7th Educational Meeting “Anal fistula: news and dilemmas” Rome, 20 November, 2018
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 30, 2018 Category: Surgery Source Type: research

Transanal extended rectal surgery with lateral pelvic lymph node dissection
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 27, 2018 Category: Surgery Source Type: research

Pubovisceral muscle and anal sphincter defects in women with fecal or urinary incontinence after vaginal delivery
AbstractBackgroundVaginal delivery is the most frequent cause of direct anal sphincter trauma as well as pelvic floor muscle defects in women with corresponding signs and symptoms. The aim of the present study was to identify anatomical and functional abnormalities of the anal canal and pelvic floor in women who had had a vaginal delivery and determine the relationship between such abnormalities and the symptoms and severity of fecal incontinence (FI).MethodsConsecutive female patients with symptoms of fecal and/or urinary incontinence were recruited through the colorectal and gynecological outpatient clinics at two large ...
Source: Techniques in Coloproctology - November 26, 2018 Category: Surgery Source Type: research

TAMIS repair of a rectal stenosis not treatable by endoscopy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 26, 2018 Category: Surgery Source Type: research

Gastrointestinal stromal tumor with skeinoid fibers: an unusual presentation
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 24, 2018 Category: Surgery Source Type: research

Novel use of argon plasma coagulation (APC)  in the treatment of high output small bowel mucous fistula
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 21, 2018 Category: Surgery Source Type: research

Perforated sigmoid diverticulitis: Hartmann ’s procedure or resection with primary anastomosis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 20, 2018 Category: Surgery Source Type: research

Laparoscopy reduces iatrogenic splenic injuries during colorectal surgery
ConclusionsOur data suggest that laparoscopic colorectal surgery may be associated with a lower risk of iatrogenic splenic injury, and that most splenic injuries can be managed with spleen-preserving approaches. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 20, 2018 Category: Surgery Source Type: research

Technique of air-leak testing of ileocolic anastomosis
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 19, 2018 Category: Surgery Source Type: research

Laparoscopic assisted insertion of a colonic self-expandable metallic stent
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 17, 2018 Category: Surgery Source Type: research

Author ’s reply
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 16, 2018 Category: Surgery Source Type: research

The role of extracellular vesicles as biomarkers in colorectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 16, 2018 Category: Surgery Source Type: research

What is the evidence for the use of parenteral nutrition (PN) in critically ill surgical patients: a systematic review and meta-analysis
ConclusionsPN may offer benefit in critically ill surgical patients. The size and quality of studies lead to uncertainty around the estimates of clinical effect, meaning a robust trial is required. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2018 Category: Surgery Source Type: research

Transanal total mesorectal excision for rectal cancer with indocyanine green fluorescence angiography
AbstractBackgroundThe aim of this study was to evaluate the impact of fluorescence angiography (FA) on any change in proximal resection margin and/or anastomotic leak (AL) following transanal total mesorectal excision (TaTME) for rectal cancer (RC).MethodsThis retrospective cohort study was conducted at two centers by three senior surgeons. Both institutions ’ prospectively maintained Institutional Review Board-approved databases were retrospectively queried for all consecutive patients between July 2015 and May 2017 who had laparoscopic hybrid trans-abdominal total mesorectal excision (TME) and TaTME for RC with col...
Source: Techniques in Coloproctology - November 14, 2018 Category: Surgery Source Type: research

Robotic pelvic lymph node dissection for rectal cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2018 Category: Surgery Source Type: research

Long-term results of stapled hemorrhoidectomy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 14, 2018 Category: Surgery Source Type: research

Can sidestream dark field (SDF) imaging identify subtle microvascular changes of the bowel during colorectal surgery?
ConclusionsSDF imaging can identify changes of the bowel serosal microcirculation. Significantly lower serosal microcirculatory parameters of the vascular transected bowel was seen compared with the non-transected bowel. The ability of SDF imaging to detect subtle differences holds promise for future research on microvascular cut-off values leading to a non-viable bowel. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 9, 2018 Category: Surgery Source Type: research

Ambulatory colectomy: fast-track management pushed to its limits?
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 9, 2018 Category: Surgery Source Type: research

Fibrin glue is a quick and effective treatment for primary and recurrent pilonidal sinus disease
ConclusionsFibrin glue application following curettage of the sinus is a quick and effective procedure for first and second line treatment of PSD. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 9, 2018 Category: Surgery Source Type: research

Conservative management of septic complication after internal Delorme procedure for occult rectal prolapse and rectocele in obstructed defecation syndrome
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - November 8, 2018 Category: Surgery Source Type: research

Invited comment on R. L. Nelson et al. “Topical antimicrobial prophylaxis in colorectal surgery for the prevention of surgical wound infection: a systematic review and meta-analysis”
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 19, 2018 Category: Surgery Source Type: research

Use of robotic technology: a survey of practice patterns of the ASCRS Young Surgeons Committee
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 15, 2018 Category: Surgery Source Type: research

Correction to: Biological mesh extrusion months after laparoscopic ventral rectopexy
Unfortunately, the 2nd affiliation of Dr. M. Shalaby has been missed out in the original publication. The complete 2nd affiliation of the same is given below. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 15, 2018 Category: Surgery Source Type: research

Correction to: Hiatal hernia, mitral valve prolapse and defecatory disorders: An underlying rectal prolapse?
Unfortunately, the 2nd affiliation of Shalaby has been missed out in the original publication. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 15, 2018 Category: Surgery Source Type: research

Laparoscopic intersphincteric resection of rectal cancer with posterior vaginal wall excision without hysterectomy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 15, 2018 Category: Surgery Source Type: research

