Monthly Archive:: April 2015

Risk score in surgery

Septic Severity Score (by Elebute & Stoner) Mannheim Peritonitis Index (MPI); Peritonitis Index Altona II (PIA II); All these scores are reflect the early developments and I think it fair to say that they are no longer

Surgical treatment of rectal prolapse

The abdominal procedures for patients with severe intussusception or rectal prolapse with normal sphincter function are sigmoid resection with or without rectopexy and rectopexy alone. Both operations—rectopexy or resection—require complete mobilization of the rectum to the pelvic

Ileostomy – types, physiology, complications and follow-up.

Permanent ileostomy is sometimes performed after proctocolectomy for ulcerative colitis; Crohn’s disease, familial polyposis, and other conditions may also require ileostomy. A temporary ileostomy often is used to divert the fecal stream for 3 months when ileoanal

Ischemic colitis

Ischemic colitis is caused by mesenteric vascular occlusion or nonocclusive mechanisms. A common precipitating event is abdominal aortic reconstruction with interruption of a vital blood supply such as the inferior mesenteric artery. An entity that resembles ischemic

Antibiotic-Associated Colitis

A spectrum of adverse colonic responses may develop in hospitalized patients during or after antibiotic therapy. There may be diarrhea without gross mucosal abnormality (antibiotic-associated diarrhea), gross inflammation of the mucosa, or whitish-green or yellow plaques on

Treatment of colitis

Medical Therapy of colitis Management of the colitis depends on the severity of the attack; children and the elderly present special problems.

Acute Lower Gastrointestinal Hemorrhage

Exsanguinating hemorrhage from the colon in adults is caused by diverticular disease, angiodysplasia, solitary ulcer, ulcerative colitis, ischemic colitis, or a variety of uncommon lesions such as coagulation disorders, radiation injury, chemotherapeutic toxicity, and others. Bleeding occurs

The principal procedures for rectal cancer

The principal procedures for rectal tumors are as follows:

Meshed ventral hernias

I have read the recent discussion on hernia, especially ventral hernia. The last time I used a mesh repair was in a refugee from some unfortunate country, from Iraque I believe, 7-8 years ago. He had been

Wound Management

Some of the recent discussion on wound management caused me to jot down a few of my believes on the subject. There is too little science about this, or I fail to appreciate it.