Intestinal neurofibromatosis found on surveillance colonoscopy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 11, 2017 Category: Surgery Source Type: research

Response to commentary on “Transanal total mesorectal excision (taTME) for rectal cancer: a systematic review and meta-analysis of oncological and perioperative outcomes compared with laparoscopic total mesorectal excision”
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 8, 2017 Category: Surgery Source Type: research

Prospective analysis of the sealing ability of the ENSEAL ® G2 Articulating Tissue Sealer and transector on human mesenteric vessels in colorectal surgery
ConclusionsThe maximum sustainable pressure in mesenteric vessels sealed with a bipolar electrothermal device is supraphysiological, and consequently, the device can be safely used at various articulations to seal vessels during colorectal surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 31, 2017 Category: Surgery Source Type: research

Is the term “intersphincteric dissection” anatomically appropriate?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 28, 2017 Category: Surgery Source Type: research

A systematic analysis of controlled clinical trials using the NiTi CAR ™ compression ring in colorectal anastomoses
AbstractAnastomotic leak following colorectal surgery can be a devastating adverse event. The ideal stapling device should be capable of rapid creation of an anastomosis with serosal apposition without the persistence of a foreign body or a foreign body reaction which potentially contribute to early anastomotic dehiscence or late anastomotic stricture. A systematic review was performed examining available data on controlled randomized and non-randomized trials assessing the NiTi compression anastomosis ring —(NiTi CAR™) (NiTi Solutions, Netanyah Israel) in accordance with the Preferred Reporting Items for Syste...
Source: Techniques in Coloproctology - January 28, 2017 Category: Surgery Source Type: research

Photodynamic therapy for the treatment of complex anal fistula
ConclusionsPDT is a potential sphincter-saving procedure that is safe, simple and minimally invasive and has a high success rate. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 20, 2017 Category: Surgery Source Type: research

Nerve-sparing high ligation of the inferior mesenteric artery with Cavitron ultrasonic surgical aspirator (CUSA)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 20, 2017 Category: Surgery Source Type: research

6th Educational Meeting “Colorectal Cancer”
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 19, 2017 Category: Surgery Source Type: research

Irrigation, lavage, colonic hydrotherapy: from beauty center to clinic?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 16, 2017 Category: Surgery Source Type: research

Biologic mesh extrusion months after laparoscopic ventral rectopexy: reasons and consequences
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 11, 2017 Category: Surgery Source Type: research

The long-term outcome of anti-TNF alpha therapy in perianal Crohn ’s disease
ConclusionsAlthough anti-tumour necrosis factor alpha tends to improve symptoms of perianal Crohn ’s disease, in the long term, it rarely achieves complete healing. Perianal fistulising disease, a history of perianal abscess and antibiotic treatment are predictors of poor response to therapy. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 9, 2017 Category: Surgery Source Type: research

Anorectal malformations: definitive surgery during adulthood
ConclusionOur results showed that the rarity of the disease, limited surgical experience, and a technically challenging anatomy make the management of ARMs that persist into adulthood a formidable undertaking. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 9, 2017 Category: Surgery Source Type: research

Is-it possible to distinguish irritable bowel syndrome with constipation from functional constipation?
Conclusions Our study suggests that self-evaluation of abdominal pain and bloating is more helpful than colonic transit time in classifying patient as IBS ‐C or FC. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 9, 2017 Category: Surgery Source Type: research

Use of intraoperative submucosal tattooing with indocyanine green immunofluorescence angiography for tumor localization during colectomy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 9, 2017 Category: Surgery Source Type: research

A novel approach for robotic mobilization of the splenic flexure
ConclusionsThe described novel approach demonstrates total robotic splenic flexure takedown without excessive traction, with improved visualization, and reduction of potential risk of splenic injury. This approach provides totally robotic mobilization of the splenic flexure at single docking without changing the patient ’s position. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 5, 2017 Category: Surgery Source Type: research

Transanal total mesorectal excision (TaTME) for rectal cancer: effects on patient-reported quality of life and functional outcome
ConclusionsTaTME is associated with acceptable quality of life and functional outcome at 6  months after surgery comparable to published results after conventional laparoscopic low anterior resection. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 2, 2017 Category: Surgery Source Type: research

Laparoscopic prosthetic parastomal and perineal hernia repair after abdominoperineal resection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 29, 2016 Category: Surgery Source Type: research

LBet 88: a new device for outpatient treatment of selected grade III hemorrhoids
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 26, 2016 Category: Surgery Source Type: research

Hemorrhoids and the recurrent attempts to destroy them
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 20, 2016 Category: Surgery Source Type: research

Combined NOTES total mesorectal excision and single-incision laparoscopy principles for conservative proctectomy: a single-centre study
ConclusionsCombining an endoscopic transanal TME and a single laparoscopic ileostomy-site proctectomy is a promising minimally invasive approach for the treatment of low rectal cancer. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 19, 2016 Category: Surgery Source Type: research

