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

Colorectal cancer and adenoma screening using urinary volatile organic compound (VOC) detection: early results from a single-centre bowel screening population (UK BCSP)
ConclusionsCRC was correctly distinguished from adenomas or no bowel pathology using urinary VOC markers, within the bowel screening population. This pilot study demonstrates the potential of this method for CRC detection, with higher test uptake and superior sensitivity than FOBT. In addition, this is the first application of GC –IMS in CRC detection which has shown high test accuracy and usability. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 15, 2019 Category: Surgery Source Type: research

Use of a linear stapler for urethral and dorsal vein complex transection during laparoscopic total pelvic exenteration in rectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 15, 2019 Category: Surgery Source Type: research

Establishing a robust multidisciplinary team process in complex abdominal wall reconstruction within a colorectal surgical unit
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 15, 2019 Category: Surgery Source Type: research

Robotic TAMIS for local excision of ultra-distal neoplasia
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 15, 2019 Category: Surgery Source Type: research

Utilisation of a modified Roeder ’s knot in the era of minimal invasive surgery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 11, 2019 Category: Surgery Source Type: research

Percutaneous tibial nerve stimulation (PTNS): an alternative treatment option for chronic therapy resistant anal fissure
ConclusionsIn this small series, PTNS enhanced healing of chronic anal fissure and reduced pain and bleeding with an associated improvement in bowel function. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 10, 2019 Category: Surgery Source Type: research

Comment on: Rectal trauma injuries: outcomes from the U.S. National Trauma Data Bank By K.J. Gash et al
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 10, 2019 Category: Surgery Source Type: research

Level of inferior mesenteric artery ligation in low rectal cancer surgery: high tie preferred over low tie
ConclusionsHigh tie of the inferior mesenteric artery at its aortic origin allows a gain of extra length of about 9  cm over low tie. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 8, 2019 Category: Surgery Source Type: research

An update of the aims and achievements during the first year of the Young Group of the Italian Society of Colorectal Surgery (Y-SICCR)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 6, 2019 Category: Surgery Source Type: research

30th Anniversary Jagelman/40th Anniversary Turnbull International Colorectal Disease Symposium
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 6, 2019 Category: Surgery Source Type: research

Sigmoid volvulus: avoiding recurrence
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 6, 2019 Category: Surgery Source Type: research

Short-term postoperative outcomes following robotic versus laparoscopic ileal pouch-anal anastomosis are equivalent
AbstractBackgroundMinimally invasive approaches have become the standard of care for ileal pouch-anal anastomoses (IPAA). There are few reports comparing outcomes following a laparoscopic versus robotic approach. Our aim was to determine if there were any differences in the 30-day postoperative outcomes following IPAA performed laparoscopically versus robotically.MethodsA retrospective chart review of all laparoscopic and robotic IPAA performed between January 1, 2015 and June 30, 2018 was carried out. Patients included were adult patients who underwent a proctectomy and IPAA utilizing either a laparoscopic or robotic appr...
Source: Techniques in Coloproctology - April 2, 2019 Category: Surgery Source Type: research

Short-term outcomes of the over-the-scope clip proctology system for rectovaginal fistula repair: a prospective study
ConclusionsWe demonstrated the feasibility, safety, and reproducibility of the Over-The-Scope Clip Proctology system in rectovaginal fistula repair for the patients selected. Further trials should be designed, incorporating comparisons to well-established techniques, a longer follow-up period, and a larger cohort. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 1, 2019 Category: Surgery Source Type: research

How to manage anal ulcerations and anorectal stenosis in Crohn ’s disease: algorithm-based decision making
AbstractThe French National Society of Coloproctology established national recommendations for the treatment of anoperineal lesions associated with Crohn ’s disease. Treatment strategies for anal ulcerations and anorectal stenosis are suggested. Recommendations have been graded following international recommendations, and when absent professional agreement was established. For each situation, practical algorithms have been drawn. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 1, 2019 Category: Surgery Source Type: research

Robotic-assisted repair of perineal hernia after extralevator abdominoperineal resection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 1, 2019 Category: Surgery Source Type: research

Complete rectal prolapse: still a lot of work to do
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 1, 2019 Category: Surgery Source Type: research

Correction to: Topical antimicrobial prophylaxis in colorectal surgery for the prevention of surgical wound infection: a systematic review and meta-analysis
Unfortunately, an author name (Nuzhat Iqbal) was missed out in the original publication. The complete updated author list is given below. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 1, 2019 Category: Surgery Source Type: research

