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  • 1
    Electronic Resource
    Electronic Resource
    Comparison of ileostomists' sexual life before and after conversion to continent ileostomy (1981)
    Springer
    World journal of surgery 5 (1981), S. 751-751 
    Details
    ISSN: 1432-2323
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Des questionnaires ont été envoyés à 48 opérés d'iléostomie concernant leur vie sexuelle avant et après la conversion de leur iléostomie classique en une iléostomie continente. Quarante-deux patients (88%) ont répondu au questionnaire, 29 étaient du sexe feminin. En réponse à la question concernant leur vie sexuelle, 98% ont répondu qu'ils se trouvaient quelque peu embarrassés, peu certains d'eux mêmes ou même inhibés après l'iléostomie conventionnelle, alors que 24% seulement se trouvaient gênés dans leur vie sexuelle après la conversion en iléostomie continente. Quatre-vingt-cinq pour-cent déclarèrent que l'iléostomie conventionnelle avait une influence négative sur l'image corporelle qu'ils se faisaient d'eux mêmes, alors que seulement 5% avaient cette sensation après la conversion. Quatrevingt-cinq pour-cent de tous les malades constatèrent que la qualité de leur vie sexuelle s'était améliorée après cette conversion. Ces résultats suggèrent que l'iléostomie conventionnelle influence la vie sexuelle plus qu'on ne le reconnait généralement et que la conversion en iléostomie continente améliore la qualité de la vie sexuelle chez ces opérés.
    Notes: Abstract To compare ileostomists' sexual life before and after conversion from a conventional spout to a continent pouch ileostomy, questionnaires were sent to 48 ileostomists with experience with both types of ileostomy. Forty-two patients (88%) returned their questionnaires; 29 were women. In answer to the question about the effect of their ileostomy on their sexual performance, 98% replied that they had sometimes felt embarrassed, uncertain, or inhibited because of the conventional ileostomy, whereas only 24% felt so after conversion to a continent ileostomy. Eighty-five percent felt that the conventional ileostomy negatively influenced their body image, whereas only 5% considered this to be the case after conversion to continent ileostomy. Eighty-five percent of the patients claimed that the quality of their sexual life had improved after conversion to continent ileostomy. The results suggest that a conventional ileostomy influences sexual life more than is generally recognized, and that conversion to continent ileostomy can improve the quality of sexual life in such patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01657947
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  • 2
    Electronic Resource
    Electronic Resource
    Quality of life in ileostomy patients before and after conversion to the continent ileostomy (1988)
    Springer
    International journal of colorectal disease 3 (1988), S. 166-170 
    Details
    ISSN: 1432-1262
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In a prospective study the quality of life was evaluated in 31 consecutive patients before and after conversion from a conventional to a continent ileostomy. Patient expectations, immediate emotional reactions after the operation and attitudes at the time of the interview were more positive towards the continent ileostomy than the conventional ileostomy. An improved working capacity was affirmed after conversion to the continent ileostomy. Leisure activities and the quality of sexual life were most positively influenced by the continent ileostomy, whereas established family and social relations were not considerably influenced by either type of ileostomy. In conclusion the continent ileostomy improves the quality of life in patients requesting conversion from a conventional ileostomy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01648361
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  • 3
    Electronic Resource
    Electronic Resource
    Diagnosis and treatment of diverticular disease (1999)
    Springer
    Surgical endoscopy and other interventional techniques 13 (1999), S. 430-436 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Consensus development conference — Diverticulitis — Contrast enema — Hartmann resection — Laparoscopic colectomy — Intraabdominal infections
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: With the aim of resolving the current controversy over the diagnosis and treatment of diverticular disease, this consensus development conference set out to summarize the actual state of the art. Methods: A multidisciplinary panel of international experts (n= 16) was selected to take part in the consensus process. Prior to the conference, all experts were asked to answer a series of questions on diverticular disease. The consensus statement compiled out of these evaluations was modified during a joint meeting of the panel members, then presented for discussion in a public session, and finally revised by the expert panel. The finalized statement was mailed to all panel members for approval (Delphi method). Results: Asymptomatic diverticulosis, diverticular disease (with actual or recurrent symptoms), and complicated diverticular disease were defined separately. No agreement was reached on whether barium enema or colonoscopy is the better choice as an initial diagnostic tool in uncomplicated cases. In complicated cases, computed tomography is recommended for diagnosis. After two attacks of diverticular disease, elective resection should be considered. For patients in whom a concomitant carcinoma cannot be excluded and those with chronic complications (fistula, stenosis, or bleeding) surgery is also indicated. Laparoscopic sigmoid colectomy is recommended only for uncomplicated and, after percutaneous drainage of abscesses, Hinchey stage I and II cases. Conclusions: Laparoscopic surgery has already begun to influence the management of diverticular disease, but the randomized controlled trials needed to support therapy decisions are largely missing.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649901007
