Intestinal obstruction requiring fecal diversion due to rectal hematoma following a hemorrhoid laser procedure (HeLP)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 17, 2016 Category: Surgery Source Type: research

Transanal TATA/TME: a case-matched study of taTME versus laparoscopic TME surgery for rectal cancer
Conclusions We demonstrated no differences in perioperative/postoperative outcomes or pathologic TME outcomes of transanal or bottoms-up TME compared to standard laparoscopic TME. TaTME is a promising progressive approach to NOTES and deserves additional evaluation. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 13, 2016 Category: Surgery Source Type: research

Prucalopride: For functional constipation only?
Abstract Prucalopride is a new prokinetic agent, recently available in Europe for the treatment of functional constipation in adults in whom treatment with laxatives failed to provide adequate relief. However, due to its intrinsic properties (highly selective agonist activity and high affinity for 5-HT4 receptors, neuroprotection), this drug has shown the potential to be used in other pathologic conditions, in and outside of the gastrointestinal tract. We performed a systematic review of the evidence supporting these possible alternative uses of prucalopride. Further studies in this area are, however, mandator...
Source: Techniques in Coloproctology - May 12, 2016 Category: Surgery Source Type: research

Transanal hemorrhoidal dearterialization (THD): a safe procedure for the anticoagulated patient?
Conclusions These preliminary data reveal that THD can be performed on anticoagulated patients without cessation of oral agents without increasing morbidity from postoperative bleeding. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 12, 2016 Category: Surgery Source Type: research

Hemospray treatment for bleeding intestinal anastomoses in the early postoperative period: a novel non-operative approach
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 12, 2016 Category: Surgery Source Type: research

Current surgical treatment of obstructed defecation among selected European opinion leaders in pelvic floor surgery
Conclusions The use of STARR in the treatment of OD is decreasing among European opinion leaders in the field of pelvic floor surgery, while the application of transabdominal procedures continues. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 11, 2016 Category: Surgery Source Type: research

Hemorrhoid laser procedure for second- and third-degree hemorrhoids: results from a multicenter prospective study
Conclusions The hemorrhoid laser procedure was effective in improving bleeding and pain symptoms in patients with grade II and III hemorrhoids. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 11, 2016 Category: Surgery Source Type: research

Safety and efficacy of an electrothermal bipolar vessel sealing device in sealing and division of the inferior mesenteric vessels in minimally invasive colorectal surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 11, 2016 Category: Surgery Source Type: research

Colonoscopy after the first episode of acute diverticulitis: challenging management paradigms
Abstract Background Colonoscopy is commonly recommended after the first episode of acute diverticulitis to exclude colorectal neoplasia. Recent data have challenged this paradigm due to insufficient diagnostic yield. The aim of this study was to assess whether colonoscopy after the first episode of acute diverticulitis is needed to exclude colorectal neoplasia. Methods We performed a retrospective cohort analysis of medical records of patients admitted for the first episode of acute diverticulitis between January 2008 and December 2012. Ambulatory colono...
Source: Techniques in Coloproctology - May 11, 2016 Category: Surgery Source Type: research

Surgery and functional mobility: doing the right thing at the right time
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 11, 2016 Category: Surgery Source Type: research

Use of the Prevena Incision Management System as a potential solution for high-risk, complicated perineal wounds
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 11, 2016 Category: Surgery Source Type: research

The insertion of a percutaneous endoscopic sigmoidostomy tube
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 10, 2016 Category: Surgery Source Type: research

Real-time stereotactic navigation for the laparoscopic excision of a pelvic neoplasm
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 10, 2016 Category: Surgery Source Type: research

Transanal anopexy with HemorPex System (HPS) is effective in treating grade II and III hemorrhoids: medium-term follow-up
Abstract Background Hemorrhoidal disease is a common proctologic disorder. The HemorPex System® (HPS) (Angiologica, S. Martino Siccomario PV, Italy) is an innovative surgical technique based on muco-hemorrhoidopexy without Doppler guidance. The aim of this study was to evaluate the efficacy of HPS in on the treatment of grade II and III hemorrhoids. Methods One hundred patients with grade II and III hemorrhoidal disease were included in the study and operated on using HPS without Doppler guidance. The procedure consists of a mucopexy carried out ...
Source: Techniques in Coloproctology - May 9, 2016 Category: Surgery Source Type: research

Application of objective clinical human reliability analysis (OCHRA) in assessment of technical performance in laparoscopic rectal cancer surgery
This study aimed to investigate the application of the objective clinical human reliability analysis (OCHRA) technique for assessing technical performance of laparoscopic rectal surgery and explore the validity and reliability of this technique. Methods Laparoscopic rectal cancer resection operations were described in the format of a hierarchical task analysis. Potential technical errors were defined. The OCHRA technique was used to identify technical errors enacted in videos of twenty consecutive laparoscopic rectal cancer resection operations from a single site. The procedural task...
Source: Techniques in Coloproctology - May 6, 2016 Category: Surgery Source Type: research

Loop drainage after debridement (LDAD): minimally invasive treatment for pilonidal cyst
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 4, 2016 Category: Surgery Source Type: research

