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
Robotic versus laparoscopic approach for minimally invasive lateral pelvic lymph node dissection of advanced lower rectal cancer: a retrospective study comparing short-term outcomes
ConclusionThe present study clarified the safety and technical feasibility of R-LLND with respect to L-LLND. Our findings suggest that the robotic approach offers a key advantage, allowing significantly more LLNs to be harvested from the distal side of the internal iliac region (LN 263D). Prospective clinical trials examining the oncological superiority of R-LLND are thus necessary in the near future. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 8, 2023 Category: Surgery Source Type: research
Surgical management of perianal fistula using an ovine forestomach matrix implant
ConclusionsThe minimally invasive OFM-based PAFI technique for PF treatment was demonstrated to be a safe and feasible option for patients with trans-sphincteric PF of cryptoglandular origin. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 3, 2023 Category: Surgery Source Type: research
CT-derived measures of muscle quantity and quality predict poorer outcomes from elective colorectal surgery: a UK multicentre retrospective cohort study
ConclusionMeasures of lean muscle quality and quantity, which predict important clinical outcomes, can be quickly and easily taken from routine preoperative imaging in patients being considered for colorectal cancer surgery. As poor muscle mass and quality are again shown to predict poorer clinical outcomes, these should be proactively targeted within prehabilitation, perioperative and rehabilitation phases to minimise negative impact of these pathological states. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 3, 2023 Category: Surgery Source Type: research
Laparoscopic resection of a retrorectal cystic tumor
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 3, 2023 Category: Surgery Source Type: research
Does drinking coffee reduce the risk of colorectal cancer? A qualitative umbrella review of systematic reviews
ConclusionThe evidence supporting caffeinated coffee as associated with a reduced risk of CRC is inconsistent. Dose-dependent relation analysis suggests that the protective effect of coffee drinking against CRC is evident with the consumption of five or more cups per day. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 2, 2023 Category: Surgery Source Type: research
