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Colorectal Surgery Evidence Update

30th September 2016
OSNA for colon cancer staging

Trifluridine–tipiracil for previously treated metastatic colorectal cancer

Ultroid 2.0 for internal haemorrhoids
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New and Updated Cochrane Systematic Reviews

Epidural local anaesthetics versus opioid-based analgesic regimens for postoperative gastrointestinal paralysis, vomiting and pain after abdominal surgery
Authors' conclusions: An epidural containing a local anaesthetic, with or without the addition of an opioid, accelerates the return of gastrointestinal transit (high quality of evidence). An epidural containing a local anaesthetic with an opioid decreases pain after abdominal surgery (moderate quality of evidence). We did not find a difference in the incidence of vomiting or anastomotic leak (low quality of evidence). For open surgery, an epidural containing a local anaesthetic would reduce the length of hospital stay (very low quality of evidence).
Leicester Publications

Factors predicting outcome from enhanced recovery programmes in laparoscopic colorectal surgery: a systematic review.

Clinical risk scores in the current era of neoadjuvant chemotherapy for colorectal liver metastases.

C-reactive protein levels in the perioperative period as a predictive marker of endoscopic recurrence after ileo-colonic resection for Crohn's disease.

Abdominal fat ratio - a novel parameter for predicting conversion in laparoscopic colorectal surgery.
 
Other Primary Research and Evidence Syhtheses
 
Effect of Interval (7 or 11 weeks) Between Neoadjuvant Radiochemotherapy and Surgery on Complete Pathologic Response in Rectal Cancer: A Multicenter, Randomized, Controlled Trial (GRECCAR-6)

Comparison of an anal fistula plug and mucosa advancement flap for complex anal fistulas: a meta-analysis.

Factors predicting outcome from enhanced recovery programmes in laparoscopic colorectalsurgery: a systematic review.

Prophylactic transanal decompression tube versus non-prophylactic transanal decompression tube for anastomotic leakage prevention in low anterior resection for rectal cancer: a meta-analysis.

A Systematic Review of Local Excision After Neoadjuvant Therapy for Rectal Cancer: Are ypT0 Tumors the Limit?

Systematic review and meta-analysis of sutures coated with triclosan for the prevention of surgical site infection after elective colorectal surgery according to the PRISMA statement.

Comparison of Anatomical and Nonanatomical Hepatectomy for Colorectal Liver Metastasis: A Meta-Analysis of 5207 Patients.

Comparison of Anatomical and Nonanatomical Hepatectomy for Colorectal Liver Metastasis: A Meta-Analysis of 5207 Patients.

A Systematic Review to Assess Resection Margin Status After Abdominoperineal Excision and Pelvic Exenteration for Rectal Cancer.

Should prophylactic measures to prevent postpolypectomy bleeding after resection of large colorectal polyps be used?

Core Outcomes for Colorectal Cancer Surgery: A Consensus Study.

Anterior Perineal PlanE for ultra-low Anterior Resection of the rectum (APPEAR) technique: A systematic review.

Meta-analysis of colorectal cancer follow-up after potentially curative resection.
 
Table of Contents

Clinical Colorectal Cancer
Colorectal Disease
Diseases of the Colon & Rectum
International Journal of Colorectal Disease
Seminars in Colon and Rectal Surgery
Our mailing address is: pip.divall@uhl-tr.nhs.uk
 
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