Is ileal pouch–anal anastomosis after Whipple procedure doable?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 3, 2016 Category: Surgery Source Type: research

Bowel function and quality of life after superior mesenteric nerve plexus transection in right colectomy with D3 extended mesenterectomy
Conclusions Small bowel denervation after right colectomy with D3 extended mesenterectomy leads to increased bowel frequency but does not impact gastrointestinal quality of life. Individual anatomical variants can affect postoperative bowel function differently despite standardized surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 2, 2016 Category: Surgery Source Type: research

Immune thrombocytopenia in ulcerative colitis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 30, 2016 Category: Surgery Source Type: research

Combined endoscopic–laparoscopic treatment of a rectal pocket syndrome after sigmoid resection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 27, 2016 Category: Surgery Source Type: research

Safety, feasibility, and short-term outcomes in 588 patients undergoing minimally invasive ileal pouch-anal anastomosis: a single-institution experience
Abstract Purpose A laparoscopic approach to proctocolectomy and ileal pouch-anal anastomosis (IPAA) in patients with chronic ulcerative colitis and familial adenomatous polyposis has grown in popularity secondary to reports of small series demonstrating short-term patient benefits. Limited data exist in large numbers of patients undergoing laparoscopic ileal pouch-anal anastomosis (L-IPAA). We aimed to analyze surgical outcomes in a large cohort of patients undergoing L-IPAA. Methods From a prospectively maintained surgical database, 30-day surgical ...
Source: Techniques in Coloproctology - April 27, 2016 Category: Surgery Source Type: research

Redo laparoscopic ventral mesh rectopexies: a multimedia article on the technical points
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2016 Category: Surgery Source Type: research

The neurovascular bundle of Walsh and other anatomic considerations crucial in preventing urethral injury in males undergoing transanal total mesorectal excision
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 12, 2016 Category: Surgery Source Type: research

An experience with video-assisted anal fistula treatment (VAAFT) with new insights into the treatment of anal fistulae
Conclusions VAAFT is useful in the identification of fistula tracts and enables closure of the internal opening. Adequate closure is essential with the method used to close large or fibrotic internal openings being the determining factor for success or failure. The OTSC system delivered the most consistent result without leaving a substantial perianal wound. Ensuring thorough curettage and drainage of the tract during VAAFT is also important to facilitate healing. We believe that this understanding will bring about a decrease in the high recurrence rates currently seen in many series of anal fistulae. (Source: Te...
Source: Techniques in Coloproctology - April 8, 2016 Category: Surgery Source Type: research

Endoscopic submucosal dissection for laterally spreading tumors in the rectum ≥40 mm
Conclusions Our results indicated that ESD is an effective and safe therapeutic option with high curative rates for LSTs in the rectum ≥40 mm. To prove its long-term efficacy, a large multicenter prospective study is required. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 6, 2016 Category: Surgery Source Type: research

Selective non-antibiotic treatment in sigmoid diverticulitis: is it time to change the traditional approach?
Conclusions Outpatient treatment without antibiotics for patients with mild AD is safe and effective. Patients with moderate AD can be safely treated with antibiotics in a mixed regime as inpatients and outpatients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 6, 2016 Category: Surgery Source Type: research

Tailored therapy for different presentations of chronic pain after stapled hemorrhoidopexy
Abstract Background As stapled hemorrhoidopexy (SH) becomes more widely used, we see more patients with chronic postoperative anal pain after this surgery. Its presentation is variable and difficult to treat. The aim of our study was to investigate the impact of chronic anal pain after SH and whether tailored therapy was likely to achieve a favorable outcome. Methods We retrospectively analyzed 31 consecutive patients with chronic anal pain who had undergone SH in other hospitals and were referred to our institutions. Depending on the type of pain, unrel...
Source: Techniques in Coloproctology - April 1, 2016 Category: Surgery Source Type: research

Comments to: surgical management of pelvic organ prolapse in women
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 1, 2016 Category: Surgery Source Type: research

Comments to ‘Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids’
Abridged Abstract Objective To review the efficacy and safety of the two most popular conventional methods of haemorrhoidal treatment, rubber band ligation and excisional haemorrhoidectomy (EH). The original study has now been updated using the same search strategy. Search methods We searched MEDLINE, EMBASE, CENTRAL, and CINAHL up to October 2010. Selection criteria Randomised controlled trials comparing rubber band ligation with EH for symptomatic haemorrhoids in adult human patients were included. ...
Source: Techniques in Coloproctology - March 29, 2016 Category: Surgery Source Type: research

Pushing the boundaries of the management of uncomplicated diverticulitis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 29, 2016 Category: Surgery Source Type: research

Circumferential anorectal leiomyomatosis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 29, 2016 Category: Surgery Source Type: research

First international training and assessment consensus workshop on transanal total mesorectal excision (taTME)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 25, 2016 Category: Surgery Source Type: research

A 31-day time to surgery compliant exercise training programme improves aerobic health in the elderly
Conclusions It is possible to improve cardiorespiratory fitness in 31 days in individuals of comparable age to those presenting for CRC surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 25, 2016 Category: Surgery Source Type: research

