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OBJECTIVE To investigate which perioperative treatment, ie, laparoscopic or open surgery combined with fast track (FT) or standard care, is the optimal approach for patients undergoing segmental resection for colon cancer. SUMMARY BACKGROUND DATA Important developments in elective colorectal surgery are the introduction of laparoscopy and implementation(More)
BACKGROUND Case series suggest that laparoscopic peritoneal lavage might be a promising alternative to sigmoidectomy in patients with perforated diverticulitis. We aimed to assess the superiority of laparoscopic lavage compared with sigmoidectomy in patients with purulent perforated diverticulitis, with respect to overall long-term morbidity and mortality.(More)
OBJECTIVE Evaluation of diagnostic work-up and treatment of bodypackers. Identification of predictive factors for surgical treatment. DESIGN Retrospective descriptive study. SETTING Teaching hospital, The Netherlands. PATIENTS All 40 consecutive patients, admitted during the period 1995-99 inclusive to the surgical department with the diagnosis of(More)
OBJECTIVE To determine the effect of biological mesh closure on perineal wound healing after extralevator abdominoperineal resection (eAPR). BACKGROUND Perineal wound complications frequently occur after eAPR with preoperative radiotherapy for rectal cancer. Cohort studies have suggested that biological mesh closure of the pelvic floor improves perineal(More)
BACKGROUND Studies comparing laparoscopic and open appendicectomy are difficult to interpret owing to several types of bias, and the results often seem of limited clinical importance. National audits can be valuable to provide insight into outcomes following appendicectomy at a population level. METHODS A prospective, observational, resident-led,(More)
BACKGROUND Recent developments in large bowel surgery are the introduction of laparoscopic surgery and the implementation of multimodal fast track recovery programs. Both focus on a faster recovery and shorter hospital stay. The randomized controlled multicenter LAFA-trial (LAparoscopy and/or FAst track multimodal management versus standard care) was(More)
BACKGROUND/AIMS Procedures for haemorrhoidal prolapse that maintain functional haemorrhoidal anatomy are progressively used. The procedure for prolapse and haemorrhoids (PPH) has advantages over conventional haemorrhoidectomy, but is associated with a higher recurrence rate. The feasibility and efficiency of a second PPH instead of haemorrhoidectomy in case(More)
BACKGROUND Recently, excellent results are reported on laparoscopic lavage in patients with purulent perforated diverticulitis as an alternative for sigmoidectomy and ostomy.The objective of this study is to determine whether LaparOscopic LAvage and drainage is a safe and effective treatment for patients with purulent peritonitis (LOLA-arm) and to determine(More)
Hartmann’s procedure for perforated diverticulitis can be characterised by high morbidity and mortality rates. While the scientific community focuses on laparoscopic lavage as an alternative for laparotomy, the option of laparoscopic sigmoidectomy seems overlooked. We compared morbidity and hospital stay following acute laparoscopic sigmoidectomy (LS) and(More)
BACKGROUND Antibiotic treatment after appendicectomy for complicated appendicitis aims to reduce postoperative infections. However, available data on the duration of treatment are limited. This study compared the difference in infectious complications between two protocols, involving either 3 or 5 days of postoperative antibiotic treatment. METHODS This(More)