Mortality rates for neutropenic patients with peri-anal sepsis are high, but there is no consensus in the literature as to the optimal management strategy. At Leicester Royal Infirmary, UK, we have adopted a multidisciplinary approach as standard, with broad-spectrum antibiotics, peri-anal examination with debridement if necessary, and routine defunctioning colostomy. Eleven patients were treat...

BACKGROUND Abdominoperineal resection entails the need for a permanent colostomy, which significantly reduces patient self-image and quality of life. OBJECTIVE To investigate the effectiveness of preoperative chemoradiation in increasing the resectability rates of rectal cancer and increasing the anal sphincter preservation rate. METHODS The study group included 66 patients aged 33-84 years...

PURPOSE The incidence of complications after colonoscopy is very low. The complications after colonoscopy that are of clinical concern are bleeding and perforation. The present study was conducted to determine the clinical outcomes and the risk factors of a colostomy or a colectomy after colonoscopic colon perforation. METHODS From March 2009 to December 2012, the records of all patients who ...

Recto-neovaginal fistula is an abnormal communication formed between the rectum and newly formed vagina, following vaginoplasty for vaginal agenesis. It results in soiling of neovagina by fecal matter and inflicts great deal of physical, social and psychological handicap on the sufferer and is one of the most dehumanizing conditions that affect women. The aim of this study was to review our exp...

HiSTORICAL. IN pre-Listerian dlays surgeonis werc afraid, and righlitly so, to open the peritoneal cavity. The antiseptic metho(ds of the post-Listeriaii era, and(l the asceptic technique of the present time, were then unlleard of, yet there was no lacking in the anatomical knowledge of the great meni of that period, who must be hailed as the founders of the surgical profession. Their vivid ana...

OBJECTIVE To determine correlates of clinical outcomes in patients with short bowel syndrome (SBS). METHODS Retrospective medical record review of neonates treated between 1986 and 1998 who met our criteria for SBS: dependence on parenteral nutrition (PN) for at least 90 days after surgical therapy for congenital or acquired intestinal diseases. RESULTS Thirty subjects with complete data we...

PURPOSE To verify prospectively the practicability of performing loop colostomy closure under local anesthesia and sedation. METHODS In this study, 21 patients underwent this operation. Lidocaine 2% and bupivacaine 0.5% were utilized. Pain was evaluated during the operation, on the first postoperative day and at hospital discharge. Intraoperative events, postoperative complications and the ac...

OBJECTIVES It is conceivable that reversal of an ileostomy after low anterior resection following neoadjuvant therapy (NAT) may involve anastomosis of small bowel exposed to irradiation. The aim was to evaluate peri-operative complications of ileostomy closure and to compare the histology of ileal mucosa in excised stomas in patients who received NAT with those without NAT. METHODS Twenty pat...