Endo-SPONGE (B. Braun Medical B.V., Melsungen, Germany) is a commercially available sponge VAC tool designed and used for postoperative rectal anastomotic leakages [ 5 , 6 ]. (coloproctol.org)
OBJECTIVE: We aimed to evaluate the feasibility and clinical applicability of using aerosolized indocyanine green, a fluorescent tracer, for detecting rectal anastomotic leakage. (bvsalud.org)
Laparoscopic3
Reports on laparoscopic total mesorectum excision (TME) for cancer are often retrospective and contain heterogeneous patients who had several types of resection (i.e., anterior resection, low anterior resection, all or partially laparoscopic). (sages.org)
2022 SCI-E Early experience of laparoscopic resection and comparison with open surgery for gastric gastrointestinal stromal tumor: a multicenter retrospective study: SCIENTIFIC REPORTS. (ncc-gcsp.ac.kr)
Especially in highly malignant gastric submucosal tumors, such as gastrointestinal stromal tumors (GIST), partial resection using laparoscopic surgery and open surgery have common indications according to the Japanese ( 3 , 4 ) and National Comprehensive Cancer Network (NCCN) guidelines. (iiarjournals.org)
Abdominoperineal resection1
For this reason, surgical procedures involving the rectum (eg, abdominoperineal resection [APR]) have also been included in this article. (medscape.com)
Anastomosis6
The powered circular stapler, which was developed with the aim of providing reliable and reproducible anastomosis, provides complete anastomosis, resulting in a reduced risk of anastomotic leakage. (biomedcentral.com)
The aim of this study was to compare the incidence of anastomotic leakage between a conventional manual circular stapler (MCS) and the ECHELON CIRCULAR™ Powered Stapler (ECPS) in patients with left-sided colorectal cancer who underwent anastomosis with the double stapling technique. (biomedcentral.com)
The use of this new device provides complete anastomosis, resulting in a reduced risk of anastomotic leakage. (biomedcentral.com)
Risk factors for developing bowel dysfunction are low-level anastomosis, end-to-end anastomosis, anastomotic leakage, acute or chronic inflammation, surgical autonomic denervation, loss of the rectal reservoir function and preoperative radiotherapy. (biomedcentral.com)
Hawthorne et al introduced the importance of generous resection of the lower pole, extending cephalad to the intended calyx to be anastomosed to the ureter, in order to free the ureterocaliceal anastomosis from the surrounding cortical tissue. (medscape.com)
During these surgeries, a variety of surgical techniques may be employed: dissection, resection, and anastomosis. (oaepublish.com)
However, anastomotic leakage remains a serious complication in colorectal surgery and continues to be a concern for colorectal surgeons. (biomedcentral.com)
Anastomotic leakage is one of the major complications following colorectal surgeries. (coloproctol.org)
Surgical3
Prognostic significance of both surgical and pathological assessment of curative resection for rectal cancer. (cancercentrum.se)
Patients and Methods: Between 2007 and 2015, 62 consecutive patients underwent surgical resection for gastric submucosal tumors. (iiarjournals.org)
The left image shows an obstructed kidney with an intrarenal pelvis with dotted lines delineating the areas of the surgical resection. (medscape.com)
Postoperative2
Anastomotic leakage, a known major postoperative complication, potentially leads to readmission, reoperation, and increased mortality rates in patients, such as rectal cancer patients following a low anterior resection (LAR). (coloproctol.org)
With the overall 5-year overall survival rate of rectal cancer increasing, more and more researches focus not only on the resection of tumor but also on postoperative quality of life (QOL) after surgery. (biomedcentral.com)
Dissection2
The inclusion criteria were studies on rectal resection in which the mesorectal excision involved transanal dissection - solely or in addition to abdominal dissection. (ugeskriftet.dk)
Other terms used include low anterior resection (LAR), which classically refers to removal of the sigmoid colon and upper rectum and derives its name from the fact that the dissection is below the anterior reflection of the peritoneal lining. (medscape.com)
Endoscopic2
Various nomenclatures are used in the literature such as transanal TME (TaTME), transanal minimally invasive TME (TAMIS-TME), perirectal natural orifice transluminal endoscopic surgery (NOTES) access, natural orifice TME, transanal endoscopic TME, endoscopic transanal proctectomy (ETAP), transanal transabdominal resection (TATAR), and transanal endoscopic proctectomy (TAEP) etc. [10, 12-14]. (ugeskriftet.dk)
If previously anterior: Consider open preperitoneal mesh or endoscopic approach (if expertise is present). (passmed.uk)
Abscess1
The following CT findings were considered suggestive of anastomotic leakage: abscess, fluid collection, or air bubbles surrounding the anastomotic site. (biomedcentral.com)
Incidence3
The incidence of anastomotic leakage in the ECPS group was significantly lower than that in the MCS group (4.4% versus 14.3%, p = 0.048). (biomedcentral.com)
