Elective laparoscopic versus open colectomy for diverticulosis: an analysis of ACS-NSQIP database.

Background: The benefits of laparoscopic (LC) versus open (OC) colectomy for symptomatic colonic diverticulosis as an elective operation remain unclear.

Methods: Using the American College of Surgeons-National Surgical Quality Improvement Project (ACS-NSQIP) participant-user file, patients were identified who underwent elective colon resection for symptomatic colonic diverticulosis, between 2005 and 2008. Demographic, clinical, intraoperative variables, and 30-day morbidity and mortality were collected.

The effect of colorectal surgery in female sexual function, body image, self-esteem and general health: a prospective study.

Objective: To evaluate women's sexual function, self-esteem, body image, and health-related quality of life after colorectal surgery.

Summary Background Data: Current literature lacks prospective studies that evaluate female sexuality/quality of life after colorectal surgery using validated instruments.

Methods: Sexual function, self-esteem, body image, and general health of female patients undergoing colorectal surgery were evaluated preoperatively, at 6 and 12 months after surgery, using the Female Sexual Function Index, Rosenberg Self-Esteem scale, Body Image scale and SF-36, respectively.

Gracilis muscle interposition for the treatment of rectourethral, rectovaginal, and pouch-vaginal fistulas: results in 53 patients.

Background: The aim of this study was to review our experience with gracilis muscle interposition for complex perineal fistulas.

Material And Methods: A retrospective review of all patients who underwent repair of perineal fistula using the gracilis muscle between 1995 and 2007 was undertaken. Patients were divided into 2 groups according to the fistula type by gender: females (rectovaginal and pouch-vaginal) and males (rectourethral).

Multimedia article. Recurrent postoperative perineal hernia: transperineal redo mesh repair.

Postoperative perineal hernia is a rare complication after abdominoperineal resection or pelvic exenteration. In this video article, we describe one technique of transperineal mesh repair of recurrent symptomatic perineal hernia after previous transabdominal mesh repair of the hernia developed after abdominoperineal resection. To date, this redo mesh repair is the only report that we could find in the English literature.