Effectiveness of endosponge therapy for the management of presacral abscesses following rectal surgery.

Abstract:

BACKGROUND:Anastomotic leak after rectal surgery is reported in 9% (range 3-28%) of patients. The aim of our study was to evaluate the effectiveness of endosponge therapy for anastomotic. Endpoints were the rate of restored continuity and the functional bowel outcome after anastomotic leakage. METHODS:This was a multicenter retrospective observational cohort study. All patients with symptomatic anastomotic leakage after rectal surgery who had endosponge therapy between January 2012 and August 2017 were included. Functional bowel outcome was measured using the low anterior resection syndrome (LARS) score system. RESULTS:Twenty patients were included. Eighteen patients had low anterior resection (90%) for rectal cancer. A diverting ileostomy was performed at primary surgical intervention in 14 patients (70%). Fourteen patients (70%) were treated with neoadjuvant (chemo-)radiotherapy. The median time between primary surgical intervention and first endosponge placement was 21 (5-537) days. The median number of endosponge changes was 9 (2-28). The success rate of the endosponge treatment was 88% and the restored gastrointestinal continuity rate was 73%. A chronic sinus occurred in three patients (15%). All patients developed LARS, of which 77% reported major LARS. CONCLUSIONS:Endosponge therapy is an effective treatment for the closure of presacral cavities with high success rate and leading to restored gastrointestinal continuity in 73%. However, despite endosponge therapy many patients develop major LARS.

journal_name

Tech Coloproctol

authors

Huisman JF,van Westreenen HL,van der Wouden EJ,Vasen HFA,de Graaf EJR,Doornebosch PG,Tang TJ,Schot I,Brohet RM,de Vos Tot Nederveen Cappel WH,Vermaas M

doi

10.1007/s10151-019-02007-9

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

551-557

issue

6

eissn

1123-6337

issn

1128-045X

pii

10.1007/s10151-019-02007-9

journal_volume

23

pub_type

杂志文章,多中心研究
  • Small bowel adenocarcinoma in Crohn's disease: a rare but devastating complication.

    abstract:BACKGROUND:Small bowel adenocarcinoma (SBA) remains a rare entity but occurs at increased frequency in the setting of chronic Crohn's disease (CD). Our aim was to study the presentation, diagnosis and prognosis of SBA in patients undergoing surgery for CD at a single institution. METHODS:We reviewed the medical record...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02269-8

    authors: Hussain T,Jeganathan NA,Karagkounis G,Stocchi L,Shawki S,Holubar SD,Gordon I,Hull T,Liska D

    更新日期:2020-10-01 00:00:00

  • Right sided colorectal cancer increases with age and screening should be tailored to reflect this: a national cancer database study.

    abstract:BACKGROUND:In the United States, colorectal cancer (CRC) screening and surveillance is recommended until age 75. However, rates of surgery for CRC are greatest in the elderly, questioning current guidelines. Tumor sidedness is an emerging prognostic marker that may help guide screening and treatment decisions, with spe...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02329-z

    authors: Reif de Paula T,Simon HL,Profeta da Luz MM,Keller DS

    更新日期:2020-08-27 00:00:00

  • Transanal resection of rectal neoplasms using the Harmonic Scalpel.

    abstract::The currently used technology for transanal excision of rectal neoplasms is diathermy. However, control of bleeding is sometimes difficult. The Harmonic Scalpel provides a "dry" surgical field which facilitates the procedure and allows complete resection of the neoplasm with greater accuracy. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-008-0427-5

    authors: Rabau M

    更新日期:2008-09-01 00:00:00

  • Preoperative staging of perforated diverticulitis by computed tomography scanning.

    abstract:BACKGROUND:Treatment of perforated diverticulitis depends on disease severity classified according to Hinchey's preoperative classification. This study assessed the accuracy of preoperative staging of perforated diverticulitis by computerized tomography (CT) scanning. METHODS:All patients who presented with perforated...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0853-2

    authors: Gielens MP,Mulder IM,van der Harst E,Gosselink MP,Kraal KJ,Teng HT,Lange JF,Vermeulen J

    更新日期:2012-10-01 00:00:00

  • Is the outpatient management of acute diverticulitis safe and effective? A systematic review and meta-analysis.

    abstract:BACKGROUND:In Western countries, the incidence of acute diverticulitis (AD) is increasing. Patients with uncomplicated diverticulitis can undergo a standard antibiotic treatment in an outpatient setting. The aim of this systematic review was to assess the safety and efficacy of the management of acute diverticulitis in...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,meta分析

    doi:10.1007/s10151-018-1919-6

    authors: Cirocchi R,Randolph JJ,Binda GA,Gioia S,Henry BM,Tomaszewski KA,Allegritti M,Arezzo A,Marzaioli R,Ruscelli P

