Readmission to index versus non-index provider after colorectal ...
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Readmission to index versus non-index provider after colorectal ...
D. Browning*, O. Warren, N. Johnson, M. Seymour, M.F. Lawson, L. Jones,. A. Kerr, R. White, S. Mills. Chelsea and Westminster NHS Foundation Trust,. London ...
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Abstracts / International Journal of Surgery 36 (2016) S31eS132
Conclusion: Intestinal injury is a significant complication of laparoscopic colorectal surgery, which can be managed laparoscopically as well as by conversion to open surgery. However, unrecognised injuries can lead to high mortality.
http://dx.doi.org/10.1016/j.ijsu.2016.08.164
0912: EVALUATION OF HAEMORRHOID ARTERY LIGATION OPERATION AND RECTO-ANAL REPAIR (HALO-RAR) ON THE TREATMENT OF HAEMORRHOIDS E. Tam*, P. Hainsworth. Freeman Hospital, Newcastle upon Tyne, UK. Aim: To evaluate the role of HALO-RAR on the surgical management of haemorrhoids by means of pre and post-operative questionnaires. Method: Patients with grade I-IV haemorrhoids suitable for surgical haemorrhoidectomy were enrolled. A standardized questionnaire was given pre and post-operatively (6 weeks and 12 months) to assess satisfaction and symptom severity. The questionnaire was used to calculate a modified Wexner score. 10-day pain diaries were given postoperatively. Result: 53 patients were included. By day 10, 6 (15%) patients had a pain score> 4. Preoperatively, the average modified Wexner score was 2.2. At 12 months it was 1.1. After 6 weeks, 72%, 43% and 94% of patients had improvement in pain, pruritus and bleeding respectively. At 12 months, 55%, 45% and 75% had improvement in pain, pruritus and bleeding respectively. 7 patients had recurrence of haemorrhoids. Conclusion: The majority of the patients felt the core symptoms of pain, pruritus and bleeding were treated successfully. Patients were satisfied with the overall outcome of the procedure. Most patients were discharged on the same day with a low grade of postoperative pain. HALO-RAR seems a safe treatment option with no major peri or post-operative complications. The overall short-term results showed satisfactory symptomatic benefits.
0943: POOR PAIN CONTROL IN MAJOR GASTROINTESTINAL SURGERY D. Nepogodiev*, A. Bhangu, P. Ananthavarathan, T. Pinkney, D. Morton, S. Bach. Academic Department of Surgery, University of Birmingham, Birmingham, UK. Aim: Royal College of Anaesthetists standards require that poor pain control should occur on
