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https://www.readbyqxmd.com/read/29775978/-initiating-a-robotic-program-for-abdominal-surgery-experiences-from-a-centre-in-germany
#1
Maximilian Brunner, Klaus Matzel, Archil Aladashvili, Christian Krautz, Robert Grützmann, Roland Croner
PURPOSE: Robotic systems are becoming increasingly important in abdominal surgery. We describe the implementation of a robotic program at a German centre for abdominal surgery, with focus on feasibility, safety, patient selection, learning curves, financial aspects and the lessons learned. METHODS: This retrospective analysis covered data on patient demographics, intra- and postoperative parameters, oncological results and costs of all robotic-assisted abdominal operations performed at our institution between August 2012 to December 2016...
May 18, 2018: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/29733247/robotic-colorectal-surgery-learning-curve-and-case-complexity
#2
Darcy D Shaw, Moriah Wright, Lindsay Taylor, Noelle L Bertelson, Maniamparampil Shashidharan, Prem Menon, Vijay Menon, Samuel Wood, Charles A Ternent
PURPOSE: To understand the role of case complexity in the learning curve for robotic colorectal surgery. MATERIALS AND METHODS: Sixty-two patients who underwent robot-assisted colorectal surgery were retrospectively reviewed. Each case was assigned a category of complexity ranging from I to IV. Overall, groups and categories of segmental colectomy, rectopexy, and proctectomy for cancer were analyzed according to case volume. Forty-eight patients who underwent similar laparoscopic cases during the same period were also reviewed for comparison...
May 7, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29717564/commentary-on-short-and-long-term-clinical-and-patient-reported-outcomes-following-laparoscopic-ventral-mesh-rectopexy-using-biological-mesh-for-pelvic-organ-prolapse-a-prospective-cohort-study-of-224-consecutive-patients
#3
Martijn Pieter Gosselink
No abstract text is available yet for this article.
May 2018: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29594747/pelvic-floor-function-following-ventral-rectopexy-versus-starr-in-the-treatment-of-obstructed-defecation
#4
D F Altomare, A Picciariello, R Memeo, M Fanelli, R Digennaro, N Chetta, M De Fazio
BACKGROUND: Obstructed defecation syndrome (ODS), most commonly found in females, can be treated by a transanal or abdominal approach with good success rate. Nevertheless, patients may experience de novo or persisting pelvic floor dysfunctions after surgery. The aim of this study was to compare the functional outcome of stapled transanal rectal resection (STARR) and ventral rectopexy (VRP) in a series of ODS patients. METHODS: Forty-nine female patients who had surgery for ODS between 2006 and 2016 were retrospectively evaluated: 28 (median age 60 years, IQR 54-69 years) had VRP and 21 (median age 58 years, IQR 51-66 years) had STARR...
March 28, 2018: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29582793/laparoscopic-ventral-rectopexy-a-viable-option-in-procidentia-with-redundant-sigmoid-an-indian-perspective
#5
Abhijit Chandra, Prabhu Singh, Saket Kumar, Nikhil Chopra, Vishal Gupta, Pradeep Joshi, Vivek Gupta
INTRODUCTION: Laparoscopic ventral mesh rectopexy (LVMR) has gained widespread acceptance for the management of complete rectal prolapse (CRP). However, there have been concerns considering its use in patients with a redundant sigmoid colon. This study was conducted to evaluate the anatomical and functional results following LVMR, particularly in cases of CRP with a redundant sigmoid colon. MATERIALS AND METHODS: Retrospective analysis of 25 patients who underwent LVMR from January 2011 to September 2016 was performed...
March 23, 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29577215/-current-status-in-surgical-treatment-of-constipation
#6
Jiexuan Wang, Wei Cai
Chronic constipation is a polysymptomatic heterogeneous disorder with the incidence rising in many countries, and becomes a common disease affecting the quality of life and financial burden. In China surgical guideline, the primary constipation is divided into 3 types: slow transit constipation, outlet obstructive constipation, mixed constipation. The Rome IIII( criteria is usually referred to diagnosis, considering with clinical features and patient complaints. Through detail interrogation, physical examination and various detections, the secondary causes should be excluded, and etiological treatment is worth to try...
March 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29514581/strangulation-of-giant-rectal-prolapse
#7
Imad El Moussaoui, Augustin Limbga, Manke Dika, Abdelilah Mehdi
Introduction Rectal prolapse is the complete protrusion of the rectum through the anal canal, incarceration rarely complicates rectal prolapse. Even more rarely, it becomes strangulated and gangrenous, necessitating emergency surgery. Case presentation We present the first reported case of strangulated acute rectal prolapse as the first manifestation of rectal prolapse. The patient was a 26-year-old man who presented with a 20×6 cm semi-spherical mass extra-anally. Rectosigmoidectomy with sacral rectopexy was performed, resecting 20 cm of the incarcerated rectum and sigmoid colon...
