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Search results for: Rectal

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#32619321   2020/07/03 To Up

Increasing experience of modified two stage transanal ileal pouch anal anastomosis for therapy refractory ulcerative colitis. What have we learned?

Ileal pouch-anal anastomosis (IPAA) should be delayed to a second stage in patients with ulcerative colitis (UC) and prolonged exposure to medical therapy. However, there is still discussion about whether a modified 2-stage is preferable to a 3-stage approach. Recently, a transanal approach has been introduced to overcome the well-known difficulties of laparoscopic pelvic surgery. This article presents short-term outcomes of transanal IPAA (ta-IPAA) according to a modified 2-stage approach.
G Bislenghi, B Martin-Perez, S Fieuws, A Wolthuis, A D'Hoore

1435 related Products with: Increasing experience of modified two stage transanal ileal pouch anal anastomosis for therapy refractory ulcerative colitis. What have we learned?

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#32619233   2020/07/03 To Up

Risk of bowel fistula following surgical management of deep endometriosis of the rectosigmoid: a series of 1102 cases.

What are the risk factors and prevalence of bowel fistula following surgical management of deep endometriosis infiltrating the rectosigmoid and how can it be managed?
Horace Roman, Valérie Bridoux, Benjamin Merlot, Benoit Resch, Rachid Chati, Julien Coget, Damien Forestier, Jean-Jacques Tuech

1668 related Products with: Risk of bowel fistula following surgical management of deep endometriosis of the rectosigmoid: a series of 1102 cases.

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#32619213   2020/07/03 To Up

Whole grain and dietary fiber intake and risk of colorectal cancer in the NIH-AARP Diet and Health Study cohort.

Whole grains and other foods containing fiber are thought to be inversely related to colorectal cancer (CRC). However, whether these associations reflect fiber or fiber source remains unclear.
Autumn G Hullings, Rashmi Sinha, Linda M Liao, Neal D Freedman, Barry I Graubard, Erikka Loftfield

2673 related Products with: Whole grain and dietary fiber intake and risk of colorectal cancer in the NIH-AARP Diet and Health Study cohort.

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#32619133   2020/07/03 To Up

A comparison of side-effects and quality-of-life in patients operated on for prostate cancer with and without salvage radiation therapy.

The extent of late side-effects in prostate cancer patients, after radical prostatectomy (RP = reference group) and salvage radiation therapy (SRT) in a self-reporting perspective (PROM) is still under-reported. We aimed to investigate the rate and severity of side-effects and quality-of-life (QoL) according to PROM. A PROM survey was administered to a cohort of SRT patients matched to a reference group with median follow-up 10 years after surgery. In total, 740 patients were analyzed. To investigate the association between SRT versus reference group regarding side-effects and QoL, a Poisson regression analysis was conducted and presented as relative risk estimates (RR) together with 95% confidence intervals regarding questions related to urinary, rectal, sexual symptoms and QoL. RRs ranged from of 1.7-6.5 on rectal symptoms and 1.2-1.4 for urinary symptoms. In general health, QoL and sexual function all RRs were below 1.1. With increasing age, higher RRs were seen for urinary leakage and lowered sexual function whereas longer time following irradiation showed higher RRs for rectal symptoms and rectal leakage. Limitations of this study include the cross-sectional design and lack of baseline assessment. Adding SRT to RP does not seem to result in other than acceptable side-effects in the majority of men receiving SRT when taking a long follow-up time (median 10 years after surgery) into account. However, a subset of men develop severe side-effects where rectal bleeding dominates.
Karin Braide, Jon Kindblom, Ulrika Lindencrona, Marianne Månsson, Jonas Hugosson

2118 related Products with: A comparison of side-effects and quality-of-life in patients operated on for prostate cancer with and without salvage radiation therapy.



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#32619087   2020/07/03 To Up

Laparoscopic Complete Mesocolic Excision of Left colonic lesion-A video vignette.

