Future Directions
CHAPTER 11 FUTURE DIRECTIONS Asking the right question is critical to conducting meaningful research. The chapter includes • Future goals as identified by the most recent 18th International Symposium on Otitis…
Management of the Unhealed Perineal Wound After Proctectomy
PICO/clinical question Patient population Patients with unhealed perineal wounds/PPS following proctectomy Intervention Surgical advancement flap Comparator Non-operative strategy/local wound care Outcome Primary perineal wound healing Literature Search Strategy All studies…
Anastomotic Leak Management Following Low Anterior Resections
Patient population Intervention Comparator Patients with anastomotic leak following LAR Anastomotic salvage Anastomotic takedown and end stoma Morbidity, mortality, functional outcomes Search Strategy Relevant studies published between January 2000 and…
Conventional vs Single Port Approaches to Laparoscopic Colectomy
Patient population Intervention Comparator Outcomes studied Patients undergoing minimally invasive colorectal resection SILS ‘Conventional laparoscopy’ Perioperative outcomes, cost, pain, cosmetic outcomes, hernia formation, oncological outcomes Search Strategy PubMed was queried…
Trans-anal Endoscopic Surgery vs. Conventional Transanal Surgery
P (patients) I (intervention) C (comparator) O (outcomes) Patients undergoing transanal endoscopic surgery (TES) TES Patients undergoing conventional transanal excision, posterior approach, or endoscopic submucosal or mucosal resection (alternative methods)…
Quality Improvement: Preventing Readmission After Ileostomy Formation
Patient population Intervention Comparator Outcomes studied Patients undergoing ileostomy Patient education; stoma teaching Traditional management Readmission Results Only three articles were identified that specifically discussed stoma-related interventions and readmission (Table…
Quality Improvement: Where Are We with Bowel Preps for Patients Undergoing Colon Resection?
Patients undergoing colon resection Bowel prep No bowel prep SSI, leak rate, dehiscence, complications Search Strategy Search DATA SOURCES: Embase, PubMed, and the Cochrane Library were searched using the terms…
Quality Improvement: Enhanced Recovery Pathways for Open Surgery
Patient information 1. Preoperative information and counseling 2. Preset discharge criteria 3. Stoma marking and education if indicated 4. Optimization (home incentive spirometer, smoking cessation, prehab) Preservation of bowel function…
Checklists in Surgery
P (patients) I (intervention) C (comparator) O (outcomes) All adult patients undergoing colon resection Use of checklists for quality improvement Historical management systems without checklists Mortality Morbidity Errors (wrong site,…
When Is an Anal Sphincter Repair Indicated?
Patient population Intervention Comparator Outcomes evaluated Pts with sphincter defect and FI Sphincter repair SNS QOL, decreased incontinence episodes Anal Sphincter Repair For the patient with moderate to severe fecal…
