Enhancing the precision of circular stapled colorectal anastomosis: could powered stapler technology provide the solution?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 5, 2019 Category: Surgery Source Type: research

The laparoscopic medial-to-lateral approach to the splenic flexure
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 5, 2019 Category: Surgery Source Type: research

Cesarean delivery to prevent anal incontinence: a systematic review and meta-analysis
ConclusionsThere are three components of pelvic floor dysfunction that are thought to be caused by VD and hopefully prevented by CD: AI, urinary incontinence and pelvic floor prolapse. Of these, AI was not found to be reliably prevented by CD in this review. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 4, 2019 Category: Surgery Source Type: research

Robotic ventral mesh rectopexy for rectal prolapse: a few years until this becomes the gold standard
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 4, 2019 Category: Surgery Source Type: research

Minimally invasive colorectal cancer procedures in patients with obesity: an interdisciplinary approach
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 4, 2019 Category: Surgery Source Type: research

A prospective pilot study on MRI visibility of iron oxide-impregnated polyvinylidene fluoride mesh after ventral rectopexy
ConclusionsT2 sagittal and T1-weighted flash images provide the best information about the position and integrity of the iron oxide-impregnated PVDF mesh after LVMR or RVMR with a short examination time. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 3, 2019 Category: Surgery Source Type: research

Optimized fistulectomy using the novel FiXcision ® device: a technical feasibility study and evaluation of short term healing rates
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - July 3, 2019 Category: Surgery Source Type: research

Robotic vs. laparoscopic ventral mesh rectopexy for external rectal prolapse and rectal intussusception: a systematic review
AbstractBackgroundLaparoscopic ventral mesh rectopexy (LVR) is a treatment with promising results in external rectal prolapse, rectal intussusception, and rectocele. Because of the emergence of robotic-assisted surgery and the technical advantage it provides, we examined the potential role and place of robotic surgery in ventral rectopexy.MethodsMEDLINE, PubMed, and other databases were searched, by two independent reviewers, to identify studies comparing robotic to laparoscopic ventral mesh rectopexy. The primary outcome was the rate of unplanned conversion to open. The secondary outcomes were morbidity, length of hospita...
Source: Techniques in Coloproctology - June 28, 2019 Category: Surgery Source Type: research

Practice parameters for the diagnosis and treatment of anal intraepithelial neoplasia (AIN) on behalf of the Italian Society of Colorectal Surgery (SICCR)
AbstractSquamous cell carcinoma (SCC) of the anus is a human papilloma virus (HPV) related malignancy that is preceded by anal intraepithelial neoplasia (AIN) making this cancer, at least theoretically, a preventable disease. In the past 10  years the diagnosis, management and nomenclature of AIN has dramatically changed. Increased life expectancy in human immunodeficiency virus (HIV) positive patients due to highly active antiretroviral therapy (HAART) has caused an increase in the incidence of SCC of the anus. While many experts rec ommend screening and treatment of anal high-grade squamous intraepithelial lesion (H...
Source: Techniques in Coloproctology - June 26, 2019 Category: Surgery Source Type: research

The Kraske procedure: no more indications for benign lesions?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 26, 2019 Category: Surgery Source Type: research

Robotic excision of a colonic neoplasm with ICG as a tumor localizer and colonoscopic assistance
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 26, 2019 Category: Surgery Source Type: research

Why most published meta-analysis findings are false
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 25, 2019 Category: Surgery Source Type: research

The REAL (REctal Anastomotic Leak) score for prediction of anastomotic leak after rectal cancer surgery
AbstractBackgroundAnastomotic leak after rectal cancer surgery is a severe complication associated with poorer oncologic outcome and quality of life. Preoperative assessment of the risk for anastomotic leak is a key component of surgical planning, including the opportunity to create a defunctioning stoma.ObjectiveThe purpose of this study was to identify and quantify the risk factors for anastomotic leak to minimize risk by either not restoring bowel continuity or protecting the anastomosis with a temporary diverting stoma.MethodsPotentially relevant studies were identified from the following databases: PubMed, Embase and ...
Source: Techniques in Coloproctology - June 25, 2019 Category: Surgery Source Type: research

Modified Turnbull –Cutait anastomosis with fasciocutaneous flap reconstruction for radical excision of vulvar and anal intraepithelial neoplasia
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 14, 2019 Category: Surgery Source Type: research

The reverse leak test for the assessment of low coloanal anastomosis: technical note
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 13, 2019 Category: Surgery Source Type: research

The side of the primary tumor affects overall survival in colon adenocarcinoma: an analysis of the national cancer database
AbstractBackgroundDue to conflicting study results on the effect of laterality on overall survival in primary colon cancers, we sought to examine the impact of left compared to right-sided primary tumors on overall survival for stage I –III colon cancer using the largest dataset to date.MethodsThe 2006 –2013 NCDB was queried for patients with single primary, stage I–III colon adenocarcinoma and grouped by stage and tumor location.ResultsFor stage I –II tumors, 114,839 patients had resection (62% right:38% left). After adjustment, patients with right-sided tumors had superior survival ([HR right as r...
Source: Techniques in Coloproctology - June 12, 2019 Category: Surgery Source Type: research

