Diseases of the colon and rectum
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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.
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Randomized Controlled Trial Multicenter Study Comparative Study
The hemorrhoid laser procedure technique vs rubber band ligation: a randomized trial comparing 2 mini-invasive treatments for second- and third-degree hemorrhoids.
Hemorrhoid laser procedure is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by means of Doppler-guided laser coagulation. ⋯ Despite higher cost, the hemorrhoid laser procedure technique was more effective than rubber band ligation in reducing postoperative pain, resolving symptoms, and improving quality of life in patients with grade II or III hemorrhoids with incomplete mucosal prolapse.
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Transumbilical single-port surgery has been developed with the aim to further reduce the invasiveness of conventional laparoscopy. ⋯ Our experience indicates that single-incision laparoscopic colectomy is feasible for selected patients with colon cancer.