Podium presentations of the 10th annual meeting of the Mediterranean Society of Pelvic Floor Disorders, Cairo, Egypt, 9th–11th April, 2015, chairman: Ali A. Shafik, MD
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 9, 2015 Category: Surgery Source Type: research

Drainoscopy: a doorway to the abdomen in the post-surgical patient
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 9, 2015 Category: Surgery Source Type: research

Rectal duplication responsible for compressive symptoms is a very rare entity in adults
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 7, 2015 Category: Surgery Source Type: research

Comparison between a new electronic bidet and conventional sitz baths: a manometric evaluation of the anal resting pressure in normal healthy volunteers
Abstract Background A bidet has been proposed as a replacement for the sitz bath. Like a sitz bath, it brings water into contact with the perineum. However, the high force of water from commercially used electronic bidets may harm the anus. We developed a new electronic bidet and evaluated its effects on anal resting pressure compared with a warm sitz bath. Methods Forty volunteers used the electronic bidet and sitz bath on separate days. The electronic bidet was newly designed with warm (38 °C) water and very low force (10 mN) with a fountain t...
Source: Techniques in Coloproctology - July 30, 2015 Category: Surgery Source Type: research

Transanal total mesorectal excision assisted by single-port laparoscopic surgery for low rectal cancer
Conclusion TaTME assisted by abdominal single-port may be safely achieved in selected rectal cancer patients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 28, 2015 Category: Surgery Source Type: research

Laparoscopic pelvic sidewall dissection with combined resection of internal iliac vessels for local recurrence of rectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 25, 2015 Category: Surgery Source Type: research

Intersphincteric approach for rectourethral fistulas following radical prostatectomy
Conclusions Intersphincteric repair should be considered as an effective option in patients with iatrogenic rectourethral fistulas. This technique offers several advantages over alternative procedures that require more extensive approaches or invasive manipulation of the anal sphincters. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 24, 2015 Category: Surgery Source Type: research

Transanal total mesorectal excision: a pure NOTES approach for selected patients
Conclusions The performance and publication of NOTES procedures are subject to much discussion. Despite the small number of patients, this procedure appears feasible and can be accomplished maintaining fecal continence and respecting oncologic principles. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 20, 2015 Category: Surgery Source Type: research

Pain control for laparoscopic colectomy: an analysis of the incidence and utility of epidural analgesia compared to conventional analgesia
Abstract Purpose The aim of this study was to compare short-term outcomes between epidural analgesia and conventional intravenous analgesia for patients undergoing laparoscopic colectomy. This paper uses a large national database to add a current perspective on trends in analgesia and the outcomes associated with two analgesia options. Our evidence augments the opinions of recent randomized controlled trials. Methods The University HealthSystem Consortium, an alliance of more than 300 academic and affiliate institutions, was reviewed for the time period ...
Source: Techniques in Coloproctology - July 18, 2015 Category: Surgery Source Type: research

The 114th Annual Scientific Meeting of the American Society of Colon and Rectal Surgeons
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 18, 2015 Category: Surgery Source Type: research

Anal fistula closure with FiLaC: new hope or the same old story?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 17, 2015 Category: Surgery Source Type: research

Comparing perineal repairs for rectal prolapse: Delorme versus Altemeier
Conclusions In patients where abdominal repair of rectal prolapse is judged to be unwise, a Delorme procedure offers short-term control of the prolapse with low risk of complications and with reasonable function. In addition, patients that recur after a Delorme procedure can undergo another similar transanal procedure without compromising the vascular supply of the rectum. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 17, 2015 Category: Surgery Source Type: research

An effective new method for the placement of an anti-adhesion barrier film using an introducer in laparoscopic surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 14, 2015 Category: Surgery Source Type: research

Cleft lift procedure for pilonidal disease: technique and perioperative management
Abstract Pilonidal disease is a common condition affecting young patients. It is often disruptive to their lifestyle due to recurrent abscesses or chronic wound drainage. The most common surgical treatment, “cystectomy,” removes useful tissue unnecessarily and does not address the etiology of the condition. Herein, we describe the etiology of pilonidal disease and our technique for definitive management of pilonidal disease using the cleft lift procedure. In this paper, we present our method of performing the cleft lift procedure for pilonidal disease including perioperative management and surgical tec...
Source: Techniques in Coloproctology - July 14, 2015 Category: Surgery Source Type: research

Complications during colonoscopy: prevention, diagnosis, and management
Abstract Colonoscopy is largely performed in daily clinical practice for both diagnostic and therapeutic purposes. Although infrequent, different complications may occur during the examination, mostly related to the operative procedures. These complications range from asymptomatic and self-limiting to serious, requiring a prompt medical, endoscopic or surgical intervention. In this review, the complications that may occur during colonoscopy are discussed, with a particular focus on prevention, diagnosis, and therapeutic approaches. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 11, 2015 Category: Surgery Source Type: research

