Barriers to the management of obstructed defaecation according to colorectal surgeons

2017 ◽  
Vol 19 (7) ◽  
pp. 649-655 ◽  
Author(s):  
N. Al-Mozany ◽  
C. Wright ◽  
G. O'Grady ◽  
C. J. Young ◽  
M. J. Solomon
2004 ◽  
Vol 20 (1) ◽  
pp. 83-85 ◽  
Author(s):  
Mario Pescatori ◽  
Giuseppe Dodi ◽  
Concetto Salafia ◽  
Andrew P. Zbar

Author(s):  
I. Sudoł-Szopińska ◽  
G. A. Santoro ◽  
M. Kołodziejczak ◽  
A. Wiaczek ◽  
U. Grossi

AbstractAnal fistula (AF) is a common referral to colorectal surgeons. Management remains challenging and sometimes controversial. Magnetic resonance imaging (MRI) is commonly performed in initial workup for AF. However, reports often lack key information for guiding treatment strategies. It has been shown that with structured radiology reports, there is less missing information. We present a structured MRI template report including 8 key descriptors of anal fistulas, whose effectiveness and acceptability are being assessed in a cross-sectional study (NCT04541238).


2021 ◽  
Vol 34 (03) ◽  
pp. 155-162
Author(s):  
Marisa Louridas ◽  
Sandra de Montbrun

AbstractMinimally invasive and robotic techniques have become increasingly implemented into surgical practice and are now an essential part of the foundational skills of training colorectal surgeons. Over the past 5 years there has been a shift in the surgical educational paradigm toward competency-based education (CBE). CBE recognizes that trainees learn at different rates but regardless, are required to meet a competent threshold of performance prior to independent practice. Thus, CBE attempts to replace the traditional “time” endpoint of training with “performance.” Although conceptually sensible, implementing CBE has proven challenging. This article will define competence, outline appropriate assessment tools to assess technical skill, and review the literature on the number of cases required to achieve competence in colorectal procedures while outlining the barriers to implementing CBE.


2009 ◽  
Vol 12 (9) ◽  
pp. 885-890 ◽  
Author(s):  
H. Wadhawan ◽  
A. J. Shorthouse ◽  
S. R. Brown

1985 ◽  
Vol 72 (S1) ◽  
pp. s111-s116 ◽  
Author(s):  
D. C. C. Bartolo ◽  
A. M. Roe ◽  
J. Virjee ◽  
N. J. McC. Mortensen

2021 ◽  
pp. 000313482110545
Author(s):  
Alissa Doll ◽  
Leander Grimm

Intestinal obstruction is an entity commonly encountered by general and colorectal surgeons. Anatomic abnormalities account for only a small fraction of cases of complete or partial obstruction. This case report focuses on a 51-year-old female presenting with acute on chronic large bowel obstruction. Workup revealed an exceedingly rare anatomic abnormality: a medialized descending colon, traveling adjacent to the abdominal aorta, with a transition point and dense bands just distal to the splenic flexure. She underwent exploratory laparotomy with division of the constrictive bands and subsequently experienced near-complete resolution of her chronic obstructive symptoms.


2009 ◽  
Vol 91 (8) ◽  
pp. 274-275 ◽  
Author(s):  
Mark Coleman

In 2006 the National Institute for Health and Clinical Excellence issued guidance that laparoscopic resection is recommended as an alternative to open resection for individuals with colorectal cancer in whom both laparoscopic and open surgery are considered suitable. Due to the lack of trained colorectal surgeons a waiver was issued, which is due to be reviewed in September 2009. In 2007 the Cancer Action Team (CAT) at the Department of Health (DH) instituted the national training programme (NTP) for laparoscopic colorectal surgery (LCS) for colorectal consultants in England. The intention is to provide all suitable patients with bowel cancer in need of resection, access to a trained surgeon for laparoscopic resection. The programme is funded by the CAT.


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