abstract：:There is still no clear consensus about surgical treatment of anal fistulas. Fistulotomy or fistulectomy and primary sphincter reconstruction is still regarded with skepticism. The aim of this systematic review was to evaluate the evidence in the literature supporting the use of this technique in the treatment of comp...

journal_title：Techniques in coloproctology

authors： Ratto C,Litta F,Donisi L,Parello A

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:The use of biological materials for the repair of complex abdominal wall defects has increased over the years; however, the role of these materials in routine practice remains unclear. The aim of the study was to evaluate clinical outcomes following the use of Permacol™ porcine collagen surgical implant in c...

journal_title：Techniques in coloproctology

authors： Giordano P,Pullan RD,Ystgaard B,Gossetti F,Bradburn M,McKinley AJ,Smart NJ,Daniels IR

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Extralevator abdominoperineal excision (ELAPE) probably improves the oncological quality of low rectal cancer surgery, as compared to standard abdominoperineal excision (SAPE), possibly due to lower rates of accidental perioperative bowel perforations and lower rates of circumferential resection margin (CRM)...

journal_title：Techniques in coloproctology

authors： Perdawood SK,Lund T

更新日期：2015-03-01 00:00:00

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

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

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

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

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:The introduction of transanal minimally invasive surgery (TAMIS) in 2009 allowed colorectal surgeons to approach transanal access with a different perspective. This has lead to the development of TAMIS for total mesorectal excision (TME). We have previously described robotic transanal TME and here report our...

journal_title：Techniques in coloproctology

authors： Atallah S,Martin-Perez B,Pinan J,Quinteros F,Schoonyoung H,Albert M,Larach S

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:There are different open healing and primary closure approaches for chronic pilonidal sinus (CPD) that differ in principles and extension. AIMS:To compare the results of different closure surgical techniques, we performed a meta-analysis of randomized controlled trials (RCT) comparing: (1) open wide excisio...

journal_title：Techniques in coloproctology

authors： Enriquez-Navascues JM,Emparanza JI,Alkorta M,Placer C

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Foramen needle electrode placement for percutaneous nerve evaluation (PNE) is currently carried out while observing the somatic motor response. This study investigated electrode placement while observing the autonomic as well as the somatic response. METHODS:A consecutive series of ten patients (seven women...

journal_title：Techniques in coloproctology

authors： Kneist W,Kauff DW,Schröder M,Koch KP,Lang H

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Irritable bowel syndrome (IBS) is a functional disorder of the gastrointestinal tract characterized by abdominal discomfort, pain and changes in bowel habits, often associated with psychological/psychiatric disorders. It has been suggested that the development of IBS may be related to the body's response to ...

journal_title：Techniques in coloproctology

authors： Stasi C,Bellini M,Bassotti G,Blandizzi C,Milani S

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Technical feasibility of inferior rectal nerve anastomosis to the anterior vagus branch of the perineally transposed antropyloric valve for total anorectal reconstruction has been previously demonstrated in cadavers. To the best of our knowledge, the present study is the first report of using this procedure ...

journal_title：Techniques in coloproctology

authors： Chandra A,Kumar A,Noushif M,Gupta V,Kumar V,Srivastav PK,Malhotra HS,Kumar M,Ghoshal UC

更新日期：2014-06-01 00:00:00

abstract：:Turnbull and Cutait described abdominoperineal pull-through followed by delayed coloanal anastomosis (DCA) in 1961. DCA could reduce anastomotic leaks, pelvic morbidity and use of stomas. Strong evidence about its clinical benefits is still lacking. This systematic review examined the clinical outcomes of DCA for the ...

journal_title：Techniques in coloproctology

authors： Hallet J,Milot H,Drolet S,Desrosiers E,Grégoire RC,Bouchard A

更新日期：2014-06-01 00:00:00

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

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

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

authors： Meinero P,Mori L,Gasloli G

更新日期：2014-04-01 00:00:00

abstract：PURPOSE:This study was performed to determine impact of open and hand-assisted colorectal resection on surgical site infection (SSI) rates. METHODS:National Surgical Quality Improvement Project data from 2006 to 2008 were supplemented with an institutional review board-approved chart review. Primary endpoint was SSI r...

