Current outcomes of emergency large bowel surgery.

Introduction: Emergency large bowel surgery (ELBS) is known to carry an increased risk of morbidity and mortality. Previous studies have reported morbidity and mortality rates up to 14.3%.

An unusual cause of acute internal haemorrhage: cystic artery pseudoaneurysm secondary to acute cholecystitis.

Spontaneous cystic artery haemorrhage is a rare complication of acute cholecystitis. Here we describe a case report of this unusual cause of internal haemorrhage, and discuss the pathogenesis and management strategies.

Is routine blood cross-matching necessary in elective laparoscopic colorectal surgery?

Background: Routine pre-operative cross-matching of two units of packed red cells (PRC) is current practice in most hospitals for patients undergoing elective laparoscopic colorectal surgery (LCS).

Aims: To determine the usage of PRC in patients undergoing elective LCS & its cost implications.

Methods: Retrospective analysis of 116 consecutive laparoscopic colorectal resections under the care of 2 consultant surgeons.