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Acute Parastomal Hernia Presentations: A 10-Year Review of Management and Outcomes.
J Abdom Wall Surg
November 2024
Department of Colorectal Surgery, Liverpool Hospital, Liverpool, NSW, Australia.
Introduction: The acute presentation of parastomal hernia (PSH) can range from exacerbation of pain to life-threatening incarceration. Managing the acute PSH is challenging, particularly in the presence of concomitant midline incisional hernia. Most literature focuses on the outcomes of elective PSH repair.
View Article and Find Full Text PDFOutcomes Following Fecal Diversion for Intractable Hirschsprung Associated Enterocolitis: A Study From the Pediatric Colorectal and Pelvic Learning Consortium.
J Pediatr Surg
November 2024
Department of Surgery, Primary Children's Hospital, University of Utah, Salt Lake City, UT, USA.
Background: Hirschsprung associated enterocolitis (HAEC) is a challenging problem in a subset of children with Hirschsprung disease (HD). In refractory cases, fecal diversion may be required. The aim of this study was to characterize patients who require fecal diversion for HAEC management and examine their long-term outcomes.
View Article and Find Full Text PDFEnhancing patient outcomes through proactive stoma care.
Br J Nurs
December 2024
Patient and Clinical Service Director, SecuriCare (Medical), High Wycombe.
A well-sited stoma can reduce the risk of complications such as leakage, which in turn can damage skin. Although many patients may experience problematic skin, this should not be considered an acceptable norm; people with a stoma should have confidence in their appliance to continue their usual lifestyle. The Nursing and Midwifery Council code states that nurses must always practise in line with the best available evidence.
View Article and Find Full Text PDF[Chinese expert consensus on standardized treatment of presacral cyst(2024 edition)].
Zhonghua Zhong Liu Za Zhi
December 2024
Article Synopsis
- Surgical excision is the main treatment for presacral cysts, but it's challenging due to nearby blood vessels and nerves, which can lead to complications and recurrence if done incorrectly.
- The Chinese Expert Consensus on the Standardized Diagnosis and Treatment of Presacral Cysts (2024 edition) was developed by a team of specialists to address these challenges and improve patient outcomes.
- Key updates in the 2024 consensus include new classifications for cyst anatomy, a focus on protecting sacral nerves during surgery, and clearer surgical approaches for different types of cysts.
Obstetrical Outcomes in Women With a History of Bladder Augmentation.
Health Sci Rep
December 2024
Department of Pediatric Surgery, New Children's Hospital Helsinki University Hospital and University of Helsinki Helsinki Finland.
Purpose: To evaluate possible problems during pregnancy or delivery in women with pediatric bladder augmentation.
Methods: Eleven of 59 women, who had undergone bladder augmentation in our pediatric hospital during 1990-2019, had given birth in our hospital district afterwards and their obstetrical records were evaluated.
Results: Median age at first delivery was 32 years (range 26-42).
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