journal_title：Techniques in coloproctology

authors： Bishawi M,Fakhoury M,Denoya PI,Stein S,Bergamaschi R

更新日期：2014-04-01 00:00:00

abstract：:Germline mutations in BRCA1 and BRCA2 genes predispose to hereditary breast cancer, whereas carriers of mutations in any of the mismatch repair genes (MMR; hMLH1, hMSH2, hMSH6, hPMS2) are highly susceptible to Lynch syndrome. In the present study, we describe a woman affected by unilateral breast cancer at the age of ...

journal_title：Techniques in coloproctology

authors： Pedroni M,Di Gregorio C,Cortesi L,Reggiani Bonetti L,Magnani G,Simone ML,Medici V,Priore Oliva C,Marino M,Ponz de Leon M

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:Diverticulitis is a common indication for surgical emergency room admission, often leading to abdominal computed tomography (CT) scanning for both diagnosis and staging. C-reactive protein (CRP) has been identified as a useful biomarker of inflammation. Aspirin and corticosteroids are known to down-regulate ...

journal_title：Techniques in coloproctology

authors： Nizri E,Spring S,Ben-Yehuda A,Khatib M,Klausner J,Greenberg R

更新日期：2014-02-01 00:00:00

abstract：:Recto-urinary, recto-vaginal and ileo-anal pouch-associated fistulae are rare yet a significant clinical problem due to their profound impact on patients' quality of life and are a challenge to repair. In this report, we describe repair of these complex fistulae using a modified trans-sphincteric posterior sagittal ap...

journal_title：Techniques in coloproctology

authors： Borowiec AM,McCall M,Lees GM

更新日期：2014-02-01 00:00:00

abstract：:Because of its technical difficulty, totally laparoscopic right colectomy with intracorporeal anastomosis is performed only by a small number of surgeons and most of them use a laparoscopic-assisted technique with extracorporeal anastomosis. This systematic review aims to evaluate differences in outcomes of patients u...

journal_title：Techniques in coloproctology

authors： Carnuccio P,Jimeno J,Parés D

更新日期：2014-01-01 00:00:00

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

authors： Otchy DP,Crosby ME,Trickey AW

更新日期：2014-01-01 00:00:00

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

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

更新日期：2014-01-01 00:00:00

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

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

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Anastomotic leakage is still a major complication in colorectal surgery. Prompt recognition and immediate treatment of anastomotic leak during surgery may reduce postoperative morbidity and mortality. Various types of intraoperative anastomotic test have been proposed to reduce the incidence of this complica...

journal_title：Techniques in coloproctology

authors： Chen CW,Chen MJ,Yeh YS,Tsai HL,Chang YT,Wang JY

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:Perioperative blood transfusion has been associated with a poor prognosis in patients undergoing surgery for colorectal cancer. The aim of this study was to evaluate risk factors for blood transfusion and its impact on long-term outcome exclusively in patients undergoing laparoscopic surgery for curable colo...

journal_title：Techniques in coloproctology

authors： Ghinea R,Greenberg R,White I,Sacham-Shmueli E,Mahagna H,Avital S

更新日期：2013-10-01 00:00:00

abstract：:Various transanal and perineal surgical techniques have been described for the treatment of rectourethral fistula (RUF). However, these techniques are poorly suited for complicated fistulas. Here, we present a novel minimally invasive procedure: robotic-assisted laparoscopic segmental resection with rectoanal anastomo...

journal_title：Techniques in coloproctology

authors： Lee KH,Lee MR,Pigazzi A

更新日期：2013-10-01 00:00:00

abstract：:Ischemic injury to the bowel is a disease entity that has a wide spectrum of pathological and clinical findings. Patients with chronic ischemia present with colicky abdominal pain, obstructive symptoms and signs of ischemic colonic stricture. We reported the first case of ischemic colitis arising from a superior recta...

