How to Surveil Perianal Paget's Disease: A Case Report.

Perianal Paget's disease (PPD) is a rare manifestation of extramammary Paget's disease. It is characterized by the presence of malignant glandular epithelial cells within the squamous epithelium. There is a well-established but poorly understood association between PPD and underlying malignancy.

Robot-Assisted vs Laparoscopic Right Hemicolectomy in Octogenarians.

Objective: With increasing age, there is greater need for right-sided colonic resections than its left-sided counterparts. Older age is associated with limited physical and functional status, which carries greater operative risk. Improvements in robotic surgery questions its role, especially in older adults, compared with laparoscopy.

Comparison of outcome and costs of robotic and laparoscopic right hemicolectomies.

To compare the outcomes of patients undergoing right hemicolectomy using laparoscopic or robotic approaches and perform a cost analysis. Retrospective review of all patients undergoing elective laparoscopic and robotic right hemicolectomies at a public and private hospital in NSW/QLD from January 2015 to June 2018. Cost analysis was calculated using actual and estimated costs by the local health district.

A case report of endometriosis presenting as an acute small bowel obstruction.

Introduction: Endometriosis is a common and benign condition that causes significant morbidity to women of childbearing age. It uncommonly affects the gastrointestinal tract and rarely manifests as an acute small bowel obstruction.

Presentation Of Case: A 46-year old female presented to the emergency department with signs and symptoms consistent with an acute small bowel obstruction.

Laparoscopic resection for rectal cancer: a case-matched study.

Introduction: The field of laparoscopic rectal cancer surgery is expanding. We compare short-term and early oncological outcomes after laparoscopic versus open resection in carefully matched rectal cancer patients.

Methods: All consecutive patients undergoing elective laparoscopic resection for rectal cancer were reviewed.

Ileal pouch prolapse: prevalence, management, and outcomes.

Aim: The study aim is to review the prevalence, management, and outcomes for patients diagnosed with ileal pouch prolapse after restorative proctocolectomy.

Materials And Methods: Patients were identified retrospectively from a prospectively maintained pouch database. Parameters analyzed included presenting symptoms, indications for pouch surgery, type of ileal pouch-anal anastomosis, treatment modalities, and outcomes.

Rectal endosonography: just how good are we at its interpretation?

Background: Endorectal ultrasound (ERUS) has become an integral part of the assessment of rectal tumors. It provides information about the depth of invasion and lymph node status which in turn is used in devising a management plan. It is important therefore that accurate interpretation of these studies is achieved.

Does CT influence the decision to perform colectomy in patients with severe ulcerative colitis?

Purpose: The purpose of this study was to evaluate the impact of abdominal computerized tomography (CT) on the decision to perform colectomy in patients with severe acute ulcerative colitis (SAC).

Methods: Patients with SAC admitted to a single hospital between 2002 and 2007 were reviewed. The criteria for SAC were > or =6 bloody bowel movements per day plus fever >37.