Clinics in Colon and Rectal Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Competency-Based Education in Minimally Invasive and Robotic Colorectal Surgery
This article will define competence, outline appropriate assessment tools to assess technical skill, and review the literature on the number of cases required to achieve competence in colorectal procedures while outlining the barriers to implementing CBE. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - March 29, 2021 Category: Surgery Authors: Louridas, Marisa de Montbrun, Sandra Tags: Review Article Source Type: research

Current Challenges for Education and Training in Transanal Surgery
Clin Colon Rectal Surg 2021; 34: 151-154 DOI: 10.1055/s-0040-1718684Transanal endoscopic microsurgery (TEM) is a technique that was introduced in the 1980s for improved exposure to upper rectal polyps. This technique, though initially difficult to master due to new skill acquisition for surgeons, has spared many patients proctectomy. There are many benign indications for transanal endoscopic surgery which has led to in vivo operating room training with fewer undesirable effects to the patient. With the explosion of laparoscopic technology this transanal technique is no longer limited to intraluminal pathology, but is now b...
Source: Clinics in Colon and Rectal Surgery - March 29, 2021 Category: Surgery Authors: Costedio, Meagan Tags: Review Article Source Type: research

Role of Digital Resources in Minimally Invasive Colorectal Surgery Training
Clin Colon Rectal Surg 2021; 34: 144-150 DOI: 10.1055/s-0040-1718686Laparoscopic techniques have become the standard for many benign and malignant colorectal pathologies. Recently, the application of robotic-assisted technologies has been, and continues to be, explored. These new technologies require different skill sets and bring novel training challenges, and today's trainees must demonstrate competence in more techniques than ever. Compounding this is the reducing time spent operating in current training programs due to caps on working hours and service pressures.The need for adjunctive training strategies outside the o...
Source: Clinics in Colon and Rectal Surgery - March 29, 2021 Category: Surgery Authors: Paine, Heidi Chand, Manish Tags: Review Article Source Type: research

Role of Simulation-Based Training in Minimally Invasive and Robotic Colorectal Surgery
Clin Colon Rectal Surg 2021; 34: 136-143 DOI: 10.1055/s-0040-1718687Properly performing minimally invasive colorectal procedures requires specific skills. With a focus on patient safety, the training of surgeons on patients is only accepted under exceptionally controlled, expensive, and challenging conditions. Moreover, many new techniques in colorectal surgery have been developed. Therefore, undertaking minimally invasive colorectal surgery in modern times requires specific psychomotor skills that trainee surgeons must gather in less time. In addition, there are not enough proctors with sufficient expertise for such an ex...
Source: Clinics in Colon and Rectal Surgery - March 29, 2021 Category: Surgery Authors: Araujo, Sergio Eduardo Alonso Perez, Rodrigo Oliva Klajner, Sidney Tags: Review Article Source Type: research

Value of Nontechnical Skills in Minimally Invasive Surgery
Clin Colon Rectal Surg 2021; 34: 131-135 DOI: 10.1055/s-0040-1718688Nontechnical skills are of increasing importance in surgery and surgical training. The main studies on its impact on the safety and effectiveness of surgical interventions were mainly published in the first decade of the 2000s. Due to the significant technical complexity and great diversity of instruments for nontechnical skills evaluation, the interest in training and in measuring the impact on surgical safety has relatively decreased. However, the advent of minimally invasive surgery and its peculiar technical characteristics of sophisticated technique a...
Source: Clinics in Colon and Rectal Surgery - March 29, 2021 Category: Surgery Authors: Araujo, Sergio Eduardo Alonso Kim, Nam Jin Cendoroglo, Neto Miguel Klajner, Sidney Tags: Review Article Source Type: research

The Challenge of Learning New Techniques in Minimally Invasive Colon and Rectal Surgery
Clin Colon Rectal Surg 2021; 34: 129-130 DOI: 10.1055/s-0040-1718689 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - March 29, 2021 Category: Surgery Authors: Araujo, Sergio Eduardo Alonso Tags: Preface Source Type: research

Sergio Eduardo Alonso Araujo, MD, PhD, FASCRS
Clin Colon Rectal Surg 2021; 34: 127-128 DOI: 10.1055/s-0040-1718690 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - March 29, 2021 Category: Surgery Authors: Steele, Scott R. Tags: Introduction to the Guest Editor Source Type: research

Special Situations in the Management of Diverticular Disease
Clin Colon Rectal Surg 2021; 34: 121-126 DOI: 10.1055/s-0040-1716704Diverticular disease affects a large percentage of the US population, affecting over 30% among those older than 45 years old. It is responsible for ∼300,000 hospitalizations per year in the United States and can lead to serious complications such as hemorrhage, obstruction, abscess, fistulae, or bowel perforation.2 It is an extremely common reason for emergency room and outpatient visits and evaluations by general and colorectal surgeons. In the US, patients usually present with sigmoid diverticulitis in the setting of a normal immune system so surgeons ...
Source: Clinics in Colon and Rectal Surgery - February 24, 2021 Category: Surgery Authors: Wood, Elizabeth H. Sigman, Michael M. Hayden, Dana M. Tags: Review Article Source Type: research

