Surgery for XXXX : a re-evaluation of the changing trends.

@entity1 @entity7971 @entity697 @entity66 @entity4436
Abstract The surgical management of @entity4436 continues to evolve but recent literature has not qualified just how different current practice is compared with the previous @entity7971 . This study aims to update the seminal paper by Rodkey and Welch regarding indications and operation types performed for @entity4436 by comparing their findings with present practice at a community based institution. The charts of 407 @entity1 admitted with " @entity66 " between 2005 and 2010 were identified. For each admission, @entity1 ' demographics, presentations and management were recorded. Direct comparisons were made with results from the study by Rodkey and Welch. Of the 407 admissions studied, the distribution was 335 emergency and 72 elective. Medical management alone treated 90% of emergency admissions, while 4% required additional radiologic intervention. Emergency surgery was necessary in only 6% of cases with Hartmann's procedure being the most common procedure. Recurrent @entity4436 was a prime indication for elective surgery with 96% of cases undergoing a 1-staged procedure. Compared with the previous @entity7971 , the nonoperative approach to managing @entity697 is now applied for the vast majority of admissions. Improved success in medically temporizing @entity1 in the present @entity7971 has allowed for a higher percentage of successful single-staged elective surgeries.
