Both heparin 5,000 units subcutaneously every 8 hours and enoxaparin 40 mg subcutaneously once daily provide highly effective and safe prophylaxis for patients undergoing colorectal surgery. However, given the current differences in cost, prophylaxis with low-dose heparin remains the preferred method at present.
In this real-life experience of infliximab in patients with steroid-refractory severe UC, infliximab appears to be a viable rescue therapy. The majority of patients were discharged without surgery and 62% maintained response either as a bridge to azathioprine or maintenance infliximab.
A retrospective study evaluating 40 patients who underwent the Wells procedure for complete rectal prolapse has been carried out. The procedure is described in detail. Results show a 10 per cent (four patients) recurrence rate. Two have been successfully reoperated on. There was no mortality or morbidity related to the procedure. This relatively simple procedure can be tolerated by most patients presenting with the problem.
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