Sacral neuromodulation for fecal incontinence in Latin America: initial results of a multicenter study
AbstractBackgroundSacral neuromodulation (SNM) is a widely used therapeutic option for fecal incontinence (FI). Larger series are mainly from Western countries, while few reports address the results of SNM in less developed or less wealthy countries. The aim of the present study was to evaluate the efficacy of SNM in patients with FI in Latin America.MethodsA retrospective study was conducted on patients with FI who had SNM between 2009 and 2016 at 15 specialized colorectal surgery centers in Latin America. Main outcomes measures were functional outcomes, postoperative complications, requirement of revisional surgery, and ...
Source: Techniques in Coloproctology - June 12, 2019 Category: Surgery Source Type: research

Endomucosal resection of a rectal polyp at the dentate line, an alternative to transanal endoscopic microsurgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 11, 2019 Category: Surgery Source Type: research

Correction to: Progression of anal intraepithelial neoplasia in HIV-positive individuals: predisposing factors
Unfortunately, the “Informed consent” statement was incorrectly published in the original version. The complete correct reference should read as follows. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 5, 2019 Category: Surgery Source Type: research

Laparoscopic subtotal colectomy with ileorectal anastomosis in complicated Crohn ’s disease
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - June 1, 2019 Category: Surgery Source Type: research

Sacral nerve stimulation for constipation: long-term outcomes
ConclusionsOur results agree with current studies which describe around a 30% response of SNS for refractory constipation. However, there is a small group of patients highly satisfied with SNS therapy. More studies are needed to better understand this profile and optimize outcomes. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 30, 2019 Category: Surgery Source Type: research

A novel surgery: robotic transanal rectal mucosal harvest
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 29, 2019 Category: Surgery Source Type: research

Cranial-first approach for laparoscopic surgery with splenic flexure mobilization
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 29, 2019 Category: Surgery Source Type: research

Hospital stay for temporary stoma closure is shortened by C-reactive protein monitoring: a prospective case-matched study
AbstractBackgroundC-reactive protein (CRP) has been suggested as a satisfactory early marker of postoperative complications after colorectal surgery. The aim of this study was to assess the impact of a CRP monitoring-driven discharge strategy, after stoma reversal following laparoscopic sphincter-saving surgery for rectal cancer.MethodsEighty-eight patients who had stoma reversal between June 2016 and April 2018 had CRP serum level monitoring on postoperative day (POD) 3 and, if necessary, on POD5. Patients were discharged on POD4 if the CRP level was  
Source: Techniques in Coloproctology - May 25, 2019 Category: Surgery Source Type: research

An unusual rectal obstruction
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 23, 2019 Category: Surgery Source Type: research

Progression of LSIL to HSIL or SCC: is anoscopy and biopsy good enough?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 18, 2019 Category: Surgery Source Type: research

Tailored anal block (TAB): a new anesthesia procedure for surgical treatment of hemorrhoids in an outpatient setting
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 17, 2019 Category: Surgery Source Type: research

A systematic review of classification systems for pilonidal sinus
ConclusionsBased on the evidence available from the literature reviewed we have no recommendations regarding the use of the current classification of PSD. A well-recognised and practical classification system to guide clinical practice is required. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 16, 2019 Category: Surgery Source Type: research

Allied disorders of Hirschsprung ’s disease
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 16, 2019 Category: Surgery Source Type: research

Correction to: Long-term results of stapled hemorrhoidectomy
Unfortunately, there is a spelling mistake in the 2nd sentence of the 2nd paragraph. The complete correct sentence is given below. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 10, 2019 Category: Surgery Source Type: research

Assessment of the Versius surgical robotic system for dual-field synchronous transanal total mesorectal excision (taTME) in a preclinical model: will tomorrow ’s surgical robots promise newfound options?
ConclusionsThis is the first preclinical assessment of the Versius surgical robotic system for taTME. The ability to work simultaneously carries the theoretical advantage of reducing surgical time and thereby reducing overall operative costs. It may also allow surgeons to maintain focus on critical parts of the operation by halving the fatigue associated with long, complex cases such as taTME. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 8, 2019 Category: Surgery Source Type: research

Cost-analysis and quality of life after laparoscopic and robotic ventral mesh rectopexy for posterior compartment prolapse: a randomized trial
ConclusionsAlthough more expensive than LVMR in the short term, RVMR is cost-effective in long-term. The minimally invasive VMR improves pelvic floor function, sexual function and restores posterior compartment anatomy. The effect on HRQoL is minor, with no differences between techniques. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 8, 2019 Category: Surgery Source Type: research

An imaginary cuboid: chest, abdomen, vertebral column and perineum, different parts of the same whole in the harmonic functioning of the pelvic floor
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 7, 2019 Category: Surgery Source Type: research

