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Seminars in Colon and Rectal Surgery最新文献

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A stoma nurse's wishlist to surgeons: Tips for before, during, and after stoma creation 口腔护士对外科医生的心愿单：口腔创建前、创建中和创建后的提示
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100951
Elizabeth A. Rauh BSN, RN , Janice C. Colwell APRN
{"title":"A stoma nurse's wishlist to surgeons: Tips for before, during, and after stoma creation","authors":"Elizabeth A. Rauh BSN, RN ,&nbsp;Janice C. Colwell APRN","doi":"10.1016/j.scrs.2023.100951","DOIUrl":"10.1016/j.scrs.2023.100951","url":null,"abstract":"<div><p>Ongoing partnership between the surgeon, ostomy nurse, and patient beginning before surgery and continuing past surgery increases the likelihood of the patient's independence and confidence in ostomy care and decreases complications. This article provides tips and wish lists created by ostomy nurses to address the importance of preoperative patient education and stoma site marking, ideal stoma characteristics, basic ostomy care, the role of the ostomy nurse in follow-up care, and common ostomy complications.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100951"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41335647","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}
引用次数: 0
A review of bowel-based urinary diversions for the colorectal surgeon 结直肠外科以肠为基础的尿路转移综述
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100960
Devin Boehm BS, Jonathan Rosenfeld BS, Emily Ji MD, Ziho Lee MD
{"title":"A review of bowel-based urinary diversions for the colorectal surgeon","authors":"Devin Boehm BS,&nbsp;Jonathan Rosenfeld BS,&nbsp;Emily Ji MD,&nbsp;Ziho Lee MD","doi":"10.1016/j.scrs.2023.100960","DOIUrl":"10.1016/j.scrs.2023.100960","url":null,"abstract":"<div><p>After bladder removal, bowel is commonly utilized in the construction of a urinary diversion. There are two types of urinary diversions: incontinent diversions, in which urine continuously drains from a stoma; and continent diversions, in which urine does not freely drain from a stoma. Continent diversions may further be subcategorized as orthotopic, in which voiding occurs via the native urethra; and continent cutaneous, in which voiding occurs via clean intermittent catheterization. Herein, we review the most common types of urinary diversions and their relevant complications.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100960"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41506786","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}
引用次数: 0
Practical tips and tricks for stoma creation under difficult situations 困难情况下造口的实用技巧
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100953
Joy Chen MD, Mukta Krane MD
{"title":"Practical tips and tricks for stoma creation under difficult situations","authors":"Joy Chen MD,&nbsp;Mukta Krane MD","doi":"10.1016/j.scrs.2023.100953","DOIUrl":"10.1016/j.scrs.2023.100953","url":null,"abstract":"<div><p>Patients undergoing colorectal surgery may need a stoma for a variety of clinical or disease related factors. Stoma creation can result in short- and long-term complications particularly when performed in demanding situations. In addition, a problematic stoma may have longstanding implications for overall functional outcomes and patient satisfaction. This manuscript seeks to identify high risk patient populations for challenging stoma creation and pragmatic techniques to mitigate complications.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100953"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46894069","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}
引用次数: 0
Patient education for stoma patients 对造口患者的患者教育
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100952
Adrian Rosenberg BA , Michael McGee MD
{"title":"Patient education for stoma patients","authors":"Adrian Rosenberg BA ,&nbsp;Michael McGee MD","doi":"10.1016/j.scrs.2023.100952","DOIUrl":"10.1016/j.scrs.2023.100952","url":null,"abstract":"<div><p>The distress of stoma creation coupled with the ubiquity of stomas renders stoma-related care and education an underserved orphan interest. Fortuitously, multiple educational resources exist to help empower patients to adapt to life with an ostomy<span>, improve their quality of life<span>, and reduce complications and readmissions. Patients and their home caregivers should be educated pre- and post-operatively to understand their stoma to improve their quality of life, decrease preventable complications, and decrease health system resource utilization. A variety of outpatient stoma support groups and internet resources provide a venue for ongoing educational support for the ostomate.</span></span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100952"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44319520","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}
引用次数: 1
Preventive stoma care and peristomal skin conditions 预防性造口护理和造口周围皮肤状况
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100959
Steven J. Schuetz MD , Melissa Sanchez RN, BSN
{"title":"Preventive stoma care and peristomal skin conditions","authors":"Steven J. Schuetz MD ,&nbsp;Melissa Sanchez RN, BSN","doi":"10.1016/j.scrs.2023.100959","DOIUrl":"10.1016/j.scrs.2023.100959","url":null,"abstract":"<div><p>Intestinal stoma formation continues to be an essential tool in the surgical armamentarium used in a variety of conditions for temporary or permanent fecal diversion. Despite the best efforts of surgeons and wound, ostomy<span><span>, and continence nurses, patients continue to suffer high rates of peristomal skin complications with associated </span>quality of life<span> and financial morbidity. A proactive approach to maintain peristomal skin health coupled with early recognition and treatment of skin complications is essential to optimize patient outcomes.</span></span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100959"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42712162","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}
引用次数: 0
Loop ileostomy versus loop colostomy for fecal diversion 回肠环切开术与结肠环切开术用于粪便分流
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100954
Walter B. Kucera MD , Terrah J. Paul Olson MD
