BACKGROUND Defunctioning stomas can prevent consequences of anastomotic leakage, but they are not free of complications. OBJECTIVES The identification of high-risk patients to establish criteria for strong and relative indications for the formation of a defunctioning stoma. METHODS Two hundred fifty consecutive colorectal anastomoses were performed between 2004 and 2015; 95.2% of these were...

Variceal bleeding is common in chronic liver disease and is a frequent cause of acute upper gastrointestinal bleeding. The most common site of varices is the lower oesophagus but they may occur at any location where there are portosystemic anastomoses and collateral vascular formation. Location of ectopic varices at the site of enterocutaneous stomas is rare. We report on three cases of recurre...

OBJECTIVE To obtain detailed information about the degree of surgical trainee supervision and delegation of procedures in a subspecialised department. DESIGN Operative procedures and their logical components were recorded in a database constructed in Microsoft Access. Information about operating surgeon and assistants and their grade was registered prospectively over 12 months. SUBJECTS AND...

essary through further research whether PSS which is cosmetically superior but requires laborious dressing during the discharge of 2–3 weeks is worthwhile to replace the primary closure. Cheong et al. [5] mentioned that there were no differences between the fold-over technique and the resection anastomosis technique of ileostomy take down. The fold-over technique can be simpler and be more usef...

Diverting stomas are being used increasingly in the management of rectal cancer, particularly with low anterior resection following neoadjuvant therapy. We describe a simple anchorage method for loop colostomy using a rectus fascial sling. This has been used successfully in fifteen patients with no complications or evidence of significant spill over of faecal contents into the efferent loop.