Management of the Unhealed Perineal Wound After Proctectomy

Jul 13, 2018 by in ABDOMINAL MEDICINE Comments Off on 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…

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Conventional vs Single Port Approaches to Laparoscopic Colectomy

Jul 13, 2018 by in ABDOMINAL MEDICINE Comments Off on 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…

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Checklists in Surgery

Jul 13, 2018 by in ABDOMINAL MEDICINE Comments Off on 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,…

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When Is an Anal Sphincter Repair Indicated?

Jul 13, 2018 by in ABDOMINAL MEDICINE Comments Off on 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…

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