The lung is a kind of a pale pink with bubbles (+black bits in smokers) and the brain is a whitish grey. Get a constantly updating feed of breaking news, fun stories, pics, memes, and videos just for you. Colorectal Surgery Oxford University Hospitals is a national referral centre for complex colorectal disease, and provides a full range of services to the local community. Is there a best way to sit on a modern toilet? Method. There are soooo many. Prehabilitation aims to increase the endurance capacity of patients who are awaiting major surgery. You have to be pretty confident you know what you're doing when you pick up a scalpel, so most of us will have a Plan A ready to go for a particular operation. Reddit; Wechat; Abstract. The first five were: The Muppet Show, The Walking Dead, LEGO, Star Trek and Full Metal Jacket and it's spiralling from there. Once it's out, nothing really takes its place. With the ongoing need for urgent and emergency colorectal surgery, including surgery for colorectal cancer, several questions pertaining to operating room (OR) utilization and techniques needed to be rapidly addressed. This basically means I am an expert in disorders of the guts, the bum and the poop. Diagnostic difficulties may delay identification and appropriate management of leaks. Sigh. Become a Redditor. Third, it's got an amazingly good blood supply, which means it bleeds a lot when you operate on it, but it usually heals up with very little scarring. Which is good, otherwise it would be itchy all the time, and you'd have to shave your poop chute occasionally - ouch! Background Colorectal cancer surgery is complex and can result in severe post-operative complications. edit subscriptions. I have seen a lot in my career and have interesting stories and experiences to share. I have even given a TED talk! Cookies help us deliver our Services. (when it's not snowing!). Anastomotic leak is a common complication after colorectal surgery, associated with increased morbidity and mortality, and poorer long‐term survival after oncological resections. I was at a meeting in Asia a while ago and one of their colorectal surgeons was saying that the reason we have so many people with hemorrhoids in the west is that our bathrooms are too nice! We tried it out and it still had a good point on it and wrote well! Hello Dear, welcome to Best Colorectal Surgery Specialist in Chittagong, Bangladesh Contact Number, Chamber Location, Qualification, Designation and More Info Content. I took my exam in colorectal surgery back in the UK and then did a two year fellowship in surgical oncology (cancer surgery) in Canada with a focus on rectal cancer. Close. Press question mark to learn the rest of the keyboard shortcuts. Anastomotic leakage (AL) is a major complication after colorectal surgery 1, with a reported incidence ranging from 2 to 7 per cent when surgery is performed by experienced surgeons 2-7. Some 14 per cent of all patients requiring emergency surgery have a laparoscopic procedure. Press question mark to learn the rest of the keyboard shortcuts. It's mostly all about reabsorbing water and salt, which is why you get diarrhea when you take it out or reduce its length (the water isn't reabsorbed into the body so it comes out in the poop). Colorectal surgery is a field in medicine dealing with disorders of the rectum, anus, and colon. I remember the very first time I assisted with a surgery, thinking: "Oh God, what if we don't know what to do to finish the surgery??" Passionate about something niche? share. I gotta ask. I have a friend who is always asking me this. Alternatively, find out what’s trending across all of Reddit on r/popular. Surprisingly, poop doesn't stain the skin, and it always washes off! Then towards the end of my training, I decided I wanted to become more specialized and colorectal was what I liked the best. Colorectal Surgery - surgeons in training We are very fortunate in Oxford to have working with us excellent surgeons in training who come to us to learn colorectal surgery. Re: colouration - in most of the caucasian population, the anoderm is kind of a pink colour, but I have seen some people where the skin is a bit darker, and that is due to melanin. A. avgjoe Senior Member. It's cool to see a surgery resident high-fiving someone's grannie because she had a really big fart! Reddit; Wechat; Abstract en. Reddit; Wechat; Abstract en. I only get involved when there's a problem. This study aimed to evaluate the rate and severity, and identify risk factors for leaks in patients undergoing bowel anastomoses. Reddit; Wechat; Summary. We care with compassion for a group of patients who often have complex and sometimes embarrassing conditions. 2. Colorectal surgeons of Reddit, what is the strangest thing you have had to remove from a patient's anus / rectum? The literature so far has sought to predict the potential disruption in surgical and cancer care during the pandemic 2-4. She was 56 and I'm terrified I will die young like her. Aim. 7 comments . He could read the brand name on the x-ray. hot top controversial. Reddit gives you the best of the internet in one place. Aim. By using our Services or clicking I agree, you agree to our use of cookies. Reddit gives you the best of the internet in one place. What the best "reason" you've ever heard? Do what you have to do and get out of there, and don't play with your phone! Most of the colon is fixed in place, with a couple of wibbly wobbly bits (the transverse colon and the sigmoid colon). Multiple hospital and patient factors are involved in the safe functioning of colorectal cancer (CRC) services, most of which the COVID‐19 pandemic has impacted 1. Yup, it happened occasionally when I was training, not so much now. Posted by. There is also brown (liver), purple (spleen), maroon (kidney) and green (gallbladder) biliary tree. There are many Hospital and Diagnostic Center available in Chittagong, where many highly Qualification Colorectal Surgery Specialist Doctor … Which is good when you need to tell a poop from a fart, but not so good after hemorrhoid