Artificial Intelligence-Based Total Mesorectal Excision Plane Navigation in Laparoscopic Colorectal Surgery
CONCLUSION AND FUTURE DIRECTIONS:
We successfully developed a total mesorectal excision plane image-guided navigation system based on an areolar tissue segmentation approach with high accuracy. This may aid surgeons in recognizing the total mesorectal excision plane for dissection. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Web-Exclusive Content: New Technology Report Source Type: research
Step by Step: Demonstration of Robotic Low Anterior Resection With Total Mesorectal Excision and Splenic Flexure Mobilization
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Web-Exclusive Content: Didactic Video Collection Source Type: research
Robotic NICE Procedure Using Handsewn Technique
CONCLUSIONS:
Robotic natural orifice intracorporeal anastomosis with transrectal extraction procedure and colorectal end-to-end handsewn anastomosis was feasible and safe in this initial series. This technique can be successfully performed in a total intracorporeal manner without the need for an abdominal wall extraction incision or any circular stapling devices. (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Web-Exclusive Content: Technical Note Source Type: research
Robotic Excision of Rectal GI Stromal Tumor Using the Da Vinci Xi System
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Web-Exclusive Content: Video Vignette Source Type: research
Abridged Abstracts From the Medical Literature
No abstract available (Source: Diseases of the Colon and Rectum)
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Selected Abstracts Source Type: research
Cost-Effectiveness Analysis of Negative Pressure Wound Therapy to Prevent Surgical Site Infection After Elective Colorectal Surgery
CONCLUSION:
The use of negative pressure wound therapy is the dominant strategy with improved outcomes and reduced costs compared with conventional dressing in patients undergoing colorectal surgery, particularly in at-risk patients. See Video Abstract at http://links.lww.com/DCR/B782.
ANÁLISIS DE RENTABILIDAD DE LA TERAPIA DE PRESIÓN NEGATIVA PARA PREVENIR INFECCIÓN DEL SITIO QUIRÚRGICO DESPUÉS DE CIRUGÍA COLORRECTAL ELECTIVA
ANTECEDENTES:
La infección del sitio quirúrgico es común después de la cirugía colorrectal y se asocia con un aumento de los costos. Anteriormente se demostró que la terapia...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research
Cost Consequences of Age and Comorbidity in Accelerated Postoperative Discharge After Colectomy
BACKGROUND:
Prospective payment models have incentivized reductions in length of stay after surgery. The benefits of abbreviated postoperative hospitalization could be undermined by increased readmissions or postacute care use, particularly for older adults or those with comorbid conditions.
OBJECTIVE:
The purpose of this study was to determine whether hospitals with accelerated postsurgical discharge accrue total episode savings or incur greater postdischarge payments among patients stratified by age and comorbidity.
DESIGN:
This was a retrospective cross-sectional study.
SETTING:
National data fr...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Outcomes Source Type: research
Laparoscopic Sacral Mesh Fixation for Ventral Rectopexy: Clinical Implications From a Cadaver Study
CONCLUSIONS:
Tack placement showed significant variation in our specimen, emphasising the need for reliable anatomic landmarks and sufficient exposure during ventral mesh rectopexy. Hypogastric nerve plexus involvement is common, thus detailed functional assessment after surgery is required. It also points out the importance of cadaver studies before implementing new surgical techniques into clinical practice. See Video Abstract at http://links.lww.com/DCR/B827.
FIJACIÓN LAPAROSCÓPICA DE MALLA SACRA PARA RECTOPEXIA VENTRAL: IMPLICACIONES CLÍNICAS DE UN ESTUDIO SOBRE CADAVERS
ANTECEDENTES:
La colocación co...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Pelvic Floor Source Type: research
Transanal Suture Mucopexy for Hemorrhoids
CONCLUSION:
Transanal suture mucopexy, designed with 2 suture rows, is a safe procedure with a short learning curve. It is associated with minimal pain, low recurrence rate, and fewer complications. See Video Abstract at http://links.lww.com/DCR/B841.
MUCOPEXIA TRANSANAL CON SUTURA PARA ENFERMEDAD HEMORROIDAL
ANTECEDENTES:
Los factores centrales involucrados en el tratamiento de la enfermedad hemorroidal incluyen congestión de hemorroides, prolapso, recurrencia y dolor.
OBJETIVO:
Evaluar la seguridad, el dolor y la eficacia de la mucopexia transanal con sutura para el tratamiento de la enfermedad hemor...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research
Comparison of Curettage Plus Platelet-Rich Plasma Gel and Curettage Plus Phenol Application in Treatment of Pilonidal Sinus Disease: A Randomized Trial
This study was designed as a parallel group randomized clinical trial.
SETTINGS:
This study took place at an outpatient clinic in Turkey.
PATIENTS:
Patients with pilonidal disease were evaluated for the study and were enrolled if they met the inclusion criteria and gave informed consent.
