IMPACT OF LAPAROSCOPIC COLORECTAL SURGERY ON BODY IMAGE

Abstract INTRODUCTION The aim of this study is to evaluate the impact of laparoscopic colorectal surgery (LCS) on body image using the validated Body Image Scale (BIS) as a parameter of surgical quality. MATERIAL AND METHODS We conducted an observational descriptive study. Patients who underwent scheduled LCS between June 2015 and December 2019 by a General Hospital Coloproctology Unit were included. RESULTS The sample included 180 patients, 115 men (63.9%) and 65 women (36.1%) with a median age of 67 years. Right hemicolectomies (31.7%) and sigmoidectomies (28.3%) were the main procedures performed. In most patients, a suprapubic (69.4%) or transverse (19.4%) incision was made. 21.9% suffered some type of postoperative complication (13.9% wound complication, 10.6% incisional hernia). The general result of the BIS questionnaire was satisfactory, with a median of 0 in the responses (no alteration of body image). We found that 46.2% of the women had some alteration in body image, compared to 28.7% of the men (p = 0.018) and low and ultra-low anterior resection were the surgeries that obtained worst scores, with 13,5% and 12,5% respectively of patients with a BIS score above 5 (p = 0.044). Patients with a stoma also obtained worst punctuation (25% above 5 vs 6,1%, p = 0.001). No statistically significant differences were found regarding type of incision, presence of complications and anxiety or depression. CONCLUSION Study results show, in general, good post-surgical body image after LCS. However, patients with stoma and women were more dissatisfied. Interestingly, there is no worse body image due to type of incision, so we recommend the least iatrogenic one.

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Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery

Anesthesiology ◽

10.1097/aln.0000000000001663 ◽

2017 ◽

Vol 127 (1) ◽

pp. 36-49 ◽

Cited By ~ 36

Author(s):

Juan C. Gómez-Izquierdo ◽

Alessandro Trainito ◽

David Mirzakandov ◽

Barry L. Stein ◽

Sender Liberman ◽

...

Keyword(s):

Colorectal Surgery ◽

Fluid Therapy ◽

Postoperative Ileus ◽

Enhanced Recovery ◽

Laparoscopic Colorectal Surgery ◽

Enhanced Recovery After Surgery ◽

Therapy Group ◽

Control Group ◽

Goal Directed Fluid Therapy ◽

The Impact

Abstract Background Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Methods Randomized patient and assessor-blind controlled trial conducted in adult patients undergoing laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Patients were assigned randomly to receive intraoperative goal-directed fluid therapy (goal-directed fluid therapy group) or fluid therapy based on traditional principles (control group). Primary postoperative ileus was the primary outcome. Results One hundred twenty-eight patients were included and analyzed (goal-directed fluid therapy group: n = 64; control group: n = 64). The incidence of primary postoperative ileus was 22% in the goal-directed fluid therapy and 22% in the control group (relative risk, 1; 95% CI, 0.5 to 1.9; P = 1.00). Intraoperatively, patients in the goal-directed fluid therapy group received less intravenous fluids (mainly less crystalloids) but a greater volume of colloids. The increase of stroke volume and cardiac output was more pronounced and sustained in the goal-directed fluid therapy group. Length of hospital stay, 30-day postoperative morbidity, and mortality were not different. Conclusions Intraoperative goal-directed fluid therapy compared with fluid therapy based on traditional principles does not reduce primary postoperative ileus in patients undergoing laparoscopic colorectal surgery in the context of an Enhanced Recovery After Surgery program. Its previously demonstrated benefits might have been offset by advancements in perioperative care.

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The impact of previous open abdominal surgery on the outcome of laparoscopic colorectal surgery

Annals of Medical Research ◽

10.5455/annalsmedres.2020.05.548 ◽

2021 ◽

Vol 28 (12) ◽

pp. 2122

Author(s):

Ismail Eray ◽

Ugur Topal ◽

Orcun Yalav ◽

Kubilay Dalci ◽

Ahmet Saritas ◽

...

