INTRODUCTION Colorectal cancer presents itself as acute bowel occlusion in 10-40% of patients. There are two main therapeutic approaches: urgent surgery and endoluminal placement self-expandable metallic stents (SEMS). AIMS AND METHODS This study intended to better clarify the risk/benefit ratio of the above-mentioned approaches. We conducted a retrospective longitudinal multicenter study, in...

OBJECTIVE the objective was to understand the experience of a group of family members of patients with colostomies, revealing their expectations regarding the intervention of health professionals. METHOD qualitative research, with the social phenomenological approach of Alfred Schütz, conducted in Montevideo in 2012; twelve family members of patients with colostomies participated, from an ost...

Question: Is an elective colectomy after the first episode of diverticulitis in patients under 50 years, or after the second episode in patients over 50 years, preferable to a strategy of expectant management until after the fourth episode? Design: A Markov model was used to determine the lifetime risks of death and colostomy, quality of life and costs associated with elective colectomy after t...

BACKGROUND AND OBJECTIVES Colonic stenting has been used in the setting of malignant obstruction to avoid an emergent colectomy. We sought to determine whether preoperative placement of a colonic stent decreases morbidity and the rate of colostomy formation. METHODS Cases of obstructing sigmoid, rectosigmoid, and rectal cancer from January 1, 2010, to December 31, 2011, were identified in the...

Abstract Introduction The incidence of stomal prolapse ranges from 2% to 22%. risk factors include colostomy, the short length stoma, obesity, emergency surgery, and improper (or even absence of) marking preoperative site for stoma. Complicated associated with severe mucosal irritation, ischemic changes, or bleeding requires surgical intervention. Objective To describe use Altemeier technique i...

Background: In high anorectal malformations (ARM), surgical management includes initial colostomy at neonatal period followed by abdominoperineal posterior sagittal anorectoplasty (PSARP) without a protective colostomy. Aims and Objectives: The aims of this study were as follows: (i) To evaluate whether 2 stage PSARP gives better outcome for ARM than three (ii) to assess overall stay duration, ...

Introduction: Attendance of patients to the emergency department due acute large bowel obstruction is a common phenomenon. Most these are elderly, critically ill, and with high comorbidity. The literature suggests that more than 50% cases colon cancer. Since this condition considered be an emergency, immediate intervention response imperative. Purpose: aim present study our surgical technique c...

The bladder tumor is the most common tumor in the urinary system and is mostly malignant. Its morbidity and mortality were the first in urinary reproductive system tumor. Surgical treatment is the best choice for the current bladder tumor, including transurethral resection of the bladder tumor, partial cystectomy, and total cystectomy. Bladder total resection and urinary diversion is the gold s...

Over the last three decades, emergency surgery for perforated sigmoid diverticulitis has evolved dramatically but remains controversial. Diverticulitis is categorized as uncomplicated (amenable to outpatient treatment) versus complicated (requiring hospitalization). Patients with complicated diverticulitis undergo computerized tomography (CT) scanning and the CT findings are used categorize the...