Transanal Analysis Essay

In Hanna Guthrie’s article, “Black History Month,” the UCI New University writer discusses the racism in America. In order for racism to be abolished, Guthrie accentuates racism is being spread through American Citizens self segregation. Though Hanna Guthrie article presents a clear claim and provides a small amount of factual evidence to support in itself, ultimately Guthrie article is unsuccessful because she fails to provide an adequate amount of logic-based information to support her primary claim, excessively dependent upon emotion-driven attacks on those who disagree with her, and frequently fails to present her augment in a approach that makes her creditable.

The American College of Gastroenterology Guidelines recommend colonoscopy,as the preferred cancer screening test for patients 50 years and older(Rex 2017). The technique of Endoscopic Mucosal Resection (EMR) was developed for removingsessile or flat lesions confined to the superficial layers (mucosa and submucosa) of the gastrointestinal (GI) tract, including the colon, esophagus, stomach, and duodenum. EMR with submucosal injection helps facilitate complete resection of polyps (Hwang 2015; Fyock 2010; Steele 2013), which is critical, as incomplete resections may contribute to the development of colon cancer in patients despite being on a colonoscopy screening/surveillance pathway (i.e. interval cancers). (von Renteln 2017; Bujanda 2010;

I confirm that I am registered with the Medical Board of Australia as a Specialist General Surgeon, with my practice largely confined to Colorectal Surgery. My qualifications are Bachelor of Medicine, and Bachelor of Surgery with Honours (1979) from the University of New South Wales, Fellow of the Royal Australasian College of Surgeons (1987), Fellow of the Royal College of Surgeons of England (1987) and a Fellow of the American College of Surgeons. I am a member of, and past Director of, the Colorectal Surgical Society of Australia and New Zealand.

This operation requires 3 to 5 small incisions be made in your lower stomach. A medical laparoscope is an instrument with a slender tube and an attached camera that the surgeon puts into one of the incisions in order to see where the damaged area is located. Your stomach is filled with gas so that the surgeon has a good view of the area where he will be working. One larger cut may be required if the surgeon needs to put a hand inside of the stomach to help remove the colon. It is not unusual to remove some lymph nodes while removing the damaged areas. The incisions will be closed with stitches or staples.

An ileostomy bag is placed on the skin in the abdominal region where the small intestine is attached over a stoma; the bag is to be emptied out on a daily basis. This procedure is done as a temporary healing process for a j-pouch, which is also considered an ileo-anal anastomosis. This is when the colon, rectum and part of the anus that is inflamed are removed and the small intestine is then attached to the healthy part of the anus which forms a “j”. Just like any other disease and treatment, there are risks of developing pouchitis, which is the inflammation and irritation of the ileo-anal anastomosis. This however, does not always occur as the procedure seems to have a very high success rate in helping patients who previously had

Bowel cancer is the second leading cancer in Australia with over 90 % of whom over 50 years old (Bowel Cancer Australia, 2014). Every year, over 17,000 people are newly diagnosed with bowel cancer (Cancer Council Australia, 2015). The most common treatment for all stages of bowel cancer is removing the cancer and forming a stoma which may help people to maintain the maximum function of their digest system. Depending on the patient’s situation, the colostomy can be reversed to recover the function of absorb nutrition and exclude metabolites. This paper will review the whole process of a patient who received reversal colostomy from admission to discharge, and explain the symptoms that the patient had post operation.

