Super-slim endoscopy, in a patient with a Crohn’s ileocecal valve stricture, for assessment of mucosal healing
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 17, 2016 Category: Surgery Source Type: research

The use of a T drain tube to treat anastomotic leaks
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 17, 2016 Category: Surgery Source Type: research

Clinical recurrence and re-resection rates after extensive vs. segmental colectomy in Crohn’s colitis: a retrospective cohort study
Conclusions Segmental resection with primary anastomosis can be safely performed in patients with limited Crohn’s colitis with reasonable clinical recurrence rates. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 17, 2016 Category: Surgery Source Type: research

High-grade hemorrhoids requiring surgical treatment are common after laparoscopic ventral mesh rectopexy
Conclusion High-grade hemorrhoids requiring surgery may be common after LVMR. The development of high-grade hemorrhoids after LVMR might be considered a predictor of rectal prolapse recurrence. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 16, 2016 Category: Surgery Source Type: research

Why diverticulosis haunts the Western world
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 12, 2016 Category: Surgery Source Type: research

Quality of patient information online for rectal prolapse
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 5, 2016 Category: Surgery Source Type: research

Author’s reply to the letter of Doll et al.
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 5, 2016 Category: Surgery Source Type: research

Management of perianal extramammary Paget’s disease involving the dentate line without abdominoperineal resection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 1, 2016 Category: Surgery Source Type: research

Repair of a anastomotic-vaginal fistula with biological mesh (Permacol™) after surgery for low rectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 29, 2016 Category: Surgery Source Type: research

Short-term outcomes after transanal and laparoscopic total mesorectal excision for rectal cancer
Conclusions Our initial experience demonstrates comparable short-term results for taTME and lap TME. Further investigation is necessary to assess long-term functional and oncologic outcomes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 21, 2016 Category: Surgery Source Type: research

Laparoscopic colorectal resection versus open colorectal resection in octogenarians: a systematic review and meta-analysis of safety and efficacy
Abstract Octogenarians are more often viewed as high-risk surgical candidates. This increased risk is attributed to an age-related decline in physical function and reserve capacity coupled with the presence of various underlying diseases. There are no current guidelines or consensus on the optimal treatment strategy for this cohort of complex patients. The aim of this systematic review and meta-analysis was to compare the efficacy and safety of laparoscopic colorectal resection versus open colorectal resection in octogenarians. The meta-analysis was conducted following all aspects of the Cochrane Handbook for Syst...
Source: Techniques in Coloproctology - January 18, 2016 Category: Surgery Source Type: research

Endoanal/endovaginal ultrasound-assisted bilateral partial myotomy of the puborectalis for anismus
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 18, 2016 Category: Surgery Source Type: research

A new method for evaluation of perianal fistula: digital infrared thermal imaging
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 18, 2016 Category: Surgery Source Type: research

Percutaneous posterior tibial nerve stimulation in the treatment of refractory anal fissure
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 14, 2016 Category: Surgery Source Type: research

Diagnosis and management of splenic injury following colonoscopy: algorithm and case series
Conclusions Although very rare, splenic injury during colonoscopy is an acute, severe and possible fatal complication. Patients may present with a rapid clinical deterioration and hemodynamic instability. Physicians should be familiar with the practical management of this surgical emergency and the treatment options available. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 13, 2016 Category: Surgery Source Type: research

Validity and reliability of a Lithuanian version of low anterior resection syndrome score
Abstract Background Up to 90 % of patients undergoing low anterior resection complain of increased daily bowel movements, urgency, and a variable degree of incontinence. A symptom-based scoring system for bowel dysfunction after low anterior resection for rectal cancer has recently been developed and validated. The aim of our study was to adapt the low anterior resection syndrome (LARS) scale questionnaire to the Lithuanian language, and assess its psychometric properties. Methods The LARS questionnaire was translated into Lithuanian by the Scientif...
Source: Techniques in Coloproctology - January 12, 2016 Category: Surgery Source Type: research

Four anastomotic techniques following transanal total mesorectal excision (TaTME)
We present a technical note describing these techniques and discuss the risks and benefits of each. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 12, 2016 Category: Surgery Source Type: research

Anterior intussusception descent during defecation is correlated with the severity of fecal incontinence in patients with rectoanal intussusception
Abstract Background Rectoanal intussusception (RAI) is a common finding on evacuation proctography in patients with defecation disorders. However, it remains unclear whether intussusception morphology affects the severity of fecal incontinence (FI). The aim of this study was to examine the effect of morphology during defecation on the severity of FI in patients with RAI. Methods We included 80 patients with FI who were diagnosed as having RAI on evacuation proctography. Various morphological parameters were measured, and the level of RAI was divided by t...
Source: Techniques in Coloproctology - January 12, 2016 Category: Surgery Source Type: research

