Dis Colon Rectum 2020 04;63(4):418-419
On behalf of the Healthcare Economics Committee of the American Society of Colon and Rectal Surgeons.
Zhonghua Wei Chang Wai Ke Za Zhi 2021 Jul;24(7):581-586
Department of Gastrointestinal Surgery, Sichuan Provincial Peoples' Hospital, Chengdu 610072, China.
Like other solid tumors, colon cancer surgery has undergone a century-old journey from lumpectomy to organ resection and then to lymphadenectomy. From the Toldt fascia to complete mesenteric resection, and from local resection to D3 radical treatment, local recurrence rates have been reduced, but remain a nuisance to surgeons and patients. Based on the theory of membrane anatomy, radical surgery for colon cancer will focus more on removing the mesocolon from the mesentery bed while maintaining the integrity of the posterior fascia to avoid the occurrence of "fifth metastasis" as much as possible. Read More
Br J Surg 2021 Jul 21. Epub 2021 Jul 21.
Centre for Medical Imaging, University College London, London, UK.
Background: Primary and incisional ventral hernia trials collect unstandardized inconsistent data, limiting data interpretation and comparison. This study aimed to create two minimum data sets for primary and incisional ventral hernia interventional trials to standardize data collection and improve trial comparison. To support these data sets, standardized patient-reported outcome measures and trial methodology criteria were created. Read More
J R Soc Med 2021 Jul 16:1410768211032573. Epub 2021 Jul 16.
Department of Maxillo-Facial Surgery, 112006Queen Alexandra Hospital, Portsmouth, PO6 3LY, UK.
Objective: Despite rising numbers of doctors in the workforce with disabilities, little is known about the impact of disabilities on postgraduate performance. To ensure all groups are treated fairly in surgical training, it is essential to know whether any attainment differences exist in markers of surgical performance. To address this gap, we assessed the impact of disabilities on performance on the Intercollegiate Membership of the Royal College of Surgeons examination (MRCS). Read More
Colorectal Dis 2021 Jul 16. Epub 2021 Jul 16.
Department of Psychology, Università Cattolica del Sacro Cuore, Via Nirone, 15, 20123, Milan, Italy.
Aim: Surgery is indicated in selected patients with inflammatory bowel disease (IBD). However, due to a negative perception, surgery may be delayed leading to possible unfavourable outcomes. We investigate patients' perception of surgery and its impact on patients' reported outcomes. Read More
Tech Coloproctol 2021 Jul 15. Epub 2021 Jul 15.
Department of Surgery, University of Rome "Tor Vergata", Rome, Italy.
Mesenteric closure following right colectomy remains controversial and, following the advent of laparoscopic surgery, many surgeons do not routinely close the mesentery after colorectal resection. Nevertheless, especially after the introduction of operations such as right colectomy with complete mesocolic excision and ileocolic resections with extensive mesentery removal for Crohn's disease, the wide mesenteric defect resulting from the dissections can certainly expose the patients to complications such as internal hernias or volvuli. In general, mesenteric closure requires intracorporeal suturing. Read More