas A. Davis , David E. Stein MD, MHCM

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The American medical association current procedural technology and relative value update committee process: How surgical work is defined and valued 美国医学协会当前的程序技术和相对价值更新委员会进程：如何定义和评估外科工作