8%) cases. The incidence of neoplasm in the interval group was 12.6% (14/111), which was significantly higher than that in the immediate group (1.2%, 22/1902, P less then 0.001). Conclusion The incidence rate of neoplasms was significantly higher in patients undergoing interval appendectomy. These findings should be considered when choosing treatment options after successful nonsurgical management of complicated appendicitis.Purpose Since insertion of foreign body (FB) into the anus is considered as taboo practice, the patients may impose therapeutic dilemma on attending surgeon. Herein, we performed present study to evaluate the clinical characteristics of patient with retained rectal FB in Koreans, and to suggest management guideline for such cases. Methods We retrospectively investigated 14 patients between January 2006 and December 2018. We assessed demographic features, mechanism of FB insertion, clinical course between diagnosis and management, and outcomes. Results All patients were male (mean age, 43) presenting with low abdominal pain (n=2), anal bleeding (n=2), and concerning about retained rectal FB without symptom (n=10). FB insertion was most commonly associated with sexual gratification or anal eroticism (n=11, 78.6%). All patients underwent general anesthesia for anal sphincter relaxation except 2 patients who underwent FB removal in the emergency department. FBs were retrieved transanally using clamp (n=2), myoma screw (n=1), clamp application following abdominal wall compression (n=2), and laparotomy followed by rectosigmoid colon milking (n=2). Colotomy and primary repair were performed in 4 patients and Hartmann.Purpose There has been a concern that the concept of enhanced recovery after surgery could affect other proposed quality measures, including the rate of readmission due to early discharge. We aimed to examine the 30-day readmission rate, risk factors associated with readmission after elective colorectal surgery for colon cancer, causes of readmission, disease-free survival (DFS), and overall survival (OS) in a single institution. Methods We retrospectively investigated 292 patients who underwent elective colorectal surgery for colon cancer between 2010 and 2015. Baseline data including age, sex, body mass index, American Society of Anesthesiologists score, preoperative comorbidities, previous operation history, tumor-node-metastasis stage, surgical approach type, operation time, gas passage time, and hospital length of stay were obtained. Univariate and multivariate logistic regression analyses were performed to identify risk factors associated with 30-day readmission. Results A total of 229 patients who underwent elective colorectal surgery were enrolled. Twenty-four patients were readmitted 30 days after discharge. The most common readmission diagnoses were wound bleeding or surgical-site infection. Multivariate analysis indicated that patients who had preoperative hepatic disease were at the highest risk of readmission (OR, 8.98; 95% CI, 7.35.Purpose Small bowel obstruction (SBO) is a common disease that requires hospitalization. The most common cause of SBO is postoperative adhesion. Delayed timing of operation in patients who need surgical intervention results in severe mortality and morbidity. A number of studies have been conducted on SBO and some criteria have been established for emergency surgery. However, only few objective clinical parameters are available for screening patients who need delayed operation. Therefore, we analyzed factors that affect the clinical course of SBO to select an appropriate therapeutic plan for reducing the risk of complications in these patients. Methods We investigated the clinical characteristics of patients admitted to the department of surgery of our hospital between January 1, 2015, and December 31, 2016, who were diagnosed as having SBO. The patients were divided into an operative treatment group (n = 12) and a conservative treatment group (n = 96). We compared clinical characteristics between the two groups. Results The operative treatment group underwent more operations before SBO than the conservative treatment group (p = 0.007). Moreover, the initial leukocyte count and C-reactive protein (CRP) level were elevated in the operative group (p = 0.004 and p = 0.028 respectively). Body mass index (BMI) were lower in the operative group (p = 0.013). Conclusion The number of operations before SBO, leukocyte count, CRP level, and BMI were useful parameters for selecting patients who need urgent operation for SBO.Purpose Stapled anastomotic techniques to the distal rectum have gained widespread acceptance due to their procedural advantages. Various modifications in the stapling techniques have evolved since their inception. The triple-staple technique utilizing stapled closure of both the proximal colon and distal rectal stump provides a rapid and secure colorectal anastomosis. The aims of this study are to determine the safety and efficacy of the triple-staple technique, and to compare the clinical outcomes with a historical control group for which the conventional double-staple technique had been performed. Methods One hundred consecutive patients operated on by a single surgeon were included, 50 patients who underwent double-staple (DSA), then 50 triple-staple anastomoses (TSA). Results The most common indication for surgery in both groups was rectal cancer followed by diverticular disease and distal sigmoid cancer.  https://www.selleckchem.com/products/Irinotecan-Hcl-Trihydrate-Campto.html  There was no significant difference in the number of covering loop ileostomy formation in both groups (TSA 56% vs DSA 68%; p=0.621). The mean operating time for the TSA group was significantly shorter compared to the DSA group (243 vs 306 minutes; p=0.001). There was no significant difference in complication rates (TSA 40% vs DSA 50%; p=0.315) and length of hospital stay between the two groups (TSA 11.3 vs DSA 13.0 days, p=0.246). Post-operative complications included anastomotic leak, prolonged ileus, bleeding, wound infection and pelvic collection. Conclusion The triple-staple technique is a safe alternative to the double-staple anastomosis after anterior resection. It also effectively shortens the operating time.