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https://www.readbyqxmd.com/read/29927863/endoscopic-esophageal-vacuum-therapy-a-novel-therapy-for-esophageal-perforations-in-pediatric-patients
#1
Michael A Manfredi, Susannah J Clark, Steven J Staffa, Peter D Ngo, C Jason Smithers, Thomas E Hamilton, Russell W Jennings
BACKGROUND: Esophageal perforation is a potentially life-threatening problem if not quickly diagnosed and treated appropriately. Negative pressure wound therapy (NPWT), commercially known as V.A.C.® therapy, was developed in the early 1990 s and is now standard of care for chronic surface wounds, ulcers, and burns. Adapting vacuum sponge therapy for use intraluminally for perforations of the esophagus was first reported in 2008. We report the first pediatric experience on a customized esophageal vacuum assisted closure (EVAC) device for closure of esophageal perforations...
June 20, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29926187/implementation-of-robotic-rectal-surgery-training-programme-importance-of-standardisation-and-structured-training
#2
Sofoklis Panteleimonitis, Sotirios Popeskou, Mohamed Aradaib, Mick Harper, Jamil Ahmed, Mukhtar Ahmad, Tahseen Qureshi, Nuno Figueiredo, Amjad Parvaiz
PURPOSE: A structured training programme is essential for the safe adoption of robotic rectal cancer surgery. The aim of this study is to describe the training pathway and short-term surgical outcomes of three surgeons in two centres (UK and Portugal) undertaking single-docking robotic rectal surgery with the da Vinci Xi and integrated table motion (ITM). METHODS: Prospectively, collected data for consecutive patients who underwent robotic rectal cancer resections with the da Vinci Xi and ITM between November 2015 and September 2017 was analysed...
June 20, 2018: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29926104/the-value-of-clinical-colorectal-cancer-registries-in-colorectal-cancer-research-a-systematic-review
#3
Caroline MacCallum, Anita Skandarajah, Peter Gibbs, Ian Hayes
Importance: Clinical colorectal cancer registries (CCCRs) are potentially powerful tools in colorectal cancer research. They are resource intensive, but to our knowledge, no formal review of their value exists. While quality control, clinical audit, and benchmarking are important factors in assessing the value of maintaining CCCRs, they are difficult to quantify. This study focuses on registry research output as a measure of value; the study hypothesizes that CCCRs do not produce sufficient published research output of clinical significance to justify the resources required to maintain them...
June 20, 2018: JAMA Surgery
https://www.readbyqxmd.com/read/29924670/simultaneous-robotic-assisted-laparoscopy-for-bladder-and-bowel-reconstruction
#4
Devin R Halleran, Richard J Wood, Alejandra Vilanova-Sanchez, Rebecca M Rentea, Christopher Brown, Molly Fuchs, Venkata R Jayanthi, Christina Ching, Hira Ahmad, Alessandra C Gasior, Marc P Michalsky, Marc A Levitt, Daniel DaJusta
INTRODUCTION: Patients with neurogenic bladder frequently also have bowel dysfunction and a simultaneous urologic and colorectal reconstruction is possible. We present our experience with combined reconstructive procedures using robot-assisted laparoscopy, and demonstrate the utility of a minimally invasive approach that considers both the bowel and bladder management of these patients. METHODS: We retrospectively reviewed all patients who underwent combined bowel and urologic reconstruction at our institution since the start of our multidisciplinary robotic program...
June 20, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29920945/the-impact-of-stapling-technique-and-surgeon-specialism-on-anastomotic-failure-after-right-sided-colorectal-resection-an-international-multi-centre-prospective-audit
#5
(no author information available yet)
BACKGROUND: There is little evidence to support choice of technique and configuration for stapled anastomoses after right hemicolectomy and ileocaecal resection. This study aimed to determine the relationship between stapling technique and anastomotic failure. METHODS: Any unit performing gastrointestinal surgery was invited to contribute data on consecutive adult patients undergoing right hemicolectomy or ileocolic resection to this prospective, observational, international, multicentre study...