Image-guided real-time navigation for transanal total mesorectal excision: a pilot study
Conclusion This is the first pilot series to report the use of frameless stereotactic navigation for TAMIS-TME. Stereotactic navigation for transanal total mesorectal excision is shown to be feasible, and may aid in providing colorectal surgeons with the ability to better perform safe, high-quality surgery in select cases. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 9, 2015 Category: Surgery Source Type: research

Rectovaginal fistula secondary to an erosive pessary
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 8, 2015 Category: Surgery Source Type: research

Wrap technique for rectal prolapse: video step by step
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 8, 2015 Category: Surgery Source Type: research

Treatment of acute hemorrhoidal crisis using hyaluronidase with local anesthetic prior to surgical excision
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 8, 2015 Category: Surgery Source Type: research

Drainoscopy: a doorway to the abdomen in the post-surgical patient
Abstract The ability to optically visualize the abdominal cavity in the post-surgical patient can prove to be invaluable, particularly when imaging studies and exam findings can be difficult to interpret. Post-surgical drains are often used and provide a window into the abdominal cavity. In this proof-of-concept study, it is demonstrated that an ordinary drain can be used as a point of access and hence a doorway into the abdominal cavity. This technique has been termed drainoscopy, and the approach is demonstrated with video supplement. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 7, 2015 Category: Surgery Source Type: research

The 4th S-ECCO IBD Masterclass, Barcelona, February 19, 2015
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 7, 2015 Category: Surgery Source Type: research

The origin of cure for fistula in ano: technique of Hippocrates
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 5, 2015 Category: Surgery Source Type: research

26th International Conference of the Society for Medical Innovation and Technology (SMIT)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 1, 2015 Category: Surgery Source Type: research

When is the best time for temporary stoma closure in laparoscopic sphincter-saving surgery for rectal cancer? A study of 259 consecutive patients
This study aimed to assess whether the timing of stoma closure could influence postoperative morbidity. Methods Patients with rectal cancer undergoing laparoscopic proctectomy with temporary stoma were included and divided into three groups according to the delay of stoma closure after proctectomy: ≤60 days (Group A), 61–90 days (Group B), and>90 days (Group C). Results From 2008 to 2013, 259 patients (146 men, median age 61 years) were divided into Groups A (n = 65), B (n = 115), and C (n&nbs...
Source: Techniques in Coloproctology - July 1, 2015 Category: Surgery Source Type: research

Robotics and transanal minimal invasive surgery (TAMIS): The “sweet spot” for robotics in colorectal surgery?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 24, 2015 Category: Surgery Source Type: research

The use of artificial neural networks to predict delayed discharge and readmission in enhanced recovery following laparoscopic colorectal cancer surgery
Conclusions These results may plausibly suggest that ANN can be used to develop reliable outcome predictive tools in multifactorial intervention such as ERAS. Compliance with ERAS can reliably predict both delayed discharge and 30-day readmission following laparoscopic colorectal cancer surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 19, 2015 Category: Surgery Source Type: research

The dawn of the digital operating theatre and the rise of the digital surgeon
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 17, 2015 Category: Surgery Source Type: research

The use of an acellular porcine dermal collagen implant in the repair of complex abdominal wall defects: a European multicentre retrospective study
Conclusions Data from this large retrospective multicentre European study strongly suggest the use of Permacol™ porcine collagen surgical implant to be safe and effective for complex abdominal wall repair. The recurrence rate was impacted by fascial closure. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 17, 2015 Category: Surgery Source Type: research

Fistulotomy or fistulectomy and primary sphincteroplasty for anal fistula (FIPS): a systematic review
Abstract There is still no clear consensus about surgical treatment of anal fistulas. Fistulotomy or fistulectomy and primary sphincter reconstruction is still regarded with skepticism. The aim of this systematic review was to evaluate the evidence in the literature supporting the use of this technique in the treatment of complex anal fistulas. MEDLINE, EMBASE and Cochrane Library databases were searched for the period between 1985 and 2015. The studies selected were peer-reviewed articles, with no limitations concerning the study cohort size, length of the follow-up or language. Technical notes, commentaries,...
Source: Techniques in Coloproctology - June 10, 2015 Category: Surgery Source Type: research

10th Annual meeting of the Mediterranean Society of Pelvic Floor Disorders, Cairo, Egypt, 9th–11th April, 2015, Chairman: Ali A. Shafik, MD
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 6, 2015 Category: Surgery Source Type: research

