Our Summary

This research paper looked at the number of colorectal surgeries, a common type of surgery, performed by general surgery residents (doctors in training) over 16 years. The data was taken from a publicly available database from 2003 to 2019. The surgeries were divided into different categories, such as open or laparoscopic colectomy/proctectomy (removal of part of the colon or rectum), abdomino-perineal resection (removal of the rectum and anus), transanal rectal tumor excision (removal of a tumor in the rectum through the anus), and others.

The results showed that the number of colorectal surgeries performed by these residents increased over the 16 years. The number of laparoscopic colectomies/proctectomies, anorectal surgeries, and colonoscopies also increased. However, the number of open colectomies/proctectomies, abdomino-perineal resections, and transanal rectal tumor excisions decreased.

The researchers concluded that the increase in the number of colorectal surgeries performed by residents is a positive sign as these are common surgeries that they will encounter in their practice. However, the decrease in other kinds of surgeries suggests that specialized training might be needed for these procedures.

FAQs

  1. What was the main finding of this research on colorectal surgeries performed by general surgery residents?
  2. Over what timeframe was the data collected for this research on colorectal surgeries?
  3. What does the decrease in certain types of surgeries suggest according to the researchers?

Doctor’s Tip

One helpful tip a doctor might give to a patient undergoing colorectal surgery is to follow the pre-operative instructions carefully, such as fasting before the surgery and taking any prescribed medications as directed. It is also important to discuss any concerns or questions with your healthcare team before the surgery to ensure a smooth recovery process. Additionally, following post-operative care instructions, such as proper wound care and pain management, can help promote healing and reduce the risk of complications.

Suitable For

Patients who are typically recommended colorectal surgery include those with conditions such as colorectal cancer, inflammatory bowel disease, diverticulitis, colorectal polyps, and other benign or malignant tumors in the colon or rectum. Additionally, patients with severe cases of hemorrhoids, fistulas, or other anorectal conditions may also be recommended for colorectal surgery. The decision to undergo colorectal surgery is typically made after thorough evaluation and discussion between the patient and their healthcare provider to determine the most appropriate treatment plan for their specific condition.

Timeline

Before colorectal surgery:

  • Patient meets with a colorectal surgeon to discuss the need for surgery and the risks and benefits involved.
  • Patient undergoes preoperative testing such as blood work, imaging studies, and possibly a colonoscopy to evaluate the condition of the colon.
  • Patient may need to make dietary and lifestyle changes in preparation for surgery.
  • Patient may need to stop taking certain medications that can increase the risk of bleeding during surgery.
  • Patient may need to undergo bowel preparation to empty the colon before surgery.

After colorectal surgery:

  • Patient is closely monitored in the recovery room for any complications such as bleeding, infection, or anesthesia-related issues.
  • Patient may experience pain and discomfort at the surgical site and will be given pain medications to manage it.
  • Patient will be encouraged to start moving around as soon as possible to prevent blood clots and promote healing.
  • Patient will be on a restricted diet initially and gradually transition to a normal diet as tolerated.
  • Patient will need to follow up with the surgeon for postoperative care and monitoring of the surgical site.
  • Patient may need to undergo physical therapy to regain strength and mobility.
  • Patient will need to make lifestyle changes to promote healing and prevent future colorectal issues, such as maintaining a healthy diet and regular exercise.

What to Ask Your Doctor

Some questions a patient should ask their doctor about colorectal surgery include:

  1. What type of colorectal surgery do you recommend for my condition?
  2. What are the potential risks and complications associated with the surgery?
  3. How long is the recovery period after the surgery?
  4. Will I need to make any lifestyle changes before or after the surgery?
  5. What kind of follow-up care will I need after the surgery?
  6. Are there any alternative treatments to surgery that I should consider?
  7. How experienced are you in performing colorectal surgery?
  8. Will I need to undergo any pre-operative tests or screenings?
  9. What is the success rate of this surgery for patients with similar conditions?
  10. Are there any long-term effects or considerations I should be aware of after the surgery?

Reference

Authors: Kling SM, Raman S, Taylor GA, Philp MM, Poggio JL, Dauer ED, Oresanya LB, Ross HM, Kuo LE. Journal: J Surg Educ. 2022 May-Jun;79(3):632-642. doi: 10.1016/j.jsurg.2021.12.009. Epub 2022 Jan 19. PMID: 35063391