    更新日期:2019-02-01 00:00:00

  • Pelvic fat volume reduction with preoperative very low energy diet (VLED): implications for rectal cancer surgery in the obese.

    abstract:BACKGROUND:Obese patients have higher complication rates after pelvic surgery. Laparoscopic rectal surgery may not be possible in the obese individual due to mesorectal, total pelvic and general visceral fat volumes. Very low energy diets reduce visceral fat but the changes within the pelvis and mesorectum are unknown....

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-019-02074-y

    authors: Bell S,Malouf P,Johnson N,Wale R,Peng Q,Nottle P,Warrier S

    更新日期:2019-09-01 00:00:00

  • A modified anoscope to facilitate the purse-string suture for stapled hemorrhoidopexy.

    abstract::Stapled hemorrhoidopexy is an alternative method to conventional surgical procedures for third-degree hemorrhoids. It has many advantages such as less pain, faster recovery and earlier return to work. Nevertheless, many reports mentioned the persistence of postoperative pain, hemorrhage, recurrence, sphincter injury, ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-005-0236-z

    authors: Bozdağ AD

    更新日期:2005-12-01 00:00:00

  • Rectovaginal septal repair: case presentations and introduction of a modified reconstruction technique.

    abstract::Rectovaginal fistula are a relatively rare kind of anorectal fistulas. Spontaneous healing is rare and the rectal advancement flap repair is the most popular procedure with success rates ranging between 60% and 80%. We present a new technique for repairing damage in the rectovaginal septum that consists of placing a f...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0088-y

    authors: Walfisch A,Zilberstein T,Walfisch S

    更新日期:2004-11-01 00:00:00

  • Correction to: Biological mesh extrusion months after laparoscopic ventral rectopexy.

    abstract::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. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s10151-018-1868-0

    authors: Sileri P,Shalaby M

    更新日期:2018-10-01 00:00:00

  • Robotic-assisted transanal total mesorectal excision for rectal cancer: technique and results from a single institution.

    abstract:BACKGROUND:Total mesorectal excision (TME) has greatly reduced the local recurrence rate of rectal cancer after colorectal surgery. Transanal TME (TaTME) is potentially a suitable option for patients with mid and low rectal cancer. Robotic systems overcome the limitations of laparoscopic surgery. The aim of this study ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02337-z

    authors: Ye J,Shen H,Li F,Tian Y,Gao Y,Zhao S,Liu B,Tong W

    更新日期:2020-09-21 00:00:00

  • New-onset rectoanal intussusception may not result in symptomatic improvement after laparoscopic ventral rectopexy for external rectal prolapse.

    abstract:BACKGROUND:This study was designed to assess defecatory function in patients who underwent laparoscopic ventral rectopexy (LVR) for external rectal prolapse (ERP). METHODS:Thirty-one patients who underwent evacuation proctography 6 months postoperatively were assessed. Preoperative proctography had been performed in 2...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-015-1395-1

    authors: Tsunoda A,Takahashi T,Ohta T,Fujii W,Kusanagi H

    更新日期:2016-02-01 00:00:00

  • Metastasis to lymph nodes around the vascular tie worsens long-term oncological outcomes following complete mesocolic excision and conventional colectomy for right-sided colon cancer.

    abstract:BACKGROUND:Oncologic outcomes after complete mesocolic excision (CME) in colon cancer are under investigation. The aim of our study was to compare CME and conventional colectomy (CC) in terms of pathological and oncological outcomes for right colon cancer and to evaluate the impact of lymph node metastasis around the v...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02378-4

    authors: Zenger S,Aytac E,Gurbuz B,Ozben V,Ozoran E,Baca B,Balik E,Hamzaoglu I,Karahasanoglu T,Bugra D

    更新日期:2021-01-05 00:00:00

  • Anal dilatation versus left lateral sphincterotomy for chronic anal fissure: a prospective randomized study.

    abstract::BACKGROUND: Several surgical methods are accepted for the treatment of chronic anal fissure. The most popular are anal dilatation (AD) and left lateral sphincterotomy (LLS). The objective of the current study was to prospectively evaluate the results of these two procedures in terms of recurrence rate, complications a...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-007-0373-7

    authors: Ram E,Vishne T,Lerner I,Dreznik Z

    更新日期:2007-12-03 00:00:00

  • Emergency operation in carcinomas of the left colon: value of Hartmann's procedure.

    abstract:BACKGROUND:Colonic resection according to the procedure by Hartmann is considered a fast and safe surgical intervention, which has been used for years, in particular, in emergency situations. METHODS:Using data of a prospective multicentre study on the operative treatment of colorectal carcinoma over the time period f...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10151-004-0164-3

    authors: Meyer F,Marusch F,Koch A,Meyer L,Führer S,Köckerling F,Lippert H,Gastinger I,German Study Group \Colorectal Carcinoma (Primary Tumor)\.

