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Multicompartment pelvic floor prolapse repairs: Surgical principles 多腔盆底脱垂修复术的外科原则
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-03-01 DOI: 10.1016/j.scrs.2022.100939
Rebecca L. Gunter MD, MS , Sarah A. Vogler MD, MBA
{"title":"Multicompartment pelvic floor prolapse repairs: Surgical principles","authors":"Rebecca L. Gunter MD, MS ,&nbsp;Sarah A. Vogler MD, MBA","doi":"10.1016/j.scrs.2022.100939","DOIUrl":"10.1016/j.scrs.2022.100939","url":null,"abstract":"<div><p><span>The operative management of rectal prolapse has evolved substantially over time. Many patients with rectal prolapse also have concomitant prolapse of their anterior and/or middle compartments. Optimal repair of </span>pelvic organ prolapse<span> will address all of the involved compartments, which often requires close collaboration with a urogynecology<span><span> or female urology team. This chapter describes our technique for robotic ventral mesh </span>rectopexy<span> with sacrocolpopexy when indicated.</span></span></span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 1","pages":"Article 100939"},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48542923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physiologic and radiographic testing in patients with pelvic floor disorders and pelvic organ prolapse 盆底疾病和盆腔器官脱垂患者的生理和影像学检查
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-03-01 DOI: 10.1016/j.scrs.2022.100935
Oliveira Lucia MD , Brandao Alice MD , Silva Jessica Albuquerque Marques MD , Brito Cecilia Gabriela de Arruda Castelo Branco MD , Bastos Manuela Conde MD , Burger Nathalie Cruz da Silva MD
{"title":"Physiologic and radiographic testing in patients with pelvic floor disorders and pelvic organ prolapse","authors":"Oliveira Lucia MD ,&nbsp;Brandao Alice MD ,&nbsp;Silva Jessica Albuquerque Marques MD ,&nbsp;Brito Cecilia Gabriela de Arruda Castelo Branco MD ,&nbsp;Bastos Manuela Conde MD ,&nbsp;Burger Nathalie Cruz da Silva MD","doi":"10.1016/j.scrs.2022.100935","DOIUrl":"10.1016/j.scrs.2022.100935","url":null,"abstract":"<div><p><span>Pelvic floor disorders<span><span> are common conditions that affects mainly the female population, especially the elderly. Anorectal physiology and imaging tests are important way to assess anal sphincter function and structure of the </span>pelvic floor. Those tests are part of the workup for patients with incontinence, defecatory disorders and </span></span>pelvic organ prolapse. The most relevant tests will be discussed in this article.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 1","pages":"Article 100935"},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46792257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rectal intussusception: Medical management and timing of the decision to operate 直肠肠套叠:医疗管理和手术时机的决定。
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2023-03-01 DOI: 10.1016/j.scrs.2022.100940
Leila Neshatian MD, MSc, Emma Victoria Carrington PhD
{"title":"Rectal intussusception: Medical management and timing of the decision to operate","authors":"Leila Neshatian MD, MSc,&nbsp;Emma Victoria Carrington PhD","doi":"10.1016/j.scrs.2022.100940","DOIUrl":"10.1016/j.scrs.2022.100940","url":null,"abstract":"<div><p><span><span>Rectal Intussusception (RI) occurs when the rectal wall telescopes distally without prolapse past the </span>anal verge<span><span> during defecation and occurs as the result of abnormal rectal wall biomechanics. Symptoms are variable though ¾ of patients with high grade intussusception<span><span> report straining, incomplete emptying and the need for manual assistance during evacuation. The diagnosis of RI requires a comprehensive clinical history, physical exam and dynamic imaging of evacuation with MR or fluoroscopic </span>defecography. Phenotypic grading is important as low-grade, non-obstructing RI may not significantly contribute to symptoms and outcomes following surgery in this group is poor. Initial management should focus on improving stool form and evacuatory dynamics in conjunction with </span></span>biofeedback if there associated </span></span>dyssynergia. Surgery should only be considered in those patients with high-grade intussusception and symptoms resistant to medical therapies after appropriate counselling regarding the risks and benefits of intervention.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"34 1","pages":"Article 100940"},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46925285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Cleft Lift procedure for pilonidal disease renamed as a rotation and advancement flap procedure (RAF): Insights and technical tips for a successful outcome 针对毛鞘疾病的裂口提升手术更名为旋转和推进皮瓣手术(RAF):成功结果的见解和技术提示
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100913
Jeffrey A. Sternberg MD
