abstract：BACKGROUND:Ligation of the intersphincteric tract (LIFT), a novel sphincter-saving technique, has been recently described with promising results. Literature data are still scant. In this prospective observational study, we present our experience with this technique. METHODS:Between October 2010 and April 2011, 18 pati...

journal_title：Techniques in coloproctology

authors： Sileri P,Franceschilli L,Angelucci GP,D'Ugo S,Milito G,Cadeddu F,Selvaggio I,Lazzaro S,Gaspari AL

更新日期：2011-12-01 00:00:00

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

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

更新日期：2011-12-01 00:00:00

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

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

更新日期：2011-12-01 00:00:00

abstract：:We report the case of a pelvic and lower abdomen crushing trauma in 37-year-old male patient. The patient had an open lumbar wound, laceration of the psoas muscle, pelvic fracture, a ruptured urogenital diaphragm, and extensive urogenital lacerations. An emergency laparotomy was performed with debridment, urethral rec...

journal_title：Techniques in coloproctology

authors： Terrosu G,Rossetto A,Kocjancic E,Rossitti P,Bresadola V

更新日期：2011-12-01 00:00:00

abstract：PURPOSE:Introduction of stapled hemorrhoidopexy (SH) brought a radical change in the treatment of haemorrhoidal disease. The aim of this study is to evaluate the results and the complications (early and late) from the use of this technique. METHODS:During the last 6 years (2005-2011), 123 patients underwent a SH in ou...

journal_title：Techniques in coloproctology

authors： Grigoropoulos P,Kalles V,Papapanagiotou I,Mekras A,Argyrou A,Papageorgiou K,Derian A

更新日期：2011-10-01 00:00:00

abstract：:Advancements in the medical treatment of Crohn's disease have reduced the need for surgery. The indications for surgery include the failure of medical management, especially the persistence or worsening of symptoms in spite of proper treatment and complications of the disease process. These complications include intes...

journal_title：Techniques in coloproctology

authors： Kosmidis C,Anthimidis G

更新日期：2011-10-01 00:00:00

abstract：:Hepatic resection for colorectal liver metastases remains the only therapeutic option that improves long-term survival and offers potential cure. By conventional resectability criteria, only a limited number of patients with metastatic disease can be subjected to surgical intervention. In the past decade, better under...

journal_title：Techniques in coloproctology

authors： Maroulis I,Karavias DD,Karavias D

更新日期：2011-10-01 00:00:00

abstract：:Colonic diverticular disease is extremely common in developed countries. Although the majority of patients with diverticulosis remain asymptomatic, about one-third of the patients manifest the disease with either hemorrhage or inflammation. Diverticulitis may be uncomplicated or complicated by abscess formation, perfo...

journal_title：Techniques in coloproctology

authors： Symeonidis N,Psarras K,Lalountas M,Baltatzis M,Micha A,Pavlidis E,Sakantamis A

更新日期：2011-10-01 00:00:00

abstract：:We report a new method of performing single-port laparoscopic surgery for appendiceal mucocele. The key points of our technique are placing a 3/4 circumferential skin incision with multiple radial splits on the confine of the umbilicus, use of a "home-made" multichannel port system, and trimming the skin incision stra...

journal_title：Techniques in coloproctology

authors： Ishibashi K,Okada N,Ohsawa T,Kumamoto K,Haga N,Ishida H

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Various sequelae which might lead to reintervention have been described after stapled rectal mucosectomy for hemorrhoids. One potential treatment modality for persistent complaints after stapled hemorrhoidopexy (SHP) or stapling for rectocele is the so-called agraffectomy (removal of the retained staples). T...

journal_title：Techniques in coloproctology

authors： Petersen S,Jongen J,Schwenk W

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Although the Hinchey scoring system has guided surgical decision making for perforated diverticulitis, what constitutes optimal surgical management is controversial. We report our experience of selective primary closure of the perforation without use of a transverse colostomy and the specific circumstances i...

journal_title：Techniques in coloproctology

authors： Naraynsingh V,Maharaj R,Hassranah D,Hariharan S,Dan D,Zbar AP

更新日期：2011-06-01 00:00:00

abstract：INTRODUCTION:Colorectal transport in idiopathic fecal incontinence has scarcely been studied, and it remains to be investigated in patients with fecal incontinence and anal sphincter lesion. The aim of the present study was to compare colorectal transport during defecation in patients with idiopathic fecal incontinence...

journal_title：Techniques in coloproctology

authors： Michelsen HB,Christensen P,Buntzen S,Laurberg S,Krogh K

更新日期：2011-03-01 00:00:00

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

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

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:We have been performing curative resection of colon cancer via a minilaparotomy without utilizing any laparoscopic instruments as an alternative to laparoscopic-assisted approach. Based on our experiences and improved surgical techniques, we have devised a new method for performing resection of stage 0/I col...

journal_title：Techniques in coloproctology

authors： Ohsawa T,Ishida H,Kumamoto K,Nakada H,Yokoyama M,Okada N,Ishibashi K,Haga N

