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6 research outputs found

The State of Mechanical Bowel Preparation in Colorectal Surgery

Author: Sant H.P. (Hans Pieter) van 't
Publication venue: __Abstract__ Surgical resection is the cornerstone of treatment for patients with colorectal cancer and has an important role in patients with inflammatory bowel disease or other benign bowel conditions requiring surgical treatment. Generally, restoration of bowel continuity with a primary anastomosis is pursued in uncomplicated colorectal resections. The most serious complication of colorectal surgery with restoration of bowel continuity is anastomotic leakage. When the abdominal cavity is exposed to faeces due to anastomotic leakage it causes peritonitis with possible sepsis, need for reintervention and increased morbidity and mortality. The incidence of anastomotic leakage after colon surgery varies in literature between 3 and 6.4%.
Publication date: 14/11/2014
Field of study

__Abstract__ Surgical resection is the cornerstone of treatment for patients with colorectal cancer and has an important role in patients with inflammatory bowel disease or other benign bowel conditions requiring surgical treatment. Generally, restoration of bowel continuity with a primary anastomosis is pursued in uncomplicated colorectal resections. The most serious complication of colorectal surgery with restoration of bowel continuity is anastomotic leakage. When the abdominal cavity is exposed to faeces due to anastomotic leakage it causes peritonitis with possible sepsis, need for reintervention and increased morbidity and mortality. The incidence of anastomotic leakage after colon surgery varies in literature between 3 and 6.4%

Erasmus University Digital Repository

Saccular Abdominal Aortic Aneurysms Patient Characteristics, Clinical Presentation, Treatment, and Outcomes in the Netherlands

Author: Akker L.H. van den
Akker P.J. van den
Akkersdijk G.J.
Akkersdijk G.P.
Akkersdijk W.L.
Arts C.H.
Avontuur J.A.
Baal J.G.
Bakker O.J.
Balm R.
Barendregt W.B.
Bender M.H.
Bendermacher B.L.
Berg M. van den
Berger P.
Beuk R.J.
Blankensteijn J.D.
Bleker R.J.
Bockel J.H.
Bodegom M.E.
Bogt K.E.
Boll A.P.
Booster M.H.
Borst G.J. de
Bos-van Rossum W.T.
Bosma J.
Botman J.M.
Bouwman L.H.
Breek J.C.
Brehm V.
Brinckman M.J.
Broek T.H. van den
Brom H.L.
Bruijn M.T. de
Bruin J.L. de
Brummel P.
Brussel J.P. van
Buijk S.E.
Buimer M.G.
Burg B.L.B. van der
Burger D.H.
Buscher H.C.
Butter G. den
Cancrinus E.
Castenmiller P.H.
Cazander G.
Coveliers H.M.
Cuypers P.H.
Daemen J.H.
Dawson I.
Derom A.F.
Dijkema A.R.
Diks J.
Dinkelman M.K.
Dirven M.
Dolmans D.E.
Doorn R C. van
Dortmont L.M. van
Eb M.M. van der
Eefting D.
Eijck G.J. van
Elshof J.W.
Elsman B.H.
Elst A. van der
Engeland M.I. van
Eps R.G. van
Faber M.J.
Fijter W.M. de
Fioole B.
Fritschy W.M.
Geelkerken R.H.
Gent W.B. van
Glade G.J.
Govaert B.
Groenendijk R.P.
Groot H.G. de
Haak R.F. van den
Haan E.F. de
Hajer G.F.
Hamming J.F.
Hattum E.S. van
Hazenberg C.E.
Helleman J.N.
Hem L.G. van der
Hendriks J.M.
Herwaarden J.A. van
Heyligers J.M.
Hinnen J.W.
Hissink R.J.
Ho G.H.
Hoed P.T. den
Hoedt M.T.
Hoek F. van
Hoencamp R.
Hoffmann W.H.
Hoksbergen A.W.
Hollander E.J.
Huisman L.C.
Hulsebos R.G.
Hunt-Jens K.M.
Idu M.M.
Jacobs M.J.
Jagt M.F. van der
Jahrome A.K.
Jansbeken J.R.
Janssen R.J.
Jiang H.H.
Jong S.C. de
Jongkind V.
Joosten P.P.H.M.
Kapma M.R.
Karthaus E.G.
Keller B.P.
Kempenaer M.G.V. de
Kievit J.K.
Klemm P.L.
Klinkert P.
Knippenberg B.
Koedam N.A.
Koelemaij M.J.
Kolkert J.L.
Koning G.G.
Koning O.H.
Krasznai A.G.
Krol R.M.
Kropman R.H.
Kruse R.R.
Laan L. van der
Laan M.J. van der
Laanen J.H. van
Lardenoye J.H.
Lawson J.A.
Legemate D.A.
Leijdekkers V.J.
Lemson M.S.
Lensvelt M.M.
Lijkwan M.A.
Lind R.C.
Linden F.T. van der
Loos M.J.
Loubert M.C.
Lung P.F.L.
Mahmoud D.E.
Manshanden C.G.
Mattens E.C.
Meerwaldt R.
Mees B.M.
Metz R.
Minnee R.C.
Mol van Otterloo J.C. de
Moll F.L.
Morak M.J.
Mortel R.H. van de
Mulder W.
Nagesser S.K.
Naves C.C.
Nederhoed J.H.
Nevenzel-Putters A.M.
Nie A.J. de
Nieuwen-Huizen J.
Nieuwenhuis D.H.
Nieuwenhuizen R.C. van
Nio D.
Nolthenius R.P.T.
Oomen A.P.
Oranen B.I.
Oskam J.
Palamba H.W.
Peppelenbosch A.G.
Petersen A.S. van
Peterson T.F.
Petri B.J.
Pierie M.E.
Ploeg A.J.
Pol R.A.
Ponfoort E.D.
Poyck P.P.
Prent A.
Raa S. ten
Raymakers J.T.
Reichart M.
Reichmann B.L.
Reijnen M.M.
Rijbroek A.
Rijn M.J. van
Roo R.A. de
Rouwet E.V.
Rupert C.G.
Saleem B.R.
Sambeek M.R. van
Samyn M.G.
Sant H.P. van 't
Schaik J. van
Schaik P.M. van
Scharn D.M.
Scheltinga M.R.
Schepers A.
Schlejen P.M.
Schlosser F.J.
Schol F.P.
Schouten O.
Schreinemacher M.H.
Schreve M.A.
Schurink G.W.
Sikkink C.J.
Siroen M.P.
Slaa A. te
Smeets H.J.
Smeets L.
Smet A.A. de
Smit P. de
Smit P.C.
Smits T.M.
Snoeijs M.G.
Sondakh A.O.
Steenhoven T.J. van der
Sterkenburg S.M. van
Stigter D.A.
Stigter H.
Strating R.P.
Stultiens G.N.
Swijndregt Y.C.M. van
Sybrandy J.E.
Teijink J.A.
Telgenkamp B.J.
Testroote M.J.
The R.M.
Thijsse W.J.
Tielliu I.F.
Tong T.M.L.
Tongeren R.B. van
Toorop R.J.
Tordoir J.H.
Tournoij E.
Truijers M.
Turkean K.
Unlu C.
Vafi A.A.
Vahl A.
Vahl A.C.
Veen E.J.
Veger H.T.
Veldman M.G.
Verhagen H.J.
Verhoeven B.A.
Vermeulen C.F.
Vermeulen E.G.
Vierhout B.P.
Visser M.J.
Vliet J.A. van der
Vlijmen-van Kuelen C.J.
Voesten H.G.
Voorhoeve R.
Vos
Publication venue: 'Ovid Technologies (Wolters Kluwer Health)'
Publication date: 01/11/2019
Field of study

