Article
Gastroenterology & Hepatology
Emma M. van der Schans, Paul M. Verheijen, Ivo A. M. J. Broeders, Esther C. J. Consten
Summary: This study evaluated the 90-day morbidity of robot-assisted redo interventions for recurrent rectal prolapse, mesh erosion, and pelvic pain. Intraoperative complications and postoperative morbidity were analyzed for redo surgeries. Results show that redo surgery for recurrent rectal prolapse is safe, but redo surgery for mesh erosion has high morbidity rates and redo surgery for pelvic pain is only effective in half of the cases.
COLORECTAL DISEASE
(2021)
Article
Gastroenterology & Hepatology
G. P. Thomas, F. Wong, C. J. Vaizey, J. H. Warusavitarne
Summary: Rectal prolapse is a common and debilitating condition that often requires surgical correction. This study introduces a novel rectopexy operation that combines aspects of two commonly used approaches, providing a potentially safe and effective treatment option for external rectal prolapse.
COLORECTAL DISEASE
(2023)
Article
Surgery
J. Smedberg, W. Graf, K. Pekkari, F. Hjern
Summary: This study compared the outcomes of different surgical approaches for rectal prolapse, showing improvements in bowel function and quality of life after surgery, with higher recurrence rates than previously reported.
Article
Medicine, General & Internal
Farouk Drissi, Fabien Rogier-Mouzelas, Sebastian Fernandez Arias, Juliette Podevin, Guillaume Meurette
Summary: Laparoscopic ventral mesh rectopexy (VMR) is the standard procedure for posterior pelvic organ prolapse, but severe complications related to mesh augmentation can occur. We developed a variant of VMR without rectal fixation and using a robotic approach with biological mesh to reduce complications. The study compared laparoscopic ventral rectopexy with synthetic mesh (LVMRS) to robotic ventral rectopexy with biological mesh (RVMRB).
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Xu Bao, Huan Wang, Weiliang Song, Yuzhuo Chen, Ying Luo
Summary: The meta-analysis showed that robotic-assisted ventral mesh rectopexy is effective in treating rectal prolapse with shorter hospital stay and lower complication rate compared to laparoscopic approach. However, it has longer operation time and higher cost. Long-term follow-up is needed for further evaluation of this method as a gold standard in rectal surgery.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Review
Health Care Sciences & Services
Giampaolo Formisano, Luca Ferraro, Adelona Salaj, Simona Giuratrabocchetta, Andrea Pisani Ceretti, Enrico Opocher, Paolo Pietro Bianchi
Summary: Rectal prolapse is commonly treated with surgery, with laparoscopic abdominal procedures and robotic surgery emerging as main treatment modalities in recent years. Robotic surgery offers enhanced dexterity and potential advantages in reducing complication rates and shortening hospital stay, although further long-term data validation is needed.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Gastroenterology & Hepatology
Bang Hu, Qi Zou, Zhenyu Xian, Dan Su, Chao Liu, Li Lu, Minyi Luo, Zixu Chen, Keyu Cai, Han Gao, Hui Peng, Wuteng Cao, Donglin Ren
Summary: This study investigated the selection of abdominal repair or perineal repair for male patients with external rectal prolapse. Results showed that abdominal repair had lower complication and recurrence rates compared to perineal repair. However, perineal repair was more effective in improving constipation.
GASTROENTEROLOGY REPORT
(2022)
Article
Gastroenterology & Hepatology
Sandeep Singh, Edward Smyth, Oliver Jones, Chris Cunningham, Ian Lindsey
Summary: This study aimed to determine the outcomes of patients with benign joint hypermobility syndrome (BJHS) after undergoing ventral rectopexy surgery (VMR). The results showed that patients with BJHS were younger and more likely to require revisional surgery for rectal prolapse recurrence compared to those without the condition.