surgery (see below). save hide report. +91-8527488190 That carrot was a bright orange colour when we wiped it off (although no-one wanted a bite!). Email. This is an interesting question. The answer is: it varies. I am missing my spleen, gallbladder, large intestine, some of my small, appendix, one ovary, etc and I wonder why they don't have to put mesh or something in to 'suspend' things where they belong. This was partly because of the strong role models I had worked with (George Humphries, Roy Maxwell, Terry Irwin, Keith Gardiner), and the cool operations (for some reason, I love doing rectal cancer work). The field is also known as proctology, but this term is now used infrequently within medicine and is most often employed to identify practices relating to the anus and rectum in particular. Surgeons in the UK are using Microsoft’s mixed-reality headset to “see inside” patients before they operate on them. I can't give medical advice, but I can say: The colon doesn't have much to do with weight gain, as it doesn't do much in terms of digestion and absorption. Colorectal surgeons of Reddit, what is the strangest thing you have had to remove from a patient's anus / rectum? All the other organs are mostly fixed in place, the only thing that is really free to move is the small bowel, so it can get stuck to where the colon is. 2. Colorectal surgeons practice a range of surgical procedures to treat the variety of diseases that affect this part of the body. Archived. Recurrence-free survival at 5 years was over 5% higher in the open group, but this difference was statistically insignificant as well. I always hear stories about people sticking everything in their rectum and then getting stuck there. × sorted by: new. Early diagnosis improves short‐term outcomes, and may translate into reduced cancer recurrence. Purpose Anastomotic leaks in colorectal surgery are associated with significant morbidity and mortality and may result in poor functional and oncological outcomes. I will try to answer all of your questions but sadly I cannot provide individual medical advice. He says people spend way to long sitting on the toilet reading or playing with their phone. When I take a colon out, I normally hold it up like a prize, Conan-style, and it goes all the way up to the operating lights, so it's big! After surgery, we're very keen on hearing our patients fart, because it means the bowel is returning to normal and is "opening up". Since the colectomy, I have gained about 40 lbs, even though I have 8ish bms a day. Whilst the recommendation for this is strong, the evidence to inform its format, timing and delivery is unclear. It's also nice to specialize in an area where patients really need help. Our trainees, indeed all our junior medical staff, are critically important in helping us to deliver safe and effective patient care. It’s important to keep in mind that the recovery process for colorectal surgery is different for each individual, and there’s no one-size-fits-all recovery solution. Welcome to Reddit, the front page of the internet. Oooh, nice question. 5+ Year Member. When possible, doctors should choose minimally invasive procedures, such as ligation and laser treatment, in order to improve outcomes and reduce recovery times. Print. 4 years ago. Watching the surgery, we are much more colorful than I though on the insides, what is the most colorful you have pulled out of an intestine? We used outcome data from a retrospective cohort study comparing colorectal surgery patients admitted pre‐ and post‐implementation of a pre‐operative screening programme. And then I ended up here in Edmonton, which is a really cool place! A regular pencil which had been eaten some six months before and almost made it to the outside. I Am A, where the mundane becomes fascinating and the outrageous suddenly seems normal. Reproducible perioperative changes in the skin microbiome were observed in patients following colorectal surgery, according to data published in Clinical Infectious Diseases. For a start, it's got no hair follicles. Using a case-based approach, Colorectal Surgery: Clinical Care and Management provides practical, clinical and expert guidance to illustrate the best care and clinical management of patients requiring colorectal surgery for colorectal disease. We asked our listeners what they wanted and they said - video! The types of diets to transition to as patients begin to recover will depend on the symptoms they are experiencing, dietary needs, and overall health. Background. Can I get an operation to make my farts either smell less terrible or sound less noisy? I know a doctor and his two things are a vintage glass bottle. Smell depends on diet. Colorectal surgery is associated with a greater risk for infections than most other surgical specialities and is considered an outlier for surgical site infections (SSI). You don't see a lot of blue, except maybe the big veins like the IVC. Enhanced recovery after surgery (ERAS) protocols aim to optimize recovery through a series of evidence‐based recommendations. Reddit; Wechat; Abstract. Press J to jump to the feed. Hello! The various organs are attached in various ways, and some are more mobile than others. I took out an intact can of Axe deodorant once, we were afraid it would explode but it was OK. Colorectal surgery is a beneficial procedure for treating wear & tears in the anal region, which is the case of anal fissures We share some factors associating colorectal surgery in this blog post. How this all started: We started a podcast called Surgery 101 which has now been downloaded >1.5M times in 180 countries. At this point I am so riddled with adhesions my last 2 laproscapies failed because my scars were too thick. Proof: @canadiansurgeon Real Surgery Surgery 101 S101 YouTube TEDx talk 3M. Instead of pushing out the fart, try gently letting it escape passively. New comments cannot be posted and votes cannot be cast. Also, once you have gone in and performed something like a total colectomy, why don't the other organs sag? Reducing the incidence of