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JOURNAL ARTICLE
Andrea Luigi Ambrosoli, Stefano Di Carlo, Andrea Crespi, Paolo Severgnini, Luisa Luciana Fedele, Vincenza Cofini, Stefano Necozione, Giuseppe Musella
Spinal anesthesia is considered safe and reliable for most surgical procedures involving the lower part of the body, but its use in the ambulatory setting requires drugs with rapid onset and regression of the motor and sensory block-like prilocaine.The purpose of this study is to retrospectively analyze data from 3291 procedures recorded in our institutional database, to better define the safety profile of spinal prilocaine and the incidence of complications and side effects.All clinical data, prospectively collected from 2011 to 2019 in an Italian tertiary hospital, of patients treated with spinal anesthesia performed with 40 mg of hyperbaric 2% prilocaine, according to our internal protocol of day surgery, were analyzed...
October 20, 2023: J Anesth Analg Crit Care
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JOURNAL ARTICLE
Antonio Brillantino, Adolfo Renzi, Pasquale Talento, Francesca Iacobellis, Luigi Brusciano, Luigi Monaco, Domenico Izzo, Alfredo Giordano, Michele Pinto, Corrado Fantini, Marcello Gasparrini, Michele Schiano Di Visconte, Francesca Milazzo, Giovanni Ferreri, Andrea Braini, Umberto Cocozza, Massimo Pezzatini, Valeria Gianfreda, Alberto Di Leo, Vincenzo Landolfi, Umberto Favetta, Sergio Agradi, Giovanni Marino, Massimilano Varriale, Massimo Mongardini, Claudio Eduardo Fernando Antonio Pagano, Riccardo Brachet Contul, Nando Gallese, Giampiero Ucchino, Michele D'Ambra, Roberto Rizzato, Giacomo Sarzo, Bruno Masci, Francesca Da Pozzo, Simona Ascanelli, Fabrizio Foroni, Alessio Palumbo, Patrizia Liguori, Angela Pezzolla, Luigi Marano, Antonio Capomagi, Eugenio Cudazzo, Francesca Babic, Carmelo Geremia, Alessandro Bussotti, Mario Cicconi, Antonia Di Sarno, Federico Maria Mongardini, Antonio Brescia, Leonardo Lenisa, Massimiliano Mistrangelo, Maria Laura Sandoval Sotelo, Luciano Vicenzo, Antonio Longo, Ludovico Docimo
INTRODUCTION: The aim of these evidence-based guidelines is to present a consensus position from members of the Italian Unitary Society of Colon-Proctology (SIUCP: Società Italiana Unitaria di Colon-Proctologia) on the diagnosis and management of anal fissure, with the purpose to guide every physician in the choice of the best treatment option, according with the available literature. METHODS: A panel of experts was designed and charged by the Board of the SIUCP to develop key-questions on the main topics covering the management of anal fissure and to performe an accurate search on each topic in different databanks, in order to provide evidence-based answers to the questions and to summarize them in statements...
October 13, 2023: BMC Surgery
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JOURNAL ARTICLE
Fabian Haak, Fabio Nocera, Lorena Merlo, Belma Dursunoglu, Silvio Däster, Fiorenzo V Angehrn, Daniel C Steinemann
There is an increase in outpatient procedures and this trend will continue in the future. For hemorrhoidectomy, it is the standard of treatment in many health care systems. Perioperative management including adequate pain control is of paramount importance to ensure successful ambulatory surgery. This study investigates the role and effect of morphine compared to short-acting opiates applied before, during, or after proctological interventions and with focus on hemorrhoidectomy. A retrospective analysis of a prospective database was conducted comparing two populations...
September 5, 2023: Updates in Surgery
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Ibtissam Elouali, Kawtar Imrani, Kenza Berrada, Hiba Zahi, Ahmed Jahid, Nabil Moatassim Billah, Ittimade Nassar
Mucosal melanoma is a rare subtype of melanoma distinct from the cutaneous type in its clinical and biological aspects, requiring different therapeutical management. Anorectal melanomas represent less than 1% of anorectal cancers and 0.3% of malignant melanomas, and they are by far the most studied type. Proctologic examination, colonoscopy, and biopsy can establish a correct diagnosis. Imaging techniques, especially MRI can show some characteristic features, but it is essentially performed for extension assessment...
