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Title of Journal: Tech Coloproctol

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Abbravation: Techniques in Coloproctology

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Springer-Verlag

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DOI

10.1007/bf01780955

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1128-045X

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Stapled transanal rectal mucosectomy ten years aft

Authors: M Pescatori F Aigner
Publish Date: 2007/02/16
Volume: 11, Issue: 1, Pages: 1-
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Abstract

Stapled mucosectomy SM was first proposed for the management of patients with rectal internal mucosal prolapse and obstructed defecation but gained popularity worldwide for the treatment of hemorrhoids The present review highlights the advantages and disadvantages of the operation SM tends to decrease postoperative pain and shortens convalescence after hemorrhoid surgery but may be followed by severe complications eg rectal obliteration and pelvic sepsis requiring a diverting stoma more frequently than after standard hemorrhoidectomy Moreover it carries a higher recurrence rate in the treatment of fourthdegree piles A recent Cochrane metaanalysis demonstrated that SM is less effective than standard hemorrhoidectomy since it carries a higher recurrence rate OR=36 and reintervention rate OR=23 When used for rectal mucosal prolapse and obstructed defecation SM is reported to have variable results A better outcome is likely to be achieved in patients without anismus and psychoneurosis operated on by specialists trained with this technique

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Other Papers In This Journal:
  1. The role of hemorrhoidectomy in rectocele complicated by grade 3–4 hemorrhoids
  2. Mucinous carcinoma of the rectum: a distinct clinicopathological entity
  3. Combined NOTES total mesorectal excision and single-incision laparoscopy principles for conservative proctectomy: a single-centre study
  4. Transanal TATA/TME: a case-matched study of taTME versus laparoscopic TME surgery for rectal cancer
  5. Defining the learning curve for the modified Karydakis flap
  6. Screening for colorectal cancer using a quantitative immunochemical faecal occult blood test: a feasibility study in an Asian population
  7. Randomized clinical trial comparing LigaSure haemorrhoidectomy with open diathermy haemorrhoidectomy
  8. Four anastomotic techniques following transanal total mesorectal excision (TaTME)
  9. Evacuation sonography
  10. Meta-analysis of randomized controlled trials comparing different techniques with primary closure for chronic pilonidal sinus
  11. Clinical recurrence and re-resection rates after extensive vs. segmental colectomy in Crohn’s colitis: a retrospective cohort study
  12. More or LESS
  13. Biological tissue graft for pelvic floor reconstruction after cylindrical abdominoperineal excision of the rectum and anal canal
  14. Colonic carcinoma presenting as strangulated inguinal hernia: report of two cases and review of the literature
  15. The National Bowel Cancer Audit Project: what do trusts think of the National Bowel Cancer Audit and how can it be improved?
  16. Perirectal myxoid pseudocyst removed by transanal endoscopic microsurgery
  17. The Young Group of the Italian Society of Colorectal Surgery (You-SICCR)
  18. Conservative treatment of patients with faecal soiling
  19. Hand-assisted laparoscopic colorectal surgery
  20. Intrapelvic placement of a breast implant to allow deferred ileoanal pouch anastomosis after emergency proctocolectomy
  21. Defecation 1: Testing a hypothesis for pelvic striated muscle action to open the anorectum
  22. Triple procedure for complex anal fistula
  23. Laparoscopic low ventral rectocolpopexy (LLVR) for rectal and rectogenital prolapse: surgical technique and functional results
  24. Anal endosonography: a survey of equipment, technique and diagnostic criteria adopted in nine Italian centers
  25. Short-term outcomes of a novel endoscopic clipping device for closure of the internal opening in 100 anorectal fistulas
  26. Intraoperative ligation of residual haemorrhoids after stapled mucosectomy
  27. Biofeedback therapy for rectal intussusception
  28. Long-acting octreotide in the treatment of diarrhea after pelvic pouch surgery
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