Short-term outcomes of transanal haemorrhoidal dearterialization versus tissue-selecting technique
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 16, 2018 Category: Surgery Source Type: research

Authors ’ reply to “Rectal sparing approach after preoperative radio- and/or chemotherapy (RESARCH) in patients with rectal cancer: potential pitfalls of a multicentre observational study”
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 15, 2018 Category: Surgery Source Type: research

Effectiveness of sacral nerve stimulation in fecal incontinence after multimodal oncologic treatment for pelvic malignancies: a multicenter study with 2-year follow-up
ConclusionsSNS is feasible and may be an effective therapeutic option for FI after multimodal treatment of pelvic malignancies. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 8, 2018 Category: Surgery Source Type: research

Sacral nerve stimulation for faecal incontinence and constipation in adults
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 8, 2018 Category: Surgery Source Type: research

Efficacy of autologous fat graft injection in the treatment of anovaginal fistulas
ConclusionsFat graft injection for anovaginal fistulas is effective and safe. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 28, 2017 Category: Surgery Source Type: research

A single-centre study on 1000 consecutive cases of transanal haemorrhoidal dearterialization
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 28, 2017 Category: Surgery Source Type: research

Outcomes of ileal pouch-anal anastomosis without primary diverting loop ileostomy if postoperative sepsis develops
AbstractBackgroundThe aim of the present study was to assess the short-term and long-term consequences of diverting loop ileostomy (DLI) omission in ileal pouch-anal anastomosis (IPAA) surgery complicated by postoperative pelvic sepsis.MethodsThis was a retrospective review of a prospectively maintained database. Of 4031 patients who underwent IPAA in 1983 –2014, 357 developed IPAA-related pelvic sepsis with or without anastomotic dehiscence. Patients with Crohn’s disease or cancer were excluded. The patient cohort was divided into two groups, depending on the presence or absence of DLI. Patient characteristics...
Source: Techniques in Coloproctology - December 28, 2017 Category: Surgery Source Type: research

Virtual reality simulation for surgery: from video games to transanal total mesorectal excision
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 18, 2017 Category: Surgery Source Type: research

Early outcomes of fluorescence angiography in the setting of endorectal mucosa advancement flaps
ConclusionsFA is safe and offers real-time assessment of flap perfusion prior to and after fixation in anal fistula repair. The rate of flap ischemia may be underestimated, and therefore, to improve outcomes in ERAF, intraoperative FA should be included in the surgical armamentarium. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 18, 2017 Category: Surgery Source Type: research

Double peritoneal fat flap in the treatment of an enterovesical fistula
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 18, 2017 Category: Surgery Source Type: research

Inferior pancreatic approach for laparoscopic splenic flexure mobilization
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 18, 2017 Category: Surgery Source Type: research

Nearly complete TME quality conundrum
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 13, 2017 Category: Surgery Source Type: research

Intraoperative use of ICG fluorescence imaging to reduce the risk of anastomotic leakage in colorectal surgery: a systematic review and meta-analysis
ConclusionsICG fluorescence imaging seems to reduce AL rates following colorectal surgery for cancer. However, the inherent bias of the non-randomized studies included, and their differences in AL definition and diagnosis could have influenced results. Large well-designed RCTs are needed to provide evidence for its routine use in colorectal surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 11, 2017 Category: Surgery Source Type: research

Diverticular colovesical fistula: What should we really be doing?
AbstractBackgroundColovesical fistula secondary to diverticular disease is increasing in incidence. Presentation and severity may differ, but a common management strategy may be applied. The aim of this study is to evaluate the characteristics and perioperative management of patients with colovesical fistulae and determine optimal management.MethodsFrom 2003 to 2012, all charts of surgical patients with diverticular colovesical fistulae at two different institutions were reviewed. Patient and presentation characteristics and perioperative management and outcomes were recorded. Patient groups with early and late catheter removal (
Source: Techniques in Coloproctology - December 6, 2017 Category: Surgery Source Type: research

Reversal of Hartmann ’s procedure: still a complicated operation
AbstractHartmann ’s procedure, colonic resection with an end colostomy and rectal closure, is used in a variety of surgical emergencies. It is a common surgical procedure that is often practiced in patients with colonic obstruction and colonic perforation, resolving the acute clinical situation in the majority of cases. Reversal of Hartmann’s procedure with restoration of bowel continuity occurs in a significantly low percentage of patients. There are several reasons contributing to the fact that many patients remain with a permanent colostomy following Hartmann’s procedure. These include factors related ...
Source: Techniques in Coloproctology - December 4, 2017 Category: Surgery Source Type: research

Right colic artery anatomy: a systematic review of cadaveric studies
ConclusionsThis anatomical information will add to the technical nuances of precision oncosurgery in right-sided colon resections. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 2, 2017 Category: Surgery Source Type: research

Surgical management of complicated rectovaginal fistulas and the role of omentoplasty
ConclusionsNon-resecting methods should be used only in uncomplicated fistulas. Rectovaginal fistulas secondary to inflammatory or malignant disease mostly require extensive therapy. Omentoplasty is effective for the treatment of both high and low rectovaginal fistulas. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 1, 2017 Category: Surgery Source Type: research

