- Diverticular Disease and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Colorectal Cancer Surgical Treatments
- Anorectal Disease Treatments and Outcomes
- Biliary and Gastrointestinal Fistulas
- Inflammatory Bowel Disease
- Hemodynamic Monitoring and Therapy
- Pelvic floor disorders treatments
- Gastrointestinal disorders and treatments
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Autoimmune and Inflammatory Disorders
- Colorectal Cancer Screening and Detection
- Enhanced Recovery After Surgery
- Gastrointestinal Bleeding Diagnosis and Treatment
- Cutaneous Melanoma Detection and Management
- Abdominal Surgery and Complications
- Vascular anomalies and interventions
- Cutaneous lymphoproliferative disorders research
- Nonmelanoma Skin Cancer Studies
- Aortic aneurysm repair treatments
- Soft tissue tumor case studies
- Myofascial pain diagnosis and treatment
- Appendicitis Diagnosis and Management
- Hip and Femur Fractures
- Colorectal Cancer Treatments and Studies
Peninsula Health
2020-2024
Frankston Hospital
2020-2024
Cleveland Clinic
2018-2023
Peter MacCallum Cancer Centre
2017-2019
American Marketing Association
2019
Epworth Hospital
2017
American Academy of Dermatology
2015
The Alfred Hospital
2015
Preoperative risk stratification is used to derive an optimal treatment plan for patients requiring cancer surgery. Patients with reversible factors are candidates prehabilitation programmes. This pilot study explores the impact of preoperative covariates comorbid disease (Charlson Co-morbidity Index), serum biomarkers, and traditional cardiopulmonary exercise testing (CPET)-derived parameters functional capacity on postoperative outcomes after major colorectal surgery.Consecutive who...
BACKGROUND: A complete total mesorectal excision is the gold standard in curative rectal cancer surgery. Ensuring quality challenging a narrow pelvis, and obesity amplifies technical difficulties. Pelvimetry measurement of pelvic dimensions, but its role gauging preoperatively difficulty proctectomy largely unexplored. OBJECTIVE: To determine structural factors associated with incomplete following build predictive model for quality. DESIGN: Retrospective cohort study. SETTING: quaternary...
Misconceptions exist about the proper way to use draining setons in management of anal fistulas. This technical note lays out principles for their use.Insertion is a prerequisite successful The correct technique involves identification track and internal opening drainage with silastic seton. sets stage definitive repair after inflammation subsides.Three cases are presented illustrate common errors made during insertion setons.Appropriate seton an anorectal fistula important part ultimate...
Rupture of a superior mesenteric artery pseudoaneurysm is rare but potentially lethal complication in patients with familial adenomatous polyposis and desmoid disease.We report our experience the management such significant life-threatening condition.This descriptive study small series patients.Data were obtained from their medical charts Cologene Database David G. Jagelman Polyposis Registry Sanford R. Weiss, M.D., Center for Hereditary Colorectal Cancer at Cleveland Clinic Foundation.Of...
Davey, James W. M.B.B.S.; Ma, Joyce F.R.A.C.S., Bolshinsky, Vladimir M.B.B.S., M.S. Author Information
Abstract Background More than 80% of patients with Crohn's disease (CD) require surgical intervention during their lifetime. High rates recurrence often necessitate repeat surgery. Recurrence is typically observed at or immediately proximal to the anastomosis, raising question whether techniques have potential decrease rates. In addition, mesentery has recently been implicated in pathophysiology CD, and several developed reduce its influence on recurrence. We aimed describe short-term safety...
Case Summary: A 34-year-old woman is referred after a colonoscopy that revealed >100 polyps throughout her colon and rectum (Fig. 1). random selection of 3 biopsied reported as adenomas. She adopted unaware biological family. found to have deleterious germline variant in APC (c.1967-1974del). works nurse married with 4 children (age: 17, 13, 11, 6 years). has had no prior abdominal operations.
Figure S1. Final computed tomography scan demonstrating extension of the abscess to left gluteus maximus. S2. Magnetic resonance imaging showing inflammatory changes with clusters gas raising suspicion for a perforation. Please note: The publisher is not responsible content or functionality any supporting information supplied by authors. Any queries (other than missing content) should be directed corresponding author article.
Surgeons are physicians who can operate. As colorectal surgeons, we have extensive training in the physiological basis of gastrointestinal disorders and augment this core knowledge with a technical skillset. Some us fortunate to formidable mentors inspire their balance surgical wisdom, finesse flair that they refined over decades practice. We taught consider outcomes ahead present do so independently, because when faced complex patient, it is simply too late start thinking operating room.
Small bowel diverticula, though rare, can cause serious complications requiring surgical interventions.We report a case of 73-year-old male presented with mechanical small obstruction secondary to enterolith from diverticulum.The patient underwent diagnostic laparoscopy and enterotomy removal dislodged in the setting diverticular disease.