Correction to: Long-term results after stapled hemorrhoidopexy: a survey study with mean follow-up of 12  years
Unfortunately, the 7th author ’s family name was incorrectly published in the original publication. The complete correct name should read as follows: (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 11, 2018 Category: Surgery Source Type: research

Transperineal retropubic approach in total pelvic exenteration for advanced and recurrent colorectal and anal cancer involving the penile base: technique and outcomes
ConclusionsThe transperineal approach to the penile base and retropubic space allows for high rates of R0 resection margin status with direct visualisation of the dorsal venous plexus, thereby minimising blood loss. In our experience, this technique is the preferred approach to excision of cancers threatening and involving the penile base and also for most male patients requiring total pelvic exenteration. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 10, 2018 Category: Surgery Source Type: research

Outpatient laser treatment of primary pilonidal disease : the PiLaT technique
ConclusionsPiLaT seems to be very close to the ideal treatment of pilonidal disease, since it is safe, easy to perform, almost painless and highly effective. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 10, 2018 Category: Surgery Source Type: research

Long-term results after stapled hemorrhoidopexy: a survey study with mean follow-up of 12  years
ConclusionsThe study showed that stapled hemorrhoidopexy using the first-generation devices is safe and feasible but associated with a high recurrence and incontinence rate. More stringent selection criteria in association with the use of large volume devices can lead to better results in the future. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - October 4, 2018 Category: Surgery Source Type: research

Management of colorectal anastomotic stricture with transanal endoscopic microsurgery (TEM)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 28, 2018 Category: Surgery Source Type: research

Preoperative stoma site marking: a simple practice to reduce stoma-related complications
AbstractBackgroundTo evaluate the incidence and identify the risk factors of stoma-related complications in a consecutive series of patients treated at a single institution.MethodsFor this retrospective analysis, the medical records of patients followed up at the stoma care centre of our institution over the last 16  years were reviewed. The primary end point was the incidence of stoma-related complications. Risk factors were tested using univariate and multivariate Cox proportional hazards models.ResultsOf a total of 1076 patients, 604 received a colostomy and 472 an ileostomy. In all, 1055 stoma-related complication...
Source: Techniques in Coloproctology - September 28, 2018 Category: Surgery Source Type: research

Management of colorectal anastomotic stricture with transanal endoscopic microsurgery (TEM)
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 28, 2018 Category: Surgery Source Type: research

Preoperative stoma site marking: a simple practice to reduce stoma-related complications
AbstractBackgroundTo evaluate the incidence and identify the risk factors of stoma-related complications in a consecutive series of patients treated at a single institution.MethodsFor this retrospective analysis, the medical records of patients followed up at the stoma care centre of our institution over the last 16  years were reviewed. The primary end point was the incidence of stoma-related complications. Risk factors were tested using univariate and multivariate Cox proportional hazards models.ResultsOf a total of 1076 patients, 604 received a colostomy and 472 an ileostomy. In all, 1055 stoma-related complication...
Source: Techniques in Coloproctology - September 28, 2018 Category: Surgery Source Type: research

Rectal trauma injuries: outcomes from the U.S. National Trauma Data Bank
AbstractBackgroundThere is a   lack of general consensus and a little published data regarding the management of trauma-related rectal injuries and outcomes. The aim of the present study was to evaluate the surgical management and corresponding outcomes for this patient cohort, using a nationwide trauma database. MethodsRectal injuries and procedures performed over a 2-year period (2013 and 2014) were identified through ICD-9 clinical modification codes, from the United States National Trauma Data Bank. Patient factors, management variables, and outcomes were evaluated. ResultsOf 1.7  million patients, 1...
Source: Techniques in Coloproctology - September 27, 2018 Category: Surgery Source Type: research

Transanal total mesorectal excision for rectal cancer: state of the art
AbstractAchieving a high-quality total mesorectal excision (TME) resection specimen is a central tenet of curative rectal cancer management. However, operating at the caudal extremity of the pelvis is inherently challenging and a number of patient- and tumour-related factors may increase the risk of obtaining a poor TME specimen and positive resection margins. Transanal TME (TaTME) is an advanced surgical technique developed to overcome the limitations in pelvic exposure and instrumentation of transabdominal surgery. This up-to-date narrative review describes the evolution of TME surgery, the indications for TaTME, current...
Source: Techniques in Coloproctology - September 25, 2018 Category: Surgery Source Type: research

Conservative treatment of severe defecatory urgency and fecal incontinence: minor strategies with major impact
ConclusionsFI may significantly improve with methylcellulose in selected cases. Assessment of fecal consistency and initial treatment with methylcellulose could be started at primary care level to reduce the need for specialist referral. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 24, 2018 Category: Surgery Source Type: research

Robotics, artificial intelligence and distributed ledgers in surgery: data is key!
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 21, 2018 Category: Surgery Source Type: research

Intraoperative ultrasonic navigation for laparoscopic colorectal surgery with preservation of the left colic artery
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 18, 2018 Category: Surgery Source Type: research

Preoperative surgical planning based on cadaver simulation and 3D imaging for a retrorectal tumour: description and video demonstration
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 17, 2018 Category: Surgery Source Type: research

Combined transanal minimally invasive surgery (TAMIS) and retroperitoneal laparoscopy for resection of lymph node recurrence of ovarian cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 17, 2018 Category: Surgery Source Type: research

Slipknot small bowel obstruction
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 17, 2018 Category: Surgery Source Type: research

Preoperative surgical planning based on cadaver simulation and 3D imaging for a retrorectal tumour: description and video demonstration
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 17, 2018 Category: Surgery Source Type: research

Combined transanal minimally invasive surgery (TAMIS) and retroperitoneal laparoscopy for resection of lymph node recurrence of ovarian cancer
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 17, 2018 Category: Surgery Source Type: research

Slipknot small bowel obstruction
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 17, 2018 Category: Surgery Source Type: research