June 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29920911/predictors-of-complications-and-mortality-following-left-colectomy-with-primary-stapled-anastomosis-for-cancer-results-of-a-multicentric-study-with-1111-patients
#6
Gianluca Pellino, Matteo Frasson, Alvaro García-Granero, Pablo Granero-Castro, José Luis Ramos Rodríguez, Blas Flor-Lorente, José Bargallo Berzosa, Natalia Alonso Hernández, Francisco Javier Labrador Vallverdú, Pedro Antonio Parra Baños, Guillermo Ais Conde, Eduardo Garcia-Granero
AIM: Reports detailing the morbidity-mortality after left colectomy are sparse and do not allow to draw definitive conclusions. We aimed to identify risk factors for anastomotic leak, perioperative mortality and complications following left colectomy for colonic malignancies. METHOD: We undertook a STROBE-compliant analysis of left colectomies included in the National prospective online database. Forty-two variables were analyzed as potential independent risk factors for anastomotic leak, post-operative morbidity and mortality...
June 19, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29920142/control-comparison-of-the-new-endowrist-and-traditional-laparoscopic-staplers-for-anterior-rectal-resection-with-the-da-vinci-xi
#7
Simone Guadagni, Gregorio Di Franco, Desirée Gianardi, Matteo Palmeri, Cristina Ceccarelli, Matteo Bianchini, Niccolò Furbetta, Giovanni Caprili, Cristiano D'Isidoro, Andrea Moglia, Franca Melfi, Piero Buccianti, Franco Mosca, Luca Morelli
BACKGROUND: A new robotic stapler for the da Vinci Xi® is directly controlled by the surgeon at the console and equipped with EndoWrist® technology. We evaluated operative and short-term results of the first patients who underwent anterior rectal resection for cancer with the da Vinci Xi and new staplers, and compared the results with those of a comparable group treated with traditional laparoscopic staplers. METHODS: From December 2015 to December 2017, 25 patients underwent anterior rectal resection for cancer with robotic EndoWrist staplers (EndoWrist group)...
June 19, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29916880/prospective-creation-and-validation-of-the-preventt-prediction-and-enaction-of-prevention-treatments-trigger-scale-for-surgical-site-infections-ssis-in-patients-with-diverticulitis
#8
Liliana Bordeianou, Christy E Cauley, Ruchin Patel, Ronald Bleday, Sadiqa Mahmood, Kevin Kennedy, Khawaja F Ahmed, Deborah Yokoe, David Hooper, Marc Rubin
OBJECTIVE: Create and validate diverticulitis surgical site infection prediction scale. BACKGROUND: Surgical site infections cause significant morbidity after colorectal surgery. An infection prediction scale could target infection prevention bundles to high-risk patients. METHODS: Prospectively collected National Surgical Quality Improvement Program and electronic medical record data obtained on diverticulitis colectomy patients across a Healthcare Network-wide Colorectal Surgery Collaborative (5 hospitals)...
June 18, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29915483/anastomotic-failure-in-colorectal-surgery-where-are-we-at
#9
REVIEW
Vinna An, Raaj Chandra, Matthew Lawrence
Anastomotic leak (AL) can be a devastating complication in colorectal surgery. While it is less frequent in the modern era, it still results in significant morbidity and mortality, prolonged hospital stays and increases the costs and demands on health services. There is inevitable interplay between patient physiology and technical factors that predispose a patient to AL. Obesity, preoperative total proteins, male gender, ongoing anticoagulant treatment, intraoperative complication and number of hospital beds have been identified as independent risk factors...
April 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29915479/completely-linear-stapled-versus-handsewn-cervical-esophagogastric-anastomosis-after-esophagectomy
#10
Tarun Kumar, Ravi Krishanappa, Esha Pai, Raxith Sringeri, T B Singh, Jyoti Swain, Sindhuri Kondapavuluri, Manoj Pandey
Very limited data is present which compares completely linear stapled to handsewn cervical esophagogastric anastomosis. Primary objective was to determine whether linearly stapled (LS) anastomosis has lower clinically apparent leaks, when compared to handsewn anastomosis (HS). Secondary objectives were morbidity, mortality, overall leak and stricture rates, and presence of a symptomatic cervical stricture. This is a comparative study of 77 patients who underwent LS ( n  = 29) and HS ( n  = 48) cervical anastomosis...
