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BACKGROUND The development of enterocutaneous fistula (ECF) is one of the most challenging complications encountered in colorectal surgery. Currently, only two supra-regional centres are nationally designated in the United Kingdom to treat ECF patients. The aim of this study was to assess clinical outcome measures following the implementation of an ECF(More)
Parastomal hernias (PH) are frequent with a high morbidity. Three randomised controlled trials have shown that prophylactic mesh stoma reinforcement significantly reduces their incidence. Implantation and fixation of mesh can be time-consuming, difficult to perform laparoscopically and does not deal with the excessive stretching of the trephine and the(More)
AIM There are no available guidelines to support surgical decision-making in recurrent rectal prolapse. This systematic review evaluated the results of abdominal or perineal surgery for recurrent rectal prolapse, with the aim of developing an evidence-based treatment algorithm. METHOD PubMed and MEDLINE databases were searched for all clinical studies(More)
BACKGROUND Despite advances in surgical oncology, most patients with primary ovarian cancer develop a recurrence that is associated with a poor prognosis. The aim of this review was to establish the impact of Heated IntraPEritoneal Chemotherapy (HIPEC) in the overall survival of patients with recurrent ovarian cancer. METHODS A search of PubMed/MEDLINE(More)
BACKGROUND AND AIMS Recent changes to postgraduate training in the United Kingdom have led to considerable debate regarding selection processes for specialist training (ST) positions. A survey of the opinion of a group of consultants on the relative importance of selection criteria for entry into the first year of specialist training (ST 1) was conducted.(More)
INTRODUCTION We present a case of leg swelling of unusual aetiology which serves as a reminder to the surgeon to consider causes of leg swelling other than lymphoedema and venous insufficiency. CASE REPORT A 40 year old man developed progressive left leg swelling despite treatment of his varicose veins. Subsequent investigation revealed a lesion(More)
To the Editor—fleshman and the PRism study group1 should be commended for the design and quality of this pragmatic randomized controlled trial that aimed to establish the efficacy of prophylactic stoma reinforcement with a non–cross-linked porcine-derived acellular dermal matrix in the prevention of parastomal herniation. although there was no difference in(More)
BACKGROUND The pathophysiology of fecal incontinence in men is poorly established. OBJECTIVE The aim of this study was to assess the coexistence of constipation and determine the impact of rectal sensorimotor dysfunction in males with fecal incontinence. SETTING This study was conducted at a tertiary referral center. PATIENTS Included were adult male(More)
Colorectal cancer (CRC) rarely metastasizes to the brain. The incidence of cerebral metastases (CM) is estimated between 1 and 3%. Given the improved survival from advanced CRC as a result of surgical and oncological advances, it is anticipated that the incidence of patients with CM from CRC will rise over the next few years. The aim of this article was to(More)