Extensive suppuration and being overweight are factors associated with the failure of laser treatment for pilonidal disease: lessons from the first French retrospective cohort
ConclusionsAlmost 70% of our patients were cured by SiLaT. Complications were rare and mild. The technique appeared to be less effective for overweight patients and those with one or more secondary openings associated with pilonidal pits. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 2, 2021 Category: Surgery Source Type: research

Comments on “Treatment of anal fistula with FiLaC®: results of a 10‑year experience with 175 patients”
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 1, 2021 Category: Surgery Source Type: research

Comparison of the short-term efficacy of two types of robotic  total mesorectal excision for rectal cancer
This study was registered with “Clinicaltrials.gov” (ID: NCT02752698) and approved by the Association for the Accreditation of Human Research Protection Program (AAHRPP) (Project number: T16007). Between January 2017 and May 2019, patients with rectal cancer (cT1-3NxM0) were prospectively registered in the Third Xiangya Hospi tal. The integrity of the TME sample served as the primary outcome. Secondary outcomes included the involvement of the circumferential and distal resection margins (CRM and DRM), number of lymph nodes retrieved, blood loss, operative time, conversion rate, comprehensive complication index ...
Source: Techniques in Coloproctology - November 30, 2021 Category: Surgery Source Type: research

Long-term stoma-related reinterventions after anterior resection for rectal cancer with or without anastomosis: population data from the Dutch snapshot study
ConclusionsConstruction of a stoma after resection for rectal cancer with preservation of the sphincter is accompanied with long-term stoma-related morbidity. Stoma complications are more frequent after a HP. Even after  1 year, a significant number of reinterventions are required. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 26, 2021 Category: Surgery Source Type: research

Alternative anterior surgical plane of total mesorectal excision for rectal cancer: partial preservation of Denonvilliers ’ fascia
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 25, 2021 Category: Surgery Source Type: research

Women with chronic constipation have more bothersome urogenital symptoms
AbstractBackgroundThe aim of our study was to characterize urogenital symptoms in women with and without constipation, and by severity of constipation.MethodsThis was a retrospective cohort study conducted at a pelvic floor disorder center in a tertiary healthcare facility from May 2007 through August 2019 and completed an intake questionnaire were included. We collected demographic, physical exam data and quality of life outcomes. The Urinary Distress Inventory (UDI-6) was used to assess urogenital symptoms. Women with constipation completed the Constipation Severity Instrument (CSI). We excluded women with a history of a...
Source: Techniques in Coloproctology - November 24, 2021 Category: Surgery Source Type: research

Peritoneal cytokines as a predictor of colorectal anastomotic leaks on postoperative day 1: a systematic review and meta-analysis
AbstractBackgroundAnastomotic leakage (AL) is a major complication of colorectal surgery resulting in morbidity, mortality and poorer quality of life. The early diagnosis of AL is challenging due to the poor positive predictive value of tests available and reliance on clinical presentation which may be delayed. The aim of this systematic review was to assess the applicability of peritoneal cytokine levels as an early predictive test of AL in postoperative colorectal cancer patients.MethodsA comprehensive literature search was performed from inception to January 2021, in MEDLINE and EMBASE databases using MeSH and non-MeSH ...
Source: Techniques in Coloproctology - November 24, 2021 Category: Surgery Source Type: research

Women with chronic constipation have more bothersome urogenital symptoms
AbstractBackgroundThe aim of our study was to characterize urogenital symptoms in women with and without constipation, and by severity of constipation.MethodsThis was a retrospective cohort study conducted at a pelvic floor disorder center in a tertiary healthcare facility from May 2007 through August 2019 and completed an intake questionnaire were included. We collected demographic, physical exam data and quality of life outcomes. The Urinary Distress Inventory (UDI-6) was used to assess urogenital symptoms. Women with constipation completed the Constipation Severity Instrument (CSI). We excluded women with a history of a...
Source: Techniques in Coloproctology - November 24, 2021 Category: Surgery Source Type: research