{"title":"Loop ileostomy versus loop colostomy for fecal diversion","authors":"Walter B. Kucera MD ,&nbsp;Terrah J. Paul Olson MD","doi":"10.1016/j.scrs.2023.100954","DOIUrl":"10.1016/j.scrs.2023.100954","url":null,"abstract":"<div><p>Loop ostomies<span><span>, fashioned either from the terminal ileum, transverse colon, or </span>sigmoid<span><span> colon are well-established methods for diverting the fecal stream. Important anatomic considerations, such as patency of the left colic artery and marginal artery and competency of the ileocecal valve, must be considered when creating diverting loop ostomies. Diverting loop </span>ileostomies<span> are associated with higher rates of dehydration and renal insufficiency due to higher stoma output, but have lower rates of prolapse than loop colostomies. Closure of loop ileostomies is associated with lower rates of wound infection but higher rates of post-closure obstruction versus loop colostomies. In emergent cases with a distended remaining colon, diverting loop transverse colostomies may be indicated due to the presence of a competent ileocecal valve.</span></span></span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100954"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44605515","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}
引用次数: 2
Overcoming the “stoma stigma”: Patients’ perspective of life with a stoma 克服“造口耻辱感”:患者对造口生活的看法
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100950
Deepa Chandhrasekhar BS , Michael McGee MD
{"title":"Overcoming the “stoma stigma”: Patients’ perspective of life with a stoma","authors":"Deepa Chandhrasekhar BS ,&nbsp;Michael McGee MD","doi":"10.1016/j.scrs.2023.100950","DOIUrl":"10.1016/j.scrs.2023.100950","url":null,"abstract":"<div><p>One of the most common fears shared by preoperative intestinal surgery<span> patients is ending up with a stoma. Fear of the stoma often leads patients to delay an inevitable surgery or seek lesser efficacious treatments. How does a surgeon impart their experiential knowledge to a patient reluctant to proceed with stoma creation? A panel of American patients who either had or have a stoma were asked to reflect on their postoperative life with a stoma through the lens of their preoperative concerns to aid future patients considering a stoma.</span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100950"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42800994","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}
引用次数: 0
Management of parastomal hernias 造口旁疝的治疗
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100956
Antoinette Hu MD , Eric M. Pauli MD
{"title":"Management of parastomal hernias","authors":"Antoinette Hu MD ,&nbsp;Eric M. Pauli MD","doi":"10.1016/j.scrs.2023.100956","DOIUrl":"10.1016/j.scrs.2023.100956","url":null,"abstract":"<div><p>Stoma formation is a common aspect of general, colorectal, urologic, and oncologic surgical practice. Unfortunately, hernia formation around an ostomy<span> trephine occurs in up to 50% of ostomates. In an era of explosive progress in abdominal wall<span> surgery, parastomal hernia repairs remain plagued with technical challenges, high recurrence rates, and peri-operative morbidity. There is little expert consensus on the ideal operation. Repair type (suture or mesh based), surgical approach (laparoscopic, robotic, hybrid, or open), mesh configuration (cruciate, keyhole, or Sugarbaker), mesh type (permanent synthetic, biologic, or bioabsorbable), mesh location (underlay, sublay, or onlay) vary based on local expertise and patient clinical factors. This article will summarize the current literature on the management of parastomal hernias and provide expert commentary on our preferred practices for parastomal hernia repair.</span></span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100956"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45805893","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}
引用次数: 0
Technical considerations in stoma reversal 口腔扭转术的技术考虑
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-06-01 DOI: 10.1016/j.scrs.2023.100957
Reece K. DeHaan MD, Jeremy Lipman MD, MHPE
{"title":"Technical considerations in stoma reversal","authors":"Reece K. DeHaan MD,&nbsp;Jeremy Lipman MD, MHPE","doi":"10.1016/j.scrs.2023.100957","DOIUrl":"10.1016/j.scrs.2023.100957","url":null,"abstract":"<div><p>Stoma creation is an essential tool in the surgeon's armamentarium to treat a variety of surgical conditions. The ability to safely restore intestinal continuity, however, is equally important. Stomal reversal can be considered following an appropriate amount of time and thoughtful assessment of the diverted bowel or anastomosis utilizing radiographic and/or endoscopic evaluation. Despite conscientious and thoughtful preoperative planning, stoma reversal has potential for significant morbidity.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 2","pages":"Article 100957"},"PeriodicalIF":0.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41474626","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}
引用次数: 0
Management of full thickness rectal prolapse 全层直肠脱垂的治疗
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-03-01 DOI: 10.1016/j.scrs.2022.100938
Charlotte M. Rajasingh MD , Brooke H. Gurland MD
{"title":"Management of full thickness rectal prolapse","authors":"Charlotte M. Rajasingh MD ,&nbsp;Brooke H. Gurland MD","doi":"10.1016/j.scrs.2022.100938","DOIUrl":"10.1016/j.scrs.2022.100938","url":null,"abstract":"<div><p><span>Rectal prolapse occurs when the rectum invaginates and descends into the </span>anal canal<span> or beyond the anal sphincter muscles<span>. Patients often report fecal incontinence<span>, obstructed defecation, pain, and urgency and of patients who present with rectal prolapse, up to 30% will also have anterior or middle compartment prolapse. This review describes the preoperative management of patients with rectal prolapse and principles for determining the operative approach.</span></span></span></p><p>All patients should be optimized ahead of surgery with attention to bowel habits<span><span>, pelvic floor strength and coordination, and baseline nutrition and fitness. If multi-compartment prolapse is identified, those patients should be referred for multidisciplinary management. Determining the best operation for an individual patient is best done through a shared decision-making model weighing the risks and benefits of abdominal versus perineal operations. Many patients can tolerate minimally invasive </span>abdominal operations, but for those who cannot, perineal operations are a safe and effective option.</span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 1","pages":"Article 100938"},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42798236","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}
引用次数: 0
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