Injection of freshly collected autologous adipose tissue into non-healing wounds after closed incision pilonidal surgery.

Abstract:

BACKGROUND:Chronic non-healing wounds are a major problem after closed incision pilonidal surgery. Freshly collected autologous adipose tissue injected into perianal fistulas in patients with Crohn's disease seems to promote healing. We investigated this technique in patients with non-healing wounds after cleft-lift surgery for pilonidal sinus disease (PSD). METHOD:In a prospective interventional pilot study conducted at our institution autologous adipose tissue from the abdominal wall was harvested, and injected into chronic non-healing PS wounds after surgical revision, healing rate being the primary outcome. The wounds were left open. Patients were followed every 2 to 3 weeks until complete healing (skin coverage, no undermining). RESULTS:7 male patients were included (mean age 24 ± 0,6 SD years) and complete healing was achieved in 6 patients (86%). Median time to healing was 90 days (range 36-403 days ) and mean follow-up time was 388± 45 days. All patients reported major symptom relief shortly after the procedure. The mean operation time was 80 ± 23 minutes and the mean amount of freshly collected adipose tissue injected was 27.4± 12 ml. There were no complications. CONCLUSIONS:Freshly collected autologous adipose tissue injected into chronic non-healing pilonidal wounds seems safe and efficient.

journal_name

Tech Coloproctol

authors

Haas S,Sørensen MJ,Lundby L,Pedersen AG

doi

10.1007/s10151-020-02276-9

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1301-1306

issue

12

eissn

1123-6337

issn

1128-045X

pii

10.1007/s10151-020-02276-9

journal_volume

24

pub_type

杂志文章
  • Systematic review of blood diagnostic markers in colorectal cancer.

    abstract::The purpose of this systematic review was to compare the diagnostic ability of blood markers for colorectal cancer (CRC). A systematic review of the literature for diagnostic blood markers for primary human colorectal cancer over the last 5 years was performed. The primary outcome was to assess the diagnostic ability ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-018-1820-3

    authors: Nikolaou S,Qiu S,Fiorentino F,Rasheed S,Tekkis P,Kontovounisios C

    更新日期:2018-07-01 00:00:00

  • Sacrococcygeal dimensions and curvature are associated with resection quality in rectal cancer excision.

    abstract:BACKGROUND:Technical factors affect oncologic outcomes in rectal cancer surgery. The anatomy of the bony pelvis can affect technical aspects of surgery, but is seldom considered preoperatively. We performed a morphometric analysis of the bony pelvis in patients having rectal cancer resection to assess its effect on sur...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02273-y

    authors: Simpson G,Marks T,Blacker S,Smith D,Walsh C

    更新日期:2020-10-01 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

  • Simple fistula-in-ano: is it all simple? A systematic review.

    abstract:BACKGROUND:Simple anal fistula is one of the most common causes of proctological surgery and fistulotomy is considered the gold standard. This procedure, however, may cause complications. The aim of this systematic review was to assess the surgical treatment of simple anal fistula with traditional and sphincter-sparing...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-020-02385-5

    authors: Litta F,Parello A,Ferri L,Torrecilla NO,Marra AA,Orefice R,De Simone V,Campennì P,Goglia M,Ratto C

    更新日期:2021-01-02 00:00:00

  • Split transverse colostomy: an alternative method of defunctioning the distal colon.

    abstract::Split transverse colostomy is a novel method of defunctioning the distal colon. Herein, we describe the method of this procedure and present early interim results showing that this procedure is safe, relatively complication free and feasible for many pathologies affecting the colon and pelvis, especially in alleviatio...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-006-0253-6

    authors: Riaz AA,Thompson HH

    更新日期:2006-03-01 00:00:00

  • Sacral neuromodulation for bowel dysfunction: a consensus statement from the Italian group.

    abstract:BACKGROUND:Representatives from the Italian centers experienced in sacral neuromodulation (SNM) for the treatment of bowel dysfunction met in order to define the current clinical practice in Italy and to produce a consensus statement regarding indications for this therapy and patient management. METHODS:Fifty Italian ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1002-2

    authors: Falletto E,Ganio E,Naldini G,Ratto C,Altomare DF

    更新日期:2014-01-01 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

  • Locating polyps by endoscopy with or without videolaparoscopy, radioguided occult colonic lesion identification or magnetic endoscopic imaging: the way forward to complete polyp removal.

    abstract::Endoscopic polypectomy is the gold standard for the treatment of colorectal polyps. In the case of non-palpable lesions or to complete polyp removal, the lesions are located intra-operatively. With the advent of laparoscopy, identifying their position is even more important because there is no opportunity for intestin...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0180-3

    authors: D'Annibale A,Serventi A,Orsini C,Morpurgo E

    更新日期:2004-12-01 00:00:00

  • Long-term outcome of laparoscopic rectopexy for full-thickness rectal prolapse.