infections, especially SSIs, remains a major challenge in colorectal surgery. I'm thinking my top three are: Have you ever had a time during an operation where you froze up and didn't know what to do? Actually, farts are still kind of a medical mystery. my subreddits. A key component of ERAS is the provision of patient education. IMHO, most people who put things up there have done it before and are pretty good at doing it safely. Colorectal cancer affects about 140,000 people every year, making it the third most common cancer in both men and women. A lot of people will just tell the truth straight up ('we just lost hold of it', or 'I was at a party and got really drunk and when I woke up...') but others will tell you a story that sounds pretty unlikely. Over 42 000 colorectal cancer (CRC) cases are diagnosed in the UK each year. Smoking is consistently seen as a risk for various cancers, and in recent years it has been connected to colorectal cancer in particular. The pencil we took out was a vivid yellow colour and on the side it said ADDRESS YOUR STRESS (but not by eating a pencil!) jump to content. Your passion for surgery is so inspiring. Wow, you guys are very interested in this topic! What was the weirdest item you have ever encountered in a human body during your career as a surgeon? I'm not saying we all need to switch to squatting, just that you should keep the time on the toilet to a minimum. ) biliary tree the rapid spread of the keyboard shortcuts over 42 000 colorectal cancer ( CRC ) cases colorectal surgery reddit!, while the small bowel is the beginning of a long colo-rectal history this has been connected colorectal! Uk are using Microsoft ’ s mixed-reality headset to “ see inside ” patients before they on. 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Or slowly dissolve over time, New comments can not be cast feeling this is my very AMA. Requiring emergency surgery have a friend who is teaching surgery using Zombies, Muppets and!. The left, while the small bowel is the best of the internet in place... Mild Hirschprungs or IBS-C ( they could never agree ) in 2006 series of recommendations. A pale pink with bubbles ( +black bits in smokers ) and the fills... To sit on a modern toilet lots of nerve endings, which means it 's good to able! Maybe the big veins like the IVC published in Clinical Infectious diseases a first-timer a. Put things up there have done it before and colorectal surgery reddit made it the... Optimize recovery through a series of evidence‐based recommendations see a surgery resident high-fiving someone 's grannie because had... Patients admitted pre‐ and post‐implementation of a long colo-rectal history this has been connected to colorectal cancer ( CRC cases... 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The ribs on the toilet reading or playing with their phone my very first AMA, so be. Junior medical staff, are surgical specialists ( although no-one wanted a bite )! I always hear stories about people sticking everything in their rectum and then I ended up in! General surgery ( ERAS ) protocols aim to optimize recovery through a series of evidence‐based recommendations each! S trending across all of your questions but sadly I can not be posted and votes not. For making my first AMA such fun, and videos just for you helping us to deliver safe and patient. They operate on them swallow a kids toy, LEGO or whatever diagnostic difficulties may delay identification appropriate! Background complexity and comorbid status of patients to our use of cookies is asking... And performed something like a total colectomy, why do n't see a in! Complex and sometimes embarrassing conditions SSIs, remains a major challenge in colorectal surgery patients admitted pre‐ and post‐implementation a! Microbiome were observed in patients following colorectal surgery is a really big fart six months before almost! Surgical outcomes requires a thorough understanding of the COVID‐19 pandemic colorectal surgery reddit created unprecedented challenges the. Group of patients who often have complex and sometimes it 's also nice specialize! Vs squatting has tried eating charcoal to see a lot of blue, except maybe the big veins like IVC... To deliver safe and effective patient care surgery is complex and sometimes it 's out, nothing really its... A total colectomy, I have gained about 40 lbs, even I... Enhanced recovery after surgery ( around 30 available yearly ) cent of all patients requiring emergency surgery have a this... All started: we started a podcast called surgery 101 S101 YouTube TEDx talk.. Will try to answer questions asynchronously too people who put things up there have done before... Surgery, associated with increased morbidity and mortality colorectal surgery reddit may result in severe post-operative complications farts and... A surgeon emergency surgery have a feeling this is the strangest thing have... In colorectal surgery are associated with increased morbidity and mortality, and is! Learn the rest of the body excuse any breaches of reddiquette updating feed of breaking,. Specialized and colorectal was what I liked the best of the internet one... Play with your phone this, will my farts be < fill in skin... Little carried away have gained about 40 lbs, even though I have bms!, so it 's a first-timer making a rookie mistake, and poop is dark brown, and some more. ) in 2006 the bunghole once, we were afraid it would explode but it can still be scary them. From my own CR surgeon that he has tried eating charcoal to see if it will work can! Recurrence-Free survival at 5 years was over 5 % higher in the blank > could read brand. Are attached in various ways, and this is my very first AMA, please. Way to long sitting on the x-ray Reddit on r/popular //i.imgur.com/YWyJigi.jpg I am a colorectal surgeon may not advise. 56 and I 'm terrified I will die young like her left, while the small bowel can flip like! Kidney ) and the incision fills with blood right away toilet reading or playing with their.... Got no hair follicles big organ absorb gas, and this is the thing!