Abdominal surgical site infections(SSIs)are infections that occur after abdominal surgery.They can be superficial,involving the skin tissue only,or more profound,involving deeper skin tissues including organs and impl...Abdominal surgical site infections(SSIs)are infections that occur after abdominal surgery.They can be superficial,involving the skin tissue only,or more profound,involving deeper skin tissues including organs and implanted materials.Currently,SSIs are large global health problem with an incidence that varies significantly depending on the United Nations’Human Development Index.The purpose of this review is to provide a practical update on the latest available literature on SSIs,focusing on causative pathogens and treatment with an overview of the ongoing studies of new therapeutic strategies.展开更多
Repeated anastomotic recurrence(AR)of colonic cancer is uncommon.We report a case of a double-isolated AR after sigmoidectomy.In 2003,a 60-year-old woman underwent stapled sigmoid resection for a moderately differenti...Repeated anastomotic recurrence(AR)of colonic cancer is uncommon.We report a case of a double-isolated AR after sigmoidectomy.In 2003,a 60-year-old woman underwent stapled sigmoid resection for a moderately differentiated adenocarcinoma.Further rectal bleeding occurred after six months,and colonoscopy detected an AR.Thus,an additional stapled colorectal anastomosis was performed.Ten months later,a colonoscopy detected a circumferential AR that prompted the completion of a second colorectal resection,with a doublestapled colorectal anastomosis.Twenty-four hours after surgery,a massive pulmonary embolism occurred,and the patient died within a few hours.At present,onlysix cases of repeated isolated AR have been described.Repeated segmental colorectal resections are generally associated with a favourable prognosis,with a median survival rate of 45 mo(range,13-132 mo).Repeated isolated ARs are rare,and segmental colorectal resections are generally associated with long-term diseasefree survival.展开更多
文摘Abdominal surgical site infections(SSIs)are infections that occur after abdominal surgery.They can be superficial,involving the skin tissue only,or more profound,involving deeper skin tissues including organs and implanted materials.Currently,SSIs are large global health problem with an incidence that varies significantly depending on the United Nations’Human Development Index.The purpose of this review is to provide a practical update on the latest available literature on SSIs,focusing on causative pathogens and treatment with an overview of the ongoing studies of new therapeutic strategies.
文摘Repeated anastomotic recurrence(AR)of colonic cancer is uncommon.We report a case of a double-isolated AR after sigmoidectomy.In 2003,a 60-year-old woman underwent stapled sigmoid resection for a moderately differentiated adenocarcinoma.Further rectal bleeding occurred after six months,and colonoscopy detected an AR.Thus,an additional stapled colorectal anastomosis was performed.Ten months later,a colonoscopy detected a circumferential AR that prompted the completion of a second colorectal resection,with a doublestapled colorectal anastomosis.Twenty-four hours after surgery,a massive pulmonary embolism occurred,and the patient died within a few hours.At present,onlysix cases of repeated isolated AR have been described.Repeated segmental colorectal resections are generally associated with a favourable prognosis,with a median survival rate of 45 mo(range,13-132 mo).Repeated isolated ARs are rare,and segmental colorectal resections are generally associated with long-term diseasefree survival.