Complete mesocolic excision (CME) for colonic lesions was first described by Hohenberger in 2009 adopting principles similar to those of TME along with central vascular ligation and extended lymphadenectomy . The procedure has been demonstrated to have improved oncological outcomes when compared to no CME colectomies in a few studies. Laparoscopy is an acceptable approach and is preferred by many centers due to its associated benefits and similar oncological outcomes. The lesions which are in the sigmoid colon and the recto-sigmoid present an additional challenge to performing CME while preserving the blood supply to the proximal rectum. Although the rectum is considered to be an organ rich in vascularity, the proximal rectum is primarily supplied by the superior rectal artery (SRA).
Jayesh Gori, Jitender Rohila, Vivek Sukumar, Diwakar Pandey, Ashwin Desouza, Avanish Saklani

2373 related Products with: Laparoscopic Complete Mesocolic Excision of Left colonic lesion-A video vignette.

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#32619064   2020/07/03 To Up

Biologic mesh reconstruction versus primary closure for preventing perineal morbidity after extralevator abdominoperineal excision. A Multicenter retrospective study.

The aim of the study was to compare the perineal hernia incidence and the perineal wound morbidity following extralevator abdominoperineal excision (ELAPE) between two groups - primary perineal closure and reconstruction with a biological mesh.
J Sancho-Muriel, J Ocaña, H Cholewa, J Nuñez, P Muñoz, B Flor, J C García, E García-Granero, J Die, M Frasson

1899 related Products with: Biologic mesh reconstruction versus primary closure for preventing perineal morbidity after extralevator abdominoperineal excision. A Multicenter retrospective study.

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#32619056   2020/07/03 To Up

Standardising Robotic TransAnal Minimal Invasive Surgery (R-TAMIS) in lithotomy using the Xi platform - a video vignette.

A 47-year-old male presented with chronic diarrhoea, colonoscopy revealed a pedunculated, broad-based, 3cm, mid-rectal polyp. An R-TAMIS was booked. This video vignette demonstrates a standardised R-TAMIS in lithotomy using the da Vinci Xi platform. It details setup, access, instrument choice and demonstrates a standardised approach to R-TAMIS for the resection of rectal polyps.
Edward Clarke, Jessica Rahme, Amrish Rajkomar, Philip Smart, Satish Warrier

2615 related Products with: Standardising Robotic TransAnal Minimal Invasive Surgery (R-TAMIS) in lithotomy using the Xi platform - a video vignette.

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#32618932   2020/06/30 To Up

Duration of Respiratory and Gastrointestinal Viral Shedding in Children With SARS-CoV-2: A Systematic Review and Synthesis of Data.

Children with coronavirus disease 2019 (COVID-19) are more likely to have mild or no symptoms compared to adults and may represent important vectors for transmitting the virus. Little is known about the duration of respiratory and gastrointestinal viral shedding in children with COVID-19.
Cecilia L H Xu, Manjri Raval, Jesse A Schnall, Jason C Kwong, Natasha E Holmes

1142 related Products with: Duration of Respiratory and Gastrointestinal Viral Shedding in Children With SARS-CoV-2: A Systematic Review and Synthesis of Data.

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#32618619   2020/06/24 To Up

Long-term Anatomical and Functional Results of Robot-Assisted Pelvic Floor Surgery for the Management of Multicompartment Prolapse: A Prospective Study.

Long-term data on robot-assisted sacrocolporectopexy for the treatment of multicompartment pelvic organ prolapse is scarce. With the rising prevalence of prolapse and increasing surgical repair, it is essential to evaluate long-term results.
Femke van Zanten, Emma M van der Schans, Esther C J Consten, Paul M Verheijen, Egbert Lenters, Ivo A M J Broeders, Steven E Schraffordt Koops

1491 related Products with: Long-term Anatomical and Functional Results of Robot-Assisted Pelvic Floor Surgery for the Management of Multicompartment Prolapse: A Prospective Study.

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#32617783   2020/07/02 To Up

Rectal perforation from a perianal drain repaired with transanal minimally invasive surgery.


L Pérez Santiago, D Moro Valdezate, M Lapeña Rodríguez, V Pla Martí, J Martín Arévalo, A Espí Macías

2338 related Products with: Rectal perforation from a perianal drain repaired with transanal minimally invasive surgery.



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