MyMedR

Ano-coccygeal support in the treatment of idiopathic chronic posterior anal fissure: a prospective non-randomised controlled pilot trial

Gee T, Hisham RB, Jabar MF, Gul YA

Tech Coloproctol, 2013 Apr;17(2):181-6.

PMID: 22983551 DOI: 10.1007/s10151-012-0894-6

Idiopathic chronic anal fissure is believed to be a consequence of a traumatic acute anodermal tear followed by recurrent inflammation and poor healing due to relative tissue ischaemia secondary to internal sphincter spasm. This pilot trial compared the efficacy of a novel manufactured ano-coccygeal support attached to a standard toilet seat (Colorec) to the standard procedure of lateral internal sphincterotomy (LIS) for chronic anal fissure.

Locally advanced anourological verrucous carcinoma: a multidisciplinary approach

Koh PS, Roslani AC, Leow M, Ng CL, Lee GE

Tech Coloproctol, 2009 Mar;13(1):101.

PMID: 19288239 DOI: 10.1007/s10151-009-0464-8

The bother of anal incontinence and St. Mark's Incontinence Score

Paka C, Atan IK, Dietz HP

Tech Coloproctol, 2016 Feb;20(2):123-8.

PMID: 26573810 DOI: 10.1007/s10151-015-1397-z

Patient self-report is important in the assessment of the impact of anal incontinence (AI) on quality of life. This study aimed to (1) determine the correlation between total St. Mark's Incontinence Score (SMIS) and a single-item visual analogue scale (VAS) for bother from AI, and (2) determine the correlation between individual components of SMIS and VAS.

Current surgical treatment of obstructed defecation among selected European opinion leaders in pelvic floor surgery

Kim M, Meurette G, Ragu R, Lehur PA

Tech Coloproctol, 2016 Jun;20(6):395-399.

PMID: 27170284 DOI: 10.1007/s10151-016-1473-z

BACKGROUND: The aim of this study was to perform a survey on the surgical management of obstructed defecation (OD) across advocated selected coloproctological experts across Europe.

METHODS: Surgeons from 42 centers of coloproctology in Europe were asked to complete a questionnaire, including seven questions about their past and present operative treatment strategy for patients with OD.

RESULTS: The questionnaire was completed by 32 experts of pelvic floor surgery in 13 European countries. All but one indicated that they consider surgical treatment for OD. Seventy-four percent of these have been using transanal stapled rectal resection (STARR) and 96 % transabdominal rectopexy. While only 65 %, who have begun performing STARR are still using transanal resection, the technique is still being used by all surgeons performing abdominal procedures. Rectopexy only, STARR only, or both approaches are offered by 52, 3, and 45 % of surgeons, respectively.

CONCLUSIONS: The use of STARR in the treatment of OD is decreasing among European opinion leaders in the field of pelvic floor surgery, while the application of transabdominal procedures continues.

Robotic-assisted mesh pelvic closure for prevention of small bowel descent after surgery for recurrent rectal cancer

Rusli SM, Kim JS, Choo JM, Cheong JY, Piozzi GN, Kim SH

Tech Coloproctol, 2021 Sep 18.

PMID: 34536172 DOI: 10.1007/s10151-021-02529-1

Carcinoma arising in enteric diversion or rectal neobladder for bladder exstrophy

Ragu R, Meurette G, Kim M, Le Normand L, Lehur PA

Tech Coloproctol, 2016 Nov;20(11):745-752.

PMID: 27592221

Bladder exstrophy is a rare malformation. Ureteral diversion, such as ureterosigmoidostomy or a neorectal bladder, has been described. When the patients reach adulthood, cancer may arise in these reconstructions. Our aim was to perform a systematic review (all languages) of the published literature on neoplasia after urinary diversion and suggested management in cases of cancer. PubMed and Cochrane library were searched for relevant articles published within the last 20 years. All identified articles were reviewed for inclusion. Carcinoma occurring in the bladder and unreconstructed exstrophy were excluded. Out of 47 articles found, 12 matched our search criteria. The outcomes of 23 patients (including 2 from the authors' institution) were reported. Twenty-two patients with adenocarcinoma and 1 with carcinoid tumour were identified. Median age at urinary diversion was 3 (range 1-13) years. There were 20 ureterosigmoidostomies and 2 neorectal bladders. Cancer was diagnosed subsequently at a median of 31 (range 5-55) years after urinary diversion still in place (n = 18) or 21 years (range 1-30) after incomplete excision of ureteric stump when re-diverted (n = 5). The long-term outcomes of 15 patients were available. Ten died due to colorectal adenocarcinoma, and 5 were disease-free at 3 years. Patients with enteric diversion for bladder exstrophy, including those with subsequent reconstruction, are at risk of adenocarcinoma during adulthood. It is important to provide adequate surveillance. If lesions suggestive of carcinoma are seen, complete excision of the receptive bowel and urinary diversion are mandatory.

Laparoscopic transverse colectomy with extended complete mesocolic excision for mid-transverse colon cancer

Piozzi GN, Rusli SM, Choo JM, Kim JS, Kim SH

Tech Coloproctol, 2022 Feb 07.

PMID: 35129734 DOI: 10.1007/s10151-021-02567-9

Artificial intelligence in colorectal surgery: an AI-powered systematic review

Spinelli A, Carrano FM, Laino ME, Andreozzi M, Koleth G, Hassan C, et al.

Tech Coloproctol, 2023 Aug;27(8):615-629.

PMID: 36805890 DOI: 10.1007/s10151-023-02772-8

Artificial intelligence (AI) has the potential to revolutionize surgery in the coming years. Still, it is essential to clarify what the meaningful current applications are and what can be reasonably expected. This AI-powered review assessed the role of AI in colorectal surgery. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-compliant systematic search of PubMed, Embase, Scopus, Cochrane Library databases, and gray literature was conducted on all available articles on AI in colorectal surgery (from January 1 1997 to March 1 2021), aiming to define the perioperative applications of AI. Potentially eligible studies were identified using novel software powered by natural language processing (NLP) and machine learning (ML) technologies dedicated to systematic reviews. Out of 1238 articles identified, 115 were included in the final analysis. Available articles addressed the role of AI in several areas of interest. In the preoperative phase, AI can be used to define tailored treatment algorithms, support clinical decision-making, assess the risk of complications, and predict surgical outcomes and survival. Intraoperatively, AI-enhanced surgery and integration of AI in robotic platforms have been suggested. After surgery, AI can be implemented in the Enhanced Recovery after Surgery (ERAS) pathway. Additional areas of applications included the assessment of patient-reported outcomes, automated pathology assessment, and research. Available data on these aspects are limited, and AI in colorectal surgery is still in its infancy. However, the rapid evolution of technologies makes it likely that it will increasingly be incorporated into everyday practice.

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