A novel technique for removal of a peculiar rectal foreign body
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 30, 2019 Category: Surgery Source Type: research

Ring-shaped fibroepithelial polyps of the anus
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 26, 2019 Category: Surgery Source Type: research

The prognostic value of tumor budding in patients who had  surgery for rectal cancer with and without neoadjuvant therapy
ConclusionsTB has prognostic value as important as lymph node involvement and radial margin status and it may be a helpful prognostic indicator even after CRT. TB should be included in the TNM classification and may be used in planning adjuvant therapy. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 21, 2019 Category: Surgery Source Type: research

The influence of metastatic lymph nodes at the circumferential resection margin of rectal cancer —Do these lymph nodes require any special attention?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 18, 2019 Category: Surgery Source Type: research

Correction to: EuroSurg-1 study: an opportunity to encourage student-driven surgical research in Italy
Unfortunately, the collaborators of the above mentioned article was missed out in the affiliation of the original publication. The details of them are listed below. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 14, 2019 Category: Surgery Source Type: research

The practical value of levator ani muscle injury repair
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 12, 2019 Category: Surgery Source Type: research

TAMIS is a valuable alternative to TEM for resection of intraluminal rectal tumors
AbstractBackgroundThe aim of this study was to compare the short-term outcome after Transanal Endoscopic Microsurgery (TEM) and Transanal Minimally Invasive Surgery (TAMIS) for intraluminal rectal lesions.MethodsRetrospective analysis of a prospectively maintained database of all TEM and TAMIS procedures performed at a single institution by one surgeon between March 2009 and September 2017 was conducted. Primary outcome was operating time. Secondary outcomes were blood loss, pathological outcome, length of hospital stay, 30-day readmission and mortality.ResultsFifty-three patients underwent TEM procedure and 68 patients un...
Source: Techniques in Coloproctology - March 11, 2019 Category: Surgery Source Type: research

Proposal of a new classification system for complete mesocolic excison in right-sided colon cancer
AbstractBackgroundAlthough complete mesocolic excision has been performed for 10 years there remains no published prospective data. The lack of a classification which includes completeness of mesocolic tissue removal as well as plane of surgery contributes to the problem of comparing studies. The aim of the present study was to develop such a classification for right hemicolectomy.MethodsIn a prospective, non-randomized trial we collected specimens of right hemicolectomies from 38 German hospitals between February 2012 and October 2016. The degree of radicality of resection was reported. Photographs were taken of the speci...
Source: Techniques in Coloproctology - March 5, 2019 Category: Surgery Source Type: research

LIFT combined with mucosal advancement flap for transphincteric fistulas
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 4, 2019 Category: Surgery Source Type: research

The “Cone” stoma: stoma creation in the presence of significant bowel dilatation
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - March 1, 2019 Category: Surgery Source Type: research

Purse-string vs. linear skin closure at loop ileostomy reversal: a systematic review and meta-analysis
AbstractBackgroundThere is no level 1a evidence regarding the best technique for skin closure at loop ileostomy reversal. The aim of this study was to evaluate whether purse-string skin closure (PSC) is associated with lower surgical site infection (SSI) rates as compared to linear skin closure (LC).MethodsEMBASE, MEDLINE, Pubmed, Cochrane Library, Web of Science, and CINAHL databases were systematically searched. PSC was defined as a circumferential subcuticular suture leaving a small circular skin defect allowing for free drainage, granulation, and epithelialization. In LC, the wound edges were approximated side to side ...
Source: Techniques in Coloproctology - February 26, 2019 Category: Surgery Source Type: research

Stoma rods in abdominal surgery: a systematic review and metaanalyses
ConclusionsStoma rods do not reduce the incidence of stoma retraction and instead lead to increased rates of dermatitis and stoma necrosis. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 26, 2019 Category: Surgery Source Type: research

Long-term results of stapled hemorrhoidectomy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 26, 2019 Category: Surgery Source Type: research

International Conference “Anal Fistula” July 2–3, 2018
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 22, 2019 Category: Surgery Source Type: research

How useful is the LARS score in the evaluation and treatment of LARS?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 22, 2019 Category: Surgery Source Type: research

Quick and simple; psoas density measurement is an independent predictor of anastomotic leak and other complications after colorectal resection
ConclusionsA quick and easy radiological assessment of sarcopenia by measuring psoas density on preoperative CT scan using software universally available in the UK  is highly predictive of postoperative morbidity in colorectal cancer patients. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - February 21, 2019 Category: Surgery Source Type: research