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Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland

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https://www.readbyqxmd.com/read/28926174/position-statement-by-the-pelvic-floor-society-on-behalf-of-the-association-of-coloproctology-of-great-britain-and-ireland-on-the-use-of-mesh-in-ventral-mesh-rectopexy-vmr
#1
M A Mercer-Jones, S R Brown, C H Knowles, A B Williams
The following position statement forms part of a response to the current concerns regarding use of mesh to perform rectal prolapse surgery. It highlights the actions being pursued by The Pelvic Floor Society (TPFS) regarding clinical governance in relation to ventral mesh rectopexy (VMR). This article is protected by copyright. All rights reserved.
September 19, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28925008/double-pops-pelvic-organ-prolapse-suspension-video-vignette
#2
LETTER
Sante Capitano
This video demonstrates the feasibility and benefits of laparoscopic ventral rectopexy with lateral suspension of the middle-anterior pelvic compartment. A 58-year-old diabetic woman presented with symptomatic prolapse of three pelvic compartments. Dynamic MRI of the pelvic floor showed the presence of stage III cystourethrocele, stage II hysterocele and recto-anal intussusception (stage III Ba prolapse in Pelvic Organ Prolapse (POP) - Q classification). This article is protected by copyright. All rights reserved...
September 19, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28921903/risk-factors-for-postoperative-ileus-after-colorectal-cancer-surgery
#3
E G Rybakov, Y A Shelygin, E A Khomyakov, I V Zarodniuk
AIM: To assess the rate and independent risk factors of postoperative ileus (POI) after colorectal cancer surgery. METHODS: Three hundred consecutive patients underwent colorectal surgery for cancer at the State Scientific Centre of coloproctology, Moscow, Russia, between November 2015 and August 2016. POI was diagnosed as an absence of intestinal function for 72 hours or more after operation and confirmed by plain radiography. Uni- and multivariate logistic regression of the tumour-, patient- and treatment-related factors was performed...
September 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28921871/methylene-blue-assisted-submucosal-dissection-in-transanal-surgery-video-vignette
#4
LETTER
T J Cuda, D A Westwood, A E R Hamilton, A R L Stevenson
Transanal minimally invasive surgery (TAMIS) is a safe and effective method for the local excision of benign neoplasms of the mid and distal rectum [1]. Submucosal injection of normal saline may improve the safety of polypectomy by elevating the polyp and reducing the risk of a deep intramural burn and perforation. Iishi et al. [2] demonstrated that post-polypectomy ulcers after submucosal saline injection were confined to the submucosa in all cases while 44% of ulcers without submucosal saline injection reached the muscle layer or deeper...
September 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28921825/robotic-sigmoidectomy-for-chronic-complicated-diverticular-disease-a-video-vignette
#5
LETTER
Emre Gorgun, Cigdem Benlice
Robotic surgery offers similar morbidity and mortality rates compared to laparoscopic approach in the setting of colorectal surgery [1]. With the introduction of da Vinci Xi robotic platforms further advantages including a greater range of motion, added dexterity and precision with greater operative reach in four quadrants can be achieved. This video demonstrates the feasibility of robotic sigmoidectomy for complicated diverticular disease with the da Vinci Xi robotic platform (Video). This article is protected by copyright...
September 16, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28913968/risk-factors-for-unfavourable-postoperative-outcome-in-patients-with-crohn-s-disease-undergoing-right-hemicolectomy-or-ileocaecal-resection-an-international-audit-by-escp-and-s-ecco
#6
(no author information available yet)
BACKGROUND: Patient and disease-related factors, as well as operation technique all have the potential to impact on postoperative outcome in Crohn's disease. The available evidence is based on small series and often displays conflicting results. AIM: To investigate the effect of pre- and intra-operative risk factors on 30-day postoperative outcome in patients undergoing surgery for Crohn's disease. METHOD: International prospective snapshot audit including consecutive patients undergoing right hemicolectomy or ileocaecal resection...
September 15, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28906583/reduced-port-robotic-total-mesorectal-resection-for-rectal-cancer-using-the-robotic-single-site-platform-video-vignette
#7
LETTER
S U Bae, W K Jeong, S K Baek
Single-port laparoscopic surgery has some advantages, including improved cosmetic outcomes and minimized parietal trauma. However, pure single-port laparoscopic surgery for rectal cancer is a challenging procedure because of the difficulties in creating triangulation and applying the laparoscopic staplers with sufficient distal margins in the narrow pelvic cavity. Recently, a reduced-port robotic surgery was introduced to overcome the limitations of single-port laparoscopic surgery for colon cancer[1]. This article is protected by copyright...
