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Sphincter-Sparing Posterior Sagittal Anorectoplasty for Rectourethral Fistulas: A Potential Refinement to Consider?
J Pediatr Surg
January 2025
Tanta University Hospital, Faculty of Medicine, Tanta University, Tanta, Egypt; Kenanah Children's Medical Center, Tanta, Egypt. Electronic address:
Construction of a nomogram model to predict technical difficulty in performing laparoscopic sphincter-preserving radical resection for rectal cancer.
World J Gastroenterol
May 2024
Department of Colorectal Surgery, The Affiliated Zhejiang Hospital, Zhejiang University School of Medicine (Zhejiang Hospital), Hangzhou 310000, Zhejiang Province, China.
Background: Colorectal surgeons are well aware that performing surgery for rectal cancer becomes more challenging in obese patients with narrow and deep pelvic cavities. Therefore, it is essential for colorectal surgeons to have a comprehensive understanding of pelvic structure prior to surgery and anticipate potential surgical difficulties.
Aim: To evaluate predictive parameters for technical challenges encountered during laparoscopic radical sphincter-preserving surgery for rectal cancer.
Non-Locatable Internal Opening in Anal Fistula Associated with Acute Abscess and Its Definitive Management by Garg Protocol.
Clin Exp Gastroenterol
September 2022
Department of Colorectal Surgery, Indus International Hospital, Mohali, Punjab, India.
Background: Definitive management of acute fistula-abscess (anal fistulas associated with acute abscess) is gaining popularity against the two-staged approach (early abscess drainage with deferred fistula management). However, locating an internal opening (IO) in acute fistula-abscess can be difficult. A recent protocol (Garg protocol) has been shown to be effective in managing anal fistulas with non-locatable IO.
View Article and Find Full Text PDFCumulative Incidence and Risk Factors of Permanent Stoma After Intersphincteric Resection for Ultralow Rectal Cancer.
Dis Colon Rectum
January 2022
Department of Colorectal Surgery, the Characteristic Medical Center of PLA Rocket Force, Beijing, China.
Background: A permanent stoma is an unintended consequence that cannot be avoided completely after intersphincteric resection for ultralow rectal cancer. Unfortunately, its incidence and risk factors have been poorly defined.
Objective: The objective was to determine the cumulative incidence and risk factors of permanent stoma after intersphincteric resection for ultralow rectal cancer.
High-dose versus low-dose botulinum toxin in anal fissure disease.
Tech Coloproctol
October 2017
Department of Surgery, The Tweed Hospital, Tweed Heads, NSW, 2485, Australia.
Background: There is no consensus on the optimal dosage of botulinum toxin (BT) as a sphincter sparing alternative to lateral internal sphincterotomy for chronic anal fissure. The aim of this study was to assess the long-term efficacy of high-dose BT as well as the presence of incontinence following the treatment of chronic anal fissure at a single institution.
Methods: A retrospective case-control study was performed at a single institution over a 6-year period (2009-2014).
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