Intrinsic predictors of prolonged length of stay in a colorectal enhanced recovery pathway: a prospective cohort study and multivariate analysis.

Aim: This was a prospective cohort study to determine the intrinsic non-modifiable factors influencing length of stay (LOS) in unselected consecutive patients undergoing elective colorectal surgery within an enhanced recovery pathway.

Methods: This study interrogated a prospective database of consecutive elective procedures from October 2006 to April 2011 at a tertiary referral academic hospital in the UK to identify independent predictors of prolonged length of stay (pLOS). pLOS was defined as longer than median length of stay (mLOS).

Colovesical fistula: should it be considered a single disease?

Purpose: This research was conducted to compare the management and the outcome of patients with colovesical fistulae of different aetiologies.

Methods: Retrospective data were collected from 2002 to 2012 and analyzed with SPSS ver. 17.

Necrotising fasciitis of the thigh secondary to colonic perforation: the femoral canal as a route for infective spread.

A 57 year-old man with a history of corticosteroid use presented with abdominal pain and diarrhoea. He was initially treated for presumed Clostridium difficile colitis, but later developed a left inguinal mass with spreading erythema. A CT scan showed gas within the retroperitoneal tissues, with surgical emphysema of the left groin.

Short- and long-term outcome of laparostomy following intra-abdominal sepsis.

Aim: This study reports the short- and long-term outcomes of laparostomy for intra-abdominal sepsis.

Method: Twenty-nine sequential patients with intra-abdominal sepsis treated with a laparostomy over 6 years were included.

Results: The median age of the patients was 51 years, postoperative intensive care unit stay was 8 days, postoperative length of hospital stay was 87 days and follow up was 2 years.