Mesh-related complications and recurrence after ventral mesh rectopexy with synthetic versus biologic mesh: a systematic review and meta-analysis
ConclusionsNo definitive conclusions on preferred mesh type can be made due to the quality of the included studies with high heterogeneity amongst them. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 23, 2021 Category: Surgery Source Type: research

A novel wireless, smartphone-based biofeedback training device for functional defecatory disorders: a pilot study
ConclusionsBiofeedback training using the newly developed wireless, smartphone-based device is feasible in the clinic setting, and it seems to be a promising method for improving constipation and related symptoms in patients with FDDs. These findings could be used to develop a much-needed, home-based, suitably powered, randomized, controlled clinical trial. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 18, 2021 Category: Surgery Source Type: research

Analysis of presacral tissue structure in LARS and the prevention of LARS by reconstruction of presacral mesorectum with pedicled greater omentum flap graft
AbstractBackgroundThe greater omentum has played a unique biological role in regenerative surgery. The aim of our study was to alter the anterior sacral structure by filling the anterior sacral space with the greater omentum and evaluate its effect on the low anterior resection syndrome (LARS) after total mesorectal excision (TME) surgery for low rectal cancer.MethodsWe retrospectively collected clinical data of patients with primary low rectal cancer who underwent TME and ileostomy closure in our hospital from March 2018 to March 2020. Spearman correlation analysis was conducted to analyze the correlation between postoper...
Source: Techniques in Coloproctology - November 13, 2021 Category: Surgery Source Type: research

The 14th European Colorectal Congress (#ECCStGallen), 29 November –2 December 2020, St. Gallen, Switzerland
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 13, 2021 Category: Surgery Source Type: research

Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of pilonidal disease
AbstractPilonidal disease (PD) is a relatively common, benign but challenging condition of the natal cleft. This consensus statement was drawn up by a panel of surgeons, identified by the Italian Society of Colorectal Surgery (SICCR) as having a “special interest” in PD, with the aim of recommending the best therapeutic options according to currently available scientific evidence. A three-step modified-Delphi process was adopted, implying: (1) choice of the panelists; (2) development of a discussion outline and of target issues; and (3) a detailed systematic review of the current literature. The agreement/disag...
Source: Techniques in Coloproctology - November 13, 2021 Category: Surgery Source Type: research

Long-term annual functional outcome after laparoscopic ventral rectopexy for rectoanal intussusception and/or rectocele: evaluation of sustained improvement
ConclusionsLVR for RAI and/or rectocele was associated with low morbidity and long-term improvement in symptom-specific QOL. The sustainability of postoperative improvement in fecal incontinence was satisfactory, and that in constipation was fair. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 13, 2021 Category: Surgery Source Type: research

A search for new options to manage fecal incontinence
We present a new disposable device based on an innovative concept that renews the interest for non-invasive “external” co ntrol of bowel content for FI patients. The Contix™ (Forconti Medical Ltd, Cesarea, Israel) permits creation of temporary “artificial” fecal impaction to avoid bowel leakage while inserted high into the “non sensitive” rectum where it is not felt by the patient and therefore tolerated for 6- to 12- hour use. This European conformity (CE)-marked device has a unique design that allows insertion, usage and removal in a similar manner to a vaginal pad. It comes in 2...
Source: Techniques in Coloproctology - November 13, 2021 Category: Surgery Source Type: research

Robotic transanal total mesorectal excision combined with intersphincteric resection for ultra-low rectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 13, 2021 Category: Surgery Source Type: research

Video demonstration of the ColubrisMX ELS robotic system for local excision and suture closure in a preclinical model
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 13, 2021 Category: Surgery Source Type: research

Sign of the times: the Milligan –Morgan era
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 13, 2021 Category: Surgery Source Type: research

Critical appraisal of international guidelines for the management of fecal incontinence in adults: is it possible to define what to do in different clinical scenarios?
AbstractFecal incontinence (FI) is a complex often multifactorial functional disorder which is associated with a significant impact on patients ’ quality of life. There is a broad spectrum of symptoms, and degrees of severity and diverse patient backgrounds. Several treatment algorithms from different professional societies and experts are available in the literature. However, no consensus has been reached on several aspects of FI managem ent. We performed a critical review of the most recently published guidelines on FI, emphasising the lack of consensus, highlighting specific topics mentioned in each of the guideli...
Source: Techniques in Coloproctology - November 12, 2021 Category: Surgery Source Type: research

