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Improved Outcomes in Colon and Rectal Surgery part 43 ppt

Improved Outcomes in Colon and Rectal Surgery part 43 ppt

Improved Outcomes in Colon and Rectal Surgery part 43 ppt

... 68gastrointestinal (GI) bleeding 122gastrointestinal obstruction 341gastrointestinal scintigraphy 121–2Gastrointestinal Tumor Study Group and North Central Cancer Treatment Group 308Gatrointestinal Stroma ... 123percutaneous abscess drainage (PAD) 122–3radiofrequency ablation (RFA) 123intestinal stomas 349intraabdominal hemorrhage 323–4intraabdominal infections 29percutaneous drainage 29intraoperative anastomosis ... 160–1Lee index 3leucovorin 300levamisole 300lidocaine 19life-threatening injuries 389LigaSure™ Vessel Sealing System 291LigaSure™ 172Ligation of Intersphincteric Fistula Tract (LIFT) 189linaclotide...
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Improved Outcomes in Colon and Rectal Surgery part 2 ppt

Improved Outcomes in Colon and Rectal Surgery part 2 ppt

... clinical history, physical examination, and laboratory parameters.  improved outcomes in colon and rectal surgery In patients with existing cardiac disease, recent changes in symptoms must be identified. ... beta-blockade is indicated in patients having intermediate risk surgery with one or more clinical risk factors or any patient having vascular surgery. It is not indi-cated in patients for low-risk surgery ... assist in reducing intraoperative blood loss in these challenging patients. Abnormal clotting factors may increase the risk of bleeding from hemorrhoidal disease in these patients, or actual rectal...
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Improved Outcomes in Colon and Rectal Surgery part 3 pptx

Improved Outcomes in Colon and Rectal Surgery part 3 pptx

... complications including wound infection and anastomotic leak. At the beginning of the 20th century, morbidity and mortality secondary to septic com-plications following colon and rectal surgery ... preoperative electrocardiography in patients undergoing noncardiac surgery. Am J Cardiol 2006; 97(7): 1103–6. improved outcomes in colon and rectal surgery increased risk. Intermittent pulse oximetry ... terramycin on the intestinal bacterial flora of patients being prepared for intes-tinal surgery. Proc Staff Meet Mayo Clin 1951; 26(3): 49–52. 8. Poth EJ. The role of intestinal antisepsis in the...
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Improved Outcomes in Colon and Rectal Surgery part 9 ppt

Improved Outcomes in Colon and Rectal Surgery part 9 ppt

... occlusion of a bleeding basivertebral vein. improved outcomes in colon and rectal surgery care, drainage of abscesses, and debridement of any necrotic tis-sue, where appropriate, remain important ... proper wound  improved outcomes in colon and rectal surgery this goal, most surgeons, avoid using small Ray-tec sponges in the abdomen and avoid placing laparotomy sponges in areas that are ... encompassing antibiotics, interventional procedures, nurs-ing support, and surgical intervention contribute to driving up overall healthcare system costs. In simple terms, our skin and mucosal lining...
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Improved Outcomes in Colon and Rectal Surgery part 10 ppt

Improved Outcomes in Colon and Rectal Surgery part 10 ppt

... care.CARE PATHS IN COLON AND RECTAL SURGERY Care paths in surgery are used in the management of patients under-going commonly performed surgical procedures.(15) In colon and rectal surgery, care ... explicit and well-defined standards for care. They support introduction of evidence-based medicine and use of clini-cal guidelines thus reducing variations in patient care and improving clinical outcomes. (27) ... D, Shagas G, Reinharth D, Tamang S. Development of a clinical pathways analysis system with adaptive Bayesian  improved outcomes in colon and rectal surgery DEFINING AND IMPROVING OUTCOME MEASURESSurgical...
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Improved Outcomes in Colon and Rectal Surgery part 14 pptx

Improved Outcomes in Colon and Rectal Surgery part 14 pptx

... colon car-cinoma using water enema CT. J Comput Assist Tomogr 1995; 19: 87–91.1 improved outcomes in colon and rectal surgery Figure 11.58 A and 11.58B. Lower Gastrointestinal Bleeding. Figure ... metabolic activity (including carcinoid and mucinous adenocarcinoma) have a higher likelihood of a false-negative result.(261, 262)Gastrointestinal ScintigraphyNuclear medicine scintigraphy is ... accurate imaging modality in determining the extent of local invasion of rectal cancer.(253) EUS can delineate the components of the intestinal wall. Images typically consist of five rings of different...
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Improved Outcomes in Colon and Rectal Surgery part 21 pptx

Improved Outcomes in Colon and Rectal Surgery part 21 pptx

... healed in 8 weeks. Incontinence was seen in 6% of patients postoperatively, and recurrence was seen in 7%.Carcinoma Associated with Fistula -In- Ano In rare instances, patients with long-standing ... Imaging of fistula in ano. Radiology 2006; 239: 18–33.9 improved outcomes in colon and rectal surgery flaps were performed by Kreis et al. (122), showing no difference in preoperative and ... Chan and Lin (123) examined 45 patients with intersphincteric fistulas and showed low preoperative resting pres-sure to be the only independent factor predicting postoperative incontinence. In...
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Improved Outcomes in Colon and Rectal Surgery part 26 ppt

Improved Outcomes in Colon and Rectal Surgery part 26 ppt

... inner cylinder. (E) Anastomosis of distal aspect of remaining colon to the short rectal stump. (From Beck DE, Whitlow CB. Rectal prolapse and intussusception. In Beck DE. Handbook of colorectal ... A. Internal rectal intussusception seldom develops into total rectal prolapse. Dis Colon Rectum 1997; 40(7): 817–20. 3. Dvorkin LS, Gladman MA, Epstein J et al. Rectal intussus-ception in ... abdominal rectopexy with and without sigmoidectomy in rectal prolapse. Surg Gynecol Obstet 1992; 174(2): 145–8. improved outcomes in colon and rectal surgery Figure 23.1 Perineal rectosigmoidectomy....
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Improved Outcomes in Colon and Rectal Surgery part 29 pptx

Improved Outcomes in Colon and Rectal Surgery part 29 pptx

... Surg Oncol Clin N Am 2006; 15: 195–211. improved outcomes in colon and rectal surgery and low morbidity with virtually zero mortality. Winde was the first to demonstrate in a randomized prospective ... above data is the  improved outcomes in colon and rectal surgery public and private initiative to develop standardized surveys of patients’ experiences with ambulatory and facility-level care.(86) ... shafted instruments necessary for the dissection are inserted through air tight working ports on the Figure 26.1 Schematic of TEM Specimen. improved outcomes in colon and rectal surgery overall...
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Improved Outcomes in Colon and Rectal Surgery part 31 pptx

Improved Outcomes in Colon and Rectal Surgery part 31 pptx

... multidisciplinary involvement and plan-ning, and comment that this surgery is not for the “occasional participant”.(2) These data and others confirm that the overrid-ing principle of this challenging ... When initially introduced, complications including liver fracture, bleed-ing, systemic cytokine induced lung injury, myoglobinuria and pleural effusion reduced its overall popularity and widespread ... al.(5) improved outcomes in colon and rectal surgery depending on the location of the lesion to be removed. Addition of the hand port has been described to assist with right lobe liver resection and...
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