Restorative Surgery of the Tubes (a study of 600 personal cases)

Rectal Cancer in the Elderly: Patientsʼ Perception of Bowel Control After Restorative Surgery

Diseases of the Colon & Rectum ◽

10.1007/s10350-003-0051-4 ◽

2004 ◽

Vol 47 (3) ◽

pp. 287-290 ◽

Cited By ~ 28

Author(s):

Seamus P. Phillips ◽

Margaret S. Farquharson ◽

Rosemary Sexton ◽

Richard J. Heald ◽

Brendan J. Moran

Keyword(s):

Rectal Cancer ◽

The Elderly ◽

Restorative Surgery ◽

Bowel Control

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PECULIARITIES OF FORMATION OF THE HARD PALATE FOLDS DURING THE SECOND AND THIRD TRIMESTER OF THE INTRAUTERINE DEVELOPMENT

Clinical anatomy and operative surgery ◽

10.24061/1727-0847.17.3.2018.10 ◽

2018 ◽

Vol 17 (3) ◽

pp. 64-68

Author(s):

A. I. Prodanchuk

Keyword(s):

Hard Palate ◽

Basal Membrane ◽

Third Trimester ◽

Intrauterine Development ◽

Fibrous Stroma ◽

Human Ontogenesis ◽

The Face ◽

Mesenchyme Cells ◽

Restorative Surgery ◽

Comprehensive Study

A comprehensive study of anatomical-functional peculiarities of the cranial bones promotes implementation of new methods of performing radical and reconstructive-restorative surgery on the face and cranium. Objective: to determine peculiarities of formation of the hard palate folds structure in the fetal and early neonatal periods of human ontogenesis. Materials and methods. The study was conducted on 53 specimens of dead fetuses from 4 to 10 months of development and on 9 specimens of dead neonates by means of macro- and micro-section, preparing histological and topographic-anatomical sections, and morphometry. Formation of the hard palate folds during the second and third trimesters of the intrauterine development was found to consist of the following stages: epithelial thickening, penetration into the adjacent mesenchyme originating the rudiment of the fold; smoothing of the basal membrane and epithelial outgrowth over the surface with formation of the primary fold; condensation of mesenchyme cells under the fold apex; formation of fibrous stroma inside of the fold which is a peculiar core; epithelial smoothing to even thickness similar to that one embracing the areas between folds with formation of the final fold. At the end of the third trimester of the intrauterine development posterior transverse palatine folds become less marked, some of them disappear, and the anterior ones become more marked, closer and pressed one to another.

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Primary Versus Staged Reconstruction and Risk of Surgical Failure in Patients With Ulcerative Colitis: a Nation-wide Cohort Study

Inflammatory Bowel Diseases ◽

10.1093/ibd/izab263 ◽

2021 ◽

Author(s):

Karin Westberg ◽

Ola Olén ◽

Jonas Söderling ◽

Jonas Bengtsson ◽

Jonas F Ludvigsson ◽

...

Keyword(s):

Ulcerative Colitis ◽

Cohort Study ◽

Cox Regression ◽

Statistical Significance ◽

Cumulative Risk ◽

Hazard Ratio ◽

Primary Reconstruction ◽

Risk Of Failure ◽

Staged Reconstruction ◽

Restorative Surgery

Abstract Background Restorative surgery after colectomy due to ulcerative colitis (UC) may be performed simultaneously with colectomy (primary) or as a staged procedure. Risk factors for failure after restorative surgery are not fully explored. This study aimed to compare the risk of failure after primary and staged reconstruction. Methods This is a national register-based cohort study of all patients 15 to 69 years old in Sweden treated with colectomy due to UC and who received an ileorectal anastomosis (IRA) or ileal pouch-anal anastomosis (IPAA) between 1997 and 2017. Failure was defined as a reoperation with new ileostomy after restorative surgery or a remaining defunctioning ileostomy after 2 years. Risk of failure was calculated using the Kaplan-Meier method and Cox regression adjusted for sex, age, calendar period, primary sclerosing cholangitis, and duration of UC. Results Of 2172 included patients, 843 (38.8%) underwent primary reconstruction, and 1329 (61.2%) staged reconstruction. Staged reconstruction was associated with a decreased risk of failure compared with primary reconstruction (hazard ratio, 0.73; 95% CI, 0.58–0.91). The 10-year cumulative risk of failure was 15% vs 20% after staged and primary reconstruction, respectively. In all, 1141 patients (52.5%) received an IPAA and 1031 (47.5%) an IRA. In stratified multivariable models, staged reconstruction was more successful than primary reconstruction in both IRA (hazard ratio, 0.75; 95% CI, 0.54–1.04) and IPAA (hazard ratio, 0.73; 95% CI, 0.52–1.01), although risk estimates failed to attain statistical significance. Conclusions In UC patients undergoing colectomy, postponing restorative surgery may decrease the risk of failure.

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