Update on advances and controversy in rectal cancer treatment
Abstract Changes in the multidisciplinary treatment of rectal cancer have been recently proposed. We performed a comprehensive review of the current data on neoadjuvant and adjuvant treatment of rectal cancer, focussing on chemoradiotherapy treatment and timing of surgery. Six components were proposed as the framework for the treatment of rectal cancer: neoadjuvant therapy and changing patterns in patient selection, long- or short-course radiotherapy, adverse effects of radiotherapy, timing of surgery, non-operative management of rectal cancer and postoperative adjuvant therapy. Lack of a consistent difference...
Source: Techniques in Coloproctology - January 12, 2016 Category: Surgery Source Type: research

Identification of mesenteric lymph nodes in robotic complete mesocolic excision by near-infrared fluorescence imaging
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 5, 2016 Category: Surgery Source Type: research

Erratum to: Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - January 4, 2016 Category: Surgery Source Type: research

Fecal incontinence: major problem or incidental finding?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 28, 2015 Category: Surgery Source Type: research

Rectocele repair with stapled transvaginal rectal resection
Conclusions Vaginal repair carries no risk of fecal incontinence. Large anterior rectocele is considered the main indication for this technique. Using the linear stapler is a cost-effective, simple, and easy technique. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 28, 2015 Category: Surgery Source Type: research

Trans-anal endoscopic microsurgery for internal rectal prolapse
We present trans-anal endoscopic microsurgery as surgical option for management of this uncommon type of rectal prolapse in specific cases. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 21, 2015 Category: Surgery Source Type: research

Influence of body posture on defecation: a prospective study of “The Thinker” position
Conclusion “The Thinker” position seems to be a more efficient method for defecation than the sitting position. This technique may be helpful when retraining patients with constipation. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 21, 2015 Category: Surgery Source Type: research

“Rectal ulcer: consider Hirschsprung’s disease” Report of the Colorectal Club meeting, Milan, June 14–15, 2015
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 21, 2015 Category: Surgery Source Type: research

Pilonidal sinus disease guidelines: a minefield?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 17, 2015 Category: Surgery Source Type: research

Implantation of SphinKeeper TM : a new artificial anal sphincter
Conclusion SphinKeeperTM can be safely implanted in patients with FI of different etiology. Implantation was well tolerated with no dislodgment of implants at 3-month follow-up. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 12, 2015 Category: Surgery Source Type: research

Treatment of minor dehiscence after endorectal advancement flap in perianal Crohn’s fistulas with ozonized oil NOVOX ®
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - December 7, 2015 Category: Surgery Source Type: research

Dual endolaparoscopic technique (DUET) for TAMIS proctectomy and concomitant parastomal hernia repair
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 27, 2015 Category: Surgery Source Type: research

Systematic review of pre-operative exercise in colorectal cancer patients
Abstract The aim of this systematic review was to evaluate the evidence for exercise interventions prior to surgery for colorectal cancer resection. The evidence for use of exercise to improve physical fitness and surgical outcomes is as yet unknown. A systematic search was performed of MEDLINE, EMBASE, CINAHL, AMED and BNI databases for studies involving pre-operative exercise in colorectal cancer patients. Eight studies were included in the review. There is evidence that pre-operative exercise improves functional fitness, and to a lesser extent objectively measurable cardio-respiratory fitness prior to color...
Source: Techniques in Coloproctology - November 27, 2015 Category: Surgery Source Type: research

The quest for precision in transanal total mesorectal excision
Abstract Transanal total mesorectal excision (TME) is an emerging minimally invasive approach to rectal cancer, with encouraging preliminary results. However, the new surgical anatomy of the bottom-up approach complicates surgical understanding and increases the risks of inadvertent injuries to crucial anatomical structures, including nerves. Key elements to improve the safety and stimulate interest in such a complex technique might be robotics and image guidance, to enhance the level of precision. In this editorial, some of the technologies that could be used for precision TME are outlined, in light of the ex...
Source: Techniques in Coloproctology - November 26, 2015 Category: Surgery Source Type: research

V. W. Fazio, “Vic the fighter”
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 23, 2015 Category: Surgery Source Type: research

New-onset rectoanal intussusception may not result in symptomatic improvement after laparoscopic ventral rectopexy for external rectal prolapse
Conclusions Evacuation proctography showed new-onset RAI in some patients with ERP who underwent LVR, which was associated with a lack of symptomatic improvement. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 20, 2015 Category: Surgery Source Type: research

