Manoj J. Raval
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View article: ASO Visual Abstract: The Impact of Multidisciplinary Conference on Clinicians
ASO Visual Abstract: The Impact of Multidisciplinary Conference on Clinicians Open
View article: Impact of rectal cancer multidisciplinary conferences on patient care plans
Impact of rectal cancer multidisciplinary conferences on patient care plans Open
Aim Multidisciplinary conferences (MDCs) are standard of care for rectal cancer, and literature suggests that MDCs result in changes in as many as 50% of treatments plans. The aim of this study was to determine the frequency of changes to …
View article: Pathologic complete response after neoadjuvant therapy for locally advanced rectal cancer in a real-world setting: a population-based study
Pathologic complete response after neoadjuvant therapy for locally advanced rectal cancer in a real-world setting: a population-based study Open
Aim This study aimed to determine the impact of time from neoadjuvant therapy (NAT) to surgery on the complete pathologic response (pCR) rate in patients with locally advanced rectal cancer. NAT decreases the local recurrence of rectal can…
View article: A Concise Review on Novel Drugs Applied in Treatment of Alopecia
A Concise Review on Novel Drugs Applied in Treatment of Alopecia Open
Alopecia, characterized by hair loss, significantly impacts the quality of life due to its aesthetic and psychological effects. Traditional treatments, such as topical minoxidil and oral finasteride, often show limited efficacy and carry p…
View article: A <scp>cost−utility</scp> study of elective haemorrhoidectomies in Canada
A <span>cost−utility</span> study of elective haemorrhoidectomies in Canada Open
Aim The aim was to estimate the 10‐year cost−utility of haemorrhoidectomy surgery with preference‐based measures of health using Canadian health utility measures and costs. Methods Patients undergoing elective haemorrhoidectomies by genera…
View article: Local versus radical surgery for early rectal cancer with or without neoadjuvant or adjuvant therapy
Local versus radical surgery for early rectal cancer with or without neoadjuvant or adjuvant therapy Open
Based on low-certainty evidence, LE may decrease disease-free survival in early rectal cancer. Very low-certainty evidence suggests that LE may have little to no effect on cancer-related survival compared to RR for the treatment of stage I…
View article: A comparison of perineal stapled prolapse resection and the Altemeier procedure at 2 Canadian academic hospitals
A comparison of perineal stapled prolapse resection and the Altemeier procedure at 2 Canadian academic hospitals Open
PSPR is a safe, efficient and effective approach to perineal proctosigmoidectomy. It is associated with surgical outcomes comparable to those of the Altemeier procedure, but with a significant reduction in operative time and cost.
View article: Neoadjuvant Chemotherapy, Excision, and Observation for Early Rectal Cancer: The Phase II NEO Trial (CCTG CO.28) Primary End Point Results
Neoadjuvant Chemotherapy, Excision, and Observation for Early Rectal Cancer: The Phase II NEO Trial (CCTG CO.28) Primary End Point Results Open
PURPOSE Organ-sparing therapy for early-stage I/IIA rectal cancer is intended to avoid functional disturbances or a permanent ostomy associated with total mesorectal excision (TME). The objective of this phase II trial was to determine the…
View article: Colorectal surgery surgical site infection prevention practices in British Columbia
Colorectal surgery surgical site infection prevention practices in British Columbia Open
Surgical site infections (SSI) pose significant morbidity after colorectal surgery. We sought to document current practices in colorectal surgery SSI prevention in British Columbia (BC). Reporting the current provincial landscape on SSI pr…
View article: Transanal <i>versus</i> conventional total mesorectal excision for rectal cancer using the IDEAL framework for implementation
Transanal <i>versus</i> conventional total mesorectal excision for rectal cancer using the IDEAL framework for implementation Open
Background Transanal total mesorectal excision (TaTME) is an innovative technique for distal rectal cancer dissection. It has been shown to have similar short-term outcomes to conventional open and laparoscopic total mesorectal excision (c…
View article: Trends in the Incidence of Young-Onset Colorectal Cancer With a Focus on Years Approaching Screening Age: A Population-Based Longitudinal Study
Trends in the Incidence of Young-Onset Colorectal Cancer With a Focus on Years Approaching Screening Age: A Population-Based Longitudinal Study Open
Background With recent evidence for the increasing risk of young-onset colorectal cancer (yCRC), we had the objective to evaluate the incidence of yCRC in 1-year age increments, particularly focusing around the screening age of 50 years. M…
