Pub Date : 2019-11-26DOI: 10.1201/9780429316944-53
J. Nguyen
{"title":"Incisional Hernias: When Do They Occur?","authors":"J. Nguyen","doi":"10.1201/9780429316944-53","DOIUrl":"https://doi.org/10.1201/9780429316944-53","url":null,"abstract":"","PeriodicalId":282445,"journal":{"name":"50 Landmark Papers","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128156147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-26DOI: 10.1201/9780429316944-95
K. Williams
condition associated with significant morbidity and mortality. This article includes a case summary of a patient who developed ACS, after which the pathophysiology, diagnosis and management of this important condition are discussed.
{"title":"Abdominal Compartment Syndrome","authors":"K. Williams","doi":"10.1201/9780429316944-95","DOIUrl":"https://doi.org/10.1201/9780429316944-95","url":null,"abstract":"condition associated with significant morbidity and mortality. This article includes a case summary of a patient who developed ACS, after which the pathophysiology, diagnosis and management of this important condition are discussed.","PeriodicalId":282445,"journal":{"name":"50 Landmark Papers","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125598077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As surgeons we are deeply affected by our postoperative complications, no matter how minor some may initially seem. We are also not infrequently called upon to personally treat or to help colleagues manage difficult clinical situations, whether as a result of the underlying disease process or from therapeutic endeavors. Although many are easily remedied, others leave us pondering as to how to proceed. Enterocutaneous fistulas (ECF), unfortunately, too often tend to fall into this latter group. With their wide-ranging etiology and variety of clinical factors potentially affecting management, each is extremely challenging in diverse aspects for both patient and physician alike. Confounding the situation, patients with ECF may present in a wide array of physiologic states spanning from a chronic draining wound to florid sepsis. As such, clinicians caring for these patients must possess a sound, and often stepwise, approach for evaluation and treatment. In this issue of Clinics in Colon and Rectal Surgery, our objective was to fully explore the complex nature of caring for patients with ECFs to help optimize patient outcomes in what is likely an already problematical state of affairs. Drs. Lundy and Fischer set the stage for the issue by providing an overview of ECF, including a fascinating look at the historical perspectives of this condition. Drs. Bleier and Hedrick discuss the metabolic support of the fistula patient including superb guidance on the initial goals of sepsis control, nutritional support, and available adjuncts for supportive care. Following patient stabilization, Drs. Lee and Stein present an in-depth review of the evaluation of fistula anatomy through both radiographic and endoscopic studies. The authors highlight the importance of detailing ECF anatomy to aid in successful outcomes, as well as the emerging role of minimally invasive alternatives for treatment. As a crucial component of the initial goals of ECF care, Drs. Hoedema and Suryadevara outline the principles of wound care along with the various techniques and tools available for enterostomal therapy to enhance patient comfort, recovery, and facilitate fistula healing. As the presence of ECF in assorted clinical settings can have a major impact on both diagnostic and therapeutic considerations, the authors have compiled a comprehensive review with respect to the patient’s underlying condition. Dr. Orangio begins with a thorough summary detailing the importance of a multidisciplinary approach to ECF care, the surgeon’s role as the leader within that team, as well as some technical aspects with emphasis on those patients with Crohn’s disease. Drs. de Campos-Lobato and Vogel tackle the difficult scenario of ECF management in those patients with underlying malignancy and prior radiation therapy, while Drs. Dubose and Lundy explore ECF management in the critically ill, posttraumatic, and thermally injured patient with an open abdomen including techniques to optimize fistula pre
{"title":"Enterocutaneous Fistulas","authors":"Edward B. Lineen, P. Lopez","doi":"10.1201/b19015-46","DOIUrl":"https://doi.org/10.1201/b19015-46","url":null,"abstract":"As surgeons we are deeply affected by our postoperative complications, no matter how minor some may initially seem. We are also not infrequently called upon to personally treat or to help colleagues manage difficult clinical situations, whether as a result of the underlying disease process or from therapeutic endeavors. Although many are easily remedied, others leave us pondering as to how to proceed. Enterocutaneous fistulas (ECF), unfortunately, too often tend to fall into this latter group. With their wide-ranging etiology and variety of clinical factors potentially affecting management, each is extremely challenging in diverse aspects for both patient and physician alike. Confounding the situation, patients with ECF may present in a wide array of physiologic states spanning from a chronic draining wound to florid sepsis. As such, clinicians caring for these patients must possess a sound, and often stepwise, approach for evaluation and treatment. In this issue of Clinics in Colon and Rectal Surgery, our objective was to fully explore the complex nature of caring for patients with ECFs to help optimize patient outcomes in what is likely an already problematical state of affairs. Drs. Lundy and Fischer set the stage for the issue by providing an overview of ECF, including a fascinating look at the historical perspectives of this condition. Drs. Bleier and Hedrick discuss the metabolic support of the fistula patient including superb guidance on the initial goals of sepsis control, nutritional support, and available adjuncts for supportive care. Following patient stabilization, Drs. Lee and Stein present an in-depth review of the evaluation of fistula anatomy through both radiographic and endoscopic studies. The authors highlight the