September 14, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28906577/laparoscopic-ileocolic-iterative-resection-with-fluorescence-guided-lymphatic-mapping-video-vignette
#8
LETTER
Marta Silvestri, Martina Guerra, Massimo Giacca, Biagio Casagranda, Silvia Palmisano, Nicolò De Manzini
We assessed the correct pathway of lymphatic drainage during ileocolic iterative resection by the use of Indocyanine green (ICG) in a patient with a previous laparoscopic right hemicolectomy. A 63 years old man underwent laparoscopic right ileocolic re-resection for a high grade dysplasia of a large polyp close to the ileocolic anastomosis performed 8 years ago during a laparoscopic right hemicolectomy for a Tis of cecum. The peritumoral injection of ICG was performed at the beginning of the operation in order to correctly visualize the lymphatic pathway and then a lateral to medial approach dissection was carried out...
September 14, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28905524/first-experience-in-colorectal-surgery-with-a-new-robotic-platform-with-haptic-feedback
#9
Antonino Spinelli, Giulia David, Stefano Gidaro, Michele Carvello, Matteo Sacchi, Marco Montorsi, Isacco Montroni
The use of robotic techniques is increasing in colorectal surgery. Recently, the Senhance(™) surgical robotic system was introduced as a novel robotic platform designed to overcome some of the limits of standard laparoscopy. This study describes the initial, single center experience, evaluating feasibility and safety of the new robotic system in performing colorectal surgical procedures. METHODS: From June 2015 to November 2016, perioperative data of the first 45 patients who underwent robotic colorectal surgery with the SenhanceTM surgical robotic system were collected and analyzed...
September 14, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28902443/comment-on-redo-coloanal-anastomosis-for-anastomotic-leakage-after-low-anterior-resection-for-rectal-cancer-an-analysis-of-59-cases
#10
LETTER
Salman Khazaei, Yousef Veisani, Kamyar Mansori
We read the article written by Westerduin and colleagues published in the Colorectal Disease Journal (1). Their purpose was to determine the clinical success and morbidity after redo coloanal anastomosis (CAA) (1). They found that leakage of the redo CAA was the only risk factor for a permanent stoma (OR: 0.022; 95% CI: 0.004 - 0.122). This article is protected by copyright. All rights reserved.
September 13, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28892247/short-term-results-of-self-expanding-metal-stents-for-acute-malignant-large-bowel-obstruction
#11
Martin Kobborg, Malene Broholm, Erik Frostberg, Maja Jeppesen, Ismail Gögenür
INTRODUCTION: Self-expanding metal stents (SEMS) can be used as a palliative treatment or to initially decompress colon prior to definitive surgery (so called "bridge to surgery"). The purpose of this study was to investigate the efficacy and safety of SEMS used as palliation and bridge to surgery for malignant large bowel obstruction. METHOD: A multicenter retrospective study was conducted from January 2010 to December 2013 to identify patients undergoing stent placement for acute large bowel obstruction...
September 11, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28891196/a-novel-use-of-near-infra-red-light-in-assisting-with-tatme-planes-a-video-vignette
#12
LETTER
T G Barnes, C Cunningham, R Hompes
Transanal total mesorectal excision (TaTME) has gained popularity in the surgical management of low rectal cancers and is potentially advantageous to clinical, oncological and functional outcomes by providing more accurate TME dissection [1]. The transanal component of the procedure involves circumferential dissection of the mesorectum following purse-string closure until entering the peritoneal cavity [2]. When utilising a two-team approach, at "Rendez-vous" between the two surgical fields, assistance can be given by each team to facilitate TME completion [3, 4]...
September 11, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28873267/administration-of-adjuvant-chemotherapy-in-older-patients-with-stage-iii-colon-cancer-an-observational-study
#13
Colette B M van den Broek, Catharina C E M Puylaert, Anne J Breugom, Esther Bastiaannet, Anton J M de Craen, Cornelis J H van de Velde, Gerrit- Jan Liefers, Johanneke E A Portielje
AIM: According to established guidelines, patients with stage III colon cancer should receive adjuvant chemotherapy. However, a significant proportion do not. This study assessed factors associated with the administration of adjuvant chemotherapy and causes of death. METHODS: Patients with stage III colon cancer, who underwent surgery between 2000 and 2009, were selected from two hospitals in the Netherlands. Patient characteristics, including co-morbidities and treatment preferences, tumour characteristics, and follow-up were extracted from the medical records...