View article: A systematic review and meta-analysis of postoperative use of NSAIDs and risk of anastomotic leak
A systematic review and meta-analysis of postoperative use of NSAIDs and risk of anastomotic leak Open
View article: Canadian taTME expert collaboration (CaTaCO) position statement
Canadian taTME expert collaboration (CaTaCO) position statement Open
Introduction Transanal total mesorectal excision (taTME) is a novel approach to surgery for rectal cancer. The technique has gained significant popularity in the surgical community due to the promising ability to overcome technical difficu…
View article: Reducing time from colon cancer surgery to initiation of adjuvant chemotherapy: pilot project
Reducing time from colon cancer surgery to initiation of adjuvant chemotherapy: pilot project Open
Surgical resection followed by adjuvant chemotherapy is the standard of care for patients with stage III colon cancer. To shorten the time interval between surgery and chemotherapy in patients with colon cancer, we instituted a standardize…
View article: Important outcomes for transanal total mesorectal excision in a Canadian population after using transanal minimally invasive surgery (flexible) or transanal endoscopic microsurgery (rigid) platforms
Important outcomes for transanal total mesorectal excision in a Canadian population after using transanal minimally invasive surgery (flexible) or transanal endoscopic microsurgery (rigid) platforms Open
Background: There are no clinical studies comparing the short-term oncologic outcomes of transanal total mesorectal excision (TaTME) after using the flexible transanal minimally invasive surgery (TAMIS) vs. rigid transanal endoscopic micro…
View article: Single-Stage Repair of Contaminated Hernias Using a Novel Antibiotic-Impregnated Biologic Porcine Submucosa Tissue Matrix
Single-Stage Repair of Contaminated Hernias Using a Novel Antibiotic-Impregnated Biologic Porcine Submucosa Tissue Matrix Open
Background: Single-stage repair of incisional hernias in contaminated fields has a high rate of surgical site infection (30-42%) when biologic grafts are used for repair. In an attempt to decrease this risk, a novel graft incorporating gen…
View article: Single-Stage Repair of Contaminated Hernias Using a Novel Antibiotic-Impregnated Biologic Porcine Submucosa Tissue Matrix
Single-Stage Repair of Contaminated Hernias Using a Novel Antibiotic-Impregnated Biologic Porcine Submucosa Tissue Matrix Open
Background Single-stage repair of incisional hernias in contaminated fields has a high rate of surgical site infection (30-42%) when biologic grafts are used for repair. In an attempt to decrease this risk, a novel graft incorporating gent…
View article: Single-Stage Repair of Contaminated Hernias Using a Novel Antibiotic-Impregnated Biologic Porcine Submucosa Tissue Matrix
Single-Stage Repair of Contaminated Hernias Using a Novel Antibiotic-Impregnated Biologic Porcine Submucosa Tissue Matrix Open
Background Single-stage repair of incisional hernias in contaminated fields has a high rate of surgical site infection (30-42%) when biologic grafts are used for repair. In an attempt to decrease this risk, a novel graft incorporating gent…
View article: Single-Stage Repair of Contaminated Hernias Using a Novel Antibiotic-Impregnated Biologic Porcine Submucosa Tissue Matrix
Single-Stage Repair of Contaminated Hernias Using a Novel Antibiotic-Impregnated Biologic Porcine Submucosa Tissue Matrix Open
BackgroundSingle-stage repair of incisional hernias in contaminated fields has a high rate of surgical site infection (30-42%) when biologic grafts are used for repair. In an attempt to decrease this risk, a novel graft incorporating genta…
View article: Tattooing or not? A review of current practice and outcomes for laparoscopic colonic resection following endoscopy at a tertiary care centre
Tattooing or not? A review of current practice and outcomes for laparoscopic colonic resection following endoscopy at a tertiary care centre Open
To improve surgical planning, we recommend the practice of endoscopic tattooing of all colon lesions at a location just distal to the lesion using multiple injections to cover the circumference of the bowel wall.
View article: Spanish translation section
Spanish translation section Open
Antecedentes: El traumatismo vascular de la extremidad Inferior (Lower Extremity Vascular Trauma, LEVT) es una de las causas principales de pérdida de la extremidad.Conocer claramente los factores pronósticos de amputación es importante a …
View article: Randomized double-blind trial comparing the cosmetic outcome of cutting diathermy <i>versus</i> scalpel for skin incisions
Randomized double-blind trial comparing the cosmetic outcome of cutting diathermy <i>versus</i> scalpel for skin incisions Open
Background Controversy exists about whether cutting diathermy for skin incisions leads to a cosmetically inferior scar. Cosmetic outcomes were compared between skin incisions created with cutting diathermy versus scalpel. Wound infection r…