151 research outputs found
Modified laparoscopic ventral mesh rectopexy
No full textWe present a modified laparoscopic ventral mesh rectopexy procedure using biological mesh and bilateral anterior mesh fixation. The rectopexy is anterior with a minimal posterior mobilization. The rectum is symmetrically suspended to the sacral promontory through a mesorectal window
Laparoscopic Ventral Mesh Rectopexy Compared to Stapled Trans-Anal Rectal Resection (STARR) to Treat Internal Rectal Prolapse: A Matched Cohorts Study
No full textLATERAL INTERNAL SPHINCTEROTOMY FOR CHRONIC ANAL FISSURE: 10-YEARS' EXPERIENCE IN A SPECIALIST COLORECTAL UNIT
No full textLATERAL INTERNAL SPHINCTEROTOMY FOR CHRONIC ANAL FISSURE: 10-YEARS' EXPERIENCE IN A SPECIALIST COLORECTAL UNIT.
No full textPURPOSE: The aim of the study was to determinate the long-term outcome, recurrence rate and faecal incontinence after lateral internal sphincterotomy for chronic anal fissure (CAF) after failure of conservative treatment. METHODS:110 consecutive patients underwent surgery for a medically resistant CAF between 2002 and 2012. All data were prospectively collected and entered in a database including demographics, type of surgery, complications, healing time, incontinence (FISI score) and satisfaction with the operation (score 1-4). All patients were seen after surgery at 1 week, 1 month, six months and annualy threafter for 5 years. Patients were then contacted by phone. RESULTS: Median follow up was 3.5 years. 11 parients were lost at the follow-up. Overall complications rate was 5% ( 6 out of 110). Postoperative incontinence was 4.5% ( 5 out of 110). At the end of the follow.up 1 patient (1%) experienced significative incontnence (FISI score >5). Overall healing was achieved in 95% (94/99 patients), 91% of patients would have consented to the operation again if necessary. CONCLUSIONS: In our experience LIS remains the treatment ofchoice for medically resistant CAF, recurrence rate is low wiyh a minimal impact on continence
Reinterventions for specific technique-related complications of stapled haemorrhoidopexy (SH): a critical appraisal
No full textStapled haemorrhoidopexy (SH) is an attractive alternative to conventional haemorrhoidectomy (CH) because of reduced pain and earlier return to normal activities. However, complication rates are as high as 31%. Although some complications are similar to CH, most are specifically technique-related. In this prospective audit, we report our experience with the management of some of these complications
Ligation of the intersphincteric fistula tract (LIFT) to treat anal fistula: early results from a prospective observational study
No full textPorcine dermal collagen matrix injection may enhance flap repair surgery for complex anal fistula.
No full textThe use of biomaterials to treat anal fistula has drawn great interest. More recently, a porcine dermal matrix injection has been proposed as infill biomaterial to treat fistulas
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