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Local recurrence after surgery for rectal cancer is associated with significant morbidity and debilitating symptoms. Intraoperative rectal washout has been linked to a reduction in local recurrence but there is no conclusive evidence. The aim of this study was to evaluate whether performing rectal washout had any effect on the incidence of local recurrence in patients undergoing anterior resection for rectal cancer in the context of the current surgical management. A total of consecutive patients who underwent anterior resection with or without rectal washout for rectal cancer between January and July at a high volume single institution were analysed retrospectively. A standardised process for performing washout was used and all patients had standardised surgery in the form of total mesorectal excision. Neoadjuvant and adjuvant therapy was used on a selected basis.
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Step-by-step bowel irrigation "how-to" guides
Peristeen® Transanal irrigation system
Anal irrigation, Trans-anal irrigation, Rectal irrigation is a mechanical way of emptying the lower bowel and is used widely to treat bowel dysfunctions and promote an active bowel management. It can be used by people with a variety of bowel problems to make it easier to empty your bowels effectively and securely. If used on a regular basis, anal irrigation can help prevent chronic constipation and faecal incontinence. Anal irrigation may be a suitable treatment option for people who have conditions such as:. An anal irrigation system will usually consist of a control unit with a pump, a water bag and a rectal catheter. These systems can be very flexible; for example, if you are going away from home for several hours you can judge exactly when to use the equipment and it is also convenient to pack and bring with you. Irrigation involves instilling tap water into the rectum via the anus, using either a balloon catheter or cone delivery system.
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Peristeen® Anal Irrigation System
Finding a reliable way to empty your bowels is essential in order to avoid unwanted complications such as bowel leakage or constipation. Peristeen empties the bowel by introducing water into the bowel using a rectal catheter. It is performed whilst sitting on the toilet. The water is then emptied from the bowel, along with the stool, into the toilet. The lower part of the bowel is emptied so efficiently that most users only have to irrigate every other day.
Bowel management is a term used to describe a medical approach to the management of faecal incontinence. To present the outcomes of an individualised bowel management programme developed by a tertiary paediatric centre and evaluate contributory factors for successful bowel management in children. The main outcome measure was the ability to achieve a regular bowel pattern and remain socially clean.