Biomedical subjects
Publications and source records attributed to Timothy F Bullen.
Therapy for adhesions encompasses their prevention and treatment. They are reduced in number and severity by good surgical technique but anti-adhesion agents are useful adjuncts. Small bowel obstruction secondary to adhesions requires surgery following resuscitation if signs of peritonism develop. Otherwise a trial of conservative therapy is advocated.
Ulcerative colitis is potentially cured by total excision of the colon and rectum. Crohn's disease is an unremitting condition in which operations are frequently multiple and in which the minimum amount of bowel possible should be excised.
Laparoscopic surgery for inflammatory bowel disease is an expanding field, which has physical benefits to the patient and economic benefits to the trust and community.