2023: SAGE Open Medical Case Reports
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JOURNAL ARTICLE
Sabine Hannes, Maxim Kochergin, Jasmin Al-Haidary, Thorsten Götze, Nils Habbe
PURPOSE: Evaluation of the effectiveness and tolerability of the application of an OTSC (Ovesco Endoscopy AG Tuebingen, Germany) Proctology clip as an innovative strategy of anorectal fistulae closure when established treatment strategies had already failed or were not feasible. METHODS: Retrospective single-center study including consecutive patients treated between March 2014 and March 2016 with the OTSC Proctology system for anorectal fistula closure, including one rectovaginal and one rectourethral fistula...
August 30, 2023: International Journal of Colorectal Disease
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JOURNAL ARTICLE
V Berti, J Blondel, L Spindler, V de Parades, M Aubert, A Le Monnier, J Lourtet-Hascoet
OBJECTIVES: The aim was to describe the clinical characteristics of symptomatic anoproctitis and the occurrence of Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Mycoplasma genitalium (MG) infections in a prospective cohort of MSM patients. METHODS: From February 2018 to January 2020, all consecutive patients presenting at the Leopold Bellan Proctology Institute of Saint-Joseph Hospital, Paris, France with symptoms of anoproctitis were tested on rectal samples for C...
August 19, 2023: Infectious diseases now
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JOURNAL ARTICLE
Hakan Demir, Recayi Capoglu, Merve Yigit, Tarik Harmantepe, Emre Gonullu, Kerem Karaman
Background Ambulatory anorectal surgeries have increased in the last few years. This clinical study aimed to compare general operating room conditions with outpatient procedures for simple anal fistulas in terms of healing success, recurrence, cost, complications, and sustainability. Methodology Only primary fistulotomy and seton application for simple anal fistulas were retrospectively analyzed. Results Two-hundred fifty patients (73.7%) were male, and 89 (26.3%) were female. Sixty patients (17.7%) were treated in the operating room, and 279 (82...
July 2023: Curēus
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REVIEW
C Paasch, C Schildberg, M Lehmann, F Meyer, U Barth
AIM: The aim of the manuscript is to discuss and assess the implications and opportunities as well as dangers of "outpatientization" of surgical and inpatient services for general and abdominal surgery. METHOD: Narrative overview with literature reference based on a PubMed search with the search terms: outpatient operations and inpatient interventions, AOP catalog, hybrid DRG, outpatient hernia surgery, outpatient proctological surgery, selective sector-equal reimbursement and day-care forms of care...
July 18, 2023: Chirurgie (Heidelb)
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REVIEW
Stefano Solari, Jacopo Martellucci, Alfredo Annicchiarico, Maximilian Scheiterle, Carlo Bergamini, Paolo Prosperi
Different types of lasers have been applied for various proctological conditions. We discuss about published articles regarding the application of lasers, with concern about evidence-based use of these techniques and technologies. We performed a literature search about laser treatments for proctological conditions. 55 studies were included for the final revision. Meta-analysis of data was not performed because of heterogeneity of study designs and outcome measures. A scoping review was performed. Laser treatments for hemorrhoids require a shorter operative time and show less postoperative pain and bleeding compared to conventional hemorrhoidectomy, but are more expensive...
July 12, 2023: Updates in Surgery
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JOURNAL ARTICLE
Ren-Chun Du, Yao-Bin Ouyang, Yi Hu
BACKGROUND: Recently, artificial intelligence (AI) has been widely used in gastrointestinal endoscopy examinations. AIM: To comprehensively evaluate the application of AI-assisted endoscopy in detecting different digestive diseases using bibliometric analysis. METHODS: Relevant publications from the Web of Science published from 1990 to 2022 were extracted using a combination of the search terms "AI" and "endoscopy". The following information was recorded from the included publications: Title, author, institution, country, endoscopy type, disease type, performance of AI, publication, citation, journal and H-index...
June 14, 2023: World Journal of Gastroenterology: WJG
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MULTICENTER STUDY
C Ugurlu, H Gok, A Sahin, B Bayar, E Olcucuoglu, H Kulacoglu
PURPOSE: To determine the prevalence of rectus diastasis (RD) in patients with inguinal hernia. MATERIAL AND METHODS: Multicenter, cross-sectional study. Patients with inguinal hernia were included in the study group (IH) and those with benign proctologic complaints created the control group (CG). Age, gender, BMI, family history for inguinal hernias, comorbid diseases, alcohol use, smoking, constipation, malignancy, chemotherapy, number of births, multiple pregnancies and prostate hypertrophy history of all patients in both groups were recorded...
