A5037785990- Colorectal Cancer Surgical Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Colorectal and Anal Carcinomas
- Enhanced Recovery After Surgery
- Pelvic floor disorders treatments
- Inflammatory Bowel Disease
- Colorectal Cancer Screening and Detection
- Appendicitis Diagnosis and Management
- Surgical Simulation and Training
- Gastrointestinal disorders and treatments
- Microscopic Colitis
- Gastric Cancer Management and Outcomes
- Nutrition and Health in Aging
- Hernia repair and management
- Anatomy and Medical Technology
- Colorectal Cancer Treatments and Studies
- Stoma care and complications
- Surgical site infection prevention
- Cervical Cancer and HPV Research
- Genetic factors in colorectal cancer
- Abdominal Surgery and Complications
- Intestinal and Peritoneal Adhesions
- Clinical practice guidelines implementation
University Hospital of Lausanne
2016-2025
University of Lausanne
2016-2025
St. Vincent's University Hospital
2021-2022
Colorectal Surgical Associates
2020
Hôpital Orthopédique de la Suisse Romande
2013-2018
Society of Interventional Radiology
2016
Society of Nuclear Medicine and Molecular Imaging
2016
Creative Commons
2016
See-Spital
2016
Cancer Clinic
2016
In Brief Objective: To assess the impact of postoperative complications on full in-hospital costs per case. Background: Rising expenses for complex medical procedures combined with constrained resources represent a major challenge. The severity reflects surgical outcomes. magnitude cost created by negative outcomes is unclear. Patients and Methods Morbidity 1200 consecutive patients undergoing surgery from 2005 to 2008 in tertiary, high-volume center was assessed validated, complication...
Open or laparoscopic colorectal surgery comprises of many different types procedures for various diseases. Depending upon the operation and modifiable non-modifiable risk factors intra- postoperative morbidity mortality rate vary. In general, surgical complications can be divided into intraoperative usually occur while patient is still in hospital.A literature search (1980-2009) was carried out, using MEDLINE, PubMed Cochrane library.This review provides an overview how to identify minimize...
Ileal pouch-anal anastomosis (IPAA) is performed routinely for chronic ulcerative colitis.Using data from a prospective database and annual standardized questionnaires, functional outcome, complications quality of life (QoL) after IPAA were assessed.Some 1885 operations colitis over 20-year period (mean follow-up 11 years). The mean age at the time was 34.1 years, increasing 31.2 years (1981-1985) to 36.3 (1996-2000). overall rate pouch success 5, 10, 15 20 96.3, 93.3, 92.4 92.1 per cent...
To evaluate the outcome after Hartmann's procedure (HP) versus primary anastomosis (PA) with diverting ileostomy for perforated left-sided diverticulitis.The surgical management of colonic perforation purulent or fecal peritonitis remains controversial. PA seems to be superior HP; however, results in literature are affected by a significant selection bias. No randomized clinical trial has yet compared 2 procedures.Sixty-two patients acute (Hinchey III and IV) from 4 centers were HP (n = 30)...
In 2012, the Department of Visceral Surgery Lausanne University Hospital CHUV implemented a dedicated high-resolution anoscopy (HRA) outpatient clinic for surveillance and follow-up purposes. This 10-year longitudinal study analyzed 537 patients (2214 visits) using structured screening protocol. Dysplastic lesions were detected in 49% patients, predominantly low-grade squamous intraepithelial (LSILs, 74%). Among LSIL cases, 6% progressed to high-grade (HSILs) within 24 months, reaching 25%...
To assess the results of multimodality therapy for patients with recurrent rectal cancer and to analyze factors predictive curative resection prognostic overall survival.Locally is a difficult clinical problem, radical treatment options intent are not generally accepted.A total 394 underwent surgical exploration cancer. Ninety were found have unresectable local or extrapelvic disease 304 recurrence. The latter prospectively followed determine long-term survival influencing survival.Overall...
Local excision for early-staged rectal cancers is controversial. Preoperative understaging not uncommon and radical resection after local may be needed a curative treatment. The aim of this study was to determine the frequency outcome (within 30 days) adenocarcinoma.All locally excised (curative intent) that required surgery within days were reviewed (1980-2000). T2-3N0-1 stage each matched three primary controls stage, age (+/- 5 years), gender, date 1 type (abdominoperineal or low anterior...