{"title":"The Cleft Lift procedure for pilonidal disease renamed as a rotation and advancement flap procedure (RAF): Insights and technical tips for a successful outcome","authors":"Jeffrey A. Sternberg MD","doi":"10.1016/j.scrs.2022.100913","DOIUrl":"10.1016/j.scrs.2022.100913","url":null,"abstract":"<div><h3>Introduction</h3><p>The Cleft Lift procedure originally named by Bascom is a derivative of the Karydakis flap procedure for pilonidal sinus disease. The terminology and variations of the name have long confused surgeons and have limited its wide adoption.</p></div><div><h3>Technique</h3><p>This technical paper deconstructs the confusing terminology, suggests simple steps for success, and proposes a more descriptive name for the asymmetric flap procedure which has the lowest reported recurrences for all surgical options for pilonidal disease.</p></div><div><h3>Results</h3><p>The author has successfully performed the Cleft Lift procedure for pilonidal disease since 2000. In the last consecutive 757 patients treated over 12 years, only 6 patients have required a second operation. This cohort included 287 patients referred with recurrent disease or open wounds from prior pilonidal surgery. A new naming scheme is proposed that more accurately describes the operation. The proposed name is the pilonidal RAF procedure for rotation (around the anus) and advancement (across the natal cleft midline) flap .</p></div><div><h3>Conclusions</h3><p>The pilonidal RAF procedure is highly successful in treating pilonidal sinus disease with a very low need for additional surgery even in complex recurrent disease.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100913"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043148922000549/pdfft?md5=18e30b479df959836a80e00fb014a2a2&pid=1-s2.0-S1043148922000549-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45974169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Pilonidal disease surgery in the pediatric patient: less is more! 小儿小儿毛囊病手术:少即是多!
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100911
Mary Froehlich MD , Justin P. Wagner MD , Steven L. Lee MD, MBA
{"title":"Pilonidal disease surgery in the pediatric patient: less is more!","authors":"Mary Froehlich MD ,&nbsp;Justin P. Wagner MD ,&nbsp;Steven L. Lee MD, MBA","doi":"10.1016/j.scrs.2022.100911","DOIUrl":"10.1016/j.scrs.2022.100911","url":null,"abstract":"<div><p>Sacrococcygeal pilonidal disease is common in the pediatric population and its incidence is increasing. Psychological stigmatization is common. Adolescent patients have unique challenges in body image, communication with family members and caregivers, and hygienic practices. Acute infection requires antibiotics and abscess require drainage. Chronic disease is managed with noninvasive therapies or minimally invasive surgical debridement procedures, which may be repeated for simple recurrences. Larger excision and off-midline flap reconstructions are reserved for complex and extensive disease or multiple recurrences that are refractory to less invasive excisional techniques. Common presentation of pediatric pilonidal disease, available therapies, anticipated outcomes, and a suggested treatment algorithm are presented in this article.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100911"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043148922000525/pdfft?md5=f1f293154b94a645328cdd3da5613a31&pid=1-s2.0-S1043148922000525-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47084629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The minimally invasive approach to the treatment of pilonidal disease 微创方法治疗毛滴虫病
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100918
Veronica De Simone MD , Carlo Ratto MD
{"title":"The minimally invasive approach to the treatment of pilonidal disease","authors":"Veronica De Simone MD ,&nbsp;Carlo Ratto MD","doi":"10.1016/j.scrs.2022.100918","DOIUrl":"10.1016/j.scrs.2022.100918","url":null,"abstract":"<div><p><span>Pilonidal disease (PD) is a common suppurative condition located beneath the skin of the </span>sacrococcygeal region<span>. Diagnosis is clinical and usually doesn't require any instrumental examination or imaging. To date, there is still no gold standard treatment<span> for symptomatic PD, although most clinicians advocate surgical excision as a definitive treatment. Recently, several comparative studies between traditional excision and minimally invasive techniques have been published. However, there are still methodological limitations and selection biases that prevent the achievement of an adequate level of scientific evidence. The main advantages of the minimally invasive procedures include fewer wound infections, less pain, quicker return to work, and higher patient satisfaction. However, the success rate is still unclear and further studies are needed. This article briefly highlights the different minimally invasive approaches introduced in the last years, including both the endoscopic treatment and the laser surgery.</span></span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100918"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45898312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction: In pursuit of the ideal treatment for pilonidal disease 简介:追求理想的治疗腋窝疾病