A simple web-based risk calculator (www.anastomoticleak.com) is superior to the surgeon ’s estimate of anastomotic leak after colon cancer resection
ConclusionsA simple anastomotic leak risk calculator is significantly better at predicting anastomotic leak than the estimate of the primary surgeon. Further external validation on a larger data set is required. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 19, 2016 Category: Surgery Source Type: research

Rhomboid-shaped advancement flap anoplasty to treat anal stenosis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 10, 2016 Category: Surgery Source Type: research

Prophylactic mesh to prevent parastomal hernia: a meta-analysis of randomized controlled studies
AbstractThe aim of the present meta-analysis was to determine whether prophylactic mesh decreases the odds of parastomal hernia formation. Randomized controlled trials referenced in MEDLINE or EMBASE between 1946 and 2016 comparing prophylactic mesh to standard stoma formation were included. The primary outcome was occurrence of parastomal hernia. Secondary outcomes were parastomal hernia requiring surgical intervention and complications. Odds ratios were calculated for the primary and secondary outcomes. Subgroup analyses were conducted based on mesh type, mesh location, laparoscopic versus open, and method of hernia diag...
Source: Techniques in Coloproctology - December 10, 2016 Category: Surgery Source Type: research

Meta-analysis of botulinum toxin injection for chronic anal fissure: healing rates controversies
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 10, 2016 Category: Surgery Source Type: research

Spondylodiscitis after rectopexy: diagnostic of a rare complication
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 7, 2016 Category: Surgery Source Type: research

Laparoscopic Deloyers procedure for tension-free anastomosis after extended left colectomy: technique and results
ConclusionOur experience shows that laparoscopic right colonic transposition is a safe and feasible procedure and provides good functional outcomes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 7, 2016 Category: Surgery Source Type: research

Histopathological and radiological reporting in rectal cancer: concepts and controversies, facts and fantasies
Abstract In rectal cancer patients, the stage of the disease, local spread and distant metastases status drive the treatment decisions to be made. Histopathology remains the gold standard, but preoperative staging, particularly magnetic resonance imaging (MRI), is pivotal for defining surgical planes and finding patients who could potentially benefit from preoperative regimes. Unfortunately, due to a lack of awareness, expertise and practise the quality of rectal cancer MRI and histopathology reporting varies among centres. This paper highlights the most important and frequently occurring radiological and histopathologic...
Source: Techniques in Coloproctology - December 7, 2016 Category: Surgery Source Type: research

CO 2 embolus: an important complication of TaTME surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 7, 2016 Category: Surgery Source Type: research

Conversion in laparoscopic colorectal surgery: Are short-term outcomes worse than with open surgery?
AbstractBackgroundThe aim of the present study was to compare the perioperative outcomes in patients who underwent planned open colectomy to those who were converted to an open.MethodsAll patients who underwent elective colectomy were identified from the American College of Surgeons National Surgical Quality Improvement Program using procedure-targeted database (2012 –2014). Patients were divided into two groups: open (planned) versus converted. Perioperative outcomes were compared. A logistic regression model was used to calculate the propensity of unplanned conversion as opposed to open surgery.ResultsThere were 21...
Source: Techniques in Coloproctology - December 5, 2016 Category: Surgery Source Type: research

Pancreas-oriented superior mesenteric vein dissection for D3 lymphadenectomy in laparoscopic right hemicolectomy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 5, 2016 Category: Surgery Source Type: research

Hartmann ’s reversal using a transanal and transabdominal approach
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 3, 2016 Category: Surgery Source Type: research

Mesenteric tissue for the treatment of septic pelvic complications in the absence of greater omentum
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 2, 2016 Category: Surgery Source Type: research

Transversus abdominis plane block for postoperative pain relief after hand-assisted laparoscopic colon surgery: a randomized, placebo-controlled clinical trial
AbstractBackgroundAlthough hand-assisted laparoscopic surgery (HALS) offers patients smaller surgical incisions, they still experience pain. Currently, there is no consensus on the optimal analgesic package for patients undergoing HALS. The aim of this prospective, randomized, double-blinded, placebo-controlled clinical trial was to evaluate the effect of transversus abdominis plane (TAP) block on postoperative pain control (pain score and analgesic use) and other outcomes in colon cancer patients undergoing hand-assisted laparoscopic left hemicolectomy.MethodsSixty-four patients with colon cancer scheduled for an elective...
Source: Techniques in Coloproctology - November 28, 2016 Category: Surgery Source Type: research

Gluteal transposition flap without donor site scar for closing a perineal defect after abdominoperineal resection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 28, 2016 Category: Surgery Source Type: research

New-onset rectoanal intussusceptions after laparoscopic ventral rectopexy: a normal image?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 28, 2016 Category: Surgery Source Type: research

Comparison of conventional incision and drainage for pilonidal abscess versus novel endoscopic pilonidal abscess treatment (EPAT)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 26, 2016 Category: Surgery Source Type: research