INTERVENTIONS:
Patients in the platelet-rich plasma group were treated using curettage + platelet-rich plasma gel. Patients in the phenol group were treated by using curettage + crystallized phenol.
MAIN OUTCOME MEASURES:
The primary study end point was the time to achieve healing; the secondary outcome was recu...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Anorectal Source Type: research
Surgical Repair of Postoperative Perineal Hernia: A Case for the Perineal Approach
CONCLUSIONS:
This case series supports the perineal approach for surgical repair; it should be the first approach considered, as it is less invasive and may be associated with shorter length of stay compared to an open transabdominal approach. Male gender and neoadjuvant chemotherapy may be possible risk factors for the development of perineal hernia after abdominoperineal resection. See Video Abstract at http://links.lww.com/DCR/B856.
REPARACIÓN QUIRÚRGICA DE HERNIA PERINEAL POSOPERATORIA: UN CASO PARA EL ABORDAJE PERINEAL
ANTECEDENTES:
La hernia perineal es una complicación rara y bien conocida después ...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Benign Source Type: research
Endoscopic Treatment of Enterocutaneous Fistulas in Crohn’s Disease
CONCLUSIONS:
Endoscopic treatment of enterocutaneous fistulas is feasible with a short-term effectiveness. Additional studies are needed to confirm these results. See Video Abstract at http://links.lww.com/DCR/B614.
TRATAMIENTO ENDOSCÓPICO DE FÍSTULAS ENTEROCUTÁNEAS EN ENFERMEDAD DE CROHN
ANTECEDENTES:
Es desafiante el manejo de las fístulas enterocutáneas en enfermedad de Crohn. En la era biológica, la mayoría de los pacientes todavía requieren de resección intestinal.
OBJETIVO:
Evaluar la eficacia por tratamiento endoscópico de fístulas enterocutáneas.
ENTORNO CLINICO:
Estudio retros...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research
Follow-up Study to Evaluate the Long-term Safety and Efficacy of Darvadstrocel (Mesenchymal Stem Cell Treatment) in Patients With Perianal Fistulizing Crohn’s Disease: ADMIRE-CD Phase 3 Randomized Controlled Trial
CONCLUSIONS:
Darvadstrocel was well tolerated and clinical remission after treatment with darvadstrocel may be sustained for up to 104 weeks in patients with perianal fistulizing Crohn’s disease. See Video Abstract at http://links.lww.com/DCR/B812.
ClinicalTrials.gov No: NCT01541579
ESTUDIO DE SEGUIMIENTO PARA EVALUAR LA SEGURIDAD Y EFICACIA A LARGO PLAZO DE DARVADSTROCEL (TRATAMIENTO CON CÉLULAS MADRE MESENQUIMALES) EN PACIENTES CON ENFERMEDAD DE CROHN PERIANAL FISTULIZANTE: ENSAYO CONTROLADO ALEATORIZADO DE FASE 3 ADMIRE-CD
ANTECEDENTES:
Darvadstrocel es una terapia con células madre mesenquimales al...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research
Do Cost Limitations of Extended Prophylaxis After Surgery Apply to Ulcerative Colitis Patients?
This study aimed to assess the cost-effectiveness of extended prophylaxis in postoperative ulcerative colitis patients.
DESIGN:
A decision analysis compared costs and benefits in postoperative ulcerative colitis patients with and without extended prophylaxis over a lifetime horizon.
SETTING:
Assumptions for decision analysis were identified from available literature for a typical ulcerative colitis patient’s risk of thrombosis, age at surgery, type of thrombosis, prophylaxis risk reduction, bleeding complications, and mortality.
MAIN OUTCOME MEASURES:
Costs ($) and benefits (quality-adjusted life yea...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Inflammatory Bowel Disease Source Type: research
More Is Not Better When It Comes to Treating Rectal Cancer With Multimodal Chemoradiation Beyond the Standard Radiation Dose of 5040 cGy
CONCLUSION:
Our study showed that dose escalation beyond the standard dose of 4500 to 5040cGy failed to achieve meaningful clinical outcomes. See Video Abstract at http://links.lww.com/DCR/B633.
MÁS NO ES MEJOR CUANDO SE TRATA DE TRATAR EL CÁNCER DE RECTO CON QUIMIORRADIACIÓN MULTIMODAL MÁS ALLÁ DE LA DOSIS DE RADIACIÓN ESTÁNDAR DE 5040 CGY
ANTECEDENTES:
En neoadyuvancia de cáncer rectal es posible encontrar muchas variaciones, en radioterapia la dosis más común que usa 5040 cGy en 28 fracciones.
OBJETIVOS:
El objetivo de este estudio retrospectivo fue evaluar el beneficio de dosis de radiaci...
Source: Diseases of the Colon and Rectum - April 14, 2022 Category: Gastroenterology Tags: Original Contributions: Colorectal Cancer Source Type: research
