Publications by authors named "B J Gurland"

Aim: Cryptoglandular anal fistulas carry a substantial burden to quality of life. Surgery is the only effective curative treatment but requires balancing fistula healing against pain, wounds and continence impairment. Sphincter-preserving procedures do exist but demonstrate variable rates of success.

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Introduction: Abdominal and perineal repairs for rectal prolapse are offered to patients based on surgeon assessment of risk. Interpretations of risk can vary. We sought to understand how the preoperative Risk Analysis Index (RAI) score, a validated measure of frailty, aligned with our existing decision-making process for rectal prolapse repair.

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Background: Telehealth utilization, largely spurred by the COVID-19 pandemic, has become popular due to convenience and access. We assessed the effectiveness of telehealth for delivering pelvic health physical therapy (PHPT) in patients with pelvic floor disorders (PFD).

Methods: In this IRB approved, cross-sectional study, 812 patients who underwent PHPT treatment by telehealth or in combination with in-person visits were surveyed.

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Article Synopsis
  • A study aimed to create a standardized operative report for rectal prolapse surgery by gathering consensus from pelvic floor surgeons, focusing on key descriptors necessary for comprehensive reporting.
  • The research involved a Delphi process where 176 surgeons from various regions voted on descriptors in multiple rounds, ultimately selecting 16 that achieved over 70% agreement.
  • The final agreed-upon descriptors included details about the surgery type, dissection methods, and the use of mesh and sutures, ensuring thorough documentation of the surgical procedure.
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