January 1, 2018: Scottish Medical Journal
https://www.readbyqxmd.com/read/29512048/the-clinical-value-of-magnetic-resonance-defecography-in-males-with-obstructed-defecation-syndrome
#8
V Piloni, M Bergamasco, G Melara, P Garavello
BACKGROUND: The aim of the present study was to assess the relationship between symptoms of obstructed defecation and findings on magnetic resonance (MR) defecography in males with obstructed defecation syndrome (ODS). METHODS: Thirty-six males with ODS who underwent MR defecography at our institution between March 2013 and February 2016 were asked in a telephone interview about their symptoms and subsequent treatment, either medical or surgical. Patients were divided into 2 groups, one with anismus (Group 1) and one with prolapse without anismus (Group 2)...
March 2018: Techniques in Coloproctology
https://www.readbyqxmd.com/read/29507465/surgical-options-for-full-thickness-rectal-prolapse-current-status-and-institutional-choice
#9
REVIEW
Tomohide Hori, Daiki Yasukawa, Takafumi Machimoto, Yoshio Kadokawa, Toshiyuki Hata, Tatsuo Ito, Shigeru Kato, Yuki Aisu, Yusuke Kimura, Yuichi Takamatsu, Taku Kitano, Tsunehiro Yoshimura
Full-thickness rectal prolapse (FTRP) is generally believed to result from a sliding hernia through a pelvic fascial defect, or from rectal intussusception. The currently accepted cause is a pelvic floor disorder. Surgery is the only definitive treatment, although the ideal therapeutic option for FTRP has not been determined. Auffret reported the first FTRP surgery using a perineal approach in 1882, and rectopexy using conventional laparotomy was first described by Sudeck in 1922. Laparoscopy was first used by Bermann in 1992, and laparoscopic surgery is now used worldwide; robotic surgery was first described by Munz in 2004...
March 2018: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/29502314/trends-in-the-treatment-of-rectal-prolapse-a-population-analysis
#10
A C Rogers, N McCawley, A M Hanly, J Deasy, D A McNamara, J P Burke
PURPOSE: Rectal prolapse is a common condition, with conflicting opinions on optimal surgical management. Existing literature is predominantly composed of case series, with a dearth of evidence demonstrating current, real-world practice. This study investigated recent national trends in management of rectal prolapse in the Republic of Ireland (ROI). METHODS: This population analysis used a national database to identify patients admitted in the ROI primarily for the management of rectal prolapse, as defined by the International Classification of Diseases, 10th Revision (ICD-10)...
April 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29487493/pediatric-rectal-prolapse
#11
REVIEW
Rebecca M Rentea, Shawn D St Peter
Rectal prolapse is a common and self-limiting condition in infancy and early childhood. Most cases respond to conservative management. Patients younger than 4 years with an associated condition have a better prognosis. Patients older than 4 years require surgery more often than younger children. Multiple operative and procedural approaches to rectal prolapse exist with variable recurrence rates and without a clearly superior operation. These include sclerotherapy, Thiersch's anal cerclage, Ekehorn's rectopexy, laparoscopic suture rectopexy, and posterior sagittal rectopexy...
March 2018: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/29442156/ventral-rectopexy-with-biological-mesh-short-term-functional-results
#12
M Brunner, H Roth, K Günther, R Grützmann, K E Matzel
PURPOSE: Ventral mesh rectopexy (VMR) is an established, minimally invasive, nerve-sparing procedure for the treatment of various symptomatic morphological changes in the posterior pelvic compartment. We present the short-term functional outcome and patient satisfaction after laparoscopic and robotic VMR with biological mesh. METHODS: We analyzed data from 123 patients who underwent laparoscopic ventral mesh rectopexy (LVMR) or robotic ventral mesh rectopexy (RVMR) from August 2012 to January 2017...
April 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29402303/stepped-wedge-randomised-trial-of-laparoscopic-ventral-mesh-rectopexy-in-adults-with-chronic-constipation-study-protocol-for-a-randomized-controlled-trial
#13
Ugo Grossi, Natasha Stevens, Eleanor McAlees, Jon Lacy-Colson, Steven Brown, Anthony Dixon, Gian Luca Di Tanna, S Mark Scott, Christine Norton, Nadine Marlin, James Mason, Charles H Knowles
BACKGROUND: Laparoscopic ventral mesh rectopexy (LVMR) is an established treatment for external full-thickness rectal prolapse. However, its clinical efficacy in patients with internal prolapse is uncertain due to the lack of high-quality evidence. METHODS: An individual level, stepped-wedge randomised trial has been designed to allow observer-blinded data comparisons between patients awaiting LVMR with those who have undergone surgery. Adults with symptomatic internal rectal prolapse, unresponsive to prior conservative management, will be eligible to participate...