importance of detailing ECF anatomy to aid in successful outcomes, as well as the emerging role of minimally invasive alternatives for treatment. As a crucial component of the initial goals of ECF care, Drs. Hoedema and Suryadevara outline the principles of wound care along with the various techniques and tools available for enterostomal therapy to enhance patient comfort, recovery, and facilitate fistula healing. As the presence of ECF in assorted clinical settings can have a major impact on both diagnostic and therapeutic considerations, the authors have compiled a comprehensive review with respect to the patient’s underlying condition. Dr. Orangio begins with a thorough summary detailing the importance of a multidisciplinary approach to ECF care, the surgeon’s role as the leader within that team, as well as some technical aspects with emphasis on those patients with Crohn’s disease. Drs. de Campos-Lobato and Vogel tackle the difficult scenario of ECF management in those patients with underlying malignancy and prior radiation therapy, while Drs. Dubose and Lundy explore ECF management in the critically ill, posttraumatic, and thermally injured patient with an open abdomen including techniques to optimize fistula pre","PeriodicalId":282445,"journal":{"name":"50 Landmark Papers","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114254190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-26DOI: 10.1201/9780429316944-17
Steven M. Cohn
Acute appendicitis is sudden inflammation of the appendix, usually initiated by obstruction of the lumen. This results in invasion of the appendix wall by gut flora, and it becomes inflamed and infected. If the appendix then ruptures, infected and faecal matter escape into the peritoneal cavity, producing life-threatening peritonitis. Alternatively, particularly if perforation or gangrene occurs after 24 hours or more, the inflamed surfaces may become stuck together first so that the peritonitis is trapped and localised. Sometimes the inflamed appendix becomes surrounded by omentum which adheres and localises the infection more effectively, forming an appendix mass or appendix abscess. [1]
{"title":"Appendicitis","authors":"Steven M. Cohn","doi":"10.1201/9780429316944-17","DOIUrl":"https://doi.org/10.1201/9780429316944-17","url":null,"abstract":"Acute appendicitis is sudden inflammation of the appendix, usually initiated by obstruction of the lumen. This results in invasion of the appendix wall by gut flora, and it becomes inflamed and infected. If the appendix then ruptures, infected and faecal matter escape into the peritoneal cavity, producing life-threatening peritonitis. Alternatively, particularly if perforation or gangrene occurs after 24 hours or more, the inflamed surfaces may become stuck together first so that the peritonitis is trapped and localised. Sometimes the inflamed appendix becomes surrounded by omentum which adheres and localises the infection more effectively, forming an appendix mass or appendix abscess. [1]","PeriodicalId":282445,"journal":{"name":"50 Landmark Papers","volume":"244 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123580336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-26DOI: 10.1201/9780429316944-30
Sarah Mathew, J. Barton, A. Ong
Background Recurrent Clostridium dif fi cile infection is dif fi cult to treat, and failure rates for antibiotic therapy are high. We studied the effect of duodenal infusion of donor feces in patients with recurrent C. dif fi cile infection. Methods We randomly assigned patients to receive one of three therapies: an initial vancomycin regimen (500 mg orally four times per day for 4 days), followed by bowel lavage and subsequent infusion ofa solution ofdonor feces througha nasoduodenal tube; a standard vancomycin regimen (500 mg orally four times per day for 14 days); or a standard vancomycin regimenwith bowel lavage. The primary end point was the resolution of diarrhoea associated with C. dif fi cile infection without relapse after 10 weeks.
{"title":"Duodenal Infusion of Donor Feces for Recurrent Clostridium Difficile","authors":"Sarah Mathew, J. Barton, A. Ong","doi":"10.1201/9780429316944-30","DOIUrl":"https://doi.org/10.1201/9780429316944-30","url":null,"abstract":"Background Recurrent Clostridium dif fi cile infection is dif fi cult to treat, and failure rates for antibiotic therapy are high. We studied the effect of duodenal infusion of donor feces in patients with recurrent C. dif fi cile infection. Methods We randomly assigned patients to receive one of three therapies: an initial vancomycin regimen (500 mg orally four times per day for 4 days), followed by bowel lavage and subsequent infusion ofa solution ofdonor feces througha nasoduodenal tube; a standard vancomycin regimen (500 mg orally four times per day for 14 days); or a standard vancomycin regimenwith bowel lavage. The primary end point was the resolution of diarrhoea associated with C. dif fi cile infection without relapse after 10 weeks.","PeriodicalId":282445,"journal":{"name":"50 Landmark Papers","volume":"256 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121343275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-26DOI: 10.1201/9780429316944-56
S. Agarwal, Christopher Reed
{"title":"Outcomes of Cholecystectomy in US Heart Transplant Recipients","authors":"S. Agarwal, Christopher Reed","doi":"10.1201/9780429316944-56","DOIUrl":"https://doi.org/10.1201/9780429316944-56","url":null,"abstract":"","PeriodicalId":282445,"journal":{"name":"50 Landmark Papers","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133687707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-11-26DOI: 10.1201/9780429316944-62
L. Johnson
{"title":"A Comparative Study of the Recell® Device and Autologous Split-Thickness Meshed Skin Graft in the Treatment of Acute Burn Injuries","authors":"L. Johnson","doi":"10.1201/9780429316944-62","DOIUrl":"https://doi.org/10.1201/9780429316944-62","url":null,"abstract":"","PeriodicalId":282445,"journal":{"name":"50 Landmark Papers","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129809305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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