Coloproctology (Hernia) Department
Founded on April 20th, 2009, as a provincial key special department, Coloproctology (Hernia) Department has developed into a professional branch with its own distinctive features and academic style, which becomes the first independent specialized surgical department in Northern Shandong for the treatment of diseases of colorectum, constipation, crissum, abdominal wall and abdominal external hernia.
Currently, the department has two divisions of coloproctology and hernia, 35 authorized beds and its annual surgical operations can reach over 1500. It is equipped with a fully-functional consulting room of electronic colonoscopy, a variety of devices for detection and treatment of perianal diseases and pelvic floor dysfunction, a complete set of equipment for laparoscopic-assisted minimal invasive surgery. Now it has a total of 13 doctors and 25 nurses, among which there are 2 supervisors of master students, 1 chief physician, 1 associate chief physician, 8 attending physicians. 2 of these doctors have obtained doctor’s degree and the rest have got master’s degree.
At present, our department is mainly focused on the development of fast track surgery and minimally invasive surgery, and has become the first one to lead Northern Shandong to perform the laparoscopic-assisted radical resection for colorectal cancer and laparoscopic hernia repair, all of which enable the department to be the largest therapeutic centre of colorectal cancer and minimally invasive surgery of hernia in the Yellow River Delta. In recent years, we have actively emphasized the development of diversified and standardized treatment of perianal diseases and pelvic floor dysfunction, and we have carried out clinical and basic researches on the five major fields of laparoscopic-assisted radical resection for colorectal cancer, minimally invasive treatment of hernia, intractable constipation, perianal diseases and pelvic floor dysfunction. The introduction of internationally advanced high-definition laparoscope, high-definition electronic colonoscopy, DJS-B colon hydrotherapy, MyoTrac and ZZ-II 500 HCPT has enhanced our comprehensive capability of minimally invasive medical treatment, which turns our department into a top therapeutic centre for the treatment of colorectal cancer and diseases of hernia, constipation and crissum.
1. Laparoscopic-assisted radical resection for colorectal cancer: Currently, it isregarded as the gold standard of resection of colorectal cancer. We have routinely carried out this operation in our department, and so far, more than 1000 cases have been successfully performed with laparoscopic-assisted radical resection for colorectal cancer and our annual surgical operations can be about 300. This kind of surgery has no significant difference from open surgery in radical excision, preservation of sphincter, protection of bladder function and sexual function, yet it is obviously more advantageous in postoperative recovery time, visual analog scale pain scores, the infection rate of surgical incision, blood loss volume and other aspects. In particular, our department is now taking the fast track recovery as theoretical guidance. So we have given up the conventional preoperative practices of gastric tube insertion and gastrointestinal preparation by purgative prescription for the patients and have advocated some liquid diet in 24 hours after surgery, which eases the patient’s preoperative stress reaction, enhances postoperative recovery and even shortens the average hospital stay to 8.3 days.
2. Laparoscopic hernia repair: Together with the characteristics of low recurrence rate, fast recovery speed, low infection rate and less postoperative pain, the surgical incision after this kind of surgery is also small. The patient can be discharged in 2 to 3 days after operation, and can resume a normal and productive life as early as possible. Besides, the recurrence rate of postoperative complications after this surgery is significantly lower than that after conventional operation.
3. Jinling procedure (Laparoscopic-assisted subtotal colectomy, Boley surgery): It is recognized as the ultimate treatment for constipation. The short-term and long-term therapeutic effects of this procedure are satisfactory. Compared with the existing procedures for the treatment of constipation, both the patient satisfaction and therapeutic effect are obviously increased.
4. Sphincter saving resection of low rectal cancer: ISR and APPEAR are performed so as to lower the position for sphincter-saving surgery to the minimum.
5. PPH: With its characteristics of safety, minimal invasion, fast recovery speed, this surgery can better preserve the mucosa of the anal canal, anatomical structure of haemorrhoidal zone and can avoid the complications like stricture of anus and fecal incontinence.
6. TEM: It can avoid the complications after major surgeries and abdominal incision. The patient suffers no pain after operation, and there’s no limitation for the patient’s postoperative activities. The recovery speed is fast, and this surgery can cure early colorectal carcinoma and different kinds of benign polyp.
7. Unit of professional and standardized treatment of perianal diseases and pelvic floor dysfunction: With advanced equipment and treatment concept, professional medical care personnel, this unit has adopted a treatment mode of “integration of multi-specialty cooperation” which is favorable for patients to receive best treatment at a lower cost.