Laparoscopic use of the Contour ® Curved Cutter Stapler device via a glove port: a modified technique
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 25, 2016 Category: Surgery Source Type: research

Primary and repeated perineal stapled prolapse resection
AbstractBackground Previous studies of the outcome after perineal stapled prolapse resection (PSPR) have included a limited number of patients with a short follow-up and high recurrence rates. The present study was designed to assess the initial results, complications, recurrence rate, and outcomes up to 4  years after PSPR, as well as the need for a repeated procedure.MethodsFifty-four consecutive patients with rectal prolapse (mean age 77.2  years, range 46–93 years;n = 3 men) were selected for PSPR between May 2009 and February 2015. Prolapse length was measured at baseline and after sur...
Source: Techniques in Coloproctology - November 25, 2016 Category: Surgery Source Type: research

Transanal hemorrhoidal dearterialization with mucopexy versus open hemorrhoidectomy in the treatment of hemorrhoids: a meta-analysis of randomized control trials
ConclusionsOur meta-analysis shows that THDm and OH are equally effective and can be attempted for the management of hemorrhoids. However, for THDm with Doppler guidance, more instruments and a longer operative time are required. Future large-scale, high-quality, multicenter trials with long-term outcomes are needed to prove these results and determine whether Doppler guidance in THD is truly necessary or not. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 25, 2016 Category: Surgery Source Type: research

Biological mesh extrusion months after laparoscopic ventral rectopexy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 24, 2016 Category: Surgery Source Type: research

Clinical outcomes and case volume effect of transanal total mesorectal excision for rectal cancer: a systematic review
AbstractTransanal total mesorectal excision (TaTME) has been developed to improve quality of TME for patients with mid and low rectal cancer. However, despite enthusiastic uptake and teaching facilities, concern exists for safe introduction. TaTME is a complex procedure and potentially a learning curve will hamper clinical outcome. With this systematic review, we aim to provide data regarding morbidity and safety of TaTME. A systematic literature search was performed in MEDLINE (PubMed), EMBASE (Ovid) and Cochrane Library. Case reports, cohort series and comparative series on TaTME for rectal cancer were included. To evalu...
Source: Techniques in Coloproctology - November 16, 2016 Category: Surgery Source Type: research

Application of objective clinical human reliability analysis (OCHRA) in assessment of technical performance in laparoscopic rectal cancer surgery: common mistakes and methodological issues
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 16, 2016 Category: Surgery Source Type: research

Combined endoscopic and laparoscopic real-time intra-operative evaluation of bowel perfusion using fluorescence angiography
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 15, 2016 Category: Surgery Source Type: research

How Twitter has connected the colorectal community
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 15, 2016 Category: Surgery Source Type: research

Surface anatomical landmarks for the location of posterior sacral foramina in sacral nerve stimulation
This study was conducted on 20 human cadavers. The cadavers were placed in a prone position, and all the soft tissues of the sacral region were removed to allow exposure of the osseous structures. Different measurements were taken in relation to the posterior sacral foramina, the posterior superior iliac spine (PSIS) and the median sacral crest (MSC). A median coefficient of variation (CV) was determined.ResultsThe diameter of the second sacral foramen showed the greatest variability. The distances between each individual foramen and the MSC had an acceptable variability (CV  
Source: Techniques in Coloproctology - November 14, 2016 Category: Surgery Source Type: research

Comment on: Predictors of wound dehiscence and its impact on mortality after abdominoperineal resection: data from the National Surgical Quality Improvement Program. Rencuzogullari A, Gorgun E, Binboga S, Ozuner G, Kessler H, Abbas MA
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 8, 2016 Category: Surgery Source Type: research

Short-term outcomes of laparoscopic versus open total colectomy with ileorectal anastomosis: a case-matched analysis from a nationwide database
AbstractBackgroundIn the current study, we aimed to compare peri- and postoperative 30-day outcomes of patients undergoing laparoscopic versus open total colectomy with ileorectal anastomosis in a case-matched design using data procedure-targeted database.MethodsPatients who underwent elective total colectomy with ileorectal anastomosis in 2012 and 2013 were identified from the American College of Surgeons National Surgical Quality Improvement Program database. Patients were divided into two groups according to the type of surgical approach (laparoscopic and open). Laparoscopic and open groups were matched (1:1) based on a...
Source: Techniques in Coloproctology - October 25, 2016 Category: Surgery Source Type: research

Role of local excision in the management of rectal cancer: what does the future hold?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 20, 2016 Category: Surgery Source Type: research

Cecal wedge resection appendectomy for the management of appendiceal polyps
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 4, 2016 Category: Surgery Source Type: research

Incidence and surgical treatment of synthetic mesh-related infectious complications after laparoscopic ventral rectopexy
ConclusionsWhen a prosthesis-related infection or erosion occurs, treatment consists in the surgical removal of the prosthesis by laparoscopy/and/or a transanal procedure. Functional symptoms do not routinely recur after prosthesis removal. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 3, 2016 Category: Surgery Source Type: research