BACKGROUND A defunctioning stoma is frequently created to minimize the impact of any subsequent anastomotic leak after a low rectal anastomosis. This review evaluates the need for routine stoma formation. METHODS A meta-analysis was performed of randomized controlled trials (RCTs) and non-randomized studies with an interventional group evaluating the need for a defunctioning stoma after low a...

INTRODUCTION The aim of this literature review was to analyse the advantages and disadvantages of a traditional ileal conduit (IC) with separate colostomy technique compared to the outcomes of a double-barrelled wet colostomy (DBWC) technique. The former technique results in the formation of two stomas, and the latter results in the formation of one stoma. METHODS PubMed was searched electron...

AIMS To systematically review all available evidence on the effectiveness and complications of continent cutaneous stoma or tube (CCS/T) to treat bladder-emptying difficulties in adult neuro-urological patients. METHODS The search strategy and studies selection were performed on Medline, Embase, and Cochrane using the PICOS method according to the PRISMA statement (CRD42015019212; http://www....

Colorectal cancer is the third most common cause of cancer-related mortality in the whole world (1). About one-third of colorectal carcinoma patients with acute colonic obstruction mandate emergency surgery (2). Current surgical options include intraoperative lavage, colonic segment resection involved with primary anastomosis, subtotal co-lectomy, colostomy followed by resection, a two-stage pr...

HYPOTHESIS Patients aged 70 years and older undergo proportionately more emergency and permanent fecal ostomy procedures than younger patients. Older patients have comparable short-term outcomes in morbidity and mortality, with adverse outcomes dependent on comorbid conditions and timing of the procedure rather than age alone. Older patients should be treated similarly to younger patients in te...

conclusions most cases of splenectomy in our center caused by trauma, and among the different types of trauma, blunt trauma is the dominant cause. road traffic accidents, in particular motor vehicle accidents, especially motorbike injures, are the most frequent cause of splenectomy. due to the instability of trauma patients, a mortality rate of 8% seems to be reasonable for splenectomy. rnwe re...

introduction: reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. in large defects, there will be demand for regional pedicle flaps or free flaps. hard palate separates nasal and oral cavities. due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions a...

background: cardiovascular disease is an important non-obstetric cause of maternal and fetal /neonatal morbidity and mortality during pregnancy. for a pregnant woman with cardiac disease, the potential inability of the maternal cardiovascular system to contend with normal pregnancy-induced physiologic changes may produce deleterious effects on both mother and fetus. to determine the most freque...

conclusions comparing the serum lactate level before operation and 24 hours after the operation showed that the number of received blood units had a significant effect on serum lactate. we found no significant effect for blood storage duration; however, the number of given blood units was more significant. patients and methods in a cross-sectional study, 228 patients referred to three hospitals...