Anastomotic leakage in rectal surgery: Where are we and where do we go from here?
dc.contributor.supervisor | Coleman, Mark | |
dc.contributor.author | Rossi, Benjamin William Peter | |
dc.contributor.other | Peninsula Medical School | en_US |
dc.date.accessioned | 2024-01-05T15:09:30Z | |
dc.date.issued | 2023 | |
dc.identifier | 10599480 | en_US |
dc.identifier.uri | https://pearl.plymouth.ac.uk/handle/10026.1/21877 | |
dc.description.abstract |
Anastomotic leak in colorectal surgery is a significant complication which is feared by surgeons and has considerable consequences for patients. It affects up to 17% of rectal resections and although there is significant knowledge regarding its detection and treatment, there are still no reliable methods for its prevention. We proposed the routine use of intra-operative endoscopy as a method of reducing the risk of anastomotic leak. This thesis explores current knowledge regarding anastomotic leaks, including the causes, prevention and management. We also present the findings from a feasibility trial into intra-operative endoscopy as a method for reducing anastomotic leak rate. We found that the prevention of anastomotic leak is multi-faceted. Current methods cannot prevent it entirely but intra-operative endoscopy is a safe and potentially beneficial method of identifying leaks and preventing complications but further large-scale trials are required. If it cannot be prevented, early diagnosis and treatment is important to reduce further complications. | en_US |
dc.language.iso | en | |
dc.publisher | University of Plymouth | |
dc.rights | CC0 1.0 Universal | * |
dc.rights.uri | http://creativecommons.org/publicdomain/zero/1.0/ | * |
dc.subject | Anastomotic leak Colorectal surgery | en_US |
dc.subject.classification | Other (e.g., MD, EdD, DBA, DClinPsy) | en_US |
dc.title | Anastomotic leakage in rectal surgery: Where are we and where do we go from here? | en_US |
dc.type | Thesis | |
plymouth.version | publishable | en_US |
dc.identifier.doi | http://dx.doi.org/10.24382/5129 | |
dc.identifier.doi | http://dx.doi.org/10.24382/5129 | |
dc.rights.embargodate | 2025-01-05T15:09:30Z | |
dc.rights.embargoperiod | 12 months | en_US |
dc.type.qualification | Doctorate | en_US |
rioxxterms.version | NA | |
plymouth.orcid.id | 0000-0002-2702-514X | en_US |
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