    abstract:BACKGROUND:The aim of this study was to assess the long-term outcomes of laparoscopic rectopexy for full-thickness rectal prolapse (FTRP). METHODS:Data of a prospectively maintained database were analysed. A structured telephone interview was conducted to assess a consecutive series of long-term outcomes of an unselec...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-018-1913-z

    authors: de Bruijn H,Maeda Y,Tan KN,Jenkins JT,Kennedy RH

    更新日期:2019-01-01 00:00:00

  • Complications and results after stapled haemorrhoidopexy as a day surgical procedure.

    abstract:BACKGROUND:The aim of this report is to describe our experience with stapled haemorrhoidopexy as a day surgery procedure. METHODS:From January 2000 to January 2003, a total of 214 patients with third- and fourth-degree haemorrhoids underwent stapled haemorrhoidopexy under spinal anaesthesia. We analysed early postoper...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-003-0029-1

    authors: Mlakar B,Kosorok P

    更新日期:2003-10-01 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

  • 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

  • Hepatic resection for metastasis from colorectal cancer.

    abstract:BACKGROUND:Liver metastases from colorectal cancer are treatable and potentially curable when hepatic resection is applied. This paper is to illustrate surgical treatment of metastatic colorectal cancer in China. PATIENTS AND METHODS:Between January 1993 and December 2002, 485 patients with colorectal liver metastases...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10151-004-0109-x

    authors: Ji ZL,Peng SY,Yuan AJ,Li PJ,Zhang W,Yu Y

    更新日期:2004-11-01 00:00:00

  • How I do it: the stapled ileal J pouch at restorative proctocolectomy.

    abstract:BACKGROUND:Ileal pouch-anal anastomosis (IPAA) following proctocolectomy is the preferred option for patients with medically refractory ulcerative colitis, indeterminate colitis, and familial adenomatous polyposis. However, it remains a procedure associated with morbidity and mortality. Pelvic sepsis, pouch fistulae, a...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0757-6

    authors: Martin ST,Tevlin R,Heeney A,Peirce C,Hyland JM,Winter DC

    更新日期:2011-12-01 00:00:00

  • Synchronous polyps in patients with colorectal cancer.

    abstract:BACKGROUND:The aim of this study is to underscore the incidence of synchronous polyps in patients with colorectal cancer and to emphasise the importance of their perioperative detection and management. PATIENTS AND METHODS:Three hundred and seven patients underwent a potentially curative resection for colorectal cance...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0117-x

    authors: Demetriades H,Kanellos I,Blouhos K,Tsachalis T,Vasiliadis K,Pramateftakis MG,Betsis D

    更新日期:2004-11-01 00:00:00

  • Hereditary internal anal sphincter myopathy: the first Caribbean family.

    abstract::Hereditary proctalgia is an extremely rare condition characterized by endosonographic evidence of internal anal sphincter (IAS) thickening and specific ultrastructural changes seen at light and electron microscopy (EM). We report the case of a 54-year-old Caribbean woman with severe proctalgia and IAS thickening, trea...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-007-0329-y

    authors: Zbar AP,de la Portilla F,Borrero JJ,Garriques S

    更新日期:2007-03-01 00:00:00

  • Transanal single port access to facilitate distal rectal mobilization in laparoscopic rectal sleeve resection with hand-sewn coloanal anastomosis.

    abstract:BACKGROUND:Laparoscopic rectal sleeve resection is challenging and technically demanding. Exposure and mobilization of the most distal part of the rectum can be especially hazardous. We propose the use of a single port access device, placed in the anal canal after incision of the sleeve at the appropriate level, to fac...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0795-0

    authors: Wolthuis AM,Cini C,Penninckx F,D'Hoore A

    更新日期:2012-04-01 00:00:00

  • Five-year follow-up of Doppler-guided hemorrhoidal artery ligation.

    abstract:BACKGROUND:Doppler-guided hemorrhoidal artery ligation (DGHAL) was described as lower risk and a less painful alternative to hemorrhoidectomy. We report our experience and 5-year follow-up with this procedure. METHODS:Between May 2003 and December 2004, 100 patients with symptomatic Grade II or III hemorrhoids underwe...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0801-6

    authors: Avital S,Inbar R,Karin E,Greenberg R

    更新日期:2012-02-01 00:00:00

  • Correlation between anorectocele with the anterior anal canal and anorectal junction anatomy using echodefecography.