September 5, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28872758/a-systematic-review-of-clostridium-difficile-infection-following-reversal-of-ileostomy
#14
REVIEW
R L Harries, J Ansell, R J Codd, G L Williams
AIMS: The incidence of clostridium difficile infection (CDI) has been reported as high as 4% following ileostomy reversal and can be associated with significant morbidity. A systematic review on this subject has not been previously reported; our aims were to review the literature to establish incidence and to evaluate factors that may contribute to an increase risk of CDI following ileostomy reversal. METHODS: A systematic review of Ovid, Embase and Medline was undertaken...
September 5, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28865167/colorectal-surveillance-after-segmental-resection-for-young-onset-colorectal-cancer-is-there-evidence-for-extended-resection
#15
V N Kozak, M F Kalady, M M Gamaleldin, J Liang, J M Church
AIM: Although sporadic colorectal cancer (CRC) usually occurs in patients over 50, recent evidence suggests that the incidence is increasing in younger patients. Such patients are theoretically at high risk of metachronous neoplasia and may be candidates for extended, prophylactic, colectomy. This study aimed to define the risk of metachronous cancer/adenomas during follow-up of younger patients who underwent segmental colectomy for CRC. METHOD: A CRC database was used to identify patients aged less than 50 who underwent surgery for CRC between 1994 and 2010...
September 2, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28865161/methylene-blue-sub-mucosal-infiltration-may-facilitate-transanal-submucosal-dissection
#16
LETTER
T J Cuda, A D Riddell, D A Westwood, A E R Hamilton, A R L Stevenson
We would like to report our use of methylene blue to assist submucosal dissection in transanal procedures such as trans-anal minimally invasive surgery, sutured trans-anal mucosectomy and plication and the Delorme's procedure. This article is protected by copyright. All rights reserved.
September 2, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28865159/ligation-and-interposition-of-a-modified-martius-graft-for-rectovaginal-fistula-repair-after-low-anterior-resection-for-rectal-cancer-video-vignette
#17
LETTER
N Uribe, Z Balciscueta, M C Martin, M Lopez, M Tabet, I Torrijo
Rectovaginal fistula after rectal cancer resection is an uncommon complication. Complex approaches and different surgical techniques have been proposed to treat it. The technique we present here uses the philosophy of the LIFT procedure by identifying and ligating the fistulous tract (1) and then by posterior interposition of a modified Martius graft (2,3) to reinforce the closure. This article is protected by copyright. All rights reserved.
September 2, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28834059/transanal-total-mesorectal-excision-a-method-to-facilitate-dissection-when-there-is-only-one-team-available-video-vignette
#18
LETTER
Sharaf Karim Perdawood
Transanal Total Mesorectal Excision (TaTME) enables the dissection of the distal mesorectum to be carried out under direct vision whilst holding to the principles of the original innovator's "holy plane" (1-10). TaTME is performed synchronously by abdominal and trans-anal teams. This two-team approach allows trans-illumination of the tissue by the laparoscopic light source traction, counter traction and dissection of the distal mesorectum by the trans-anal team. If two teams are unavailable. the abdominal dissection is generally carried out first but the subsequent trans-anal dissection can to be more difficult with the loss of abdominal assistance (10)...
August 22, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28834055/cost-effectiveness-of-sacral-neuromodulation-for-chronic-refractory-constipation-in-children-and-adolescents-a-markov-model-analysis
#19
A A van der Wilt, H H M Groenewoud, M A Benninga, C D Dirksen, C G M I Baeten, N D Bouvy, J Melenhorst, S O Breukink
AIM: The study aimed to assess the cost-effectiveness of sacral neuromodulation (SNM) compared with conservative treatment in children and adolescents with constipation refractory to conservative treatment. METHOD: A Markov probabilistic model was used, comparing costs and effectiveness of SNM and conservative treatment in children and adolescents aged 10 to 18 years with constipation refractory to conservative treatment. Input for the model regarding transition probabilities, utilities and healthcare costs was based on data from a cohort of patients treated in our centre...
August 22, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/28834099/suprapubic-single-port-ileocaecal-resection-for-complicated-crohn-s-disease-a-video-vignette
#20
LETTER
Antonino Spinelli, Michele Carvello
Laparoscopic surgery in patients with complex Crohn's disease (CD) can be technically challenging and often necessitates the use of multiple ports or conversion. (1, 2, 3) In this video, we demonstrate our suprapubic single port (SPSP) technique for ileocecal resection (ICR) in a patient with a complex pelvic mass. This article is protected by copyright. All rights reserved.
August 21, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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