Mentored Trainees have Similar Short-Term Outcomes to a Consultant Trainer Following Laparoscopic Colorectal Resection.

Background: Laparoscopic colorectal surgery has a long learning curve. Using a modular-based training programme may shorten this. Concerns with laparoscopic surgery have been oncological compromise and poor surgical outcomes when training more junior surgeons.

The influence of peri-operative factors for accelerated discharge following laparoscopic colorectal surgery when combined with an enhanced recovery after surgery (ERAS) pathway.

Introduction: Laparoscopic surgery is well established in the modern management of colorectal disease. More recently, enhanced recovery after surgery (ERAS) protocols have been introduced to further promote accelerated discharge and faster recovery. However, not all patients are suitable for early discharge.

Obese patients have similar short-term outcomes to non-obese in laparoscopic colorectal surgery.

Aim: To determine whether obese patients undergoing laparoscopic surgery within an enhanced recovery program had worse short-term outcomes.

Methods: A prospective study of consecutive patients undergoing laparoscopic colorectal resection was carried out between 2008 and 2011 in a single institution. Patients were divided in groups based on body mass index (BMI).

"An unfortunate trip": small bowel perforation in a patient with an undiagnosed inguinal hernia following minor blunt trauma.

Small bowel perforation due to blunt abdominal trauma associated with inguinal hernia is uncommon. An 80-year-old woman presented to the emergency department following a simple fall and had developed a traumatic perforation of the proximal ileum likely secondary to an undiagnosed inguinal hernia. Following this minor blunt trauma she recovered after an emergency laparotomy and bowel resection.