Descending perineum syndrome: new perspectives
Abstract The classical clinical profile of descending perineum syndrome (DPS) has been replaced by new pathophysiological, diagnostic, and therapeutic acquisitions. This paper will focus on trigger factors ranging from dyssynergic defecation to excessive straining, fecal incontinence against the backdrop of obstructed defecation, attendant rectal diseases, and therapy tailored to evolving stages of DPS. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 6, 2015 Category: Surgery Source Type: research

A randomized controlled clinical trial comparing the outcomes of circumferential subcuticular wound approximation (CSWA) with conventional wound closure after stoma reversal
Conclusions With regard to wound infection rates, the CSWA method was better than the conventional method, although this was found to be borderline significant. With regard to patient satisfaction, the CSWA method proved to be superior to the conventional method, and this was found to be statistically significant. In addition, the technique is applicable to all forms of stoma regardless of the bowel segment involved, trephine size, and indication for diversion. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 5, 2015 Category: Surgery Source Type: research

Is robotic ventral mesh rectopexy better than laparoscopy in the treatment of rectal prolapse and obstructed defecation? A meta-analysis
Abstract Ventral mesh rectopexy is an approach in the treatment of internal and external rectal prolapse and rectocele. Our aim was to assess whether robotic surgery confers any significant advantages over laparoscopy, and the associated complication rate. Two reviewers performed a literature search using MEDLINE and PubMed databases for studies comparing robotic versus laparoscopic surgery. Five prospective, non-randomised studies were identified and included. A total of 244 patients (101 robotic and 143 laparoscopic) were included in the analysis. Operative time was shorter with laparoscopic surgery, mean we...
Source: Techniques in Coloproctology - June 3, 2015 Category: Surgery Source Type: research

Laparoscopy in combination with fast-track management is the best surgical strategy in patients undergoing colorectal resection for cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 20, 2015 Category: Surgery Source Type: research

Sinoscopy: endoscopic washout of perineal sinus after abdominoperineal excision of the rectum
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 15, 2015 Category: Surgery Source Type: research

Treatment of Crohn’s disease-related high perianal fistulas combining the mucosa advancement flap with platelet-rich plasma: a pilot study
Conclusions The results of combining the mucosal advancement flap with platelet-rich plasma in patients with Crohn’s disease-related high perianal fistulas are moderate with a healing rate of 70 %. Further investigation is needed to determine the benefits and risks on continence status for this technique in this patient population. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 15, 2015 Category: Surgery Source Type: research

Successful endoscopic incision of pouch-anal stricture in a patient with ulcerative colitis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 15, 2015 Category: Surgery Source Type: research

Forming a consensus opinion on exercise prehabilitation in elderly colorectal cancer patients: a Delphi study
Conclusions This work is the first to produce a set of statements on which expert consensus opinion has been agreed regarding preoperative exercise in colorectal cancer patients. Future work, informed by this study, will design interventions to produce rapid improvements in fitness before surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 14, 2015 Category: Surgery Source Type: research

Permanent ileostomy as the last surgical option for severe slow-transit constipation
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 13, 2015 Category: Surgery Source Type: research

Biofeedback therapy for constipation due to dyssynergic defecation: ready for prime time
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 12, 2015 Category: Surgery Source Type: research

Robotic transanal total mesorectal excision with intersphincteric dissection for extreme distal rectal cancer: a video demonstration
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 12, 2015 Category: Surgery Source Type: research

Co-suturing SURGICEL ® and colonic fat to achieve hemostasis in presacral hemorrhage
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 6, 2015 Category: Surgery Source Type: research

Reflex anuria: a rare complication of prophylactic ureteral catheterization
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 6, 2015 Category: Surgery Source Type: research

Defecographic functional evaluation of rectal akinesia
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 5, 2015 Category: Surgery Source Type: research

PET scan findings can be false positive
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 5, 2015 Category: Surgery Source Type: research

Is laparoscopic peritoneal lavage for diverticular peritonitis only a “bridge” to elective sigmoidectomy? An alternative hypothesis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 28, 2015 Category: Surgery Source Type: research

Flavonoids mixture (diosmin, troxerutin, hesperidin) in the treatment of acute hemorrhoidal disease: a prospective, randomized, triple-blind, controlled trial
Conclusions The use of a mixture of diosmin, troxerutin and hesperidin is a safe and effective mean of managing symptoms of acute hemorrhoidal disease. Furthermore, in patients receiving treatment, there was faster control and lower persistence of edema and thrombosis. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 19, 2015 Category: Surgery Source Type: research

In memory of Prof Yehiel (Chilik) Ziv
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 8, 2015 Category: Surgery Source Type: research

Treatment of recurrent anal fistula using an autologous cartilage plug: a pilot study
Conclusions The cartilage plug seems to be a promising alternative for anal fistula treatment. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 8, 2015 Category: Surgery Source Type: research

A rare perianal tumor: solitary fibrous tumor
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 8, 2015 Category: Surgery Source Type: research