journal_title：Techniques in coloproctology

authors： Liu HP,Chew MH,Ho KS,Tang CL

更新日期：2013-06-01 00:00:00

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

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

abstract：:This article describes the operative technique that my colleagues and I apply to total mesorectal excision in patients with rectal cancer. A body of data support improvement of short-term outcomes over open resection. Although long-term data remain scarce, several ongoing trials may clarify this deficiency. The approp...

journal_title：Techniques in coloproctology

authors： Khanna A

更新日期：2013-02-01 00:00:00

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

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

更新日期：2013-02-01 00:00:00

abstract：INTRODUCTION:One in ten patients with rectal cancer presents with synchronous colorectal liver metastases. We present an up-to-date review of the different surgical strategies available for rectal cancer patients with synchronous colorectal liver metastases. METHOD:A literature review of MEDLINE, Cochrane and Google s...

journal_title：Techniques in coloproctology

authors： Slesser AA,Bhangu A,Brown G,Mudan S,Tekkis PP

更新日期：2013-02-01 00:00:00

abstract：:Retained rectal foreign body is not an uncommon condition, but reliable epidemiological data are not available. The diagnosis and management can present a significant challenge due to delayed presentation and the reluctance of the patients to provide details of the incident. The aim of the clinical evaluation is to id...

journal_title：Techniques in coloproctology

authors： Ayantunde AA

更新日期：2013-02-01 00:00:00

abstract：:Advancements in minimally invasive surgery have both revolutionized laparoscopy and set the stage for the advancement of endoscopic surgery to the forefront of modern medicine. Natural orifice transluminal endoscopic surgery (NOTES) has now become a subject of great interest to surgeons worldwide who wish to reduce th...

journal_title：Techniques in coloproctology

authors： Sanchez JE,Marcet JE

更新日期：2013-02-01 00:00:00

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

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

abstract：BACKGROUND:Conventional abdominoperineal excision (APE) of the rectum is associated with higher circumferential resection margin (CRM) involvement, increased local recurrence, and reduced survival compared to anterior resection. A more radical extralevator APE (ELAPE) technique may improve oncological outcome. However,...

journal_title：Techniques in coloproctology

authors： Vaughan-Shaw PG,Cheung T,Knight JS,Nichols PH,Pilkington SA,Mirnezami AH

更新日期：2012-10-01 00:00:00

abstract：:Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperitoneum. Diagnosis was...

journal_title：Techniques in coloproctology

authors： De Santis G,Gola P,Lancione L,Sista F,Pietroletti R,Leardi S

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Anal pain is a well-known sequel of rubber band ligation (RBL). A plastic device, the anal cooler which can be frozen in a freezer, has been developed to reduce anal pain. It contains a mixture of glycols and has a minimum temperature of 4 °C. This study was designed to investigate the efficacy of the anal c...

journal_title：Techniques in coloproctology

authors： Lam TJ,Felt-Bersma RJ

更新日期：2012-06-01 00:00:00

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

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

更新日期：2012-04-01 00:00:00

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

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

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

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

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:The aim of this study was to systematically analyse the clinical trials on the effectiveness of transanal haemorrhoidal de-arterialisation (THD) and stapled haemorrhoidopexy (SH) in the management of haemorrhoidal disease (HD). METHODS:Clinical trials on the effectiveness of THD and SH in the management of ...

journal_title：Techniques in coloproctology

authors： Sajid MS,Parampalli U,Whitehouse P,Sains P,McFall MR,Baig MK

更新日期：2012-02-01 00:00:00

abstract：:Anal fistula repair still remains challenging. Up to 30% of fistulas persist after surgery despite many improvements in surgical skills and technique. One major reason for surgical failure is a persistent fistula track or remnants of the fistula epithelium which could not be removed during surgery. To overcome this pr...

journal_title：Techniques in coloproctology

authors： Wilhelm A

更新日期：2011-12-01 00:00:00