    更新日期:2004-11-01 00:00:00

  • Prospective randomised trial comparing ayurvedic cutting seton and fistulotomy for low fistula-in-ano.

    abstract::The aim of this study was to evaluate the role of ayurvedic setons in the treatment of low fistula-in-ano. One hundred and eight patients were randomised into either conventional fistulotomy (F) or ayurvedic cutting seton insertion (C). Endpoints investigated included time to wound healing and complications of surgery...

    journal_title:Techniques in coloproctology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s101510100015

    authors: Ho KS,Tsang C,Seow-Choen F,Ho YH,Tang CL,Heah SM,Eu KW

    更新日期:2001-12-01 00:00:00

  • One-third of patients fail to return to work 1 year after surgery for colorectal cancer.

    abstract:BACKGROUND:Achieving full recovery after colorectal cancer surgery means a return to normal physical and psychological health and to a normal social life. Recovery data focusses on time to discharge rather than longer term functionality including return to work (RTW). We aim to assess return to normal holistic function...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1232-y

    authors: Bhalla A,Williams JP,Hurst NG,Speake WJ,Tierney GM,Tou S,Lund JN

    更新日期:2014-12-01 00:00:00

  • A simple scoring system for risk-stratifying rectal cancer patients prior to radical resection.

    abstract:BACKGROUND:Various predictors of perioperative risk for patients with rectal cancer undergoing radical resection have been well described, but no simple scoring system for surgeons to estimate this risk currently exists. The objective of this study was to develop a system for more accurate preoperative evaluations of c...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1076-x

    authors: Speicher PJ,Ligh C,Scarborough JE,Thacker JK,Mantyh CR,Turley RS,Migaly J

    更新日期:2014-05-01 00:00:00

  • Progression of anal intraepithelial neoplasia in HIV-positive individuals: predisposing factors.

    abstract:BACKGROUND:The aim of the present study was to evaluate patient factors that affect the progression of anal dysplasia in human immunodeficiency virus (HIV)-positive individuals. METHODS:A retrospective cohort study of HIV-positive adults with human papilloma virus related anal lesions was performed from 2012 to 2017. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-019-01951-w

    authors: McCutcheon T,Hawkins AT,Muldoon RL,Hopkins MB,Geiger TM,Ford MM

    更新日期:2019-04-01 00:00:00

  • Primary and repeated perineal stapled prolapse resection.

    abstract:BACKGROUND:Previous studies of the outcome after perineal stapled prolapse resection (PSPR) have included a limited number of patients with a short follow-up and high recurrence rates. The present study was designed to assess the initial results, complications, recurrence rate, and outcomes up to 4 years after PSPR, as...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-016-1557-9

    authors: Raahave D,Jensen AK,Dammegaard L,Pedersen IK

    更新日期:2016-12-01 00:00:00

  • Colectomy without mechanical bowel preparation in the private practice setting.

    abstract:BACKGROUND:Despite randomized trials and meta-analyses demonstrating the safety of omitting mechanical bowel preparation (MBP) before colorectal surgery, private practice surgeons may hesitate to eliminate MBP for fear of being outside community standards. This study evaluated the safety of eliminating MBP before colec...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-0990-2

    authors: Otchy DP,Crosby ME,Trickey AW

    更新日期:2014-01-01 00:00:00

  • Single incision laparoscopic total abdominal colectomy with ileorectal anastomosis for synchronous colon cancer.

    abstract::Single incision laparoscopy is currently performed mostly for basic laparoscopic procedures involving single abdominal quadrants. The aim of this case report is to show that single incision laparoscopic techniques can be utilized for complex abdominal laparoscopic procedures with a large target organ and a working spa...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-010-0589-9

    authors: Bardakcioglu O,Ahmed S

    更新日期:2010-09-01 00:00:00

  • Endoscopic pilonidal sinus treatment (E.P.Si.T.).

