OBJECTIVE:
Morbid obesity is associated with an increased risk of postoperative complications, including surgical site infections (SSIs). SSIs significantly impact length of hospital and health care costs. There is good evidence that wound protectors for digestive tract surgery decrease the incidence of SSIs, but to date it remains unclear if this provides benefit in Laparoscopic Roux-en-Y Gastric Bypass (LRNYGB). Circular stapled anastomosis is associated with an increased risk of SSI presumab
Introduction: The growing importance of colonoscopy for the prevention and early detection of colorectal cancer has led to increasing emphasis on the quality of endoscopic procedures. Patient comfort is considered a performance indicator for colonoscopy. Our aim was to assess predictors of patient comfort during colonoscopy.
Methods: A retrospective cohort study was performed on 3235 patients who underwent colonoscopy in St. John’s, NL in the year 2012. Data from 628 patients were excluded du
Introduction: Conversion form laparoscopy to open surgery may have worse outcomes than successfully completed laparoscopic procedures. There is limited data comparing converted laparoscopic to open procedures. We aimed to investigate if conversion in a large cohort of colectomy procedures negatively impacts short-term outcomes compared to open approaches.
Methods: All patients who underwent elective colectomy in 2012 were identified from American College of Surgeons National Surgical Quality Im
INTRODUCTION
Some patients are not well suited to undergo general anesthesia because of comorbidities. Furthermore, by avoiding inhalational anesthetics and neuromuscular blockade, epidural anesthesia offers substantial cost savings. This study was undertaken to detail our experience with Laparo-Endoscopic Single Site (LESS) cholecystectomy with epidural anesthesia.
METHODS
36 consecutive patients undergoing LESS cholecystectomy with epidural anesthesia were prospectively followed. Operativ
INTRODUCTION-Surgical treatments for gastrointestinal malignancies are well documented to have a significant impact on the quality of life for patients. The functional Assessment of Cancer Therapy-General scale (Fact-G) is a validated universal tool developed to assess Health related quality of life outcome in cancer patients. The FACT-G focuses on the domains of personal well being, social/family well being, emotional well being and functional well being. The aim of this study was to assess the