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Indications include cancer, infection, infarction, perforation, and impaired function of the colon. Colectomy may be performed open, laparoscopically, or robotically. Following removal of the bowel segment, the surgeon may restore continuity of the bowel or create a colostomy. Partial or subtotal colectomy refers to removing a portion of the ...
The perceived benefits of this technique may include ease of procedure due to better views, decreased operative time and reduced complications. [ 8 ] An occasional side effect of the operation is the formation and tangling of fibrous bands from near the site of the operation with other parts of the bowel.
Other diagnostic procedures used by colorectal surgeons include: proctoscopy, defecating proctography, sigmoidoscopy. In recent times, the laparoscopic method of surgery has seen a surge of popularity, due to its lower risks, decreased recovery time, and smaller, more precise incisions achieved by using laparoscopic instruments. [3]
Bowel resection may be done as an open surgery, with a long incision in the abdomen. It may also be done laparoscopically or robotically by creating several small incisions in the abdomen through which surgical instruments are inserted. [2] [3] [4] Once the abdomen is accessed by one of these methods the surgery may proceed.
In a study involving over 100 patients, a dual-drug immunotherapy treatment shows impressive results in treating a specific form of colorectal cancer.
Currently, its use is limited to emergency surgery when immediate anastomosis is not possible, or more rarely it is used palliatively in patients with colorectal tumours. [ 1 ] The Hartmann's procedure with a proximal end colostomy or ileostomy is the most common operation carried out by general surgeons for management of malignant obstruction ...
Jejunoileal bypass (JIB) was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which all but 30 cm (12 in) to 45 cm (18 in) of the small bowel were detached and set to the side.
There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include: Reduced hemorrhaging, which reduces the chance of needing a blood transfusion. [13] [14] Smaller incision, which reduces pain and shortens recovery time, as well as resulting in less post-operative scarring. [14] [15] [16]
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