Development of a model of three-dimensional imaging for the preoperative planning of TaTME
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 29, 2017 Category: Surgery Source Type: research

Laparoscopic low anterior resection combined with “dog-ear” invagination anastomosis for mid- and distal rectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 28, 2017 Category: Surgery Source Type: research

The effect of hair removal after surgery for sacrococcygeal pilonidal sinus disease: a systematic review of the literature
ConclusionsThis systematic review showed a lower recurrence rate after laser hair removal compared to no hair removal and razor/cream depilation. Due to the small sample size and limited methodological quality of the included studies, a high-quality randomized controlled trial is required. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 28, 2017 Category: Surgery Source Type: research

Erosion after laparoscopic ventral mesh rectopexy with a biological mesh
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 27, 2017 Category: Surgery Source Type: research

Transanal hemorrhoidal dearterialization (THD) for hemorrhoidal disease: a single-center study on 1000 consecutive cases and a review of the literature
ConclusionsOur results show that the THD Doppler procedure is safe and effective in patients with hemorrhoidal disease and associated with low morbidity and recurrence rates and a high rate percentage of treatment success. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 24, 2017 Category: Surgery Source Type: research

The case of the inside-out J-pouch: an incarcerated, prolapsed ileal pouch
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 24, 2017 Category: Surgery Source Type: research

Initial experience with taTME in patients undergoing laparoscopic restorative proctocolectomy for familial adenomatous polyposis
ConclusionsOur initial experience with 8 consecutive cases suggests taTME is safe and effective in patients undergoing prophylactic restorative proctocolectomy with IPAA for FAP. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 22, 2017 Category: Surgery Source Type: research

Three-dimensional magnetic resonance visualisation of fistula-in-ano
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 22, 2017 Category: Surgery Source Type: research

Cecal bascule: a systematic review of the literature
ConclusionsCecal bascule is a rare clinical entity, which is mostly encountered in patients with peritoneal adhesions, mobile cecum, bowel dysfunction, and cecal displacement. In patients with recurrent or persistent abdominal pain and distension, cecal bascule should be considered. The majority of these patients require surgical management. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 20, 2017 Category: Surgery Source Type: research

Outcomes of Gatekeeper TM prosthesis implantation for the treatment of fecal incontinence: a multicenter observational study
AbstractBackgroundThe implantation of Gatekeeper ™ (GK) represents a new option for the treatment of fecal incontinence (FI). The aim of this study was to analyze the postoperative morbidity associated with GK and to determine its clinical efficacy after at least 1 year of follow-up.MethodsThis was a multicenter, retrospective and longitudinal study of patients with FI who were treated with GK at our institutions between January 2010 and December 2015. Patients with FI without sphincter lesions or with sphincter injuries
Source: Techniques in Coloproctology - November 20, 2017 Category: Surgery Source Type: research

Permacol ™ collagen paste for treating a rectovaginal fistula following anterior rectal prolapsectomy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 20, 2017 Category: Surgery Source Type: research

The effect of purse-string approximation versus linear approximation of ileostomy reversal wounds on morbidity rates and patient satisfaction: the 'STOMA' trial
AbstractBackgroundIleostomy reversal is associated with surgical site infection (SSI) rates as high as 37%. Recent literature suggests that employing a purse-string approximation (PSA) of the reversal wound reduces this rate of SSI. Thus we wished to perform a randomised controlled trial to compare SSI rates in purse-string versus linear closure (PLC) wounds following ileostomy reversal.MethodsA randomised, controlled trial was conducted at University Hospital Limerick. Sixty-one patients undergoing ileostomy reversal were included. Thirty-four patients were randomised to PSA and 27 patients to linear closure. The primary ...
Source: Techniques in Coloproctology - November 17, 2017 Category: Surgery Source Type: research

The impact of the national bowel screening program in the Netherlands on detection and treatment of endoscopically unresectable benign polyps
ConclusionsThe number of patients referred for benign polyps tripled after introduction of the screening program. With an overall major morbidity and mortality rate of 11.8%, it seems valid to discuss whether an endoscopic excision with advanced techniques with or without laparoscopic assistance would be preferable in this patient group, accepting a 6.6% reoperation rate for additional oncological resection with lymph node sampling in patients in whom a malignancy is found on histological analysis of the complete polyp. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 17, 2017 Category: Surgery Source Type: research

Sinoscopic treatment of persistent perineal sinus
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 16, 2017 Category: Surgery Source Type: research

Medium-term adoption trends for laparoscopic, robotic and transanal total mesorectal excision (TaTME) techniques
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 16, 2017 Category: Surgery Source Type: research

Insufflation stabilization bag (ISB): a cost-effective approach for stable pneumorectum using a modified CO 2 insufflation reservoir for TAMIS and taTME
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2017 Category: Surgery Source Type: research

Stereotactic navigation during laparoscopic surgery for locally recurrent rectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2017 Category: Surgery Source Type: research

