End-to-end stapled technique for Kono-S anastomosis
ConclusionThe Kono-S anastomosis can be safely configured using common surgical staplers. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 7, 2023 Category: Surgery Source Type: research

External rectal prolapse: more than meets the eye
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 6, 2023 Category: Surgery Source Type: research

Long-term efficacy of percutaneous tibial nerve stimulation for faecal incontinence and a new approach for partial responders
ConclusionsPatients undergoing PTNS for 1  year following this protocol had optimal long-term responses. PTNS sessions for up to 1 year in patients who were partial responders prevents a high percentage of them from needing more invasive treatments, and maintains long-term continence in patients who were optimal responders. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 1, 2023 Category: Surgery Source Type: research

Robotic sacrocolpopexy plus ventral rectopexy as combined treatment for multicompartment pelvic organ prolapse using the new Hugo RAS system
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 1, 2023 Category: Surgery Source Type: research

Sacral neuromodulation: time to seize the opportunity to collaborate on a ‘de-prioritised’ service?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 1, 2023 Category: Surgery Source Type: research

Less is more? Stoma prolapse repair by linear stapler
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 1, 2023 Category: Surgery Source Type: research

Epidemiology, oncologic results and risk stratification model for metachronous peritoneal metastases after surgery for pT4 colon cancers: results from an observational retrospective multicentre long-term follow-up study
ConclusionsCumulative MPM incidence was 13.6% at 5-year follow-up. The sole presence of a pT4 tumour resulted in high rates of PDF-R  at 1-year and 5-year follow-up (98% and 96% respectively). Five additional risk factors different from pT4 status itself were identified as possible MPM indicators during follow-up. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 30, 2023 Category: Surgery Source Type: research

Comparison of anal function and quality of life after conformal sphincter preservation operation and intersphincteric resection of very low rectal cancer: a multicenter, retrospective, case –control analysis
ConclusionCSPO improved the satisfaction with anal function and quality of life but utilized more preoperative chemoradiotherapy. CSPO may be an alternative choice for patients with very low rectal cancers in better physical health and with higher requirements for anal function and quality of life. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 29, 2023 Category: Surgery Source Type: research

Laparoscopic posterior pelvic exenteration is safe and feasible for locally advanced primary rectal cancer in female patients: a comparative study from China PelvEx collaborative
ConclusionLPPE is safe and feasible for locally advanced rectal cancers and shows lower operative time and blood loss, fewer SSI complications, and better preservation of bladder function without compromising oncological outcomes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 27, 2023 Category: Surgery Source Type: research

Inguinal lymph node metastases from rectal adenocarcinoma: a systematic review
ConclusionIn specific subsets of patients with ILNM, curative-intent treatment regimens are feasible, with oncological outcomes akin to those demonstrated in locally advanced rectal cancers. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 26, 2023 Category: Surgery Source Type: research

Comparison of proactive and conventional treatment of anastomotic leakage in rectal cancer surgery: a multicentre retrospective cohort series
ConclusionProactive treatment of AL consisting of EVASC resulted in improved healed and functional anastomosis rates for AL after LAR for rectal cancer, compared to conventional treatment. If EVASC was initiated within the first week after index surgery, a 100% functional anastomosis rate was achievable. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 22, 2023 Category: Surgery Source Type: research

Preoperative predictors of success after transvaginal rectocoele repair
ConclusionFactors able to predict a less favourable outcome after TVRR in patients with concomitant ODS are previous proctological procedures, presence of urge AI, short anal canal length on anorectal physiology, seepage on defaecating proctography, use of transanal irrigation, absence of vaginal bulge symptoms and enterocoele repair during surgery. These information are important for a tailored decision making process and to manage patients ’ expectations before surgical repair. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 22, 2023 Category: Surgery Source Type: research