Publications by authors named "Rouleau-Fournier F"
Background: Inadequate bowel perfusion is among risk factors for colorectal anastomotic leaks. Perfusion can be assessed with indocyanine green fluorescence angiography (ICG) during colon resections. Possible benefits from its systematic use in high-risk patients with rectal cancer remain inconsistent.
View Article and Find Full Text PDFBackground: Transanal endoscopic microsurgery is a treatment option for a wide range of rectal lesions. Postoperative urinary retention is a frequently associated complication. Some studies have suggested that the use of alpha-1-blockers may reduce the risk of postoperative urinary retention after hernia and colorectal surgery, but evidence is lacking.
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- * A review of 20 studies involving 285 patients showed that many received neoadjuvant treatment, with the majority undergoing cytoreductive surgery followed by hyperthermic intraperitoneal chemotherapy, but severe complications occurred in 32.2% of cases.
- * The findings reveal a significant lack of comprehensive data on optimal management for this patient group, particularly concerning neoadjuvant treatment, the impact of HIPEC, and stoma management.
Article Synopsis
- This study looked at how safe and effective laparoscopic surgery is for people with a specific gut problem called complicated fistulizing diverticular disease.
- Out of 104 patients, most had successful surgery without needing to switch to a bigger open surgery, and only a small number had serious complications afterward.
- Most patients were able to avoid having a permanent bag and had short hospital stays, showing that this type of surgery can be a good option for treating their condition.
Background: Loop ileostomy closure is a common procedure in colorectal surgery. Often seen as a simple operation associated with a low complication rate, it still leads to lengthy hospitalizations. Reducing postoperative complications and ileus rates could lead to a shorter length of stay and even ambulatory surgery.
View Article and Find Full Text PDFBackground: The role of MRI-detected EMVI (mrEMVI) as a reliable prognostic factor in rectal cancer has been emphasized in recent years but this finding remains underreported by many institutions.
Objective: This review aimed to demonstrate the importance of pre- and post-treatment MRI-detected EMVI as independent prognostic factors of adverse oncologic outcomes in patients undergoing neoadjuvant therapy followed by total mesorectal excision.
Methods: This review was designed using the PRISMA guidelines.
Background: Total mesorectal excision (tme) is the current standard of care for the treatment of rectal cancer. However, that surgery is associated with significant morbidity and mortality. Clinicians and patients are seeking alternatives to radical resection.
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