August 2023: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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JOURNAL ARTICLE
Ping Cai, Hao Rong, Qiaoqiao Zhu, Xiaoyu Dai, Jianpei Zhao
Anal fistula is a common proctological disease, but the thorough mechanisms of the anal fistula formation are still unclear. An increasing number of studies have revealed the crucial role of gut microbiota in intestinal diseases. We used 16S rRNA gene sequencing to analyze the intestinal microbiome in order to determine whether there are differences in the microbiome between anal fistula patients and healthy individuals. The microbiome samples were extracted by repeatedly wiping the rectal wall with intestinal swab...
June 10, 2023: AMB Express
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Carlo Alberto Manzo, Alfredo Annicchiarico, Sayali Valiyeva, Arcangelo Picciariello, Gaetano Gallo, Gabriele Bislenghi
No abstract text is available yet for this article.
June 9, 2023: Updates in Surgery
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JOURNAL ARTICLE
Vincent De Parades
No abstract text is available yet for this article.
March 2023: La Revue du Praticien
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JOURNAL ARTICLE
Nadia Fathallah, Amine Alam, Liza Kassouri, Amélie Barré, Lucas Spindler, Vincent De Parades
MANAGEMENT OF SECONDARY LESIONS IN ANO-PERINEAL CROHN'S DISEASE. Anoperineal involvement in Crohn's disease is common and affects around 1/3 of patients during their disease. It constitutes a pejorative factor with an increased risk of permanent colostomy and proctectomy and is associated with a major deterioration in quality of life. Secondary anal lesions in Crohn's disease are fistulas and abscesses. They are difficult to treat and often recurrent. A multidisciplinary medico-surgical management in several stages is essential...
March 2023: La Revue du Praticien
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JOURNAL ARTICLE
Vincent De Parades, Aubert Manuel
No abstract text is available yet for this article.
March 2023: La Revue du Praticien
#37
JOURNAL ARTICLE
Antonio Giuliani, Lucia Romano, Margherita Attanasio, Leonardo Tersigni, Elisabetta Iacobelli, Monica Mazza
Patients with gastrointestinal diseases have been shown to report greater stress, anxiety, depression and obsessive-compulsive characteristics. The aim of our study is to investigate personality characteristics and general distress of adult patients suffering from common coloproctological conditions. We conducted a retrospective observational study including patients aged 18 years or older, with diagnosis of haemorrhoidal disease (HD group) or anal fissure (AF group). The final sample was composed of 64 participants, who were asked to complete a battery of questionnaires...
June 3, 2023: Updates in Surgery
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JOURNAL ARTICLE
Stefan Fritz, Christoph Reissfelder, Dieter Bussen
Cryptoglandular anal fistulas are one of the most common colorectal diseases and occur with an incidence of about 20/100,000. Anal fistulas are defined as an inflammatory junction between the anal canal and the perianal skin. They develop from an abscess or chronic infection of the anorectum. Surgical treatment of the disease is the method of choice. Even when treating an acute abscess, its cause should be sought at the same time. If there is a connection to the anal canal without affecting relevant parts of the sphincter muscles, primary fistulotomy should be performed...
June 2023: Zentralblatt Für Chirurgie
#39
JOURNAL ARTICLE
Ben Amar Wiem, Siala Hela, Jedidi Jihen, Kallel Hatem, Karray Narjes, Zribi Malek, Lebkem ElKoury Houcine, Maatoug Samir, Hammami Zouhir
INTRODUCTION: Sexual violence (SV) against women represents a public health problem. Despite, the promulgation of the new Act of 2017-58, SV remains frequent in Tunisia. In this paper, we propose to determine the socio-demographic characteristics of women victims of SV and to identify risk factors related to serious SV. MATERIAL AND METHODS: This is a retrospective, descriptive and analytical study including all women victims of SV, examined at the Forensic Department of Sfax Hospital, between 1st March 2018 and February 29th, 2020...
May 19, 2023: Legal Medicine
#40
JOURNAL ARTICLE
Carlo Alberto Manzo, Alfredo Annicchiarico, Sayali Valiyeva, Arcangelo Picciariello, Gaetano Gallo, Gabriele Bislenghi
Anal diseases are very common and, in most of the cases, require surgery of minor or medium complexity, and, therefore, are among the most accessible diseases for surgeons in training. Aim of this study is to investigate the status of the training in proctology in Italy. A 31-items questionnaire was administered to residents and young specialists (≤ 2 years) in general surgery, using mailing lists, and the social media accounts of the Italian Society of Colorectal Surgery. Answers from 338 respondents (53...
May 22, 2023: Updates in Surgery
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