Development of a performance rubric for transanal endoscopic rectal purse-string sutures
AbstractBackgroundPlacing a transanal endoscopic rectal purse-string suture (taEPS) is the crucial first component of transanal total mesorectal excision (taTME). However, no structured training is available to improve the procedure-specific skills for taEPS. The aim of this study was to create a performance rubric to improve taEPS skills and provide preliminary evidence for its validity.MethodsA performance rubric was created based on technical considerations for taEPS, identified by consulting with taTME surgical and performance assessment experts. Ten independent, blinded raters assessed 10 videotaped taEPS procedures o...
Source: Techniques in Coloproctology - November 10, 2021 Category: Surgery Source Type: research

Prognostic factors for complications after loop ileostomy reversal
AbstractBackgroundDefunctioning ileostomy creation and closure are both associated with morbidity. There is little data available about complications after ileostomy closure. The aim of this study was to evaluate morbidity related to loop ileostomy closure (LIC) and to determine if patients with postoperative complications in primary surgery suffer from more postoperative complications during stoma closure.MethodsThis was a retrospective study on prospectively registered consecutive patients undergoing elective LIC in a single centre in Spain between April 2010 and December 2017. Baseline characteristics, postoperative com...
Source: Techniques in Coloproctology - November 9, 2021 Category: Surgery Source Type: research

Autologous fecal transplant for the treatment of microcolon due to diversion colitis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 9, 2021 Category: Surgery Source Type: research

Prognostic factors for complications after loop ileostomy reversal
AbstractBackgroundDefunctioning ileostomy creation and closure are both associated with morbidity. There is little data available about complications after ileostomy closure. The aim of this study was to evaluate morbidity related to loop ileostomy closure (LIC) and to determine if patients with postoperative complications in primary surgery suffer from more postoperative complications during stoma closure.MethodsThis was a retrospective study on prospectively registered consecutive patients undergoing elective LIC in a single centre in Spain between April 2010 and December 2017. Baseline characteristics, postoperative com...
Source: Techniques in Coloproctology - November 9, 2021 Category: Surgery Source Type: research

Autologous fecal transplant for the treatment of microcolon due to diversion colitis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 9, 2021 Category: Surgery Source Type: research

Correction to: The impact of COVID-19 on surgical training: a systematic review
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2021 Category: Surgery Source Type: research

Large-diameter cap for fast-track forceps scissor-based endoscopic submucosal dissection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 1, 2021 Category: Surgery Source Type: research

Early botulinum toxin injection reduces pain after hemorrhoidectomy: a pilot study
AbstractBackgroundHemorrhoidectomy is the standard procedure for treating high-grade hemorrhoids. However, postoperative pain usually causes patients to delay or refuse surgical treatment. Because maximal resting pressure in the internal anal sphincter plays a major role in post-hemorrhoidectomy pain, Botulinum toxin injections have been proposed to reduce it. However, the optimal timing of Botulinum toxin injections is still unclear. The aim of the present study was to compare the effectiveness of early and intraoperative Botulinum toxin injections for postoperative pain control.MethodsIn this pilot study, we enrolled pat...
Source: Techniques in Coloproctology - October 27, 2021 Category: Surgery Source Type: research

Comparing right colon adenoma detection rate during water exchange and air insufflation: a double-blind randomized controlled trial
AbstractBackgroundRandomized controlled trials (RCTs) have reported that water exchange (WE) produced the highest adenoma detection rate (ADR) but did not evaluate right colon adenoma detection rate (rADR) as a primary outcome and only one of the trials employed blinded colonoscopists. The aim of our study was to determine whether, compared with air insufflation, WE significantly increases rADR and right colon serrated lesion detection rate (rSLDR) and decreases adenoma miss rate (rAMR).MethodsThis prospective, double-blind RCT was conducted at a regional hospital in Taiwan between December 2015 and February 2020. Standard...
Source: Techniques in Coloproctology - October 27, 2021 Category: Surgery Source Type: research

