Colonic lipomas are rare benign tumors that may appear throughout the entirety of the gastrointestinal tract, with a predisposition to appear in the colon. Patients with colonic lipoma are typically asymptomatic, making their diagnosis rare and incidental. This case report intends to investigate and clarify the decision-making process regarding surgical segmental colonic resection versus local excision via the study of a 48-year-old man with ulcerative colitis diagnosed in 2006, undergoing treatment with infliximab and without exacerbations since 2010.
View Article and Find Full Text PDFFinal del formulario Anastomotic dehiscence, a feared complication in colorectal surgery, motivates the search for effective strategies to mitigate its risk. This meta-analysis encompasses all published randomized trials investigating and comparing the impact of indocyanine green (ICG) angiography on this complication. With four studies and 1,109 patients, the intraoperative ICG angiography group demonstrated a significant reduction in the overall rate of anastomotic dehiscence compared to the non-angiography group (7.
View Article and Find Full Text PDFIntroduction: Transanal endoscopic surgery with conventional laparotomy materials may be an alternative to transanal endoscopic microsurgery (TEM) for the excision of rectal lesions susceptible to local resection.
Material And Method: We prospectively analysed 27 patients included consecutively between 1999 and 2009, on whom a Transanal endoscopic operation (TEO) was performed by total resection of the rectal wall. All procedures were performed with a 40mm rectoscope, initially designed by us and later with the Storz rectoscope, using conventional laparoscopic tools and material.
Objective: The aim of this study was the prospective evaluation of the functional results of a series endorectal advancement flaps in the treatment of complex anal fistulas.
Material And Methods: A total of 90 patients were operated on for a complex anal fistula by means of fistulectomy and endorectal advancement flap. The functional results were evaluated using the Wexner continence scale and an anorectal manometry study before and after surgery.