Should the rectal defect be closed following transanal local excision of rectal tumors? A systematic review and meta-analysis
ConclusionsThis review and meta-analysis suggest that there is no difference between closure or non-closure of wall defects after TLE. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 13, 2017 Category: Surgery Source Type: research

Robotic-assisted multivisceral resection for rectal cancer: short-term outcomes at a single center
ConclusionsRobotic-assisted multivisceral resection for rectal cancer is safe and technically feasible. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 13, 2017 Category: Surgery Source Type: research

Laparoscopic Deloyers procedure to facilitate primary anastomosis after extended resection for synchronous cancers of transverse colon and rectum: easy to preform with good functional outcome
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 13, 2017 Category: Surgery Source Type: research

Totally robotic single docking low anterior resection for rectal cancer: pearls and pitfalls
AbstractTotal robotic resection of mid- and low rectal cancers confers technical advantages within the confines of the pelvis and allows difficult rectal cancer cases to be performed efficiently with less risk of conversion to open. To maximize the advantage of robotic surgery, we utilize the technique of single docking totally robotic dissection for rectal cancer for both the Da Vinci Si and Xi Surgical Systems. All steps are performed robotically, with the surgery divided into two phases. The first phase consists of inferior mesenteric artery and vein ligation, sigmoid and descending colon mobilization and splenic flexur...
Source: Techniques in Coloproctology - November 13, 2017 Category: Surgery Source Type: research

A systematic review to assess the management of patients with cerebral metastases secondary to colorectal cancer
ConclusionsThe prognosis of patients with CM from CRC is dismal. Surgery may increase survival, but the additional benefit of perioperative radiotherapy cannot be ascertained due to paucity of data. Further studies are required to identify the role of the different oncological and surgical therapies and identify those patients likely to benefit most. Identification of patients who are at higher risk of developing brain metastases may be another important area for future research. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 9, 2017 Category: Surgery Source Type: research

Response to the correspondence “Preservation of vaginal elasticity is essential for avoiding mesh complications after prolapse surgery” by P Petros and P Richardson
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 6, 2017 Category: Surgery Source Type: research

A systematic review of online resources to support patient decision-making for full-thickness rectal prolapse surgery
ConclusionsCurrently, easily accessible online health information to support patient decision-making for rectal surgery is of poor quality, difficult to read and does not support shared decision-making. It is recommended that professional bodies and medical professionals seek to develop decision aids to support decision-making for full-thickness rectal prolapse surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 3, 2017 Category: Surgery Source Type: research

Endoscopic placement of a covered stent to arrest bleeding from obstructing colorectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 2, 2017 Category: Surgery Source Type: research

Magnetic resonance defecography versus clinical examination and fluoroscopy: a systematic review and meta-analysis
AbstractBackgroundMagnetic resonance defecography (MRD) allows for dynamic visualisation of the pelvic floor compartments when assessing for pelvic floor dysfunction. Additional benefits over traditional techniques are largely unknown. The aim of this study was to compare detection and miss rates of pelvic floor abnormalities with MRD versus clinical examination and traditional fluoroscopic techniques.MethodsA systematic review and meta-analysis was conducted in accordance with recommendations from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. MEDLINE, Embase and the Cochrane Central Register of C...
Source: Techniques in Coloproctology - November 1, 2017 Category: Surgery Source Type: research

Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review
In this study, all published articles on these techniques were reviewed to determine efficacy, feasibility and safety.MethodsA systematic search of major databases was performed using defined terms. All studies reporting on experience of these techniques were included and outcomes (fistula healing and safety) evaluated.ResultsEighteen studies (VAAFT —12, FiLaC™—3, OTSC®—3) including 1245 patients were analysed. All were case series, and outcomes were heterogeneous with follow-up ranging from 6 to 69 months and short-term (
Source: Techniques in Coloproctology - October 29, 2017 Category: Surgery Source Type: research

Validation of an online risk calculator for the prediction of anastomotic leak after colon cancer surgery and preliminary exploration of artificial intelligence-based analytics
ConclusionsThe anastomotic leak risk calculator is significantly predictive of anastomotic leak after colon cancer resection. Wider investigation of artificial intelligence-based analytics for risk prediction is warranted. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 28, 2017 Category: Surgery Source Type: research

A prospective randomized trial on transanal hemorrhoidal dearterialization versus stapler hemorrhoidectomy: methodological issues that need to be clarified
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 28, 2017 Category: Surgery Source Type: research

High-dose versus low-dose botulinum toxin in anal fissure disease
ConclusionsIn this series, the recurrence rate post-BT injection was significantly lower in the high-dose group. There was no long-term incontinence. Further studies are needed to confirm our results. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 28, 2017 Category: Surgery Source Type: research

Scanning electron microscope imaging of pilonidal disease
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 25, 2017 Category: Surgery Source Type: research

Transanal total mesorectal excision with triangle rules: a road map to prevent injuries
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 24, 2017 Category: Surgery Source Type: research

Assessment of a flexible robotic system for endoluminal applications and transanal total mesorectal excision (taTME): Could this be the solution we have been searching for?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 24, 2017 Category: Surgery Source Type: research