Biological therapy prior to repeat ileocolic resection in Crohn ’s disease can reduce the postoperative complication rate
ConclusionsPatients treated with biologic therapy for CD who underwent repeat ileocolic resection had fewer postoperative complications. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 12, 2023 Category: Surgery Source Type: research

The incidence of malignancy in the residual rectum of IBD patients after colectomy: a systematic review and meta-analysis
ConclusionsThe overall risk of malignancy was estimated to be 1.3%, which is lower than previously reported. There is a need for clear and standardised screening guidance for this group of patients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 12, 2023 Category: Surgery Source Type: research

Magnifying chromoendoscopy is a reliable method in the selection of rectal neoplasms for local excision
ConclusionMagnifying chromoendoscopy is reliable for predicting invasion depth in early rectal neoplasms and selecting patients for local excision. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 12, 2023 Category: Surgery Source Type: research

The H-anastomosis: a novel single-stapled solution to severe luminal size mismatch in stricturing small bowel Crohn ’s disease
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 10, 2023 Category: Surgery Source Type: research

Functional outcomes after transanal total mesorectal excision (TaTME): a random forest analysis to predict patients ’ outcomes
ConclusionOne-quarter of the patients developed major LARS after TaTME. An algorithm based on clinical/operative variables, such as age, operative time, and time to stoma reversal, was developed to identify categories at risk for LARS symptoms. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 5, 2023 Category: Surgery Source Type: research

Outcomes of rectal prolapse surgery in patients with benign joint hypermobility syndrome
ConclusionsPatients with BJHS presenting for rectal prolapse surgery were younger and are more likely to require further surgery for rectal prolapse recurrence than those without the condition. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 4, 2023 Category: Surgery Source Type: research

Local anaesthetic for pain post rubber band ligation of haemorrhoids: a prospective, single-blinded randomised controlled trial
ConclusionsLA to the haemorrhoid pedicle post RBL may significantly reduce early post procedure pain without any increased risk of adverse effects. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 1, 2023 Category: Surgery Source Type: research

An exceptional anal tumor
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 24, 2023 Category: Surgery Source Type: research

Deep remission improves the quality of life of patients with Crohn ’s disease and anoperineal fistula treated with darvadstrocel: results of a French pilot study
ConclusionsThis study confirms reported efficacy data for the injection of MSC for complex anal fistulas in Crohn ’s disease. It also shows a positive impact on the quality of life of patients, particularly those for whom a combined clinical–radiological response was achieved. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 22, 2023 Category: Surgery Source Type: research

Artificial intelligence in colorectal surgery: an AI-powered systematic review
AbstractArtificial intelligence (AI) has the potential to revolutionize surgery in the coming years. Still, it is essential to clarify what the meaningful current applications are and what can be reasonably expected. This AI-powered review assessed the role of AI in colorectal surgery. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-compliant systematic search of PubMed, Embase, Scopus, Cochrane Library databases, and gray literature was conducted on all available articles on AI in colorectal surgery (from January 1 1997 to March 1 2021), aiming to define the perioperative applications of AI. ...
Source: Techniques in Coloproctology - February 21, 2023 Category: Surgery Source Type: research

Technical modifications for cost optimization in robot-assisted ventral mesh rectopexy: an initial experience
ConclusionsConsidering our preliminary results, robot-assisted ventral mesh rectopexy with appropriate technical modifications can be cost-effective and safe. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 18, 2023 Category: Surgery Source Type: research

Outcomes of gracilis muscle interposition for rectourethral fistulas caused by treatment of prostate cancer
ConclusionsAlthough the initial success rate of GMI was approximately 53%, it increased to 81% after additional procedures. Complications after GMI were mostly minor, with wound complications being the most common. Perianal wound dehiscence was significantly associated with failure of healing of RUF after GMI. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 17, 2023 Category: Surgery Source Type: research

Predicting the prognosis of lower rectal cancer using preoperative magnetic resonance imaging with artificial intelligence
ConclusionsWe developed a prognostic model using AI and preoperative MRI images of patients with lower rectal cancer who had not undergone preoperative treatment, and the model could be useful in comparison with pathological classification. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 17, 2023 Category: Surgery Source Type: research

Endoscopic differential diagnosis of three common anorectal neoplastic lesions
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 16, 2023 Category: Surgery Source Type: research

Patient experiences of left-sided colorectal resection by robotic, conventional laparoscopic and open approaches: a qualitative study
ConclusionsPatients generally have a positive view of RS and technical innovation in surgery. Concerns mostly centred around failure of technology. Many patients felt unprepared for significant factors in their perioperative experience. Surgeons and healthcare providers should be prepared to address patients ’ perceptions and expectations of colorectal surgery preoperatively. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 15, 2023 Category: Surgery Source Type: research