Keyword(s):

Colorectal Surgery ◽

Abdominal Surgery ◽

Laparoscopic Colorectal Surgery ◽

Open Abdominal Surgery ◽

The Impact

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Prolactin levels in patients with severe mental disorders: Are we doing well? An observational study of Seville area population

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1395 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S750-S750

Author(s):

P. Blanco Ramón ◽

N. Gomez-Coronado Suarez de Venegas ◽

I. Martinez

Keyword(s):

Descriptive Study ◽

Health Centers ◽

Community Mental Health Centers ◽

Severe Mental Disorders ◽

Target Populations ◽

Competing Interest ◽

Mental Health Centers ◽

Long Acting ◽

The Impact ◽

Observational Descriptive Study

IntroductionIt is well known that hyperprolactinemia increases the risk of hypogonadism, osteoporosis and cardiovascular diseases. Atypical anti-psychotics are directly related with its development. Despite its importance, pharmacological hyperprolactinemia it is not considered and treated by psychiatrists as much as expected. Nowadays, long-acting aripiprazole is one of the main treatments that barely increase the prolactin (PRL) levels.ObjectivesTo determine the number of cases in which PRL levels are detected. To quantify the reduction of PRL levels with patients treated with long-acting aripiprazole.MethodsObservational, descriptive study, from February 2015 to July 2016, of 52 patients treated with anti-psychotics, in two Sevillian community mental health centers.ResultsIn 56% of cases, PRL level was measured at least one time: in 77% of cases with prescription of long-acting aripiprazole, PRL levels are reduced.ConclusionFirst step to reduce the impact of hyperprolactinemia in patients is to determine the PRL levels in a systematic way being this practice a must to be considered. In the study carried out and described in this abstract, reduction of PRL levels in target populations using long-acting aripiprazole is observed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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The impact of ERAS in VBHC: Reduction of healthcare costs after full implementation of ERAS protocols in laparoscopic colorectal surgery

Clinical Nutrition ESPEN ◽

10.1016/j.clnesp.2018.03.054 ◽

2018 ◽

Vol 25 ◽

pp. 183

Author(s):

Henriette Smid-Nanninga ◽

Leense S. Wagenaar ◽

Annette FT. Olieman ◽

Bastiaan B. Pultrum ◽

Hanneke van Kooten-Mosterd ◽

...

Keyword(s):

Colorectal Surgery ◽

Healthcare Costs ◽

Laparoscopic Colorectal Surgery ◽

Full Implementation ◽

The Impact

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The Impact of Body Mass Index on Perioperative Outcomes After Laparoscopic Colorectal Surgery

The Kurume Medical Journal ◽

10.2739/kurumemedj.ms64005 ◽

2014 ◽

Vol 61 (3.4) ◽

pp. 53-58 ◽

Cited By ~ 4

Author(s):

TETSUSHI KINUGASA ◽

TAKEFUMI YOSHIDA ◽

TOMOAKI MIZOBE ◽

TARO ISOBE ◽

YOSUKE OKA ◽

...

Keyword(s):

Body Mass Index ◽

Colorectal Surgery ◽

Body Mass ◽

Laparoscopic Colorectal Surgery ◽

Perioperative Outcomes ◽

The Impact

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Body Weight Effect on Body Image among Gym Users and Non-Gym Users

International Journal of Indian Psychology ◽

10.25215/0301.157 ◽

2015 ◽

Vol 3 (1) ◽

Author(s):

Vidhi Khanna ◽

Ekant Sharma ◽

Shashvat Chauhan ◽

Pragyendu ◽

Sonal D. Parmar ◽

...

Keyword(s):

Body Image ◽

Body Weight ◽

Crucial Role ◽

Health Clubs ◽

Body Image Scale ◽

Significant Difference ◽

Weight Effect ◽

Males And Females ◽

The Difference ◽

The Impact

Body image relates to how a person thinks and feels about his or her own body. Body image plays crucial role for the Indian gym user adults for their physical look. Gym users often are concerned about their physical appearance, dissatisfied with their look and weight, or want to lose weight. The aim of the present study was to find out the difference in body image between adult gym users and non-gym users and to study the impact of weight difference in body image among adults. The sample consisted of 60 gym user adults and 60 non-gym user adults. Gym users were selected randomly from various health clubs of Rajkot city and non-gym users were selected from areas of Rajkot city in Gujarat. Body image scale constructed by Dean Jade was used to measure body image among gym user and non-gym user’s adults. The data was analyzed in terms of mean, SD, and ‘t’test. The result of t-test revealed significant difference in body image between adult gym users and non-gym users. Gym users were more dissatisfied with their body image than non-gym users. Non-gym user males and females had satisfactory body image, whereas gym user males and females had dissatisfaction with their body. Similarly people having more weight were dissatisfied with their body image as compared to people having less weight.

