Diseases of the colon and rectum
-
Constipation is a commonly reported symptom, and pelvic floor dyssynergia is frequently documented in constipated patients. The standard therapeutic approach for pelvic floor dyssynergia is biofeedback training, but long-term studies show that a significant percentage of patients remain symptomatic. Alternative or adjunctive therapeutic options are needed. ⋯ Because of the relatively simple, painless and effective nature of electrogalvanic stimulation, we concluded that it may represent a useful adjunct to the therapeutic armamentarium for pelvic floor dyssynergia in normal transit constipation.
-
An unusual case is reported in which intramural rectal hematoma resulted from rectal insertion of a foreign body. The patient was admitted to the hospital for observation and was catheterized because of urinary retention. The patient was discharged from the hospital after four days; for the last two days of this hospital stay, the patient received a liquid diet. We conclude that for some cases of uncomplicated intramural rectal hematoma, conservative management is safe and preferable to surgically draining the hematoma, which would increase the risk of infection.
-
Comparative Study
Colonic surgery with accelerated rehabilitation or conventional care.
For patients undergoing colonic surgery, the postoperative hospital stay is usually 6 to 10 days, and the morbidity rate is 15 to 20 percent. Fast-track rehabilitation programs have reduced the hospital stay to 2 to 3 days. The aim of this study was to evaluate the postoperative outcome after colonic resection with conventional care compared with fast-track multimodal rehabilitation. ⋯ Time to first defecation, hospital stay, and morbidity may be reduced after colonic resection with fast-track multimodal rehabilitation.