Publications by authors named "D W Claeys"
Background: Since the implementation of total mesorectal excision (TME) in rectal cancer surgery, oncological outcomes improved dramatically. With the technique of complete mesocolic excision (CME) with central vascular ligation (CVL), the same surgical principles were introduced to the field of colon cancer surgery. Until now, current literature fails to invariably demonstrate its oncological superiority when compared to conventional surgery, and there are some concerns on increased morbidity.
View Article and Find Full Text PDFBackground: Wounds resulting from the closure of temporary stomas have a high risk of developing an incisional hernia (IH) with incidences around 30% in studies designed to investigate this outcome. A temporary diverting ileostomy (TDI) is often used in patients after low anterior resection (LAR) for rectal cancer.
Methods: The OSTRICH study is a retrospective cohort study of rectal cancer patients who had a LAR with a reversed TDI and at least one CT scan during follow-up.
Article Synopsis
- A 56-year-old man presented with worsening abdominal pain and was diagnosed with ileocecal intussusception after undergoing ultrasound and colonoscopy, which revealed a precancerous polyp.
- Despite some success in preoperative treatment, a right hemicolectomy ultimately uncovered an underlying cecal adenocarcinoma.
- The case highlights the challenges in diagnosing adult ileocecal intussusception due to its rare occurrence and non-specific symptoms, emphasizing the need for tailored surgical interventions and the importance of imaging techniques for proper evaluation.
Background: The World Health Organization (WHO) surgical safety checklist (SSC) was introduced to improve the safety of surgical procedures. This systematic review evaluated current evidence regarding the effectiveness of this checklist in reducing postoperative complications.
Methods: The Cochrane Library, MEDLINE, Embase and CINAHL were searched using predefined inclusion criteria.