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Systematic literature review and meta-analysis of surgical treatment of complete rectal prolapse in male patients.
Tech Coloproctol
November 2024
Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA.
Article Synopsis
- Rectal prolapse surgery outcomes were reviewed in predominantly male populations, examining factors like recurrence, complications, and bowel function.
- Eight studies involving 452 male patients showed that abdominal procedures had lower recurrence rates (6%) compared to perineal procedures (19.3%), but longer operative times.
- The best results for improving constipation and fecal incontinence were found after resection rectopexy and posterior mesh rectopexy, respectively.
A National Cancer Database Analysis of the Characteristics and Outcome of Colon Cancer According to Type of Preexisting Adenoma.
Clin Colorectal Cancer
September 2024
Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL. Electronic address:
Background: The vast majority of colon cancers occur in pre-existing adenomas. Little is known about the impact of adenoma type on behavior and outcome of subsequent carcinomas. The present study aimed to assess characteristics, behavior, and outcome of colon adenocarcinoma based on histologic type of pre-existing adenoma.
View Article and Find Full Text PDFBlood trauma in veno-venous extracorporeal membrane oxygenation: low pump pressures and low circuit resistance matter.
Crit Care
October 2024
Department of Pneumology and Critical Care Medicine, ARDS and ECMO Centre, Cologne-Merheim Hospital, Cologne, Germany.
Article Synopsis
- Veno-venous extracorporeal membrane oxygenation (VV ECMO) is crucial for treating severe respiratory distress, but it often leads to complications like hemolysis and bleeding, which can increase mortality rates.
- This study analyzed data from 580 VV ECMO patients and utilized computational modeling to assess how pump operating conditions affect hemolysis, revealing that lower pump pressures and circuit resistance minimize blood trauma.
- The findings suggest that maintaining low circuit resistance, through using efficient oxygenators and tubing, is vital for reducing adverse effects related to ECMO support.
A systematic review and meta-analysis of high-quality randomized controlled trials on the role of prehabilitation programs in colorectal surgery.
Surgery
November 2024
Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, FL. Electronic address:
Background: Prehabilitation is gaining popularity in colorectal surgery but lacks high-quality postoperative outcomes data. This meta-analysis explored whether prehabilitation impacts postoperative outcomes.
Methods: In this meta-analysis, compliant with Preferred Reporting Items for Systematic reviews and Meta-Analyses, we searched PubMed and Scopus through November 2022.
Risk factors for complications following sacral neuromodulation for faecal incontinence: Long-term follow-up.
Colorectal Dis
August 2024
Ellen Leifer Shulman and Steven Shulman Digestive Disease Centre, Cleveland Clinic Florida, Weston, Florida, USA.
Aim: Sacral neuromodulation (SNM) has become a standard surgical treatment for faecal incontinence (FI). Prior studies have reported various adverse events of SNM, including suboptimal therapeutic response, infection, pain, haematoma, and potential need for redo SNM. The aim of this study was to identify the risk factors associated with long-term complications of SNM.
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