Abstract：
INTRODUCTION:Surgical management of external rectal prolapse (ERP) remains a challenge with the breadth of choices available and varies on the international, national, regional and locoregional level. Significant innovation has led to new techniques to manage ERP including changes to both abdominal and perineal approaches. EVIDENCE ACQUISITION:A systematic, English-language search of major databases was conducted from 2006-2016. From 636 papers two reviewers identified 24 studies which compared two or more surgical techniques in adult patients with rectal prolapse and reported on complications, quality of life or recurrence. The Newcastle-Ottawa Scale (NOS) was used to score quality in non-randomized control trials (RCT) and the Cochrane Collaboration tool was use for RCTs. EVIDENCE SYNTHESIS:Abdominal and perianal surgeries both result in the resolution of symptoms and an improvement of quality of life for most patients. Short-term outcomes generally favored laparoscopy. Rectopexy with or without resection confers balances a low risk of recurrence with a similar complication rate to perineal surgery. The quality of included studies was general poor and most was at significant risk of bias. CONCLUSIONS:Most studies are of low quality and surgical management should be individualized to balance risk of the operation and the potential benefit to quality of life. Laparoscopy and modern anesthesia has made the abdominal approach more attractive even for elderly patients.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Murphy PB,Wanis K,Schlachta CM,Alkhamesi NAdoi
10.23736/S0026-4733.16.07205-9subject
Has Abstractpub_date
2017-02-01 00:00:00pages
71-80issue
1eissn
0026-4733issn
1827-1626pii
R06Y9999N00A16100601journal_volume
72pub_type
杂志文章,评审abstract：AIM:It is generally impossible to make a distinction between benign and malign with a cytopathological examination using a fine needle aspiration biopsy (FNAB) in follicular lesions of the thyroid gland. This is the reason why lesions are frequently reported as follicular neoplasia (FN). Our study aims to examine the p...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2012-12-01 00:00:00
abstract：:The aim of the paper is to give a contribution to the understanding of the role of surgery in patients with N3 lung cancer. The A. describe their results on 32 patients with N3 lung cancer operated on mediastinectomy; histological examination of the specimens showed 27 squamous cell carcinomas and 5 adenocarcinomas. T...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：:Two cases of congenital diaphragmatic hernia affecting the central tendon are described. The anatomic, etiologic, pathogenic and clinic characteristics of this uncommon disease are then discussed. Finally some considerations about indications on how to operate on these congenital hernias and different repairing surgic...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1981-06-15 00:00:00
abstract：BACKGROUND:Surgeon's position during open cholecystectomy operation has been standardized since more than 100 years, being traditionally fixed at the right side of the patient. Only a few French authors adopted the "left location" just for the time requested for the common bile duct exploration. METHODS:In this paper ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
abstract：:The incidence and prevalence of obesity continues to increase globally. Physicians will therefore provide care for an increasing number of obese patients in their clinical practice. Optimal management of these patients is required to minimize the risk of perioperative complications that increase morbidity and mortalit...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：10.23736/S0026-4733.17.07310-2
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:The metastasis of laryngeal nerve lymph node is mostly found in the upper-and middle esophageal cancer, the ratio of esophageal length from the upper incisors to the position where the esophageal tumor began to appear as proven via endoscopy to the height (LH) is likely to affect the possibility of detection...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.20.08246-2
更新日期：2020-08-01 00:00:00
abstract：:The pheochromocytoma is a catecholamine-secreting tumor, localized in the adrenal gland in 90% of the cases and in extra-adrenal site in the remaining 10%. It can be single or associated with other endocrine neoplasms. On the basis of the case presented, the several clinical manifestations, the treatment of the diseas...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1999-04-01 00:00:00
abstract：:In the orbital region the variety of tumors is so vast that even an expert oculoplastic surgeon may be deceived. The various tumors may be classified as benign, precancerous and malignant. Approximately 5-10% of all skin cancers occur in the eyelids. Incidence studies indicate that basal cell carcinoma is the most fre...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:To evaluate the possible role and the effectiveness of videothoracoscopy (VATS) in the treatment of pleural empyema. METHODS:Personal experience on 40 cases of pleural empyema treated by (VATS) during 5 years is reported. The underlying diseases were: pneumonia (32), pneumothorax (3), tuberculosis (2), abdo...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-12-01 00:00:00
abstract：:Cholecystolithotomy and cholecystojejunostomy has been carried out on 11 patients with severe hypertension from cirrhosis. The indications were frequently recurring attacks of biliary cholic or acute cholecystitis at onset. There was 1 postoperative death from cardiac infarction and only minor in-hospital morbidity. N...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1995-03-01 00:00:00
abstract：:Successful resection of a leiomyoma of the epicardial segment of the oesophagus in a personal cases is reported. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-03-31 00:00:00
abstract：BACKGROUND:We investigated the application value of nanocarbon lymphatic tracer in thoraco-laparoscopic esophagectomy. METHODS:A total of 80 patients were enrolled and randomly divided into the experimental group (N.=40) and the control group (N.=40). Patients in the experimental group were injected with nanocarbon su...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.17.07298-4
更新日期：2017-12-01 00:00:00
abstract：:The prevalence of obesity has increased three-fold in the past two decades. In Europe, 150.000.000 adults and 15.000.000 children are currently affected and obesity epidemic is responsible for approximately 1,000,000 deaths annually. Bariatric surgery for the severely obese has resulted in an overall of 61% weight red...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2009-06-01 00:00:00
