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Colorectal cancer is one of the most common cancers in industrialised countries, in both female and male persons. Treatment involves surgical removal (resection) of the segment of the bowel containing the tumor and wide tumorfree margins. Lymph nodes in the area are also removed (lymphadendectomy). conventional surgery which is the mainstream treatment of colorectal cancer and has good survival rates for stage‐1 tumors. Other diseases that can require removal of sections of the large bowel include inflammatory diseases such as diverticulitis, Crohn's disease, ulcerative colitis, familial adenomatous polyposis (FAP) and rectal prolapse.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2008

Pain and gut paralysis (movement failure) commonly occur after abdominal surgery. Following laparotomy, laparoscopic cholecystectomy and colectomy, approximately 10.3% of patients will have temporary gut paralysis. This may prolong length of hospital stay and may increase costs of the procedure. Among the possible ways to treat pain after abdominal surgery are an epidural and injections of opioids (morphine‐like substances or pain killers). An epidural consists of inserting a catheter (a narrow tube) into the epidural space (the virtual space surrounding the membrane that contains cerebrospinal fluid and the spinal cord) and infusing a solution of local anaesthetic (substance that cuts pain transmission to the brain) (alone or in combination with opioids) to anaesthetize the abdomen. This Cochrane review compares the effects of an epidural containing a local anaesthetic with those of an opioid‐based regimen on the postoperative course after abdominal surgery.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2017

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