Radiofrequency ablation for haemorrhoidal disease: description of technique
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 7, 2019 Category: Surgery Source Type: research

The clinical efficacy of stem cell therapy for complex perianal fistulas: a meta-analysis
ConclusionsStem cell therapy is a good treatment option for complex perianal fistulas, which cannot be healed by conventional operative procedures. However, further research for additional supportive evidence, such as a large-scale randomized controlled trial, is required. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - May 2, 2019 Category: Surgery Source Type: research

Disparities in colostomy reversal after Hartmann ’s procedure for diverticulitis
AbstractBackgroundHartmann ’s procedure for diverticulitis is a common procedure, with highly variable rates and timing of colostomy reversal. The aim of this study was to evaluate the impact of race and insurance coverage on reversal within 2 years of Hartmann’s procedure for diverticulitis.MethodsThe Healthcare Cost and Utilization Project (HCUP) State Inpatient Database of five states (2007 –2010) was queried for patients who had Hartmann’s procedure in the setting of diverticulitis. Patients were grouped by race and insurance status, and multivariable adjustment was performed to evaluate ra...
Source: Techniques in Coloproctology - April 30, 2019 Category: Surgery Source Type: research

Transanal minimally invasive surgery (TAMIS) for anterior rectal GIST
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 29, 2019 Category: Surgery Source Type: research

Totally intracorporeal robotic en bloc resection for deep infiltrating endometriosis of the rectovaginal wall with natural orifice specimen extraction
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 29, 2019 Category: Surgery Source Type: research

Ultrasound-guided identification of superior mesenteric vein in robotic complete mesocolic excision for right colon cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 29, 2019 Category: Surgery Source Type: research

Currently available and experimental dyes for intraoperative near-infrared fluorescence imaging of the ureters: a systematic review
ConclusionsCurrently available dyes, ICG and MB, are safe, but suboptimal for ureter visualization based on the route of administration and optical properties, respectively. Currently, MB has potential to be routinely used for ureter visualization in most patients, but (cRGD-)ZW800-1 holds potential for this role in the future, owing to its exclusive renal clearance and the near absence of background. To assess the benefit of NIRF imaging for reducing the incidence of IUI, larger patient cohorts need to be examined. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 27, 2019 Category: Surgery Source Type: research

Feasibility study of wearable cameras: GoPro Hero7, Panasonic HX-A500 and Patriot F850 glass camera for anal surgery recording. A video demonstration
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 24, 2019 Category: Surgery Source Type: research

How to find Denonvilliers ’ fascia during laparoscopic TME
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 24, 2019 Category: Surgery Source Type: research

Clinical and physiological risk factors for fecal incontinence in chronically constipated women
ConclusionsLower anal pressures and higher BMI were found among women with coexisting FI and CC. Pelvic floor anatomical and functional abnormalities are common in women diagnosed with CC and FI, but dyssynergia and diagnosis of significant rectocele, which cause obstructed defecation, were more common in the CCNFI group. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 23, 2019 Category: Surgery Source Type: research

Progression of anal intraepithelial neoplasia in HIV-positive individuals: predisposing factors
ConclusionsIn our large cohort of HIV-positive patients treated without high resolution anoscopy the rate of progression was low.   Most notably, visible lesions at initial presentation and CD4 count when lower were associated with progression. Initial surgical pathology of anal condylomata was associated with progression, while high-risk serotypes correlated with regression or stability. Identification of risk factors has important implications concerning postoperative surveillance and counseling of HIV-positive patients with anal condylomata/ anal dysplasia. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 23, 2019 Category: Surgery Source Type: research

Adult intussusception: a systematic review and meta-analysis
ConclusionWhereas enteric intussusception can be managed by reduction followed by resection, colonic intussusception should be resected en bloc. Due to the intermediate forms between enteric and colonic intussusception, a selective approach is recommended. Surgery remains the mainstay in adult intussusception. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 22, 2019 Category: Surgery Source Type: research

Laparoscopic colorectal anastomosis technique without ‘‘dog ear’’ formation using LigaSure for bowel transection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 17, 2019 Category: Surgery Source Type: research

Effectiveness of topical use of Lietofix ® in wound healing after pilonidalis sinus excision: a multicenter study by the Italian Society of Colorectal Surgery (SICCR)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 17, 2019 Category: Surgery Source Type: research

Combined laparoscopic and cystoscopic surgery for colovesical fistula due to colonic diverticulitis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 16, 2019 Category: Surgery Source Type: research

Editorial: Botox for levator ani
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 16, 2019 Category: Surgery Source Type: research

Laparoscopic sphincter reconstruction after abdominoperineal resection: feasibility and technical aspects
ConclusionsLaparoscopic sphincter reconstruction following APR is a feasible option offering an alternative to abdominal colostomy for selected patients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 15, 2019 Category: Surgery Source Type: research