    abstract:BACKGROUND:The aim of this prospective study was to evaluate the relationship between the pathogenesis of anorectocele and the anatomy of the anal canal and anorectal junction using echodefecography. METHODS:The study was conducted on a total of 100 women with obstructed defecation, mean age 46.6 years, who underwent ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0805-x

    authors: Regadas FS,Lima Barreto RG,Murad-Regadas SM,Veras Rodrigues L,Pereira Oliveira LM

    更新日期:2012-04-01 00:00:00

  • Treatment of fistula-in-ano using a porcine small intestinal submucosa anal fistula plug.

    abstract:BACKGROUND:Porcine small intestinal submucosa (SIS) is a bioprosthetic collagen material used in the management of various surgical conditions, especially hernia repairs. We studied the effectiveness of porcine SIS Bioprosthetic plug (Surgisis AFP, Cook Biotech Inc., West Lafayette, IN, USA) in the treatment of fistula...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10151-012-0897-3

    authors: Cintron JR,Abcarian H,Chaudhry V,Singer M,Hunt S,Birnbaum E,Mutch MG,Fleshman J

    更新日期:2013-04-01 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

  • Bowel cleansing for diagnostic colonoscopy: which method is preferable? Istanbul experience.

    abstract:BACKGROUND:A prospective randomized trial to assess the cleansing ability and tolerance of bowel preparations for colonoscopy was conducted in a group of 953 patients. METHODS:The bowel cleansing methods were: sennoside calcium, polyethylene glycol (PEG) lavage, oral sodium phosphate (NaP) in one 90-ml dose, oral NaP ...

    journal_title:Techniques in coloproctology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s101510300003

    authors: Tasci I,Altinli E,Sirin F

    更新日期:2003-04-01 00:00:00

  • Robotic versus laparoscopic surgery for rectal cancer: a comparative cost-effectiveness study.

    abstract:BACKGROUND:The differences between the costs of robotic rectal resection and of the laparoscopic approach are still not well known. The aim of this study was to evaluate the cost-effectiveness of robotic versus laparoscopic surgery. METHODS:We conducted an observational, comparative, prospective, non-randomized study ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02151-7

    authors: Quijano Y,Nuñez-Alfonsel J,Ielpo B,Ferri V,Caruso R,Durán H,Díaz E,Malavé L,Fabra I,Pinna E,Isernia R,Hidalgo Á,Vicente E

    更新日期:2020-03-01 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

  • Identification of anastomotic leakage after colorectal surgery using microdialysis of the peritoneal cavity.

    abstract:BACKGROUND:Early detection of colorectal anastomotic leakage (AL) may lead to better outcome. AL may be preceded by change in local metabolism and local ischaemia. Microdialysis of the peritoneal cavity is able to measure these changes in real-time and is minimally invasive. The aim of this prospective cohort study was...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1020-0

    authors: Daams F,Wu Z,Cakir H,Karsten TM,Lange JF

    更新日期:2014-01-01 00:00:00

  • First clinical experience with single-port robotic transanal minimally invasive surgery (SP rTAMIS) for benign rectal neoplasms.

    abstract:BACKGROUND:The new da Vinci Single-Port (SP) robot is a single-arm four-channel robotic system well suited for endoluminal surgery. We report our initial experience performing SP robotic transanal minimally invasive surgery (SP rTAMIS) for rectal neoplasms. METHODS:Under Institutional Review Board approval, two patien...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02358-8

    authors: Marks JH,Kunkel E,Salem JF,Martin C,Anderson B,Agarwal S

    更新日期:2020-10-17 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

  • Prospective randomized crossover trial comparing fibre with lactulose in the treatment of idiopathic chronic constipation.

    abstract:BACKGROUND:Fibre is often recommended as the first-choice treatment but its effects can be uneven. The aim of the study was to compare the clinical efficacy and tolerability of fibre versus lactulose in outpatients with chronic constipation. METHODS:In a prospective randomized crossover trial, patients were randomized...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10151-006-0262-5

    authors: Quah HM,Ooi BS,Seow-Choen F,Sng KK,Ho KS

    更新日期:2006-07-01 00:00:00

  • Local correction of a transverse loop colostomy prolapse by means of a stapler device.

    abstract::Prolapse is a common complication in patients with a transverse loop colostomy. In most cases, the prolapse can be managed conservatively awaiting time for closure eventually. However, loop stoma may also be intentionally permanent or the patient may be too fragile to have the colostomy closed and in these cases a lap...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0051-y

    authors: Maeda K,Maruta M,Utsumi T,Sato H,Aoyama H,Katsuno H,Hultén L

    更新日期:2004-03-01 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