1. Malignant tumor of digestive tract: colorectal cancer, gastric cancer; small intestinal stromal tumors (SIST), colorectal stromal tumors, etc.
2. Benign colorectal diseases: colorectal polyps, diverticulum, appendicitis, gastrointestinal perforation, etc.
3. Abdominal hernia: It includes inguinal hernia, femoral hernia, all kinds of incisional hernia; and it has its own clinical characteristics--- the reconstruction of parastomal hernia and complex abdominal wall defect, and the applications of new material for repair surgery such as the use of biological patch.
4. Inflammatory bowel disease and relevant complications, such as intestinal fistula, intestinal obstruction and intra-abdominal abscess, and so on; adult Hirschsprung's disease; short bowel syndrome and alimentary tract hemorrhage.
5. Colorectal and anal diseases and other relevant postoperative complications like rectovaginal fistula, pelvic and anorectal trauma and pelvic floor dysfunction, etc.
6. Anorectal dysfunctional diseases like intractable constipation.
7. Haemorrhoids, anal fistula, anal fissure, perianal abscess.
8. All kinds of trauma: abdominal trauma, knife stab and wound, etc.
JIANG Hong MMSC
Associate Professor of General Surgery
With 21 years of clinical experience, Dr. JIANG Hong specializes in the treatment of benign and malignant diseases of colorectum and anus. He also has furthered his studies in many other medical fields, such as sphincter saving resection of low rectal cancer, standardization of surgical treatment of laparoscopic colorectal cancer, standardization of surgical treatment of liver metastasis of colorectal cancer, diagnosis and treatment of gastrointestinal stromal tumor, treatment of gastroenteropancreatic neuroendocrine tumor, surgical treatment of chronic constipation, surgical treatment of inflammatory bowel disease, surgical treatment of haemorrhoids and anal fistula, surgical treatment of abdominal hernia diseases, treatment of pelvic floor dysfunction, and so on. Since the appointment as director of department of abdominal hernia surgery, he has actively introduced the theory of fast track surgery in the whole therapeutic process for various laparoscopic surgeries, which has greatly satisfied the patients as this kind of initiative practice has lightened their suffering, shortened their length of hospital stays as well as reduced their expenses. Moreover, he is also excellent in the laparoscopic-assisted radical resection for colorectal cancer, laparoscopic tension-free hernioplasty, and laparoscopic incisional hernia repair and other operations. Laparoscopic-assisted subtotal colectomy with Boley surgery has been applied in more than 40 cases for the treatment of slow transit constipation. Dr. JIANG Hong has conducted intensive and distinctive researches on pelvic floor dysfunction, and deepened these studies into the field of minimally invasive surgery, and he has blazed a new trail combining frontier theory and practice in the researches of colorectal diseases. In addition to his two publications of books, he has published 10 papers in national core periodicals like Chinese Medical Journal, Chinese Journal of Surgery, Chinese Journal of General Surgery, Chinese Journal of Gastrointestinal Surgery, among which 1 was indexed by SCI. Besides, he has great enthusiasm for his teaching. With a practical attitude and spirit of professional dedication, he’s always well-prepared for his lessons in which students could enjoy the active and relaxing atmosphere and quickly grasp the key teaching points. Therefore, his classes are widely acclaimed both by teachers and students. Meanwhile, he has got excellence awards for his outstanding teaching and experimental teaching practices from Binzhou Medical University Hospital.
Having been dedicated to the medical practice, teaching and scientific research for over 30 years, he has accumulated abundant clinical experience. He is especially skilled in the surgical treatment of diseases of colorectum, abdominal hernia, gastrointestinal system, cervical part, breast as well as in hepatic and gall diseases. He holds a strict and scrupulous attitude towards his clinical work and offers warm and thoughtful service to the patients. Furthermore, he is widely admired as an expert by the patients for his skillful surgical techniques. And he has been put forward as the advanced worker of Binzhou Medical University Hospital for 3 times. In 1997, he was elected as the advanced individual in the competition for high quality of care in Binzhou health system. He also won the prizes for the outstanding contribution of Binzhou Medical University Hospital in 2003 and in 2007. In October of 2010, he was awarded as the excellent united front worker of Binzhou Medical University Hospital. And in November of 2011, he was named as the honorary member of the CPPC.