更新日期：2010-12-01 00:00:00

abstract：AIM:The aim of this study is to review the time between formation and closure of loop ileostomies following total mesorectal excision in patients with rectal cancer. PATIENTS AND METHODS:A retrospective study of 170 patients who underwent low anterior resection for rectal cancer, between 1990 and 2009. Loop ileostomie...

journal_title：Techniques in coloproctology

authors： Vrakas G,Pramateftakis MG,Kanellos D,Sapidis S,Hatzigianni P,Tsachalis T,Kanellos I,Lazaridis Ch

更新日期：2010-11-01 00:00:00

abstract：BACKGROUND:This prospective randomized trial was used to compare two different local anesthetic techniques, local perianal anesthesia and pudendal nerve block, used for harmonic scalpel hemorrhoidectomy (HSH). METHODS:A total of 120 patients with grade III or IV hemorrhoids were randomly chosen to perform HSH (60 pati...

journal_title：Techniques in coloproctology

authors： Tepetes K,Symeonidis D,Christodoulidis G,Spyridakis M,Hatzitheofilou K

更新日期：2010-11-01 00:00:00

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

authors： Bardakcioglu O,Ahmed S

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:In theory, perioperative detection of lymph nodes with the injection of isosulfan blue dye should provide lymph road mapping (LRM) able to direct the resection. However, there is no supporting evidence for this theory in cases of colon cancer. We reanalysed all operative reports using the sentinel lymph node...

journal_title：Techniques in coloproctology

authors： Lo Dico R,Lasser P,Goérè D,Malka D,Boige V,Pocard M

更新日期：2010-09-01 00:00:00

abstract：:Laparoscopic colectomy for cancer is increasingly practiced worldwide in the last 2 decades. However, due to procedural complexity, laparoscopic rectal cancer excision had not proceeded at a similar pace. This article deals with the technique of laparoscopic anterior resection. Resection of rectosigmoid or upper recta...

journal_title：Techniques in coloproctology

authors： Cheung HY,Chung CC,Li MK

更新日期：2010-03-01 00:00:00

abstract：:Colouterine fistula is a rare clinical entity. A literature search revealed only a few reports dealing with this complex problem, mostly resulting as a complication of diverticular disease of the colon. During a 4-month period, we diagnosed and successfully treated 2 women with a malignant colouterine fistula originat...

journal_title：Techniques in coloproctology

authors： Halevy A,Bracha M,Jeroukhimov I,Schneider D,Nesterenko V

更新日期：2010-03-01 00:00:00

abstract：:Haemorrhoidectomy is frequently associated with significant postoperative pain and prolonged hospital stay. New techniques to reduce these problems are constantly under evaluation. Amongst these, LigaSure haemorrhoidectomy is a safe and fast technique that fulfils the requirements of low-complication rate, fast wound ...

journal_title：Techniques in coloproctology

authors： Milito G,Cadeddu F

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:The purposes of the study were the long-term evaluation of silicone implants with three-dimensional (3D) anal endosonography and its correlation with anal incontinence. METHODS:Fifteen patients were injected with silicone because of anal incontinence and co-existing internal anal sphincter disruption (n = 8...

journal_title：Techniques in coloproctology

authors： de la Portilla F,Vega J,Rada R,Segovia-Gonzáles MM,Cisneros N,Maldonado VH,Espinosa E

更新日期：2009-09-01 00:00:00

abstract：BACKGROUND:The quantitative immunochemical faecal occult blood test (qFOBT) has been shown to be an accurate method of identifying significant colorectal neoplasia including cancer and advanced adenomas. This study reports the results of a Singapore population-based colorectal cancer screening event using the qFOBT. M...

journal_title：Techniques in coloproctology

authors： Fu WP,Kam MH,Ling WM,Ong SF,Suzannah N,Eu KW

更新日期：2009-09-01 00:00:00

abstract：:Obstructed defecation is one subtype of constipation, and may be due to functional or mechanical causes. Here, we report an unusual cause, never described before, of obstructed defecation due to a large uterine myoma that reverted to normal bowel habits after surgery. The importance of an accurate evaluation of the ca...

journal_title：Techniques in coloproctology

authors： Solè LI,Rosato G,Bolino MC,Bassotti G

更新日期：2009-09-01 00:00:00

abstract：:Transanal endoscopic microsurgery (TEM) was introduced in 1983 as a minimally invasive technique allowing the resection of adenomas and early rectal carcinomas unsuitable for local or colonoscopic excision which would otherwise require major surgery. After 25 years, there is still much debate about the procedure. This...

journal_title：Techniques in coloproctology

authors： Dias AR,Nahas CS,Marques CF,Nahas SC,Cecconello I

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:Anal fissures can cause morbidity in an otherwise healthy young patient. The process of evacuation results in stretching and descent of the anoderm and perineum especially posteriorly. Posterior perineal support may provide counter pressure at the posterior aspect of the pelvic floor, balancing the pressure ...

