We present four observations about the treatment of subperitoneal rectal injuries. Left iliac colostomy and cystostomy are usually necessary as first time operations in those cases with associated urogenital injuries. For the subperitoneal rectal injuries simple suture of rectum and drainage are sufficient.
Download full-text PDF |
Source |
---|
Ann Surg Oncol
January 2022
Department of Digestive Oncological Surgery, Institut de cancérologie de l'Ouest, Saint-Herblain, France.
Background: Lateral pelvic lymph node dissection for rectal cancer is a difficult technique due to the complex pelvic anatomy. Recent series have underlined the importance of lateral lymphadenectomy in selective patients to prevent local recurrence of rectal cancer.
Methods: A 65-year-old woman was diagnosed with locally advanced rectal adenocarcinoma of the low rectum with right and left lateral pelvic lymph nodes of respectively 9 and 13 mm.
Zhonghua Wei Chang Wai Ke Za Zhi
July 2021
Department of Gastrintestinal Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510199, China.
The principle of total mesorectal excision (TME) standardizes the resection range and surgical dissection plane in radical rectal cancer surgery, reduces the local recurrence rate and improves the long-term survival. TME is the "gold standard" in radical rectal cancer surgery. However, with the progress of laparoscopic surgical instruments and techniques in recent years, further understanding of pelvic membrane anatomy and autonomic nervous system has been gained, which makes the surgical plane of TME more accurate and the autonomic nervous system better preserved.
View Article and Find Full Text PDFOpen Med (Wars)
August 2019
Department of Mental Health and Public Medicine, University of Campania Luigi Vanvitelli, Naples, Italy.
Background: Neoadjuvant chemoradiotherapy has a significant role in downstaging cancer. It improves the local control of the disease and can make conservative resection of rectal cancer possible.
Methods: We enrolled 114 patients with subperitoneal rectal cancer who underwent neoadjuvant chemoradio-therapy and radical excision with total mesorectal excision (TME).
J Visc Surg
September 2019
Service de chirurgie digestive, centre hospitalier universitaire de Caen, avenue de la Côte-de-Nacre, 14032 Caen cedex, France; « ANTICIPE » U1086 Inserm-UCN, équipe « Ligue contre le cancer », centre François-Baclesse, 14032 Caen cedex, France; Unité de formation et de recherche de médecine, 14032 Caen cedex, France.
Introduction: In 2006 under the supervision of the French health authorities (HAS), recommendations for clinical practice (RCP) in the management of rectal cancers were first published. The primary objective of this study was to assess the impact of these guidelines on multidisciplinary management in terms of therapeutic strategies based on disease staging and quality indicators for surgical excision. Secondarily, we assessed the impact of the RCPs on postoperative and oncological outcomes.
View Article and Find Full Text PDFAsian J Surg
November 2018
University of Milano-Bicocca, General Surgery Department, Istituti Clinici Zucchi, Monza, Italy.
Background/objective: In the late's 90' a new surgical treatment, the stapled trans-anal rectal resection (STARR) was born to treat obstructed defecation syndrome (ODS). In this study we retrospectively analyze a series of 450 cases that underwent STARR in 10 years.
Methods: Between January 2001 to December 2011, 450 patients, diagnosed with ODS syndrome caused by rectocele or intussusception, underwent to STARR procedure.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!