0000000001031439
AUTHOR
J Martínez
Safety of hospital discharge before return of bowel function after elective colorectal surgery
Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multiva…
Multicentre propensity score-matched analysis of conventional versus extended abdominoperineal excision for low rectal cancer
Abstract Background Abdominal perineal excision (APE) was originally described with levator ani removal for rectal cancer. An even wider, more aggressive extralevator resection for APE has been proposed. Although some surgeons are performing a very wide ‘extralevator APE (ELAPE)’, there are few data to recommend it routinely. This multicentre study aimed to compare outcomes of APE and ELAPE. Methods A multicentre propensity case-matched analysis comparing two surgical approaches (APE and ELAPE) was performed. All patients who underwent abdominoperineal resection of a rectal tumour were considered for the analysis. Tumour height was defined by magnetic resonance imaging measurement and patie…
Scavenging Behaviour of Red Deer Cervus elaphus Linnaeus, 1758 (Artiodactyla: Cervidae) in Eastern Spain
A male red deer was repeatedly observed scavenging in eastern Spain. This is the first time this behaviour of the red deer being recorded by means of camera traps. Scavenging behaviour of herbivores may have implications for wildlife biologists and managers.