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100908
Maher A. Abbas MD
{"title":"Introduction: In pursuit of the ideal treatment for pilonidal disease","authors":"Maher A. Abbas MD","doi":"10.1016/j.scrs.2022.100908","DOIUrl":"10.1016/j.scrs.2022.100908","url":null,"abstract":"","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100908"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46360070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Limberg flap repair for complex and recurrent pilonidal disease Limberg皮瓣修复复杂及复发性毛鞘病
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100915
Cihad Tatar MD, Emre Gorgun MD
{"title":"The Limberg flap repair for complex and recurrent pilonidal disease","authors":"Cihad Tatar MD,&nbsp;Emre Gorgun MD","doi":"10.1016/j.scrs.2022.100915","DOIUrl":"10.1016/j.scrs.2022.100915","url":null,"abstract":"<div><p><span>Pilonidal disease<span> is a chronic inflammatory disease which has significant negative impact on </span></span>quality of life<span>. Numerous treatment<span> methods have been described for pilonidal sinus disease. However recurrence is a major concern for both patients and healthcare providers. More aggressive surgical methods such as flap-based off-midline procedures are the most common surgical treatment methods for complex or recurrent pilonidal disease. The Limberg flap is one of the best described flap-based surgical methods. In this review, we highlight the technical details and postoperative short and long-term outcomes of the Limberg flap procedure which is our preferred surgical technique, with low rates of complications and recurrence.</span></span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100915"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42698392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Persistent pilonidal disease: What to do when your initial surgery fails? 持续性肾小球疾病:初次手术失败后该怎么办?
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100916
Francisco Sérgio Regadas MD, PhD , Sthela Murad-Regadas MD, PhD
{"title":"Persistent pilonidal disease: What to do when your initial surgery fails?","authors":"Francisco Sérgio Regadas MD, PhD ,&nbsp;Sthela Murad-Regadas MD, PhD","doi":"10.1016/j.scrs.2022.100916","DOIUrl":"10.1016/j.scrs.2022.100916","url":null,"abstract":"<div><p><span>The crude rate of persistent or recurrent disease following surgical interventions for pilonidal disease<span> correlates with the duration of follow-up. Furthermore, patient and disease related factors, body habitus, and the choice of surgical technique impact both short and long-term outcomes. Despite modern advances in surgical care, persistent and recurrent disease remain a challenge to the surgeon and the patient. Currently there is no standard of care or consensus as to the choice of operation for either primary, persistent, or recurrent disease. The selection of an operation for an individual patient is often determined by the surgeon's training background, personal experience, and own biases. A variety of techniques have been described to treat pilonidal disease ranging from simple minimally invasive procedures to operations entailing </span></span>wide excision with primary closure, flap reconstruction, or wound management by secondary healing. In this article we share our perspective and approach to patients with persistent disease following failed intervention.</p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100916"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41632962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pilonidal disease in 2022: Where do we stand? 2022年的皮洛尼达尔病：我们的处境如何？
IF 0.3
Seminars in Colon and Rectal Surgery Pub Date : 2022-12-01 DOI: 10.1016/j.scrs.2022.100910
Fawaz Abdulraheem MD, Marylise Boutros MD
{"title":"Pilonidal disease in 2022: Where do we stand?","authors":"Fawaz Abdulraheem MD,&nbsp;Marylise Boutros MD","doi":"10.1016/j.scrs.2022.100910","DOIUrl":"10.1016/j.scrs.2022.100910","url":null,"abstract":"<div><p><span><span>There are several proposed etiologies that are thought to contribute to the development of pilonidal disease. Initially, PSD was thought to be a congenital condition arising from a variety of errors in embryogenic development; now it is believed to be an acquired condition. The management of PSD can be challenging. Acute abscess should be treated with </span>incision and drainage. Patient expectations and preferences should be coupled with the surgeon's familiarity with different procedures, balancing time to wound healing and short-term </span>postoperative complications<span> with long term recurrence rates and quality of life.</span></p></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"33 4","pages":"Article 100910"},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47007648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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