TECHNIQUES IN COLOPROCTOLOGY
(2023)
Review
Gastroenterology & Hepatology
Julie Flynn, Jose T. Larach, Joseph C. H. Kong, Satish K. Warrier, Alexander Heriot
Summary: This study compared the outcomes of robotic and laparoscopic ventral mesh rectopexy, finding that robotic surgeries had longer operating times but shorter hospital stays, with no significant differences in postoperative complications and conversion rates. More data and cost-benefit analyses are needed to determine the justification of the robotic platform.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Surgery
Emma M. van der Schans, Paul M. Verheijen, Mostafa El Moumni, Ivo A. M. J. Broeders, Esther C. J. Consten
Summary: The study found that 36 to 55 procedures are needed to complete the learning curve for robot-assisted ventral mesh rectopexy, and both intraoperative and postoperative complication rates remained below an acceptable level of performance before and after completing the learning curve.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Gastroenterology & Hepatology
Shahin Hajibandeh, Shahab Hajibandeh, Chokkalingam Arun, Adedayo Adeyemo, Brendan McIlroy, Rajeev Peravali
Summary: Comparative outcomes of laparoscopic mesh rectopexy (LMR) and laparoscopic posterior sutured rectopexy (LPSR) in patients with rectal prolapse showed lower recurrence rate but longer procedure time with LMR. Other outcomes did not show significant differences between the two groups.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Gastroenterology & Hepatology
S. Solari, J. Martellucci, S. Ascanelli, A. Sturiale, A. Annicchiarico, B. Fabiani, P. Prosperi, P. Carcoforo, G. Naldini
Summary: This study analyzed consecutive patients who underwent ventral mesh rectopexy for rectal prolapse or obstructed defecation and found that redundant colon and pre-existing constipation are risk factors for postoperative constipation persistence or new-onset, with postoperative pelvic floor rehabilitation potentially reducing this risk.
TECHNIQUES IN COLOPROCTOLOGY
(2022)
Article
Obstetrics & Gynecology
Andrea Morciano, Dario Caliandro, Giuseppe Campagna, Giovanni Panico, Alessia Giaquinto, Giorgio Fachechi, Marzio Angelo Zullo, Andrea Tinelli, Alfredo Ercoli, Giovanni Scambia, Mauro Cervigni, Giuseppe Marzo
Summary: The present study evaluated a new approach to rectal-mesh fixation during LVR with continuous locked suture. The results showed that the use of continuous locked suture significantly reduced operative time and improved surgical outcomes without increasing the incidence of complications.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2022)
Article
Surgery
Takeyoshi Yumiba, Yoshihito Souma, Jun Yasuda, Junji Ieda, Tomojiro Ono, Riichiro Nezu, Toru Saito
Summary: Laparoscopic ventral rectopexy with the transanal vacuum test reduces recurrence rates in patients with complete rectal prolapse, making it a useful technique to consider.
Article
Gastroenterology & Hepatology
K. E. Laitakari, J. K. Makela-Kaikkonen, M. Kairaluoma, A. Junttila, J. Kossi, P. Ohtonen, T. T. Rautio
Summary: This retrospective cohort study evaluated patients who underwent redo minimally invasive VMR, and found that redo VMR is a safe and effective procedure for treating posterior pelvic floor dysfunction with acceptable rates of recurrence and reoperation.
TECHNIQUES IN COLOPROCTOLOGY
(2021)
Article
Surgery
Emad Abdallah, Sameh Hany Emile, Mahmoud Zakaria, Mohamed Fikry, Mohamed Elghandour, Ahmed AbdelMawla, Omar Rady, Mahmoud Abdelnaby
Summary: The results of the study showed that patients who underwent tailored bypass had significantly greater weight loss and total weight loss at 6 and 12 months postoperatively compared to those who received fixed bypass. There was no significant difference between the two groups in terms of improvement in comorbidities, but the fixed bypass group had a significantly higher complication rate than the tailored bypass group. Both groups showed similar changes in nutritional parameters at 12 months postoperatively, except for higher serum albumin levels in the tailored bypass group.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Mahmoud Abdelnaby, Sameh Hany Emile, Mohammad Fathy, Mohamed Balata, Mohamed Arnous, Hossam Elfeki
Summary: Surgical treatment including laparoscopic ventral mesh rectopexy and sigmoid colon resection was effective in improving obstructed defecation syndrome caused by internal rectal prolapse and anterior rectocele with associated dolichocolon in a 39-year-old woman, with no postoperative complications and significant symptom improvement at 6 months follow-up.
INDIAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Salomone Di Saverio, Kostantinos Stasinos, Weronyka Stupalkowska, Umberto Bracale, Pierpaolo Sileri, Antonio Giuliani, Giuseppe Nigri, Efstratios Kouroumpas, James M. D. Wheeler, Giovanni Domenico Tebala, Francesco Di Marzo, Belinda De Simone, Carlos Pastor Idoate, Nicola De Angelis, Roberto Cirocchi, Patricia Tejedor
Summary: This article presents a modified Deloyers procedure for laparoscopic left extended hemicolectomy, highlighting the importance of anatomical and oncological considerations for a successful primary anastomosis and improved postoperative bowel function.
LANGENBECKS ARCHIVES OF SURGERY
(2022)
Review
Surgery
Sameh Hany Emile, Ahmad Sakr, Mostafa Shalaby, Hossam Elfeki
Summary: This umbrella review explored the efficacy and safety of NOM for uncomplicated AA. The results showed higher treatment failure but lower complication rates and shorter hospital stays compared to appendectomy.
WORLD JOURNAL OF SURGERY
(2022)
Editorial Material
Surgery
Francesco Maria Carrano, Pierpaolo Sileri, Susie Batt, Nicola Di Lorenzo
UPDATES IN SURGERY
(2022)
Review
Communication
Sameh Hany Emile, Hytham K. S. Hamid, Semra Demirli Atici, Doga Nur Kosker, Mario Virgilio Papa, Hossam Elfeki, Chee Yang Tan, Alaa El-Hussuna, Steven D. Wexner
Summary: This review discusses the types, limitations, and possible alternatives of peer review based on a literature review and the opinions of a social-media audience. It finds that the main issues with the current peer review system are the time-consuming nature, inconsistent and biased results, and lack of transparency. Suggestions for improvement include implementing an interactive, double-blind review system, using artificial intelligence to recruit reviewers, providing incentives for reviewers, and utilizing review templates.
Article
Surgery
Sameh Hany Emile, Hossam Elfeki, Khaled Elbahrawy, Ahmad Sakr, Mostafa Shalaby
Summary: TAP block is a safe and effective method for controlling postoperative pain and promoting recovery after laparoscopic cholecystectomy. Both USTAP and LSTAP blocks have similar effects in terms of pain relief, analgesic requirements, postoperative nausea and vomiting, return of bowel function, and time to ambulation.
INTERNATIONAL JOURNAL OF SURGERY
(2022)
Article
Oncology
Sameh H. Emile, Khaled M. Madbouly, Hossam Elfeki, Mostafa Shalaby, Ahmad Sakr, Mohammad Zuhdy, Islam H. Metwally, Mohamed Abdelkhalek
Summary: This study validated the effectiveness of the PREDICT score in predicting local recurrence of rectal cancer after TME surgery and demonstrated its good diagnostic accuracy and discriminative ability in differentiating patients at different risks for local recurrence.
JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Gastroenterology & Hepatology
Reem A. Alharbi, Hossam Elfeki, Katrine J. Emmertsen, Alexander R. Mortensen, Asbjorn M. Drewes, Peter Christensen, Soren Laurberg, Therese Juul
Summary: The chronic pain score (CP score) has been translated and validated in a cohort of colon cancer patients. The score demonstrated good convergent and discriminative validity, and was able to differentiate between different genders and age groups. It also showed the ability to identify patients with a major impact on quality of life.
