Colon & Rectal Surgery at the University of Louisville

Surgical Case List

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 & 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 2008, we performed 1,083 surgical procedures, including:

252 abdominal procedures
506 fiberoptic endoscopies
33 sigmoidoscopies
292 anorectal procedures

A list of procedures performed during 2008 follows.

	Abdominal Procedures	# of cases
D1	Partial colectomy for cancer (left, right, segmental)	7 L*=6
D2	Low anterior resection or abdominal transsacral resection for cancer	0
D3	A (stapled)	7 L=4
D4	B (suture)	0
D5	Abdominal perineal resection for cancer	9
D6	Resection for Crohn’s disease A (small bowel)	0
D7	B (ileocolic resection)	L=12
D8	C (colectomy w/proctectomy)	5 L=1
D9	D (colectomy w/o proctectomy)	6
D10	Resection for ulcerative colitis Resection for familial adenomatous polyposis	0
D11	A (colectomy with proctectomy)	L=1
D12	B (colectomy w/o proctectomy)	L=3
D13	Ileal-pouch anal anastomosis (ulcerative colitis or FAP)	L=5
D14	Coloanal anastomosis or colopouch anal anastomosis	15 L=3
D15	Continent ileostomy	0
D16	Resection for diverticular disease	9 L=7
D17	Small bowel resection	2
D18	Creation, revision, relocation or closure of colostomy/cecostomy	14 L=3
D19	Creation, revision, relocation, or closure of ileostomy	57 L=7
D20	Exploratory lap w/ or w/o lysis of adhesions	2
D21	Resection or fixation of rectal prolapse or intussusception	3
D22	Colotomy for polypectomy or foreign body	0
D23	Volvulus (detorsion, fixation or resection)	0
D24	Drainage of intraabdominal abscess	0
D25	Perineal proctectomy	3
D26	Repair of abdominal wall or incisional hernia	8
D27	Resection of presacral tumor or cyst	2
D28	Partial Hepatic resection	0
D30	Excision Perianal scc	0
D40	Protectomy for other reasons	53 L=8
D41	General Surgery Cases	33 L=2
	Total	252 L=62

L=Laparoscopic procedure

	Fiberoptic Endoscopy	# of cases
C1	Flexible sigmoidoscopy	54
C2	Diagnostic colonoscopy (IBD)	21
C3	Diagnostic colonoscopy (other)	204
C4	Colonoscopic polypectomy	125
C5	Colonoscopy with decompression	0
C7	Dilatation of strictures	8
C10	EGD	86
C11	Other-Capsule Endoscopy	8
	Total	506

	Sigmoidoscopy	# of cases
B1	Diagnostic/screening	1
B2	Therapeutic (fulguration, snare)	32
B3	De-torsion of volvulus	0
B4	Other	0
	Total	33

	Anorectal Procedures	# of cases
A1	Excisional hemorrhoidectomy	30
A1	Excisional hemorrhoidectomy	30
A2	Nonexcisional hemorrhoidectomy (ligation, injection)	2
A3	Excision thrombosed hemorrhoids	0
A4	Incision & drainage of abscess other than Crohn’s disease	12
A5	Fistulotomy/fistulectomy	18
A6	Lateral internal sphincterotomy	3
A7	Anoplasty for stricture or ecotropion	0
A8	Excision or exterioration of pilonidal disease	2
A9	Excision or exterioration of hydradenitis suppurativa	1
A10	Excision/fulguration condylomata acuminatum	13
A11	Drainage or fistulectomy perianal Crohn’s disease	5
A12	Exam under anesthesia w/ or w/o biopsy	48
A13	Transanal excision/fulguration of rectal tumor	18
A14	Repair of incontinent anal sphincter	9
A15	Endorectal flap procedure for anovaginal and anoperineal fistulae	6
A16	Repair of rectovaginal fistula (other than with flap)	0
A17	Perineal procedure for prolapse (resection, banding, etc.)	1
A18	Removal of rectal foreign body	0
A31	Anorectal manometry	103
A32	Endoanal ultrasound, Endorectal ultrasound	0
A33	Anal EMG	0
	Total	292