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The Impact of Body Image on Self-Esteem in Adolescents

Clinical and Counselling Psychology Review ◽

10.32350/ccpr.11.04 ◽

2019 ◽

Vol 1 (1) ◽

pp. 44-54

Author(s):

Qurat-ul-Ain Javaid ◽

Amna Ajmal

Keyword(s):

Body Image ◽

Self Esteem ◽

Adolescent Females ◽

The Body ◽

Early Years ◽

Adolescent Males ◽

Body Image Scale ◽

Males And Females ◽

High Level ◽

The Impact

The purpose of the current study was to explore the impact of body image on self-esteem in adolescent males and females. A sample of 290 adolescents (144= male, 146= females) was taken from different schools and colleges of Multan. Rosenberg Self-Esteem Scale and Body Image Scale were used to measure the impact. Findings indicated a positive relationship between the level of confidence in the body image of adolescent males and their self-esteem. Moreover, it was found that adolescent females in their later years of adolescence had a high level of self-esteem as compared to adolescent females in their early years of adolescence. Independent t-test scores found that adolescent females report feeling more conscious about their body image and weight as compared to adolescent males. Results also showed that adolescent females disclose less information about themselves as compared to adolescent males.

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Assessing the Impact of Renal Function on Trajectory of Intravenous Patient-controlled Analgesic Demands Over Time After Open and Laparoscopic Colorectal Surgery Using Latent Curve Analysis

Clinical Journal of Pain ◽

10.1097/ajp.0000000000000321 ◽

2016 ◽

Vol 32 (8) ◽

pp. 695-701 ◽

Cited By ~ 4

Author(s):

Pei-Wen Chao ◽

Shih-Pin Lin ◽

Mei-Yung Tsou ◽

I-Ting Kuo ◽

Kuang-Yi Chang

Keyword(s):

Renal Function ◽

Colorectal Surgery ◽

Laparoscopic Colorectal Surgery ◽

Curve Analysis ◽

Latent Curve ◽

The Impact ◽

Over Time

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Effect of previous abdominal surgery on short-term outcomes following laparoscopic colorectal surgery.

Journal of Clinical Oncology ◽

10.1200/jco.2014.32.3_suppl.653 ◽

2014 ◽

Vol 32 (3_suppl) ◽

pp. 653-653

Author(s):

Masanori Hotchi ◽

Yuhei Waki ◽

Kazunori Tokuda ◽

Masayoshi Obatake ◽

Hiroshi Kotegawa ◽

...

Keyword(s):

Colorectal Surgery ◽

Abdominal Surgery ◽

Sigmoid Colon ◽

Open Surgery ◽

Laparoscopic Colorectal Surgery ◽

Operating Time ◽

Short Term ◽

Conversion To Open Surgery ◽

Previous Abdominal Surgery ◽

The Impact

653 Background: The impact of previous abdominal surgeries on the need for conversion to open surgery and on short-term outcomes during/after laparoscopic colorectal surgery was retrospectively investigated. This retrospective cohort study was conducted from May 2004 through October 2012. This study was conducted at Tokushima University Hospital and Ehime Prefectural Central Hospital. Methods: A total of 145 consecutive patients who had undergone laparoscopic resection of the sigmoid colon and upper rectum were classified as not having previous abdominal surgery (NPAS group, n = 123) or as having previous abdominal surgery (PAS group, n = 22). Short-term outcomes were assessed between the two groups. Results: The population of previous abdominal surgery consisted of 6 appendectomy, 3 gastrectomy for gastric ulcer, 2 nephrectomy, 2 peritonitis and 11 others (2 duplication). There were no significant differences in age, gender, BMI, tumor location, tumor size, Stage, operating time, blood loss and number of lymph node harvest between the two groups. The conversion to open surgery was performed in 1 patient (4.5%) in the PAS group and 6 patients (4.9%) in the NPAS group. The intraoperative inadvertent enterotomy occurred in 1 patient in the NPAS group. There was no difference in postoperative morbility between the two groups. In the NPAS group, anastomotic leakage was observed in 3 cases. Ileus was observed in one case in the NPAS and none in the PAS. Postoperative hospital stay was 14 days in the PAS group and 16 days in the NPAS group. Conclusions: Short-term outcomes following laparoscopic surgery for sigmoid colon and upper rectal cancer with previous abdominal surgery are acceptable.

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