February 5, 2018: Trials
https://www.readbyqxmd.com/read/29402298/laparoscopic-low-anterior-resection-for-rectal-cancer-with-rectal-prolapse-a-case-report
#14
Ryusei Yamamoto, Yasuji Mokuno, Hideo Matsubara, Hirokazu Kaneko, Shinsuke Iyomasa
BACKGROUND: Rectal cancer with rectal prolapse is rare, described by only a few case reports. Recently, laparoscopic surgery has become standard procedure for either rectal cancer or rectal prolapse. However, the use of laparoscopic low anterior resection for rectal cancer with rectal prolapse has not been reported. CASE PRESENTATION: A 63-year-old Japanese woman suffered from rectal prolapse, with a mass and rectal bleeding for 2 years. An examination revealed complete rectal prolapse and the presence of a soft tumor, 7 cm in diameter; the distance from the anal verge to the tumor was 5 cm...
February 6, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29396113/early-experience-with-ambulatory-robotic-ventral-rectopexy
#15
B Trilling, P-Y Sage, F Reche, S Barbois, P-A Waroquet, J-L Faucheron
OBJECTIVE OF THE STUDY: Ventral rectopexy can be performed robotically with only limited trauma for the patient, making its performance in an ambulatory setting potentially interesting. The aim of this study is to report our preliminary experience with ambulatory robotic ventral rectopexy in consecutive patients. PATIENTS AND METHODS: Ten consecutive patients underwent robotic ventral rectopexy for total rectal prolapse (n=8) or symptomatic enterocele (n=2) between February 2014 and April 2015...
February 2018: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/29388327/primary-small-intestinal-volvulus-after-laparoscopic-rectopexy-for-rectal-prolapse
#16
Michihiro Koizumi, Takeshi Yamada, Seiichi Shinji, Yasuyuki Yokoyama, Goro Takahashi, Masahiro Hotta, Takuma Iwai, Keisuke Hara, Kohki Takeda, Hayato Kan, Hideaki Takasaki, Keiichiro Ohta, Eiji Uchida
Primary small intestinal volvulus is defined as torsion in the absence of congenital malrotation, band, or postoperative adhesions. Its occurrence as an early postoperative complication is rare. A 40-year-old woman presented with rectal prolapse, and laparoscopic rectopexy was uneventfully performed. She could not have food on the day after surgery. She started oral intake on postoperative day 3 but developed abdominal pain after the meal. Contrast-enhanced CT revealed torsion of the small intestinal mesentery...
February 1, 2018: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/29354610/corrigendum-correction-of-the-fourth-author-s-affiliation-synthetic-versus-biological-mesh-related-erosion-after-laparoscopic-ventral-mesh-rectopexy-a-systematic-review
#17
Andrea Balla, Silvia Quaresima, Sebastian Smolarek, Mostafa Shalaby, Giulia Missori, Pierpaolo Sileri
[This corrects the article on p. 46 in vol. 33, PMID: 28503515.].
December 2017: Annals of Coloproctology
https://www.readbyqxmd.com/read/29337779/does-ventral-rectopexy-improve-pelvic-floor-function-in-the-long-term
#18
Johanna Mäkelä-Kaikkonen, Tero Rautio, Matti Kairaluoma, Monika Carpelan-Holmström, Jyrki Kössi, Anna Rautio, Pasi Ohtonen, Jyrki Mäkelä
BACKGROUND: Information is needed on long-term functional results, sequelas, and outcome predictors for laparoscopic ventral mesh rectopexy. OBJECTIVE: The purpose of this study was to evaluate long-term function postventral rectopexy in patients with external rectal prolapse or internal rectal prolapse in a large cohort and to identify the possible effects of patient-related factors and operative technical details on patient-reported outcomes. DESIGN: This was a retrospective review with a cross-sectional questionnaire study...
February 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29336759/robotic-rectopexy-for-rectal-prolapse-in-pediatric-patients
#19
David J Hiller, Jaime L Bohl, Kristen A Zeller
Rectal prolapse is the protrusion of the rectum out of the anus. Surgical correction can be accomplished via open and minimally invasive abdominal approaches, as well as from the perineum. Robotic rectopexy is an option for minimally invasive treatment of rectal prolapse. There are no studies that have established the efficacy of robotic rectopexy for rectal prolapse in the pediatric population. The aim of this study was to review the experience of robotic rectopexy at a single institution. This is a retrospective review of our pediatric robotic rectopexy experience from 2012 to 2015...
December 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/29273884/one-decade-of-rectal-prolapse-surgery-a-national-study
#20
Trine Bjerke, Tommie Mynster
PURPOSE: We aimed to investigate the development of common procedures used as treatment for rectal prolapse over a decade and to determine if the choice of primary operation affects the reoperation rate. METHODS: This is a retrospective analysis of operative data from a National Data Registry, Landspatientregisteret (LPR), from the period of January 1, 2004 to December 31, 2014. All hospitalized surgical treatments are registered in LPR. RESULTS: Sixteen hundred and twenty-five patients with rectal prolapse underwent 1834 operations...
March 2018: International Journal of Colorectal Disease
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