Abstract Objective To prospectively assess the construct and criterion validity of ClassIntra version 1.0, a newly developed classification for assessing intraoperative adverse events. Design International, multicentre cohort study. Setting 18 secondary tertiary centres from 12 countries in Europe, Oceania, North America. Participants The study included representative sample 2520 patients hospital having any type surgery, followed up until discharge. A follow-up to mortality at 30 days was...
Transanal minimal invasive surgery (TAMIS) of rectal lesions is increasingly being used, but the technique not yet standardized. The aims this study were to evaluate peri-operative complications and long-term functional outcome analyse whether or defect needs be closed.Consecutive patients undergoing TAMIS using SILS port (Covidien) standard laparoscopic instruments studied.Seventy-five (68% male) mean age 67 (± 15) years underwent single-port transanal at three different centres for 37...
This study was designed to evaluate pregnancy, delivery, and functional outcome in females before after ileal pouch-anal anastomosis for chronic ulcerative colitis.From a prospective database of 1,454 patients who underwent colitis between 1981 1995, standardized questionnaire sent all female aged 40 years or younger at the time (n = 544).The response rate 83 percent (450/544) with mean follow-up 13 years. A total 141 were pregnant diagnosis, but (236 pregnancies; mean, 1.7) 87 delivered...
To evaluate in what manner ageing affects functional outcome and quality of life (QoL) patients with chronic ulcerative colitis (CUC) after ileal pouch-anal anastomosis (IPAA).Short-term function QoL IPAA is good. However, are usually young, little known about the influence time on long-term outcomes IPAA.Using a standardized questionnaire, outcome, QoL, complications were assessed prospectively cohort 409 followed annually for 15 years IPAA.Follow-up was complete single summarized at 5, 10,...
Background. Pressurized intraperitoneal aerosol chemotherapy (PIPAC) has been introduced as a novel repeatable treatment for peritoneal carcinomatosis. The available evidence from the pioneer center suggests good tolerance and high response rates, but independent confirmation is needed. A single-center cohort was analyzed one year after implementation feasibility safety. Methods. PIPAC started in January 2015, every patient entered into prospective database. This retrospective analysis...
CME is a radical resection for colon cancer, but the procedure technically demanding with significant variation in its practice. A standardised approach to optimal technique and training is, therefore, desirable minimise technical hazards facilitate safe dissemination. The aim develop an expert consensus on Complete Mesocolic Excision (CME) right-sided transverse cancer guide implementation pathways.Guidance was developed following modified Delphi process draw from 55 international experts...
Abstract Background Virtual reality simulation training plays a crucial role in modern surgical training, as it facilitates trainees to carry out procedures or parts of without the need for “on patient”. However, there are no data comparing different commercially available high-end virtual simulators. Methods Trainees an international gastrointestinal surgery workshop practiced sequences on LaparoS® (VirtaMed), LapSim® (Surgical Science) and LapMentor III® (Simbionix) eight comparable...
The ever-expanding field of surgery requires novel tools to teach surgical pathologies and their management. Basic knowledge must already be acquired on a pre-graduate level at medical school. SARS-CoV-19 pandemic has pushed students explore digital online platforms complement education. This study aimed assess the utility short educational videos importance learning methods abdominal surgery. A literature review was performed for thorough understanding videos. Short were then created...
Background: Patients with rectal cancer may be exposed to a loss of muscle strength and quality. This study aimed assess the role preoperative CT-based sarcopenia on postoperative clinical, pathological, oncological outcomes after surgery. Methods: retrospective monocentric included patients who underwent elective oncologic resection for adenocarcinoma between 01/2014 03/2022. The skeletal index (SMI) was measured using CT at third lumbar vertebral level, defined based pre-established...
Sacral nerve stimulation (SNS) may be successful in treating incapacitating faecal incontinence. The technique is expensive, and no cost analysis currently available. aim of this study was to assess clinical outcome analyse cost-effectiveness.Thirty-six consecutive patients underwent a two-stage SNS procedure. Outcome parameters real costs were assessed prospectively.SNS tested successfully 33 36 patients, 31 stimulated permanently. In the first stage, eight reported minor complications...