Conor Hamilton examines the key components healthcare practitioners should consider when using transanal irrigation.
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Colorectal surgeon practice patterns of low anterior resection syndrome after rectal cancer treatment.
Support Care Cancer
February 2025
Division of Colon and Rectal Surgery, Department of Surgery, Yale School of Medicine, PO Box 208062, New Haven, CT, 06520-8062, USA.
Background: Limited literature exists regarding surgeon perceptions and practice patterns for low anterior resection syndrome (LARS). In this study, we sought to understand how colon and rectal surgery faculty perceive and manage LARS.
Methods: We invited colon and rectal surgery faculty (CRS faculty) members from all programs that offer an Accreditation Council for Graduate Medical Education (ACGME)-accredited colon and rectal surgery residency (n = 378) to participate in an electronic survey.
Transanal repair of anastomotic leakage after oncologic low anterior resection: a prospective cohort.
Tech Coloproctol
February 2025
Department of Surgery, St. Olav's University Hospital, Trondheim University Hospital, Postboks 3250 Torgarden, 7006, Trondheim, Norway.
Background: Anastomotic leakage is a common complication after low anterior resection for rectal cancer, often resulting in a permanent stoma. This study aimed to evaluate the effectiveness of early detection, sepsis control, and transanal repair in managing anastomotic leakage.
Methods: In this prospective cohort study conducted from January 2018 to June 2022 at a Norwegian university hospital, patients undergoing resectional surgery for rectal cancer were assessed for anastomotic leaks.
Optimal interventions for low anterior resection syndrome: Bayesian network meta-analysis of randomized controlled trials.
Tech Coloproctol
February 2025
Department of Nursing, Peking University Third Hospital, No. 49 Huayuan North Road, Haidian District, Beijing, 100191, People's Republic of China.
Background: The optimal intervention for managing low anterior resection syndrome (LARS) remains uncertain. This Bayesian network meta-analysis was conducted to compare and rank the effectiveness of various interventions on LARS.
Methods: Randomized controlled trials (RCTs) addressing interventions for LARS were extracted from six electronic databases until September 2023.
The patient perspective on transanal irrigation treatment for low anterior resection syndrome after rectal cancer surgery - a qualitative and quantitative study.
BMC Gastroenterol
February 2025
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Purpose: The aim of the study was to explore long-term experiences of transanal irrigation (TAI) in patients with major low anterior resection syndrome (LARS).
Methods: The study included a qualitative and quantitative analysis of patients who developed major LARS after rectal cancer surgery between 2016 and 2019 and have undergone treatment with TAI. The patients received questionnaires.
Systematic review of the management options available for low anterior resection syndrome (LARS).
Tech Coloproctol
February 2025
Colorectal Consultant Surgeon, RPA and Faculty of Health & Medicine, Royal Prince Alfred Hospital, Institute of Academic Surgery, University of Sydney, Sydney, NSW, Australia.
Background: Rectal cancer incidence is increasing. Low anterior resection is currently the gold standard surgical management. Postoperatively, patients may present with symptoms indicative of low anterior resection syndrome (LARS).
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