Robotic resection of presacral tumors
ConclusionsRobotic resection of select presacral pathology is feasible and safe. Further studies must be conducted to determine complication rates, outcomes, and long-term safety profiles. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 23, 2024 Category: Surgery Source Type: research
Comparative study of laparoscopic ventral mesh rectopexy versus perineal stapler resection for external full-thickness rectal prolapse in elderly patients: enhanced outcomes and reduced recurrence rates —a retrospective cohort study
ConclusionsLVMR is safe for EFTRP treatment in elderly patients with low recurrence, and improved postoperative functional outcomes.Trial registrationClinical Trial.gov (NCT05915936), retrospectively registered on June 14, 2023. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 15, 2024 Category: Surgery Source Type: research
Laparoscopic ventral mesh rectopexy in the oldest old is safe: the race is run
ConclusionLVMR seems to be a safe operation for the “oldest old” patients with comorbidity, despite a single-centre, retrospective trial with limited follow-up. The present study suggests abandoning the dogma that “frail patients with rectal prolapse are not suitable for laparoscopic ventral mesh rectopexy.” (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 13, 2024 Category: Surgery Source Type: research
What is true ambulatory colectomy?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 13, 2024 Category: Surgery Source Type: research
Short-term clinical and manometric outcomes of percutaneous tibial nerve stimulation for faecal incontinence: a large single-centre series
ConclusionPatients report PTNS improves FI symptoms in the short term. Despite this improvement, changes in HRAM parameters were independent of this success. HRAM may be unable to measure the clinical effect of PTNS, or there remains the possibility of a placebo effect. Further work is required to define the role of PTNS in the treatment of FI. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 3, 2024 Category: Surgery Source Type: research
Convolutional neural network deep learning model accurately detects rectal cancer in endoanal ultrasounds
ConclusionsThis research demonstrates the potential of DL models in enhancing rectal cancer detection during EAUS, especially in settings with lower examiner experience. The achieved sensitivity and accuracy suggest the viability of incorporating AI support for improved diagnostic outcomes in non-specialized medical centers. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 1, 2024 Category: Surgery Source Type: research
Robotic-assisted reoperative ileal pouch –anal anastomosis: robotic pouch excision and pouch revision
ConclusionRobotic reoperative pouch surgery in highly selected patients is technically feasible with acceptable outcomes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 1, 2024 Category: Surgery Source Type: research
Abdominal massage to prevent ileus after colorectal surgery. A single-center, prospective, randomized clinical trial: the MATRAC Trial
ConclusionOur study, despite its limitations, failed to demonstrate any advantage of abdominal massage to prevent or even reduce symptoms of postoperative ileus after colorectal surgery.Trial registration number: 38RC20.021. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 22, 2024 Category: Surgery Source Type: research
Robotic TAMIS rectal neuroendocrine tumor excision
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 21, 2024 Category: Surgery Source Type: research
Starting position during colonoscopy: a systematic review and meta-analysis of randomized controlled trials
ConclusionThe starting position for colonoscopies likely does not influence cecal intubation time. This study was limited by heterogeneity. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 20, 2024 Category: Surgery Source Type: research
Strictureplasty may lead to increased preference in the surgical management of Crohn ’s disease: a case-matched study
ConclusionStrictureplasty does not increase the risk of complications or recurrence compared with resection. It represents a viable alternative to resection in selected patients, and as such, it should have a broader scope of indications and greater acceptance among surgeons. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 20, 2024 Category: Surgery Source Type: research
Redo IPAA for long rectal cuff syndrome after ileoanal pouch for inflammatory bowel disease
ConclusionLRCS, a potentially avoidable complication, presents uniformly with symptoms of ulcerative proctitis or stricture. Redo IPAA was restorative for the majority. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 7, 2024 Category: Surgery Source Type: research
Is percutaneous tibial nerve stimulation (PTNS) effective for fecal incontinence (FI) in adults compared with sham electrical stimulation? A meta-analysis
ConclusionsOur meta-analysis revealed that PTNS was more effective than sham stimulation in reducing FI episodes and led to a higher proportion of patients reporting more than a 50% reduction in weekly FI episodes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 24, 2024 Category: Surgery Source Type: research
Evaluating occult causes of disease: the tricompartmental PNEI approach and the importance of the microbiome
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 21, 2024 Category: Surgery Source Type: research
Evaluating geographical disparities on clinical outcomes following cytoreductive surgery and hyperthermic intraperitoneal chemotherapy
ConclusionsMost oncological, surgical and QoL parameters did not differ by geographical location of patients undergoing CRS and HIPEC for peritoneal malignancies at a high-volume quaternary referral centre. Observed differences in recurrence and survival may be attributed to the selective nature of surgical referrals and variable follow-up patterns. Future research should focus on characterising referral pathways and its influence on post-operative outcomes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 20, 2024 Category: Surgery Source Type: research
