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Surgical Case List

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One of the most important factors in deciding where to apply for a fellowship is the scope of experience provided by an institution. The Section of Colon and Rectal Surgery at the University of Louisville draws patients from a large geographical area. Because of this, we offer fellows extensive hands-on clinical experience.

During 2006, we performed 1,434 surgical procedures, including:

A list of procedures performed during 2006 follows.

Abdominal Procedures # of Cases
D1 Partial colectomy for cancer (left, right, segmental) 13
L*=13, R*=1
D2 Low anterior resection or abdominal transsacral resection for cancer 8
L=3
D3 A (stapled) 3
D4 B (suture) 0
D5 Abdominal perineal resection for cancer 16
L=1
D6 Resection for Crohn’s disease
A (small bowel)
2
L=1
D7 B (ileocolic resection) 18
L=8, R=1
D8 C (colectomy w/proctectomy) 2
L=2
D9 D (colectomy w/o proctectomy) 3
D10 Resection for ulcerative colitis
Resection for familial adenomatous polyposis
4
L=1
D11 A (colectomy with proctectomy) L=3
D12 B (colectomy w/o proctectomy) 3
L=1
D13 Ileal-pouch anal anastomosis (ulcerative colitis or FAP) 10
L=4
D14 Coloanal anastomosis or colopouch anal anastomosis 15
L=2
D15 Continent ileostomy 0
D16 Resection for diverticular disease 6
L=8, R=1
D17 Small bowel resection 8
D18 Creation, revision, relocation or closure of colostomy/cecostomy 37
L=2
D19 Creation, revision, relocation, or closure of ileostomy 67
L=5
D20 Exploratory lap w/ or w/o lysis of adhesions 24
L=7
D21 Resection or fixation of rectal prolapse or intussusception 4
L=6
D22 Colotomy for polypectomy or foreign body 1
D23 Volvulus (detorsion, fixation or resection) L=2
D24 Drainage of intraabdominal abscess 1
D25 Perineal proctectomy 2
D26 Repair of abdominal wall or incisional hernia 11
L=1
D27 Resection of presacral tumor or cyst 0
D28 Partial Hepatic resection 0
D30 Excision Perianal scc 1
D40 Protectomy for other reasons
Other 47
L=5
D41 General Surgery Cases 33
Total 339
L=75

L=Laparoscopic procedure
R=Robotic procedure

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Fiberoptic Endoscopy # of Cases
C1 Flexible sigmoidoscopy 69
C2 Diagnostic colonoscopy (IBD) 32
C3 Diagnostic colonoscopy (other) 267
C4 Colonoscopic polypectomy 135
C5 Colonoscopy with decompression 11
C7 Dilatation of strictures 45
C10 Other
EGD 16
Ileoscopy 29
Ileoscopy of pevlic pouch w/ or w/o biopsy   6
 
Total 610

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Sigmoidoscopy # of Cases
B1 Diagnostic/screening 7
B2 Therapeutic (fulguration, snare) 10
B3 De-torsion of volvulus 0
B4 Other 0
Total 17

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Anorectal Procedures # of Cases
A1 Excisional hemorrhoidectomy 31
A2 Nonexcisional hemorrhoidectomy (ligation, injection) 1
A3 Excision thrombosed hemorrhoids 2
A4 Incision & drainage of abscess other than Crohn’s disease 32
A5 Fistulotomy/fistulectomy 36
A6 Lateral internal sphincterotomy 11
A7 Anoplasty for stricture or ecotropion 1
A8 Excision or exterioration of pilonidal disease 6
A9 Excision or exterioration of hydradenitis suppurativa 1
A10 Excision/fulguration condylomata acuminatum 23
A11 Drainage or fistulectomy perianal Crohn’s disease 12
A12 Exam under anesthesia w/ or w/o biopsy 75
A13 Transanal excision/fulguration of rectal tumor 20
A14 Repair of incontinent anal sphincter 9
A15 Endorectal flap procedure for anovaginal and anoperineal fistulae 18
A16 Repair of rectovaginal fistula (other than with flap) 0
A17 Perineal procedure for prolapse (resection, banding, etc.) 8
A18 Removal of rectal foreign body 1
A31 Other
Repair of rectocele  0
Anorectal manometry 38
Endorectal ultrasound 16
Artificial anal sphincter 1
Other 33
 
A32 Endoanal ultrasound, Endorectal ultrasound 74
A33 Anal EMG 35
Total 468

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