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Implementation of a robotic surgical practice in inflammatory bowel disease
Robotics adoption has increased in colorectal surgery. While there are well-established advantages and standardised techniques for cancer patients,...
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Proctocolectomy and ileal J-pouch anastomosis for familial adenomatous polyposis in a paediatric patient
Familial adenomatous polyposis (FAP) is a well-described inherited syndrome, which presents with thousands of adenomas. Polyps appear in childhood or...
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Rectal cancer surgery: does low volume imply worse outcome—a single surgeon experience
BackgroundThe centralisation of rectal cancer management to high-volume oncology centres has translated to improved oncological and survival...
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Complications and functional outcomes after ileo-anal pouch excision—a systematic review of 14 retrospective observational studies
PurposeThe ileo-anal pouch (IAP) has been the gold standard procedure for maintenance of bowel continuity after panproctocolectomy for ulcerative...
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The enigma of incisional hernia prediction unraveled: external validation of a prognostic model in colorectal cancer patients
PurposeAccurate prediction of hernia occurrence is vital for surgical decision-making and patient management, particularly in colorectal surgery...
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Robotic-assisted surgery for left-sided colon and rectal resections is associated with reduction in the postoperative surgical stress response and improved short-term outcomes: a cohort study
IntroductionThere is growing evidence that the use of robotic-assisted surgery (RAS) in colorectal cancer resections is associated with improved...
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The INTESTINE study: INtended TEmporary STomas In crohN’s diseasE. Protocol for an international multicentre study
Surgery for ileocolonic Crohn’s disease can result in temporary or permanent stoma formation which can be associated with morbidity as parastomal and...
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Assessing the Impact of Primary Tumour Location on Survival After Resection of Colorectal Liver Metastases: A Propensity Weighted Retrospective Cohort Study
BackgroundRight-sided colonic tumours appear to have poorer survival after resection of colorectal liver metastases, although this may be confounded...
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Preoperative carbohydrate loading before colorectal surgery: a systematic review and meta-analysis of randomized controlled trials
PurposePreoperative carbohydrate loading has been introduced as a component of many enhanced recovery after surgery programs. Evaluation of current...
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Abdominoperineal Resection in the United Kingdom: a Case against Centralisation
Abdominoperineal excision of the rectum (APER) is associated with poorer oncological outcomes compared to anterior resection due to higher rates of...
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Outcomes Following Immediate Vertical Rectus Abdominis Myocutaneous (VRAM) Flap-Based Perineal Reconstruction Following Resectional Surgery For Pelvic Malignancies
BackgroundIncreasingly radical surgery combined with neo-adjuvant radiotherapy present a challenge for the reconstructive surgeon. The study...
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The use of botulinum toxin in the acute management of symptomatic complex incisional hernia: a case series
PurposeComplications of incisional hernia are amongst the commonest presentations to the emergency surgical take. Outcomes from emergency hernia...
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Evaluation of an established colorectal robotic programme at an NHS district general hospital: audit of outcomes and systematic review of published data
IntroductionRobotic-assisted surgery (RAS) offers potential advantages over traditional surgical approaches. This study aimed to assess outcomes from...
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Laparoscopy in high-risk emergency general surgery reduces intensive care stay, length of stay and mortality
PurposeEmergency general surgery patients undergoing laparoscopic surgery are at reduced risk of mortality and may require reduced length of critical...
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Visceral-to-subcutaneous fat ratio exhibits strongest association with early post-operative outcomes in patients undergoing surgery for advanced rectal cancer
AimDespite their promise as prognostic factors in colorectal cancer, anthropometric data are frequently contradictory or difficult to interpret, with...
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A contemporary series of surgical outcomes following subtotal colectomy and/or completion proctectomy for management of inflammatory bowel disease
BackgroundThe main indications for emergency subtotal colectomy (SC) include management of toxic colitis, refractory haemorrhage and/or perforation....
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Laparoscopic vs open restorative proctectomy after total abdominal colectomy for ulcerative colitis or familial adenomatous polyposis
PurposeRandomized controlled trials (RCTs) demonstrated that a laparoscopic approach provides short-term benefits, such as reduced blood loss and a...
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Major colorectal resection is feasible using a new robotic surgical platform: the first report of a case series
BackgroundThe number of abdominal procedures performed via a robotic-assisted approach is increasing as potential advantages of the modality are...
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Modern surgery for ulcerative colitis
Ulcerative colitis (UC) is a chronic inflammatory disorder of poorly understood aetiology. While medical treatment is first-line management,...
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Comparison of Ultrasound-Guided Erector Spinae Plane Block and Oblique Subcostal Transverse Abdominis Plane Block for Postoperative Analgesia in Elderly Patients After Laparoscopic Colorectal Surgery: A Prospective Randomized Study
IntroductionPostoperative analgesia in elderly patients is still a thorny problem. Ultrasound-guided oblique subcostal transverse abdominis plane...