abstract：:The use of an external oblique muscle-cutaneous flap in the reconstruction of large chest wall defects after mastectomy is described. The flap is drown as a V-Y advancement-rotation flap, laterally based, on the ipsilateral abdominal wall. The flap extends from the posterior axillary line to the linea alba, vascular s...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2002-04-01 00:00:00
abstract：:The authors report a rare case of gastric carcinoma metastasis localised in the anterior abdominal wall which was an isolated and primary sign of disease. After having underlined the rarity of the case, there is a brief discussion of aspects related to the spread of primary tumours in relation to other cases reported ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-09-15 00:00:00
abstract：:Infected vascular grafts are associated with very high rates of limb loss and mortality. "Classic" treatment has invariably included graft excision. Recent reports have suggested that a more conservative approach may be indicated in selected cases, leaving the graft in place and using an aggressive local treatment ass...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1994-05-01 00:00:00
abstract：:Endoscopic intubation is a popular palliative method to resolve immediately malignant dysphagia. However, the complication rate is still high. Between 1978 and 1993, at the Division of Diagnostic and Surgical Endoscopy of Istituto Nazionale Tumori in Milan, 305 patients suffering from malignant dysphagia, were endosco...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
abstract：AIM:Prosthetic palliation of patients with malignant hilar stenoses shows particular difficulties, especially in advanced lesions. This is a prospective report of the efficacy of endoscopically inserted single metal stent for complex malignant biliary hilar obstruction. METHODS:Sixty-one consecutive patients were recr...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2004-06-01 00:00:00
abstract：:Thyroidectomy is one of the most frequently performed surgical procedure worldwide, even if the risks of lethal postoperative complications prevented its evolution and diffusion until the beginning of the XX century. At that time, T. Kocher described his meticulous technique, reporting excellent results in terms of mo...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2007-10-01 00:00:00
abstract：:The authors discuss their experience of six cases of cancer of the gastric stump observed by them in the period from 1988 to 1992 inclusive. All the patients were operated; five total gastrectomies and a gastric re-resection were effected. In association also the spleen was removed in four patients, in one of them a h...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：BACKGROUND:High resolution magnetic resonance cholangiopancreatography (MRCP) is a non invasive imaging modality for depicting the pancreatobiliary tree. It can demonstrate dilation, stenosis and intraductal filling defects of both the biliary and the pancreatic duct. The imaging quality of high resolution MRCP is exce...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
abstract：:A case of multiple mesentery cysts is presented and the etiopathogenesis, anatomopathology, symptomatology and therapy of this disease discussed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-04-30 00:00:00
abstract：:The ultrasonic scalpel has been used for some time in surgery in tissue with a predominantly cellular component since it can be used selectively on the parenchymatous component while respecting the vasculo-stromal component. On the basis of their earlier experience and using a versatile ultrasonic device currently uti...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：BACKGROUND:Delayed graft function is a common and severe complication after cadaveric kidney transplantation. Besides a more complicated postoperative course, DGF can worsen the overall graft survival. In particular, DGF enhances the nephrotoxicity of mainstream immunosuppressants cyclosporine and FK506. This study eva...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：:Forty-nine consecutive patients with early gastric cancer (EGC), observed from January 1978 to December 1992 in the Surgery Department of our Institute, were included in a retrospective study. The EGC prevalence in the overall cases of gastric cancer was 11%. This frequency was 8% in the period 1978-1985 and 15% in th...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:The effective early treatment of oto-hematoma is important so as to prevent reaccumulation of fluid and the typical chronic "cauliflower ear" deformity. A simple method of treatment with the use of transfixed tie-through compression mattress sutures, incorporating bolster dressings on both surfaces of the ear, followi...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-03-15 00:00:00
abstract：BACKGROUND:The authors describe the advantages and disadvantages of plastic surgery performed in a day-care public hospital unit. METHODS:A retrospective study was made of the day-surgery activities over 16 months (1998-1999) as part of a centralized system. Data were compared to day-surgery activities undertaken in 1...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
abstract：:Barrett's esophagus is the most serious form of gastroesophageal reflux disease. It may develop due to uncontrolled chronic duodenogastroesophageal reflux and represents a premalignant abnormality. The question of the development of Barrett's esophagus and the progression to adenocarcinoma of the esophagus is addresse...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2002-08-01 00:00:00
abstract：:The paper reports two cases of adenocarcinoma of the appendix. Following a review of the literature on this neoplasia, it concludes that prognosis is poor on account of the early spread of the disease, the low ratio of suspected disease, and difficulties of diagnosis prior to surgery. The preferred surgical treatment ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-10-15 00:00:00
abstract：AIM:Outcome of patients with locally advanced non-small-cell lung cancer (NCSLC) is generally poor, with five-year survival rate of only 23%, when patients are treated with surgery only. The presentation of positive adjuvant therapy trials in NSCLC has changed clinical practice, doubling the number of patients with com...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2013-04-01 00:00:00