Objective: The aim of this was to analyze differences between saccularshaped abdominal aortic aneurysms (SaAAAs) and fusiform abdominal aortic aneurysms (FuAAAs) regarding patient characteristics, treatment, and outcome, to advise a threshold for intervention for SaAAAs.Background: Based on the assumption that SaAAAs are more prone to rupture, guidelines suggest early elective treatment. However, little is known about the natural history of SaAAAs and the threshold for intervention is not substantiated.Methods: Observational study including primary repairs of degenerative AAAs in the Netherlands between 2016 and 2018 in which the shape was registered, registered in the Dutch Surgical Aneurysm Audit (DSAA). Patients were stratified by urgency of surgery; elective versus acute (symptomatic/ruptured). Patient characteristics, treatment, and outcome were compared between SaAAAs and FuAAAs.Results: A total of 7659 primary AAA-patients were included, 6.1% (n = 471) SaAAAs and 93.9% (n = 7188) FuAAAs. There were 5945 elective patients (6.5% SaAAA) and 1714 acute (4.8% SaAAA). Acute SaAAApatients were more often female (28.9% vs 17.2%, P = 0.007) compared with acute FuAAA-patients. SaAAAs had smaller diameters than FuAAAs, in elective (53.0mm vs 61 mm, P = 0.000) and acute (68mm vs 75 mm, P = 0.002) patients, even after adjusting for sex. In addition, 25.2% of acute SaAAA-patients presented with diameters <55mm and 8.4% <45 mm, versus 8.1% and 0.6% of acute FuAAA-patients (P = 0.000). Postoperative outcomes did not significantly differ between shapes in both elective and acute patients.Conclusions: SaAAAs become acute at smaller diameters than FuAAAs in DSAA patients. This study therefore supports the current idea that SaAAAs should be electively treated at smaller diameters than FuAAAs. The exact diameter threshold for elective treatment of SaAAAs is difficult to determine, but a diameter of 45mm seems to be an acceptable threshold.Vascular Surger

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