Posterior high sacral segmental disconnection prior to anterior en bloc exenteration for recurrent rectal cancer
This article describes a novel technique for en bloc resection of locally recurrent rectal cancer that invades the high sacral bone (above S3). The involved segment of the sacrum is mobilised with osteotomes during an initial posterior approach before an anterior abdominal phase where the segment of sacral bone is delivered with the specimen. This allows en bloc resection of the involved sacrum while preserving uninvolved distal and contralateral sacral bone and nerve roots. The goal is to obtain a clear bony margin and offer a chance of cure while improving functional outcomes by maintaining pelvic stability and minimisin...
Source: Techniques in Coloproctology - March 21, 2016 Category: Surgery Source Type: research

The use of the PEN3 e-nose in the screening of colorectal cancer and polyps
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 21, 2016 Category: Surgery Source Type: research

A new stomaplasty ring (Koring™) to prevent parastomal hernia: an observational multicenter Swiss study
Conclusions Koring™ implantation at the time of creating the stoma is safe, easy and only adds minimally operating time. A long-term follow-up as well as a randomized controlled study is needed to evaluate the impact of the Koring™ on PSH prevention. The ease and rapidity with which Koring™ can be implanted may help surgeons to overcome their apprehension of using a preventative device. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 21, 2016 Category: Surgery Source Type: research

Transanal NOTES total mesorectal excision (TME) in patients with rectal cancer: Is anatomy better preserved?
Conclusions Compared to the LAPTME, the NOTESTME seems to be associated with a more frequent intraoperative identification of the sacral nerves. However, the difference in overall quality of the retrieved specimen, although favoring NOTESTME, did not reach statistical significance in this small series. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 18, 2016 Category: Surgery Source Type: research

Stapled hemorrhoidopexy complicated by rectourethral fistula
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 15, 2016 Category: Surgery Source Type: research

EuroSurg-1 study: an opportunity to encourage student-driven surgical research in Italy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 11, 2016 Category: Surgery Source Type: research

To TEM or not to TEM: past, present and probable future perspectives of the transanal endoscopic microsurgery platform
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 8, 2016 Category: Surgery Source Type: research

Preliminary results of video-assisted anal fistula treatment (VAAFT) in children
Conclusions VAAFT proved to be feasible and safe in children. It also proved to be versatile as it could be applied to fistulas of different etiologies. The key to success seems to be an adequate mucosal sleeve. Older children and adolescents benefit most from VAAFT which is a valid alternative to available surgical procedures. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 8, 2016 Category: Surgery Source Type: research

Pure Natural Orifice Transluminal Endoscopic Surgery (NOTES) with a new elongated, curved Transanal Endoscopic Operation (TEO) device for rectosigmoid resection: a survival study in a porcine model
Conclusions Pure transanal rectosigmoid resection is a feasible procedure. The approach via a single transanal access is demanding but viable with the elongated and curved TEO device. The newly developed scope offers an excellent view of the area cephalad to the promontory. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 3, 2016 Category: Surgery Source Type: research

The Italian approach to diverticular perforation complicated by diffuse peritonitis: report of the Annual UCP-SICCR Meeting 2015
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 2, 2016 Category: Surgery Source Type: research

Hiatal hernia, mitral valve prolapse and defecatory disorders: An underlying rectal prolapse?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 29, 2016 Category: Surgery Source Type: research

Sacral nerve stimulation versus percutaneous posterior tibial nerve stimulation in the treatment of severe fecal incontinence in men
Conclusions Our study was nonrandomized with a relatively small number of patients. PPTNS had similar efficiency to the SNS in our men population. However, more studies are necessary to exclude selection bias and analyze long-term results. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 29, 2016 Category: Surgery Source Type: research

Laparoscopy following peritoneal entry during transanal endoscopic microsurgery may increase the safety and maximize the benefits of the transanal excision
Conclusions Laparoscopy after PE during TEM permits visualization and testing of the suture line. It is not associated with increased morbidity, and it may increase the safety of TEM. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 23, 2016 Category: Surgery Source Type: research

Rectal atresia and anal stenosis: the difference in the operative technique for these two distinct congenital anorectal malformations
We present a case of rectal atresia and anal stenosis to demonstrate the differences in the operative repair. The techniques described leave the anterior wall of the very distal anal canal untouched in both rectal stenosis and anal atresia; however, the dissection of the rectum differs. The atretic rectum in rectal atresia is mobilized and sutured to the anal canal circumferentially. In anal stenosis, the posterior rectum is mobilized in the form of rectal advancement, and the posterior 180° is anastomosed directly to the skin (as in a standard PSARP) with preservation of the anal canal as the anterior 180° of the ...
Source: Techniques in Coloproctology - February 22, 2016 Category: Surgery Source Type: research

Laparoscopic double-stapled colorectal anastomosis without “dog-ears”
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 22, 2016 Category: Surgery Source Type: research

Diagnosis of Lynch syndrome before colorectal resection: does it matter?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 19, 2016 Category: Surgery Source Type: research

Transanal minimally invasive surgery approach for rectal GIST
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 18, 2016 Category: Surgery Source Type: research