April 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29909668/comparison-of-cervical-anastomotic-leak-and-stenosis-after-oesophagectomy-for-carcinoma-according-to-the-interval-of-the-stomach-ischaemic-conditioning
#11
V Prochazka, F Marek, L Kunovsky, R Svaton, T Grolich, P Moravcik, M Farkasova, Z Kala
Background Stomach preparation by ischaemic conditioning prior to oesophageal resection represents a potential method of reducing the risk of anastomotic complications. This study compares the results of the anastomotic complications of cervical anastomosis after oesophagectomy with a short interval after ischaemic conditioning (group S) and a long interval (group L). Methods Subjects undergoing oesophagectomy for carcinoma after ischaemic conditioning were divided into two groups. Group S had a median interval between ischaemic conditioning and resection of 20 days, while for group L the median interval was 49 days...
June 18, 2018: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29907197/the-importance-of-presepsin-value-in-detection-of-gastrointestinal-anastomotic-leak-a-pilot-study
#12
Murat Cikot, Pinar Kasapoglu, Nilgun Isiksacan, Sinan Binboga, Osman Kones, Eyup Gemici, Bahadır Kartal, Halil Alis
BACKGROUND: Early diagnosis of anastomotic leakage is the most important factor in reducing its morbidity and mortality. Anastomotic integrity monitoring of the leukocyte count (WBC), C-reactive protein (CRP), and neutrophil-lymphocyte ratio (NLR) are commonly used laboratory parameters. The availability of follow-up presepsin anastomotic integrity was investigated in this study. MATERIALS AND METHODS: This study included patients who had gastrointestinal anastomosis due to major abdominal surgery between January 2016 and February 2017...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29907107/complete-abdominal-wound-and-anastomotic-leak-with-diffuse-peritonitis-closure-achieved-by-an-abdominal-vacuum-sealing-drainage-in-a-critical-ill-patient-a-case-report
#13
Yusuke Fujii, Yoshitsugu Tajima, Shunsuke Kaji, Takashi Kishi, Yoshiko Miyazaki, Takahito Taniura, Noriyuki Hirahara
BACKGROUND: Negative pressure wound therapy (NPWT) is a widely accepted technique to treat local infectious wounds of the skin, subcutaneous tissue, fascia, or muscle. Recently, several reports describing the efficacy of NPWT for various types of fistulas and anastomotic leaks have been published. We herein describe a patient with an open abdominal wound due to colonic anastomotic leakage and diffuse peritonitis, in whom abdominal vacuum sealing (AVS) as a modified NPWT was useful for the management of this complex wound...
June 15, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29904991/the-colorectal-surgeon-s-personality-may-influence-the-rectal-anastomotic-decision
#14
S J Moug, N Henderson, C N Tiernan, J Bisset, E Ferguson, D Harji, C Maxwell-Armstrong, E MacDermid, A G Acheson, R J C Steele, N S Fearnhead
AIM: Colorectal surgeons regularly make the decision to anastomose, defunction or form an end colostomy when performing rectal surgery. This study aimed to define personality traits of colorectal surgeons and explore any influence of such traits on the decision to perform a rectal anastomosis. METHOD: 50 attendees of The Association of Coloproctology of Great Britain and Ireland 2016 conference participated. After written consent, all underwent personality testing: alexithymia (inability to understand emotions); type of thinking process (intuitive versus rational) and personality traits (extraversion; agreeableness; openness; emotional stability; conscientiousness)...
June 14, 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29895100/anastomotic-leaks-in-stage-iv-colorectal-cancer
#15
Suat Chin Ng, Douglas Stupart, David Bartolo, David Watters
BACKGROUND: The purpose of this study was to determine the anastomotic leak rate for colorectal cancer resections in patients with metastases (compared to those without), and to determine the impact of anastomotic leaks on survival. METHODS: This is a retrospective analysis of all patients who underwent resection and primary anastomosis for colorectal adenocarcinoma at a single institution between January 2002 and December 2014. RESULTS: A total of 843 patients underwent a resection and primary anastomosis for colorectal adenocarcinoma (661 colon and 182 rectal)...
