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Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. [1] The field is also known as proctology , but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular.
Currently, its use is limited to emergency surgery when immediate anastomosis is not possible, or more rarely it is used palliatively in patients with colorectal tumours. [ 1 ] The Hartmann's procedure with a proximal end colostomy or ileostomy is the most common operation carried out by general surgeons for management of malignant obstruction ...
In cancer patients, lesions are commonly tattooed via colonoscopy before colectomy to give the surgeon an intraoperative visual guide. [1] For non-emergent procedures, patients are typically instructed to follow a clear liquid diet or fast and take a mechanical bowel preparation (oral osmotic agents or laxative) to clear the bowels before surgery.
Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time.
The day before the colonoscopy (or colorectal surgery), the patient is either given a laxative preparation (such as bisacodyl, phospho soda, sodium picosulfate, or sodium phosphate and/or magnesium citrate) and large quantities of fluid, or whole bowel irrigation is performed using a solution of polyethylene glycol and electrolytes.
He has pioneered single incision laparoscopic colorectal surgery (virtual scarless surgery) and also works with liver surgeons to perform simultaneous laparoscopic liver and bowel resections for cancer. His other clinical interest is advanced stage 3/4 endometriosis, performing laparoscopic surgery with gynaecologists. This has led to the ...
Proctocolectomy is the surgical removal of the entire colon and rectum from the human body, leaving the patients small intestine disconnected from their anus. [1] It is a major surgery that is performed by colorectal surgeons, however some portions of the surgery, specifically the colectomy (removal of the colon) may be performed by general surgeons. [2]
In the field of colorectal surgery, Wexner is the 3rd most cited author of all time and the most cited living colorectal surgery author. [34] As of September 2022, Dr. Wexner remained the most cited actively practicing colorectal surgery author in the world and the 21st most cited actively practicing surgeon in any specialty in the world. [35]