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Start Over Author "Collard, M" Journal colorectal disease
4 results on '"Collard, M"'

1. COVID‐19 heath crisis: less colorectal resections and yet no more peritonitis or bowel obstruction as a collateral effect?

Author

Collard, M. K., Lefèvre, J. H., Batteux, F., Parc, Y., Peschaux, Frédérique, Wind, Philippe, Tresallet, Christophe, Soubrane, Olivier, Panis, Yves, Dagher, Ibrahim, Penna, Christophe, Msika, Simon, Dousset, Bertrand, Pocard, Marc, Breagnol, Frédéric, Sommacale, Daniel, Adam, René, Vaillant, Jean‐Christophe, Ménégaux, Fabrice, Parc, Yann, and Cattan, Pierre

Subjects
medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Collateral, Pneumonia, Viral, MEDLINE, Peritonitis, Betacoronavirus, Correspondence, Pandemic, Health care, medicine, Humans, Intensive care medicine, Pandemics, Colectomy, SARS-CoV-2, business.industry, Gastroenterology, COVID-19, Patient Acceptance of Health Care, medicine.disease, Hospitals, Hospital care, Bowel obstruction, France, Coronavirus Infections, business, Colorectal Surgery, Intestinal Obstruction
Abstract

Because of the rapid worldwide propagation of COVID‐19 (coronavirus disease 2019), each health care system had to urgently adapt with all efforts aimed to maximize the capacity of treatment for infected patients. With this in mind, the President of the French Republic declared on March 12, 2020: “Non‐essential hospital care will be postponed, i.e. surgical procedures that are not urgent.” But, in spite of the effort deployed by each hospital to provide a sufficient capacity of treatment for patients requiring a surgical procedure as an emergency, we have observed that the management of these patients have been largely affected, not because of a lack of resources but because of a surprising lack of patients.

Published
2020
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4. Reversal of Hartmann's procedure in patients following failed colorectal or coloanal anastomosis: an analysis of 45 consecutive cases.

Author

Caille, C., Collard, M., Moszkowicz, D., Prost à la Denise, J., Maggiori, L., and Panis, Y.

Subjects
*INFLAMMATORY bowel diseases, *DIVERTICULITIS, *STAPLERS (Surgery), *RECTAL cancer, *COLON cancer
Abstract

Aim: This study aimed to assess outcomes of Hartmann's reversal (HR) after failure of previous colorectal anastomosis (CRA) or coloanal anastomosis (CAA). Methods: All patients planned for HR from 1997 to 2018 following the failure of previous CRA or CAA were included. Results: From 1997 to 2018, 45 HRs were planned following failed CRA or CAA performed for rectal cancer (n = 19, 42%), diverticulitis (n = 16, 36%), colon cancer (n = 4, 9%), inflammatory bowel disease (n = 2, 4%) or other aetiologies (n = 4, 9%). In two (4%) patients, HR could not be performed. HR was performed in 43/45 (96%) patients with stapled CRA (n = 24, 53%), delayed handsewn CAA with colonic pull‐through (n = 11, 24%), standard handsewn CAA (n = 6, 14%) or stapled ileal pouch–anal anastomosis (n = 2, 4%). One (2%) patient died postoperatively. Overall postoperative morbidity rate was 44%, including 27% of patients with severe postoperative complication (Clavien–Dindo ≥ 3). After a mean follow‐up of 38 ± 30 months (range 1–109), 35/45 (78%) patients presented without stoma. Multivariate analysis identified a remnant rectal stump < 7.5 cm in length as the only independent risk factor for long‐term persistent stoma. Among stoma‐free patients, low anterior resection syndrome (LARS) score was ≤ 20 (normal) in 43%, between 21 and 29 (minor LARS) in 33% and ≥ 30 (major LARS) in 24% of the patients. Conclusion: HR can be recommended in patients following a failed CRA or CAA. It permits 78% of patients to be free of stoma. A short length of the remnant rectal stump is the only predictive factor of persistent stoma in these patients. [ABSTRACT FROM AUTHOR]

Published
2020
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