Diseases of the colon and rectum
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Multicenter Study Comparative Study
Bowel preparation for colectomy and risk of Clostridium difficile infection.
Mechanical bowel preparation before colectomy is controversial for several reasons, including a theoretically increased risk of Clostridium difficile infection. ⋯ In contrast to previous single-center data, this multicenter study showed that the preoperative use of mechanical bowel preparation was not associated with increased risk of C difficile infection after colectomy. Moreover, the addition of oral antibiotics with mechanical bowel preparation did not confer any additional risk of infection.
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Multicenter Study Comparative Study
Enhanced recovery after colon surgery in a community hospital system.
Enhanced recovery after colon surgery has not been widely adopted in the United States and Europe, despite evidence that postoperative complications and hospital length of stay are decreased. ⋯ A comprehensive enhanced-care colon surgery care process was successfully introduced in a community hospital system, as indicated by the clinical outcome measures.
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Comparative Study
Enhanced recovery after surgery versus conventional perioperative care in rectal surgery.
Enhanced recovery after surgery programs have been developed to improve recovery, shorten hospital stays, and reduce morbidity. ⋯ Enhanced recovery after surgery programs help to reduce the length of hospital stay after rectal surgery.
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Comparative Study
Cleft-lift operation for pilonidal sinuses under tumescent local anesthesia: a prospective cohort study of peri- and postoperative pain.
The use of tumescent local anesthesia in the Bascom cleft-lift procedure has not been described before. ⋯ Most patients with moderate to complex pilonidal sinuses can be treated under local anesthesia without notable pain, and discharged minutes after the operation. The Bascom cleft-lift procedure causes only mild postoperative pain, and patients can resume work a few days later.