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Feasibility of triple assessment of the anastomosis using an anastomotic checklist.
ANZ J Surg
October 2024
Department of General Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Background: Colorectal cancer is the third most common cancer and the second highest cause of cancer mortality in Australia. Despite advances in colorectal surgery, anastomotic leak still occurs in low-risk patients and is a substantial cause of morbidity and mortality. Many operative strategies are used to assess anastomotic integrity such as an air leak test or intraoperative flexible sigmoidoscopy, however an objective anastomotic checklist is yet to be developed and studied.
View Article and Find Full Text PDFAssociation of Muscle Fibers with Histopathology in Doughnut Specimens Following Stapled Hemorrhoidopexy and Their Impacts on Postoperative Outcomes.
Surg J (N Y)
July 2022
Department of General Surgery, Ramaiah Medical College, Mathikere, Bangaluru, Karnataka, India.
Stapled hemorrhoidopexy is widely practiced worldwide since its introduction to the world of proctology and replaced conventional hemorrhoidectomy in treating hemorrhoids. The technique of executing the procedure dictates the outcomes and complications. Here, we attempted to establish the cause of postoperative complications and attributed them to the presence of muscle of fibers in the excised doughnut specimens.
View Article and Find Full Text PDFThe first international Delphi consensus statement on Laparoscopic Gastrointestinal surgery.
Int J Surg
August 2022
University of Sunderland, Sunderland, UK; Bariatric Unit, South Tyneside and Sunderland Foundation Trust, UK.
Background: Laparoscopic surgery has almost replaced open surgery in many areas of Gastro-Intestinal (GI) surgery. There is currently no published expert consensus statement on the principles of laparoscopic GI surgery. This may have affected the training of new surgeons.
View Article and Find Full Text PDFAnastomotic Troubleshooting.
Clin Colon Rectal Surg
November 2021
Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
Anastomotic leak remains a critical and feared complication in colorectal surgery. The development of a leak can be catastrophic for a patient, resulting in overall increased morbidity and mortality. To help mitigate this risk, there are several ways to assess and potentially validate the integrity of a new anastomosis to give the patient the best chance of avoiding this postoperative complication.
View Article and Find Full Text PDFThe Role of Histological Assessment of Distal Doughnut in Low Anterior Resection for Low Rectal Cancer.
Mymensingh Med J
January 2020
Dr Md Ashek Mahmud Ferdaus, Assistant Professor, Department of Colorectal Surgery, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Anterior resection (AR), especially low anterior resection (LAR), for low rectal cancer and colorectal anastomosis is a technical challenge to surgeons. But by using circular stapling devices now it is possible make more LARs technically feasible. A stapled end-to-end colorectal anastomosis is increasingly adopted following a low anterior resection for low rectal cancer.
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