Comments on 'Sigmoidectomy following sigmoid volvulus: who is at risk of anastomotic failure?'
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 25, 2021 Category: Surgery Source Type: research

Fascial space priority approach for laparoscopic complete mesocolic excision (CME) plus central vascular ligation or extended lymphadenectomy (CVL/D3) in right-sided colon cancer (with video)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 15, 2021 Category: Surgery Source Type: research

A search for new options to manage fecal incontinence
We present a new disposable device based on an innovative concept that renews the interest for non-invasive “external” co ntrol of bowel content for FI patients. The Contix™ (Forconti Medical Ltd, Cesarea, Israel) permits creation of temporary “artificial” fecal impaction to avoid bowel leakage while inserted high into the “non sensitive” rectum where it is not felt by the patient and therefore tolerated for 6- to 12- hour use. This European conformity (CE)-marked device has a unique design that allows insertion, usage and removal in a similar manner to a vaginal pad. It comes in 2...
Source: Techniques in Coloproctology - October 13, 2021 Category: Surgery Source Type: research

Long-term annual functional outcome after laparoscopic ventral rectopexy for rectoanal intussusception and/or rectocele: evaluation of sustained improvement
ConclusionsLVR for RAI and/or rectocele was associated with low morbidity and long-term improvement in symptom-specific QOL. The sustainability of postoperative improvement in fecal incontinence was satisfactory, and that in constipation was fair. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 11, 2021 Category: Surgery Source Type: research

The 14th European Colorectal Congress (#ECCStGallen), 29 November –2 December 2020, St. Gallen, Switzerland
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 10, 2021 Category: Surgery Source Type: research

Hemorrhoidal surgery in patients with IBD: caution is the parent of safety
ConclusionsHemorrhoidal surgery resulted in a non-negligible frequency of complications in our series of IBD patients, especially in those with CD. Caution is, therefore, still necessary in this patient population. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 5, 2021 Category: Surgery Source Type: research

Advanced laser fistula ablation for middle transsphincteric fistula-in-ano
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 5, 2021 Category: Surgery Source Type: research

Hemorrhoidal surgery in patients with IBD: caution is the parent of safety
ConclusionsHemorrhoidal surgery resulted in a non-negligible frequency of complications in our series of IBD patients, especially in those with CD. Caution is, therefore, still necessary in this patient population. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 5, 2021 Category: Surgery Source Type: research

Advanced laser fistula ablation for middle transsphincteric fistula-in-ano
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 5, 2021 Category: Surgery Source Type: research

Efficacy and safety of autologous adipose-derived stromal vascular fraction enriched with platelet-rich plasma in flap repair of transsphincteric cryptoglandular fistulas
ConclusionsAddition of autologous SVF enriched with PRP during flap repair is feasible, safe and might improve outcomes in patients with a transsphincteric cryptoglandular fistula.Trial registrationDutch Trial Register, Trial Number: NL8416,https://www.trialregister.nl/ (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 4, 2021 Category: Surgery Source Type: research

Re “Levator ani and puborectalis muscle rupture: diagnosis and repair for perineal instability” by Alketbi, M. S. Gh. J. Meyer J. Robert‑Yap J et al.: an alternative technique for reattachment of puborectalis to symphysis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 4, 2021 Category: Surgery Source Type: research

Efficacy and safety of autologous adipose-derived stromal vascular fraction enriched with platelet-rich plasma in flap repair of transsphincteric cryptoglandular fistulas
ConclusionsAddition of autologous SVF enriched with PRP during flap repair is feasible, safe and might improve outcomes in patients with a transsphincteric cryptoglandular fistula.Trial registrationDutch Trial Register, Trial Number: NL8416,https://www.trialregister.nl/ (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 4, 2021 Category: Surgery Source Type: research

Re “Levator ani and puborectalis muscle rupture: diagnosis and repair for perineal instability” by Alketbi, M. S. Gh. J. Meyer J. Robert‑Yap J et al.: an alternative technique for reattachment of puborectalis to symphysis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 4, 2021 Category: Surgery Source Type: research

Adult intussusception: a video vignette
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 2, 2021 Category: Surgery Source Type: research