    abstract::We present a new video-assisted minimally invasive technique for the treatment of pilonidal disease (E.P.Si.T: endoscopic pilonidal sinus treatment). Between March and November 2012, we operated on 11 patients suffering from pilonidal disease. Surgery is performed under local or spinal anesthesia using the Meinero fis...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1016-9

    authors: Meinero P,Mori L,Gasloli G

    更新日期:2014-04-01 00:00:00

  • Transanal single-port laparoscopic total mesorectal excision in the treatment of rectal cancer.

    abstract::Our objective was to report of our first experience with transanal total mesorectal excision (TME) of rectal cancer using single-port equipment, a pure natural orifice transluminal endoscopic surgery (NOTES) procedure, and to discuss the advantages and disadvantages of the technique. A patient with rectal cancer was s...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0882-x

    authors: Zhang H,Zhang YS,Jin XW,Li MZ,Fan JS,Yang ZH

    更新日期:2013-02-01 00:00:00

  • Beyond hematoxylin and eosin: the importance of immunohistochemical techniques for evaluating surgically resected constipated patients.

    abstract::Chronic constipation requiring surgical ablation for intractability is often a frustrating condition from the pathologist's point of view. In fact, limiting the histological examination to only hematoxylin-eosin staining usually yields only the information that there are no abnormalities. By employing some simple and ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-011-0721-5

    authors: Bassotti G,Villanacci V,Salerni B,Maurer CA,Cathomas G

    更新日期:2011-12-01 00:00:00

  • Laparoscope-assisted anal sphincter-preserving operation preceded by transanal procedure.

    abstract:BACKGROUND:Transanal intersphincteric resection (ISR) was introduced and has been increasingly performed as an ultimate surgical treatment for extremely low rectal cancer. We considered that high quality and less invasive surgery could be achieved if ISR and laparoscopic surgery were combined. METHODS:Between December...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-006-0243-8

    authors: Uchikoshi F,Nishida T,Ueshima S,Nakahara M,Matsuda H

    更新日期:2006-03-01 00:00:00

  • Ultrasonographic evaluation of anal endometriosis: report of four cases.

    abstract:BACKGROUND:The presence of endometriosis in the anal canal and perianal tissues is rare and difficult to suspect at clinical examination. We report our experience with preoperative ultrasound evaluation of four cases of anal endometriosis. METHODS:Four patients were evaluated by transperineal and high-resolution three...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1176-2

    authors: Kołodziejczak M,Sudoł-Szopińska I,Santoro GA,Bielecki K,Wiączek A

    更新日期:2014-11-01 00:00:00

  • Malone appendicostomy: an unexpected complication.

    abstract::The Malone appendicostomy is a novel option for surgical management of faecal incontinence and chronic constipation, by permitting the administration of antegrade colonic enemas for colonic evacuation. We report the case of a 54-year-old female who had undergone abdomino perineal resection for low rectal cancer follow...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-010-0672-2

    authors: Abbes Orabi N,Paterson HM,Goncette L,Danse E,Saey JP,Kartheuser A

    更新日期:2011-03-01 00:00:00

  • The utilization of intraluminal formalin for intractable rectal haemorrhage in advanced rectal cancer: a case report.

    abstract::A patient with a metastatic fixed low rectal carcinoma presented severe rectal bleeding requiring massive transfusion over with a 36-hour period. Bleeding was controlled with the instillation of a 4% intrarectal formalin solution permitting the completion of a course of neoadjuvant chemoradiotherapy. This technique ha...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-005-0193-6

    authors: Zbar AP,Bernstein S,Greaves N,Iniss M,Shenoy RK

    更新日期:2005-04-01 00:00:00

  • Robotic multivisceral pelvic resection: experience from an exenteration unit.

    abstract:BACKGROUND:Pelvic exenteration remains a viable and effective treatment option for the management of locally advanced or recurrent pelvic malignancy. The aim of this study was to present an early experience of robotic multivisceral resection of pelvic malignancy, and to compare this experience with similar series throu...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02290-x

    authors: Smith N,Murphy DG,Lawrentschuk N,McCormick J,Heriot A,Warrier S,Lynch AC

    更新日期:2020-11-01 00:00:00

  • Novel colorectal endoscopic in vivo imaging and resection practice: a short practice guide for interventional endoscopists.

    abstract::Colorectal cancer remains a leading cause of cancer death in the UK. With the advent of screening programmes and developing techniques designed to treat and stage colorectal neoplasia, there is increasing pressure on the colonoscopist to keep up to date with the latest practices in this area. This review looks at the ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-007-0319-0

    authors: Atkinson RJ,Shorthouse AJ,Hurlstone DP

    更新日期:2007-03-01 00:00:00