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  • 4
    Electronic Resource
    Electronic Resource
    Open vs laparoscopic repair of perforated peptic ulcer (1999)
    Springer
    Surgical endoscopy and other interventional techniques 13 (1999), S. 679-682 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Peptic ulcer — Perforation — Peritonitis — Laparoscopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Most studies have found that the only advantage to the laparoscopic treatment of perforated peptic ulcer is a reduced need for postoperative analgesia. Therefore, we set out to assess the short-term outcome of open (OR) versus laparoscopic (LR) repair of perforated peptic ulcer. Methods: A total of 62 consecutive OR patients were compared with a concurrent cohort of 17 diagnosis-matched LR controls treated at the same hospital between 1991 and 1996. Results: The OR and LR patients were comparable for age, weight, American Society of Anesthesiologists (ASA) grade, Acute Physiology and Chronic Health Evaluation (APACHE II) score, Boey score, ulcer site, Mannheim Peritonitis Index (MPI), delay of surgery, Helicobacter pylori infection, nonsteroidal antiinflammatory drug (NSAID) intake, and previous abdominal surgery. More LR than OR patients were operated on by staff surgeons (χ 2= 46.9, 1 d.f., p≪ 0.01). Mortality (OR: 12, LR: two), morbidity (OR: eight, LR: two), estimated blood loss (OR: 120 ml, LR: 95 ml), solid food intake resumption (OR: 5 days, LR 4 days), NSAID consumption (OR: 2,225 mg, LR: 1,815 mg), delayed gastric emptying (OR: two, OR: one), and hospital stay (OR: 9 days, LR: 7 days) were not significantly different for the two groups. Four LR patients (23.5%) were converted to OR due to failure to progress (n= 3) or posterior perforation (n= 1). Operating time was shorter in OR patients (65 min versus 92 min, p≪ 0.01). LR patients had reduced opioid consumption (256 mg versus 134 mg, p≪ 0.01). One LR and 16 OR patients were lost to follow-up. Median follow-up was 14 months (range, 2–55) and 18 months (range, 1–62) in OR and LR patients, respectively. There were more LR than OR patients with Visick score I (p= 0.002) and more OR than LR patients with Visick score II (p= 0.0001). Scores III and IV did not differ significantly. Conclusion: The laparoscopic repair of perforated peptic ulcer does not yield any additional benefits over the open repair.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649901072
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  • 5
    Electronic Resource
    Electronic Resource
    Laparoscopic antireflux surgery for gastroesophageal reflux disease (GERD) (1997)
    Springer
    Surgical endoscopy and other interventional techniques 11 (1997), S. 413 -426 
    Details
    ISSN: 1432-2218
    Keywords: Key words: Consensus development conferences — Laparoscopic antireflux operations — Outcome assessment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: Laparoscopic antireflux surgery is currently a growing field in endoscopic surgery. The purpose of the Consensus Development Conference was to summarize the state of the art of laparoscopic antireflux operations in June 1996. Methods: Thirteen internationally known experts in gastroesophageal reflux disease were contacted by the conference organization team and asked to participate in a Consensus Development Conference. Selection of the experts was based on clinical expertise, academic activity, community influence, and geographical location. According to the criteria for technology assessment, the experts had to weigh the current evidence on the basis of published results in the literature. A preconsensus document was prepared and distributed by the conference organization team. During the E.A.E.S. conference, a consensus document was prepared in three phases: closed discussion in the expert group, public discussion during the conference, and final closed discussion by the experts. Results: Consensus statements were achieved on various aspects of gastroesophageal reflux disease and current laparoscopic treatment with respect to indication for operation, technical details of laparoscopic procedures, failure of operative treatment, and complete postoperative follow-up evaluation. The strength of evidence in favor of laparoscopic antireflux procedures was based mainly on type II studies. A majority of the experts (6/10) concluded in an overall assessment that laparoscopic antireflux procedures were better than open procedures. Conclusions: Further detailed studies in the future with careful outcome assessment are necessary to underline the consensus that laparoscopic antireflux operations can be recommended.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004649900382
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