June 12, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29892336/clinical-pathway-after-gastrectomy-for-gastric-cancer-a-case-series-of-laparoscopic-gastrectomy-and-early-oral-intake-with-ieat%C3%A2
#16
Yuichi Nakaseko, Hironori Ohdaira, Masashi Yoshida, Masaki Kitajima, Yutaka Suzuki
Introduction: We investigated the validity of the clinical pathway of early oral intake using a special type of food "iEat™" for patients after laparoscopic gastric cancer surgery. Methods: Fifty-two patients who underwent laparoscopic surgery for gastric cancer between April 2012 and October 2013 were the participants. We provided postoperative care in accordance with a clinical pathway for laparoscopic gastrectomy that begins oral intake with "iEat™ the day after surgery...
July 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29881234/predictive-factors-for-anastomotic-leakage-after-laparoscopic-colorectal-surgery
#17
REVIEW
Antonio Sciuto, Giovanni Merola, Giovanni D De Palma, Maurizio Sodo, Felice Pirozzi, Umberto M Bracale, Umberto Bracale
Every colorectal surgeon during his or her career is faced with anastomotic leakage (AL); one of the most dreaded complications following any type of gastrointestinal anastomosis due to increased risk of morbidity, mortality, overall impact on functional and oncologic outcome and drainage on hospital resources. In order to understand and give an overview of the AL risk factors in laparoscopic colorectal surgery, we carried out a careful review of the existing literature on this topic and found several different definitions of AL which leads us to believe that the lack of a consensual, standard definition can partly explain the considerable variations in reported rates of AL in clinical studies...
June 7, 2018: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29877217/primary-and-rescue-endoluminal-vacuum-therapy-in-the-management-of-esophageal-perforations-and-leaks
#18
Sasha Still, Marissa Mencio, Estrellita Ontiveros, James Burdick, Steven G Leeds
BACKGROUND: To investigate the efficacy of primary and rescue endoluminal vacuum (EVAC) therapy in the treatment of esophageal perforations and leaks. METHODS: We conducted a retrospective review of a prospectively gathered, Institutional Review Board (IRB) approved database of EVAC therapy patients at our center from July 2013 to September 2016. RESULTS: In all, 13 patients were treated for esophageal perforations or leaks. Etiologies included iatrogenic injury (n = 8), anastomotic leak (n = 2), Boerhaave syndrome (n = 1), and bronchoesophageal fistula (n = 2)...
June 7, 2018: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29862275/primary-sigmoid-vaginoplasty-in-transwomen-technique-and-outcomes
#19
REVIEW
Christopher J Salgado, Ajani Nugent, Joseph Kuhn, Meghan Janette, Heidi Bahna
Background: Many techniques have been described for reconstruction of the vaginal canal for oncologic, traumatic, and congenital indications. An increasing role exists for these procedures within the transgender community. Most often, inverted phallus skin is used to create the neovagina in transwomen. However, not all patients have sufficient tissue to achieve satisfactory depth and those that do must endure cumbersome postoperative dilation routines to prevent contracture. In selected patients, the sigmoid colon can be used to harvest ample tissue while avoiding the limitations of penile inversion techniques...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29850950/postoperative-peritonitis-after-digestive-tract-surgery-surgical-management-and-risk-factors-for-morbidity-and-mortality-a-cohort-of-191-patients
#20
Thierry Bensignor, Jérémie H Lefevre, Ben Creavin, Najim Chafai, Thomas Lescot, Thévy Hor, Clotilde Debove, François Paye, Pierre Balladur, Emmanuel Tiret, Yann Parc
BACKGROUND: Postoperative peritonitis (POP) following gastrointestinal surgery is associated with significant morbidity and mortality, with no clear management option proposed. The aim of this study was to report our surgical management of POP and identify pre- and perioperative risk factors for morbidity and mortality. METHODS: All patients with POP undergoing relaparotomy in our department between January 2004 and December 2013 were included. Pre- and perioperative data were analyzed to identify predictors of morbidity and mortality...
May 30, 2018: World Journal of Surgery
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