journal_title：Techniques in coloproctology

authors： Tan KY,Seow-Choen F,Hai CH,Thye GK

更新日期：2009-03-01 00:00:00

abstract：BACKGROUND:Perineal wound complications are frequently observed after abdominoperineal resection (APR) for rectal cancer, especially in preoperatively irradiated patients. This is the first study to investigate whether local application of gentamicin-impregnated collagen fleece reduces deep perineal wound infection aft...

journal_title：Techniques in coloproctology

authors： de Bruin AF,Gosselink MP,Wijffels NA,Coene PP,van der Harst E

更新日期：2008-12-01 00:00:00

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

authors： Rabau M

更新日期：2008-09-01 00:00:00

abstract：:Ligation under vision (LUV) is a simple method for the surgical treatment of haemorrhoids. In this study, we evaluated the results of our initial experience with the procedure in terms of postoperative pain, patients' final satisfaction and complications. We reviewed a group of patients who had undergone suture ligati...

journal_title：Techniques in coloproctology

authors： Bronstein M,Issa N,Gutman M,Neufeld D

更新日期：2008-06-01 00:00:00

abstract：BACKGROUND:Pouchitis after total rectocolectomy is among the most common complications of patients with ulcerative colitis (UC). However, its frequency is quite rare in patients with familial adenomatous polyposis (FAP). We evaluated the inflammatory and pro-apoptotic activity in endoscopically normal mucosa of the ile...

journal_title：Techniques in coloproctology

authors： Leal RF,Coy CS,Ayrizono ML,Fagundes JJ,Milanski M,Saad MJ,Velloso LA,Góes JR

更新日期：2008-03-01 00:00:00

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

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

更新日期：2007-12-03 00:00:00

abstract：:We describe obliteration of the rectal lumen during stapled haemorrhoidopexy in a patient with marked mucosal prolapse. The complication was recognised immediately and continuity was restored by performing a limited Delorme's procedure. The possible cause of this complication is explored and serves as a reminder that ...

journal_title：Techniques in coloproctology

authors： Brown S,Baraza W,Shorthouse A

更新日期：2007-12-01 00:00:00

abstract：:Despite improvements in medical therapy, the annual high mortality rate from end-stage heart failure continues. Although cardiac transplantation is a successful treatment for these patients, the shortage of donor hearts has led surgeons to seek other options. Ventricular assist device (VAD) technology is applied to a ...

journal_title：Techniques in coloproctology

authors： Nessar G,Kucukaksu S,Zengin NI,Tasdemir O,Kayaalp C

更新日期：2007-09-01 00:00:00

abstract：:Anal fissure management has rapidly progressed in the last 15 years as our understanding of fissure pathophysiology has developed. All methods of treatment aim to reduce the anal sphincter spasm associated with chronic anal fissures. Surgical techniques have been used for over 100 years with success. Lateral internal ...

journal_title：Techniques in coloproctology

authors： Collins EE,Lund JN

更新日期：2007-09-01 00:00:00

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

authors： Atkinson RJ,Shorthouse AJ,Hurlstone DP

更新日期：2007-03-01 00:00:00

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

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

更新日期：2007-03-01 00:00:00

abstract：:After pelvic pouch surgery (restorative proctocolectomy), periodic or continuous diarrhea is common. Distressing diarrhea may be triggered by pouchitis, cuffitis or an anastomotic stricture. Medical therapy with loperamide or diphenoxylate is often unsatisfactory even after the correction of the underlying problem. Se...

journal_title：Techniques in coloproctology

authors： Gullichsen R

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:Accurate delineation of anal fistula anatomy in recurrent cases will assist in surgical fistula eradication whilst preserving continence. Recently, transperineal ultrasonography (TPUS) has been used in perirectal inflammation where there may be advantage over endoanal ultrasonography (EAUS) in complex fistul...

journal_title：Techniques in coloproctology

authors： Zbar AP,Oyetunji RO,Gill R

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:Conflicting views regarding the use of ileorectal anastomosis (IRA) in ulcerative colitis (UC) exist and this controversy prompted us to review our experience, especially against the background of the current tendency to choose the ileal pouch-anal procedure (IPAA). METHODS:Thirty-two consecutive patients w...

journal_title：Techniques in coloproctology

authors： Börjesson L,Lundstam U,Oresland T,Brevinge H,Hultén L

更新日期：2006-10-01 00:00:00

abstract：:Guidelines for the treatment of anal fissure have been published in the USA and UK but differ. Many centers follow guidelines based on local experience. In December 2005, we met with the aim of developing an evidence-based treatment algorithm for anal fissure, applicable to both primary and secondary care. This algori...

journal_title：Techniques in coloproctology

authors： Lund JN,Nyström PO,Coremans G,Herold A,Karaitianos I,Spyrou M,Schouten WR,Sebastian AA,Pescatori M

更新日期：2006-10-01 00:00:00