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

Defining the safety of early ileostomy closure after ileal pouch anal anastomosis
ConclusionsEarly closure is safe but could be delayed in stoma morbidity as patients may experience increased complications. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 20, 2023 Category: Surgery Source Type: research

Neorectal prolapse following proctectomy: a novel application of mesh sacral pexy
Abstract Neorectal prolapse following proctectomy for cancer has seldom been reported and treatment has mostly consisted in the resection of the prolapse via a perineal approach. Management of a patient with neorectal J-pouch prolapse using mesh sacral pexy via an abdominal approach is reported. By analogy with native rectal prolapse due to pelvic static disorders, laparoscopic mesh sacral pexy is likely to afford the same advantages of low morbidity and durability when applied to neorectal prolapse following rectal cancer surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 20, 2023 Category: Surgery Source Type: research

Proctitis in patients with monkeypox infection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 20, 2023 Category: Surgery Source Type: research

Outcomes of endoscopic full thickness resection in the colon rectum at an Italian tertiary center
ConclusionsFTRD is safe and feasible for standard indication. The non-negligible rate of recurrence observed suggests the need for close endoscopic follow-up in these patients. Multiple EFTR could help achieve complete resection in selected cases; however, in this setting, a higher risk of adverse events was observed. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 19, 2023 Category: Surgery Source Type: research

The impact of preoperative sarcopenia on postoperative ileus following colorectal cancer surgery
ConclusionSarcopenia demonstrates an association with POI. Future research towards truly identifying the predictive value of sarcopenia for postoperative complications could improve informed consent and operative planning for surgical patients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 15, 2023 Category: Surgery Source Type: research

Comparison of robotic right colectomy and laparoscopic right colectomy: a systematic review and meta-analysis
ConclusionThe safety and efficacy of RRC is superior to LRC, especially when an intracorporeal anastomosis is performed. Most included articles were retrospective, offering low-quality evidence and limited conclusions. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 15, 2023 Category: Surgery Source Type: research

Validation of an endoscopic anastomotic grading score as an intraoperative method for assessing stapled rectal anastomoses
ConclusionThis study further validates the anastomotic grading score and suggests that its systematic implementation can result in a reduction in anastomotic leaks. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 15, 2023 Category: Surgery Source Type: research

Mediterranean Society of Coloproctology joint meeting report
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 15, 2023 Category: Surgery Source Type: research

A network meta-analysis of surgical treatments of complete rectal prolapse
ConclusionsPosterior mesh rectopexy ranked best with the lowest recurrence while perineal procedures ranked worst with the highest recurrence rates. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 8, 2023 Category: Surgery Source Type: research

Mucosal vs. cutaneous advancement flaps for the treatment of chronic anal fissures: a randomized clinical trial
ConclusionMucosal and cutaneous anal advancement flap techniques are effective and comparable surgical procedures for the treatment of chronic anal fissures with minimal complications, fast healing process, and minimal postoperative pain and complications.Clinical trial IDIRCT20120129008861N4 (www.irct.ir). (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 8, 2023 Category: Surgery Source Type: research