Acknowledgements to referees
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 20, 2015 Category: Surgery Source Type: research

Towards the development of simultaneous two-field robotic surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 19, 2015 Category: Surgery Source Type: research

Transverse incision transvaginal rectocele repair combined with levatorplasty and biological graft insertion: technical details and case series outcomes
Conclusions In properly selected patients, the technique described leads to significant improvement in symptoms of OD and low recurrence without an increased rate of dyspareunia. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 17, 2015 Category: Surgery Source Type: research

Surgical Unit volume and 30-day reoperation rate following primary resection for colorectal cancer in the Veneto Region (Italy)
Conclusions While Surgical Unit volume is not a predictor of 30-day reoperation after CRC resection, it is associated with an early return to the operating room for patients operated on for rectal cancer or with a laparoscopic approach. These findings suggest that quality improvement programmes or centralization of surgery may only be required for subgroups of CRC patients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 16, 2015 Category: Surgery Source Type: research

Global audit on bowel perforations related to transanal irrigation
Conclusion Enema-induced perforation is a rare complication to transanal irrigation with Peristeen Anal Irrigation, which increases the benefit risk ratio in support of the further use of transanal irrigation. Increased risk is present during treatment initiation and in patients with prior pelvic organ surgery. Careful patient selection, patient evaluation and proper training of patients are critical to safe practice of this technique. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 16, 2015 Category: Surgery Source Type: research

The bother of anal incontinence and St. Mark’s Incontinence Score
This study aimed to (1) determine the correlation between total St. Mark’s Incontinence Score (SMIS) and a single-item visual analogue scale (VAS) for bother from AI, and (2) determine the correlation between individual components of SMIS and VAS. Methods This is a retrospective study conducted on a cohort of 516 women seen for symptoms of lower urinary tract and pelvic floor dysfunction between January 2013 and August 2014. If a woman responded “yes” to the question “Do you experience any leakage from the back passage/anus?” they were considered to have...
Source: Techniques in Coloproctology - November 16, 2015 Category: Surgery Source Type: research

The 4th Biennial Congress of ECTA, Eurasian Colorectal Technologies Association, Moscow, 24–26 May 2015
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2015 Category: Surgery Source Type: research

A theory of progression from obstructed defecation to fecal incontinence
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2015 Category: Surgery Source Type: research

Single-incision laparoscopic subtotal colectomy with cecorectal anastomosis for slow transit constipation
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2015 Category: Surgery Source Type: research

Risk factors associated with colonic diverticulosis among patients from a defined geographic area
We examined the frequency of colonic diverticulosis and its associations with risk factors in a homogeneous Northern Sardinian population undergoing colonoscopy for any reason in the last decades. Methods This was a retrospective single-center study. Medical records of patients undergoing colonoscopy for any indication between 1995 and 2013 were reviewed. Demographic information including age, gender, geographic area (urban, rural), marital status, smoking habit, occupation, body mass index, and comorbidities were collected. Presence, number, and extension of diverticula were ass...
Source: Techniques in Coloproctology - November 14, 2015 Category: Surgery Source Type: research

Defining the learning curve for the modified Karydakis flap
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2015 Category: Surgery Source Type: research

Midterm functional results of taTME with neuromapping for low rectal cancer
Conclusions Despite a small sample size and confounding factors, data indicate that taTME has the potential to preserve continence, sufficient bowel function, and urogenital function. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 11, 2015 Category: Surgery Source Type: research

The 38th annual meeting of the Association of Colon and Rectal Surgeons of India in New Delhi, India
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 7, 2015 Category: Surgery Source Type: research

A mechanism for constructing a durable purse-string during transanal total mesorectal excision
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 7, 2015 Category: Surgery Source Type: research

Local administration of gentamicin collagen sponge in surgical excision of sacrococcygeal pilonidal sinus disease: a systematic review and meta-analysis of the literature
The objective of this systematic review and meta-analysis was to evaluate the effect of a gentamicin collagen sponge on outcome after surgical excision in patients with sacrococcygeal pilonidal sinus disease. A structured literature search was performed in the PubMed, Embase, The Cochrane Library, and Scopus databases. Studies comparing surgical excision of sacrococcygeal pilonidal sinus disease with versus without a gentamicin collagen sponge were included. Outcome measures were surgical site infection, wound healing, and recurrence. The search strategy yielded six studies with a total of 669 patients. Three randomized co...
Source: Techniques in Coloproctology - November 6, 2015 Category: Surgery Source Type: research

6th National Congress of the Italian Society of ColoRectal Surgery Patients First: Quality of Care, Management, Multidisciplinary Approach
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 30, 2015 Category: Surgery Source Type: research