The benefit of medical management of Ulcerative Colitis is that it offers the option of avoiding surgery in most patients. Even though colectomy is possibly curative in several patients and significantly decreases the dangers of colon cancer, the surgery normally does comprise of several complications especially with patients who have restorative proctocolectomy with ileal pouch-anal anastomosis. Some of the short-term and the long-term surgical problems comprise of anastomotic leaks, pelvic sepsis, pouchitis, Crohn’s disease of the pouch, cuffitis and irritable pouch syndrome. Also, ileal pouch-anastomosis can have an influence on the patient’s sex life and fertility and there is also a small risk for the progress of neoplasia of the anal

Diagnosis of a gynecological cancer can be very scary and disruptive for women and their families. Performing cancer surgeries through a minimally invasive approach helps in making cancer treatment as gentle and as least disruptive as possible .It also enables these patients to get back to their lives and routine activities more quickly without a significant interruption in their quality of life. Today, women affected by most gynecologic malignancies can benefit from minimally invasive surgical advances. Rather than operating through a large abdominal incision, 3 to 5 small incisions can be used for laparoscopy or robotic surgery. The main advantages of this scarless or minimally invasive technique

This surgery is usually done using a minimally invasive technique called laparoscopy. The technique allows the surgery to be done through small incisions instead of a large incision. It results in less pain, a smaller risk of infection, and a shorter recovery time.

During his training and for two years after his residency, Dr. Labow pursued extensive clinical and scientific research. Dr. Labow’s clinical and research interests include the diagnosis and treatment of peritoneal malignancies like peritoneal mesothelioma. Dr. Labow’s dedication to research and training allow him to understand all the treatments available abdominal cancer, including investigational approaches. He also concentrates on the application of minimally invasive techniques in cancer care, and promotes a multidisciplinary approach to therapy.

The patients were selected according to the type of surgery, open colectomy for left-sided colon and rectal cancer, patients that required "postoperative ventilation or planned intensive care therapy due to co-morbid conditions were excluded from the study," the eligible subjects were randomly selected to either the control or treatment group, and peri-operative treatment was standardized (Quah et al, 2006, p. 65). Outcome measures were time to first flatus and feces, and length of hospital stay, and a blinded "independent specialist colorectal nurse practitioner" evaluated the progress (Quah et al, 2006, p. 65). Researchers utilized the Mann-Whitney U-test and the X2 test to analyze the data entered into statistical software, and measured statistical significance using a two-sided p value of 0.05. The two groups were homogeneous "in terms of age, gender co-morbid disease, history of previous abdominal surgery, site of tumor and tumor stage" (Quah et al, 2006, p. 65). The researchers findings were not significant enough to support the intervention; the mean time to first flatus was 2.7 days for the control group and 2.4 days for the experimental group a p value of 0.56, the mean time to first feces was 3.9 days for the control group and 3.2 for the experimental group a p value of 0.38, and length of hospital stay was 11.2 days for the control group and 9.4 days for the experimental group a p value of 0.75. Patients in the experimental group had

MR imaging has been shown to be a useful tool for the assessment of both rectal and anal cancers [3,7–12]. However, its role in differentiating the site of origin of carcinomas that overlap the anorectal junction is limited, as most of the cases need histological confirmation for a final diagnosis.

1.16 – 7.07). Likewise, fistula repair and bowel resection resulted in longer hospital stay with an odds ratio of 3.68 ([CI]: 1.59 - 5.76).

The years after the introduction of total mesorectal excision, lead to a major improvement in the survival of rectal cancer. Since its introduction, the five-year survival rates increased from 45%-50% to 75% and the local recurrence rates decreased from 30% to 5%-8%.[1] The technique is based on the principle that dissection in the mesorectal plane, produces an intact fascial-lined specimen, which contains all the blood vessels, lymphatic vessels, and lymph nodes, through which the tumor may disseminate.[2, 3]

A laparoscopic approach appears to be associated with a reduction in surgical trauma and blood loss. In addition, it is presumable that some of the benefits of minimally invasive surgery such as reduced analgesic requirements, a shorter recovery period and reduced hospital stay (Kuhry, 2005). It has become a forerunner in the quest of improving surgical results by dropping postoperative pain and lessening recovery time. Yet, the use of laparoscopic instruments can be awkward and cumbersome, thus escalating operative time and dropping dexterity, which can