OBJECTIVE Colonic infarction is a recognized complication of abdominal aortic aneurysm (AAA) surgery. The clinical difficulty in establishing the diagnosis combined with the patient's poor physiological status is usually associated with a fatal outcome. We assessed our experience with this problem to identify a possible risk factor profile for these patients. METHOD Patients records were iden...

BACKGROUND Options for reconstruction after low anterior resection (LAR) for rectal cancer include straight or side-to-end coloanal anastomosis (CAA), colonic J pouch and transverse coloplasty. This systematic review compared these techniques in terms of function, surgical outcomes and quality of life. METHODS A systematic literature search (MEDLINE, Embase and the Cochrane Library, from ince...

IATROGENIC ERECTILE DYSFUNCTION AFTER PELVIC SURGERY: PROSTATECTOMY, COLONIC AND RECTAL SURGERY (ABSTRACT): Radical pelvic surgery: radical prostatectomy, colonic and rectal surgery are iatrogenic causes of erectile dysfunction with major impact on healthrelated quality of life. The major cause of erectile dysfunction in such surgical procedures is cavernous nerve injury that leads to apoptosis...

INTRODUCTION Medical therapy is usually indicated for uncomplicated diverticulitis. Indications for surgery include recurrent attacks and complications of the disease. This study describes our experience in the surgical treatment of acute sigmoid diverticulitis. METHODS Between 2001 and 2006, 82 patients were operated for acute sigmoid diverticulitis. RESULTS The indications for surgery inc...

OBJECTIVE To obtain knowledge of patients' experiences of postoperative symptoms during the initial two weeks following fast-track colonic cancer surgery. METHOD Semi-structured in-depth interviews with seven colonic cancer patients two weeks post hospital discharge. Analysis was performed using a phenomenological hermeneutical approach. RESULTS During the first two weeks after discharge th...

used as a bridge to surgery?” [1–5] . It is clear that 8 years ago, the use of a stent preoperatively was considered the standard of care and highly recommended in every tertiary center [6, 7] . Furthermore, the use of a stent as a definitive palliative treatment for the remaining life of a patient was still a matter of debate. However, today, in December 2016, everything is reversed. In 2014, ...

BACKGROUND Surgical resection with restoration of bowel continuity is the cornerstone of treatment for patients with colonic cancer. The aim of this study was to identify risk factors for anastomotic leakage (AL) and subsequent death after colonic cancer surgery. METHODS Data were retrieved from the Dutch Surgical Colorectal Audit. Patients undergoing colonic cancer resection with creation of...

BACKGROUND Small colonic lesions which are identified during endoscopy are usually difficult to locate intra-operatively. Endoscopic tattoo of the colon seems the most efficient method, however it does fail in some cases to identify the lesion peroperatively. We studied this method to evaluate its efficacy. METHODS Nineteen patients were tattooed during colonoscopy with "India ink" (drawing i...

Colonic lipomas are rare benign tumors. Colonic intussusception is an uncommon complication of colonic lipoma. The current study presents an unusual case of a 4-cm symptomatic lipoma of the transverse colon causing colonic intussusception. A 65-year-old female was admitted to Wenzhou Central Hospital (Wenzhou, Zhejiang, China) with intermittent pain in the left abdomen that had been present for...