Minimally Invasive Management of Diverticular Disease
Clin Colon Rectal Surg 2021; 34: 113-120 DOI: 10.1055/s-0040-1716703Traditionally, management of complicated diverticular disease has involved open damage control operations with large definitive resections and colostomies. Studies are now showing that in a subset of patients who would typically have undergone an open Hartmann's procedure for Hinchey III/IV diverticulitis, a laparoscopic approach is equally safe, and has better outcomes. Similar patients may be good candidates for primary anastomosis to avoid the morbidity and subsequent reversal of a colostomy.While most operations for diverticulitis across the country ar...
Source: Clinics in Colon and Rectal Surgery - February 24, 2021 Category: Surgery Authors: Madiedo, Andrea Hall, Jason Tags: Review Article Source Type: research

Laparoscopic Lavage in the Management of Hinchey III/IV Diverticulitis
Clin Colon Rectal Surg 2021; 34: 104-112 DOI: 10.1055/s-0040-1716702Diverticulitis manifestations may cover a spectrum of mild local inflammation to diffuse feculent peritonitis. Up to 35% of patients presenting with diverticulitis will have purulent (Hinchey grade III) or feculent (Hinchey grade IV) contamination of the abdomen, with a high-associated morbidity and mortality. Surgical management may involve segmental resection with or without restoration of bowel continuity. However, emergency resection for diverticulitis can be associated with high mortality rates, as well as low stoma reversal rates at 1 year. Therefore...
Source: Clinics in Colon and Rectal Surgery - February 24, 2021 Category: Surgery Authors: Kiely, Maria X. Yao, Mengdi Chen, Lilian Tags: Review Article Source Type: research

Evaluation and Medical Management of Uncomplicated Diverticulitis
Clin Colon Rectal Surg 2021; 34: 086-090 DOI: 10.1055/s-0040-1716699Uncomplicated diverticulitis is common, and its evaluation and treatment have evolved over time. Most patients present in a nontoxic manner with localized pain, leukocytosis, and reliable findings on computed tomography (CT). Healthy and stable patients are typically treated in the outpatient setting with very high rates of success. Recently, the necessity of antibiotic therapy has come into question, and several alternative agents have emerged, with the jury still out on their relative roles in diverticular disease. Currently, colonoscopy is still recomme...
Source: Clinics in Colon and Rectal Surgery - February 24, 2021 Category: Surgery Authors: Langenfeld, Sean J. Tags: Review Article Source Type: research

Diverticulitis
Clin Colon Rectal Surg 2021; 34: 079-080 DOI: 10.1055/s-0040-1716697 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - February 24, 2021 Category: Surgery Authors: Hall, Jason Tags: Preface Source Type: research

Jason Hall, MD, FACS, MPH
Clin Colon Rectal Surg 2021; 34: 077-078 DOI: 10.1055/s-0040-1716696 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - February 24, 2021 Category: Surgery Authors: Steele, Scott R. Tags: Introduction to the Guest Editor Source Type: research

Surgical Treatment Alternatives to Sacral Neuromodulation for Fecal Incontinence: Injectables, Sphincter Repair, and Colostomy
Clin Colon Rectal Surg 2021; 34: 040-048 DOI: 10.1055/s-0040-1714285Fecal incontinence is a prevalent health problem that affects over 20% of healthy women. Many surgical treatment options exist for fecal incontinence after attempts at non-operative management. In this article, the authors discuss surgical treatment options for fecal incontinence other than sacral neuromodulation. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - January 28, 2021 Category: Surgery Authors: Ivatury, Srinivas Joga Wilson, Lauren R. Paquette, Ian M. Tags: Review Article Source Type: research

Current Position of Sacral Neuromodulation in Treatment of Fecal Incontinence
Clin Colon Rectal Surg 2021; 34: 022-027 DOI: 10.1055/s-0040-1714247Fecal incontinence (FI) is defined as uncontrolled passage of feces or gas for at least 1-month duration in an individual who previously had control. FI is a common and debilitating condition affecting many individuals. Continence depends on complex relationships between anal sphincters, rectal curvatures, rectoanal sensation, rectal compliance, stool consistency, and neurologic function. Factors, such as pregnancy, chronic diarrhea, diabetes mellitus, previous anorectal surgery, urinary incontinence, smoking, obesity, limited physical activity, white race...
Source: Clinics in Colon and Rectal Surgery - January 28, 2021 Category: Surgery Authors: Katuwal, Binit Bhullar, Jasneet Tags: Review Article Source Type: research