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 - September 19, 2023 Category: Surgery Source Type: research
Mucosal vs. cutaneous advancement flaps for the treatment of chronic anal fissures: a randomized clinical trial
ConclusionMucosal and cutaneous anal advancement flap techniques are effective and comparable surgical procedures for the treatment of chronic anal fissures with minimal complications, fast healing process, and minimal postoperative pain and complications.Clinical trial IDIRCT20120129008861N4 (www.irct.ir). (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
Comparison of the efficacy and safety of different surgical procedures for patients with hemorrhoids: a network meta-analysis
ConclusionCurrent evidence suggests that L is best at reducing mean operative time and intraoperative bleeding, T-S is best at reducing mean length of stay, TST has the shortest time to first defecation, STARR is best at reducing recurrence rates, PPH is best at reducing postoperative anal stricture, and F is best at reducing postoperative pain after 24 h. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
Preoperative predictors of success after transvaginal rectocoele repair
ConclusionFactors able to predict a less favourable outcome after TVRR in patients with concomitant ODS are previous proctological procedures, presence of urge AI, short anal canal length on anorectal physiology, seepage on defaecating proctography, use of transanal irrigation, absence of vaginal bulge symptoms and enterocoele repair during surgery. These information are important for a tailored decision making process and to manage patients ’ expectations before surgical repair. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
Clinical characterization of patients with anal fistula during follow-up of anorectal abscess: a large population-based study
ConclusionsOne in five patients with an anorectal abscess will develop a fistula, with a higher likelihood in men. Fistula formation was strongly associated with inflammatory bowel disease. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 19, 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 - September 19, 2023 Category: Surgery Source Type: research
Fissurectomy versus lateral internal sphincterotomy in the treatment of chronic anal fissures: no advantages in terms of post-operative incontinence
ConclusionsLateral internal sphincterotomy is confirmed as the preferred technique in term of healing rate. Fissurectomy did not offer a lower rate of de novo post-operative incontinence, but resulted in lower Vaizey scores in patients in whom this occurred. Satisfaction was lower in patients suffering a de novo post-operative incontinence after lateral internal sphincterotomy. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
Neorectal prolapse following proctectomy: a novel application of mesh sacral pexy
Abstract
Neorectal prolapse following proctectomy for cancer has seldom been reported and treatment has mostly consisted in the resection of the prolapse via a perineal approach. Management of a patient with neorectal J-pouch prolapse using mesh sacral pexy via an abdominal approach is reported. By analogy with native rectal prolapse due to pelvic static disorders, laparoscopic mesh sacral pexy is likely to afford the same advantages of low morbidity and durability when applied to neorectal prolapse following rectal cancer surgery. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
Laser interventions in coloproctology. A plea for standardized treatment protocols
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 19, 2023 Category: Surgery Source Type: research
Robotic APR with en bloc TAH/BSO and posterior vaginectomy
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - September 2, 2023 Category: Surgery Source Type: research
Minimally invasive colectomies can be performed with similar outcomes to open counterparts for colorectal cancer emergencies: a propensity score matching analysis utilizing ACS-NSQIP
ConclusionsThis study demonstrates that MIS was associated with superior postoperative outcomes compared to open surgery without compromising oncological outcomes in patients undergoing emergency colectomy for colon cancer. Within the matched cohort, MIS was associated with lower rates of mortality, pulmonary complications, ileus, and shorter postoperative length of stay. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 29, 2023 Category: Surgery Source Type: research
Laser interventions in coloproctology. A plea for standardized treatment protocols
(Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 28, 2023 Category: Surgery Source Type: research
Comparison of the efficacy and safety of different surgical procedures for patients with hemorrhoids: a network meta-analysis
ConclusionCurrent evidence suggests that L is best at reducing mean operative time and intraoperative bleeding, T-S is best at reducing mean length of stay, TST has the shortest time to first defecation, STARR is best at reducing recurrence rates, PPH is best at reducing postoperative anal stricture, and F is best at reducing postoperative pain after 24 h. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 27, 2023 Category: Surgery Source Type: research
Complete mesocolic excision for right hemicolectomy: an updated systematic review and meta-analysis
ConclusionMeta-analysis of observational and randomised studies showed that right hemicolectomy with complete mesocolic excision for primary right colon cancer improves oncologic results without increasing morbidity/mortality. These results need to be confirmed by high-quality evidence and randomised trials in selected patients to assess who may benefit from the procedure. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 26, 2023 Category: Surgery Source Type: research
Five-year recurrence after endoscopic approach to pilonidal sinus disease: A multicentre experience
ConclusionsThis data may help guide which disease characteristics predict the optimal use of an endoscopic pilonidal sinus technique. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - August 19, 2023 Category: Surgery Source Type: research