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Is mesh related morbidity the real thread in ventral rectopexy? Results of a retrospective international multicentre comparative analysis of biologic versus synthetic mesh.
Colorectal Dis
January 2025
Department of Visceral Surgery, University Digestive Health Care Centre Basel-Clarunis, Basel, Switzerland.
Aim: Ventral mesh rectopexy (VMR) is an established surgical treatment for rectal prolapse and outlet obstruction. In contrast to continental Europe, in the UK and US the use of synthetic mesh has been abandoned in favour of biologic mesh, due to concerns regarding mesh related morbidity. The current study investigated if either material is superior, in terms of clinical recurrence and mesh related complications.
View Article and Find Full Text PDFNative tissue repair of the female pelvic floor: A four-level surgical concept.
Int J Gynaecol Obstet
December 2024
Third Medical Faculty, Charles University, Prague, Czech Republic.
This review describes our experience with native tissue repair of the visceral pelvic fascia, the perineum, and anal sphincters in women. We propose that complex repair of the pelvic floor should consider vaginal support in all three anatomical Delancey's levels, together with more caudal structures-the external and internal anal sphincters. Original illustrations were created to facilitate the understanding of the complex anatomy of common multi-level defects.
View Article and Find Full Text PDF[Single center study of short-term and 10-year efficacy of performing the Jinling procedure on 3 310 patients with refractory mixed constipation].
Zhonghua Wei Chang Wai Ke Za Zhi
December 2024
Department of General Surgery, General Hospital of Eastern Theater Command, PLA, Nanjing 210002, China.
To evaluate the safety, effectiveness, and long-term efficacy of the Jinling procedure for management of refractory mixed constipation. We prospectively collected clinical data of patients with refractory mixed constipation treated by the Jinling procedure in the Institute of General Surgery of our hospital from January 2007 to August 2023. Perioperative complications, effectiveness within 1 year of surgery (as assessed by the Wexner constipation score, gastrointestinal quality of life index, frequency of spontaneous defecation, rate of satisfactory defecation, body composition, serological indicators, defecography, anorectal manometry) and 10 years after surgery (as assessed by the Wexner constipation score, patient assessment of constipation symptom, SF-36 quality of life score, and questionnaire concerning satisfaction with defecation).
View Article and Find Full Text PDFVisceroptosis: a rare clinical manifestation of nutritional Vitamin D deficiency rickets.
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[Gastrointestinal involvement in Ehlers-Danlos syndrome: A case series and systematic review].
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October 2024
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Article Synopsis
- * A total of 94 patients were analyzed, with the average age being 29 years; the leading gastrointestinal issue was gastrointestinal perforation (48.9%), predominantly seen in those with vascular-EDS (vEDS), while functional gastrointestinal symptoms were common in hypermobile-EDS (hEDS) patients.
- * The COL3A1 gene mutation was the most frequently identified genetic factor, highlighting significant differences in gastrointestinal presentation between vEDS and hEDS patients.
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