Publications by authors named "Bernat Miguel"
Article Synopsis
- The study evaluates how the choice of surgical technique for left colonic perforation differs between colorectal specialists (CS) and general surgeons (GS) over time.
- Colorectal specialists tend to perform more primary anastomoses with covering ileostomies compared to general surgeons, who often resort to Hartmann procedures.
- There are no significant differences in overall morbidity and mortality between the two groups, but anastomotic dehiscence rates are higher in GS, and mortality is greater after Hartmann procedures compared to primary anastosis.
Background: The colonic pouch is considered as an alternative to the standard straight low anastomosis after resection for rectal cancer. The aim of this prospective randomized trial was to compare short- and long-term functional results of colonic J-pouch (CJP) and transverse coloplasty (TCP) after low anterior resection for rectal cancer.
Methods: Between 2000 and 2005, patients with mid or low rectal cancer scheduled for an elective sphincter-preserving resection were eligible.
Background: The aim of this study was to evaluate and compare the morbidity associated with 2 strategies of treatment of colorectal anastomotic leakage: surgical drainage of anastomosis with loop ileostomy versus anastomotic takedown.
Methods: An observational study of patients operated on for ileocolic or colorectal anastomotic leakage between 2001 and 2009. Patients were classified into 2 groups: group 1, salvage of the anastomosis, and group 2, anastomotic takedown.
Article Synopsis
- The study evaluated how the specialization of surgeons affects outcomes after emergency colorectal surgery, focusing on mortality, morbidity, and the types of operations performed.
- Patients were divided into two groups: those treated by colorectal surgeons (CS) and general surgeons (GS), with the study conducted over a period from 1993 to 2006 at a hospital in Barcelona.
- Results revealed that patients operated on by CSs had better outcomes, including lower morbidity and mortality rates, as well as lower rates of anastomotic dehiscence compared to those treated by GSs, highlighting the importance of surgical specialization in improving patient care.