Test yourself: MCQ and single best answer
Publication date: Available online 19 December 2019Source: Surgery (Oxford)Author(s): Adrian Ben Cresswell (Source: Surgery (Oxford))
Source: Surgery (Oxford) - December 20, 2019 Category: Surgery Source Type: research
Updates in robotic colorectal surgery
Publication date: Available online 3 December 2019Source: Surgery (Oxford)Author(s): Muhammad F. Shah, Irfan I. Nasir, Amjad ParvaizAbstractSince the introduction of master-slave manipulators (otherwise known as telemanipulators) in 1990, minimally invasive surgery paved way for the development of the first robotic surgical systems to overcome the limitations of laparoscopic surgery. Over the last decade, the robotic system has rapidly gained acceptance and popularity among surgeons, especially colorectal surgeons around the world. Advantages of robotic surgical systems includes superior instrumentation and stable field of...
Source: Surgery (Oxford) - December 3, 2019 Category: Surgery Source Type: research
Anatomy of the rectum and anal canal
This article emphasizes the clinically and surgically relevant aspects of the anatomy of the rectum and anal canal. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - November 29, 2019 Category: Surgery Source Type: research
Anatomy of the caecum, appendix and colon
This article emphasizes the clinically and surgically-relevant aspects of the anatomy of the caecum, appendix and colon. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - November 29, 2019 Category: Surgery Source Type: research
Enhanced recovery in intestinal surgery
Publication date: Available online 26 November 2019Source: Surgery (Oxford)Author(s): Megan J. Reiniers, Alan F. HorganAbstractEnhanced recovery after surgery (ERAS) programmes utilize a multi-modal and multidisciplinary approach to surgical care. The aim of ERAS is to reduce the surgical stress response, to maintain physiological function and metabolic homeostasis and to expedite patients' recovery to their baseline status. Following its success in colorectal surgery, ERAS is increasingly adopted by other surgical specialities. A good ERAS programme involves integrated preoperative, intra-operative and postoperative evide...
Source: Surgery (Oxford) - November 28, 2019 Category: Surgery Source Type: research
Pathology of colorectal polyps and cancer
This article emphasizes clinically important issues in management of adenomas, including serrated lesions, and early stage cancers removed by local excision. Pathological interpretation and staging of formal resection specimens is also discussed. The biology of colorectal cancer is emphasized, particularly reflecting the need for molecular analysis to guide adjuvant oncological treatment. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - November 26, 2019 Category: Surgery Source Type: research
Surgery for colorectal cancer
Publication date: Available online 25 November 2019Source: Surgery (Oxford)Author(s): Jason George, Timothy RockallAbstractColorectal cancer surgery represents a major component of the colorectal service workload. A solid understanding of key anatomical and oncological principles is essential for safe practice. In this article we discuss these fundamental aspects of colorectal cancer surgery. The first part of the article will deal with preoperative staging, surgical planning and principles of oncological surgery. The second part will focus on some of the most common operations. We will describe key intra-operative princip...
Source: Surgery (Oxford) - November 26, 2019 Category: Surgery Source Type: research
Bowel cancer screening
Publication date: Available online 25 November 2019Source: Surgery (Oxford)Author(s): Niamh McKigney, Peter E. CoyneAbstractColorectal cancer (CRC) is the third most common cancer in both males and females in the UK, giving rise to approximately 40,000 new cancer cases per year. It arises from polyps as part of the adenoma-carcinoma sequence. Early detection can aid treatment and improve outcomes. Faecal immunochemical tests (FIT) and direct imaging using colonoscopy/sigmoidoscopy has been shown to be advantageous in the detection of polyps and earlier cancer. We review the evidence and provide summaries of current strateg...
Source: Surgery (Oxford) - November 26, 2019 Category: Surgery Source Type: research
Intestinal stomas
Publication date: Available online 25 November 2019Source: Surgery (Oxford)Author(s): James Pine, Lynn Stevenson, Jason OnAbstractThe formation of an intestinal stoma (usually ileostomy or colostomy) is an integral part of the surgical management of several pathologies of the gastrointestinal tract – in both emergency and elective patients. The basic underlying principle is that faecal flow is diverted from the site of the pathology by bringing the end or a loop of bowel through the anterior abdominal wall. A stoma may be created in a temporary or permanent role to reduce morbidity and mortality associated with several c...
Source: Surgery (Oxford) - November 26, 2019 Category: Surgery Source Type: research
Intestinal obstruction
Publication date: Available online 25 November 2019Source: Surgery (Oxford)Author(s): Shelly Griffiths, Damian G. GlancyAbstractIntestinal obstruction is a common surgical emergency, accounting for up to 20% of admissions with acute abdominal pain. Of these, 80% will have small bowel obstruction, the most common cause being adhesions. Colorectal cancer is the most common cause of large bowel obstruction. The cardinal features of obstruction are abdominal pain, vomiting, distension and absolute constipation. Initial management comprises adequate fluid resuscitation, decompression with a nasogastric tube and early identifica...
Source: Surgery (Oxford) - November 25, 2019 Category: Surgery Source Type: research
Test yourself: MCQ and Single Best Answer
Publication date: Available online 20 November 2019Source: Surgery (Oxford)Author(s): Adrian Ben Cresswell (Source: Surgery (Oxford))
Source: Surgery (Oxford) - November 21, 2019 Category: Surgery Source Type: research
Editorial Board
Publication date: November 2019Source: Surgery (Oxford), Volume 37, Issue 11Author(s): (Source: Surgery (Oxford))
Source: Surgery (Oxford) - November 20, 2019 Category: Surgery Source Type: research
Contents
Publication date: November 2019Source: Surgery (Oxford), Volume 37, Issue 11Author(s): (Source: Surgery (Oxford))
Source: Surgery (Oxford) - November 20, 2019 Category: Surgery Source Type: research
The patient with renal disease
This article focuses on the perioperative care of patients, including pharmacological considerations of common medications used. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - November 20, 2019 Category: Surgery Source Type: research
Preoperative evaluation of the patient with cardiorespiratory diseases
Publication date: Available online 20 November 2019Source: Surgery (Oxford)Author(s): Swathi P. Pinto, Glen M. PintoAbstractCardiorespiratory complications are among the most common causes of postoperative morbidity and mortality and impose a significant financial burden on the NHS. Patients with premorbid cardiorespiratory diseases can be identified preoperatively with a thorough history taking along with targeted investigations. Preoperative evaluation, risk assessment and stratification allows for clear identification of higher risk patients who would benefit from preoperative medical optimization, appropriate planning ...
Source: Surgery (Oxford) - November 20, 2019 Category: Surgery Source Type: research