COLORECTAL DISEASE
(2023)
Article
Gastroenterology & Hepatology
Andrea Balla, Federica Saraceno, Marika Rullo, Salvador Morales-Conde, Eduardo M. Targarona Soler, Salomone Di Saverio, Mario Guerrieri, Pasquale Lepiane, Nicola Di Lorenzo, Michel Adamina, Isaias Alarcon, Alberto Arezzo, Jesus Bollo Rodriguez, Luigi Boni, Sebastiano Biondo, Francesco Maria Carrano, Manish Chand, John T. Jenkins, Justin Davies, Salvadora Delgado Rivilla, Paolo Delrio, Ugo Elmore, Eloy Espin-Basany, Alessandro Fichera, Blas Flor Lorente, Nader Francis, Marcos Gomez Ruiz, Dieter Hahnloser, Eugenio Licardie, Carmen Martinez, Monica Ortenzi, Yves Panis, Carlos Pastor Idoate, Alessandro M. Paganini, Miguel Pera, Roberto Perinotti, Daniel A. Popowich, Timothy Rockall, Riccardo Rosati, Alberto Sartori, Daniele Scoglio, Mostafa Shalaby, Vicente Simo Fernandez, Neil J. Smart, Antonino Spinelli, Patricia Sylla, Pieter J. Tanis, Javier Valdes-Hernandez, Steven D. Wexner, Pierpaolo Sileri
Summary: This qualitative study investigated the decision-making process of surgeons regarding protective ileostomy creation after rectal cancer surgery. The results showed that 76% of surgeons supported the creation of ileostomy. When making the decision, 88% of surgeons considered risk factors. Emotions influenced the decision-making process in 22% of cases, and personal experiences influenced it in 49% of cases. The most frequently considered risk factors were the distance between the anus and the tumor (96%), neoadjuvant chemoradiotherapy (88%), positive intraoperative leak test (65%), blood loss (37%), and immunosuppression therapy (35%).
COLORECTAL DISEASE
(2023)
Article
Surgery
Monica Ortenzi, Mario Guerrieri, Federica Saraceno, Angelica Reggiani, Pasquale Lepiane, Pierpaolo Sileri, Andrea Balla
Summary: This study aimed to test the translated Italian version of the Vaizey and Wexner and Fecal Incontinence Severity Index (FISI) questionnaires among Italian-speaking patients. The questionnaires were independently translated and then back-translated to produce the final versions. The questionnaires were administered twice to 100 Italian-speaking patients, and the results showed good consistency, reliability, and reproducibility for both questionnaires.
UPDATES IN SURGERY
(2023)
Article
Surgery
Andrea Balla, Federica Saraceno, Mostafa Shalaby, Gaetano Gallo, Salomone Di Saverio, Paola De Nardi, Roberto Perinotti, Pierpaolo Sileri, Anal Fissure Collaborative Grp
Summary: This study aimed to report the clinical practice of surgeons in the treatment of anal fissure. The duration of symptoms and the type of fissure were found to be important factors in diagnosis and treatment selection. Ointment application was the preferred treatment for acute fissure, while colorectal surgeons were more likely to perform anal flap procedures for chronic fissure. General surgeons were more inclined to perform lateral internal sphincterotomy.
UPDATES IN SURGERY
(2023)
Review
Clinical Neurology
Mohamed Adel Deniwar, Wessam Mustafa, Hossam Elfeki, Ashraf Ezz Eldin, Basem I. Awad
Summary: This study conducted a meta-analysis to evaluate the success and complication rates of transvenous embolization (TVE) for brain arteriovenous malformations (BAVMs), finding it generally safe and effective in selected patients. However, more research is needed on the complementary role of TAE with TVE as a definitive endovascular treatment for BAVMs.
TURKISH NEUROSURGERY
(2022)
Review
Surgery
Sameh Hany Emile, Hytham K. S. Hamid
Summary: The safety of using minimally invasive surgery (MIS) during the COVID-19 pandemic is debated due to the potential aerosolization of the virus. Limited evidence suggests the possibility of airborne transmission, but precautions can be taken to minimize the risk of infection for the operating staff.
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
(2022)
