Publications by authors named "I Darwich"

Introduction: Despite spectacular visuals and the seemingly convincing rationale of using indocyanine-green-enhanced fluorescence in assessing bowel perfusion during colorectal resections, a lingering sense of subjectivity remains in the challenge of quantifying this fluorescence. This prospective study analyzed the application of O2C® spectrophotometry to quantify zones of fluorescence on the large bowel during low anterior resection.

Materials And Methods: Patients receiving a low anterior resection for cancer of the mid- and lower rectum were enrolled in this observational prospective study between February 2020 and December 2022.

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Anastomotic leaks are a significant complication in colorectal surgery. Indocyanine green fluorescence angiography (ICG-FA) has been suggested as a method to reduce the risk. This meta-analysis aims to evaluate the effect of ICG-FA on reducing anastomotic leaks in colorectal surgery.

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Article Synopsis
  • Multimodal optimized perioperative management (mPOM) significantly improves recovery times for patients undergoing elective colorectal surgeries, but its adoption in Germany has been limited.
  • A structured 13-month fast-track implementation across five hospitals was analyzed, comparing pre-FAST (192 patients) and FAST (529 patients) groups, focusing on adherence to recommended practices and recovery outcomes.
  • Results showed increased adherence to fast-track protocols (from 52% to 83%), faster recovery milestones, and shorter hospital stays in the FAST group, demonstrating that effective implementation can enhance patient recovery without increasing complications.
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Introduction: The ArtiSential® line of products from LivsMed (Seongnam, Republic of Korea) are fully articulated hand-held laparoscopic instruments, possessing end-effectors that closely imitate those of surgical robots with regard to shape and dexterity. Feasibility and safety studies describing the initial experiences with these devices in upper and lower gastrointestinal as well as thoracic surgery have been published. This report presents the outcomes of the largest cohort to date of colorectal procedures performed with Artisential® instruments in a single center.

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Background: The notion of articulation in surgery has been largely synonymous with robotics. The ARTISENTIAL instruments aim at bringing advanced articulation to laparoscopy to overcome challenges in narrow anatomical spaces. In this paper, we present first single-center results of a series of low anterior resections, performed with ARTISENTIAL.

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