Furthermore, even after propensity score matching, an association was found between the use of the ECPS and a reduced incidence of anastomotic leakage. (biomedcentral.com)
The incidence of leakage in this operation has been reported up to 36% with a mortality of 6% to 22% [ 1 ]. (coloproctol.org)
Tumors2
In particular, LECS may have merit in the removal of upper-third tumors by avoiding wedge resection, which carries the risk of excessive resection and deformity of the stomach. (iiarjournals.org)
WR may require a relatively large resection of the gastric wall causing subsequent deformity and be a potential risk for reduced oral intake, whereas alternative gastrectomy for tumors near the esophago-gastric junction or pylorus, performed to avoid the definite risk of subsequent deformity due to WR ( 7 - 9 ), has a high probability of causing post-gastrectomy syndromes and nutritional disorders ( 10 - 13 ). (iiarjournals.org)
Gastrointestinal2
Currently, vacuum-assisted closure, as featured by B-Braun (B-Braun Medical B.V.), is already being used for the treatment of gastrointestinal leakages and fistulas. (coloproctol.org)
Vacuum-assisted closure (VAC) has been used for gastrointestinal leakages and fistulas [ 2 - 4 ], thus, allowing sepsis control and facilitation of the healing process. (coloproctol.org)
Underwent1
All 10 patients, who underwent LAR surgery from 2018 to 2019, were diagnosed with anastomotic leakage and had received neoadjuvant chemotherapy prior to surgery. (coloproctol.org)
Distal1
The middle image depicts the kidney following division of the ureter distal to the obstruction and resection of the lower pole of the kidney. (medscape.com)
Abdominal4
Upon clinical symptoms that suggested anastomotic leakage, such as abdominal pain, high fever, pus or fecal discharge from the pelvic drain, or leukocytosis, computed tomography (CT) was performed to confirm the presence of anastomotic leakage. (biomedcentral.com)
The maximum vertical distance measured by computed tomography (CT) between the anterior abdominal skin and the back skin (U-APD) and the maximum horizontal distance of a plane at a right angle to U-APD (U-TD) were measured at the umbilicus. (biomedcentral.com)
The distance between the anterior abdominal skin and the root of the celiac artery (CAD) and the distance of a horizontal plane at a right angle to CAD (CATD) were measured at the root of the celiac artery. (biomedcentral.com)
The distance between the anterior abdominal skin and the root of celiac artery was defined as CAD. (biomedcentral.com)
Surgery8
Overall, we treated 10 patients with complicated anastomotic sinus cavities following LAR surgery using these handmade devices. (coloproctol.org)
In this study, a total of 10 patients, which were diagnosed with an anastomotic leakage or defect in the anastomotic line following LAR surgery due to rectal cancer, were included prospectively from 2018 to 2019. (coloproctol.org)
The circular stapling device as a risk factor for anastomotic leakage in rectal cancer surgery. (cancercentrum.se)
Risk factors for anastomotic leakage after rectal cancer surgery: a case-control study. (cancercentrum.se)
BACKGROUND: The intraoperative air leak test is commonly performed during rectal surgery to evaluate anastomotic integrity. (bvsalud.org)
The purpose of this research is to identify the bowel symptoms and self-care strategies for rectal cancer survivors during the recovery process following low anterior resection surgery. (biomedcentral.com)
It is necessary to educate patients on the symptoms experienced following low anterior resection surgery. (biomedcentral.com)
Surgery is the only curative treatment. (passmed.uk)
Patients3
Therefore, patients were treated with a handmade vacuum-assisted drain and were revisited every 5 to 7 days for further evaluations and drain replacement until leakage resolution. (coloproctol.org)
Rouanet et al [26] specifically selected patients with advanced or recurrent rectal cancer in patients with a narrow pelvis, bulky mesorectum, high BMI, large prostate, fibrosis or advanced anterior tumours. (ugeskriftet.dk)
It is characterized by frequency, urgency, incontinence, and clustering (another bowel movement within one hour of last bowel movement), affecting more than 90% of patients who undergo a low anterior resection (LAR) [ 2 ]. (biomedcentral.com)
Posterior2
Three long canals (anterior, posterior, and lateral) of the bony labyrinth. (lookformedical.com)
The semicircular canals have five openings into the vestibule with one shared by the anterior and the posterior canals. (lookformedical.com)
Examinations1
Anastomotic leakage was defined as the extravasation observed on radiologic examinations. (biomedcentral.com)
Healing process1
In this study, we evaluated the healing process of anastomotic leakage after the usage of a handmade vacuum-assisted sponge drain in a case series method. (coloproctol.org)
Lower1
2] Prior to these authors' innovations, ureterocalicostomy was performed with minimal resection of lower-pole tissue and was prone to anastomotic stricture and obstruction. (medscape.com)
Common2
Some of the most common indications for colon resection are discussed below. (medscape.com)
Following SPS, bowel dysfunction, also called low anterior resection syndrome, is a common and trouble problem. (biomedcentral.com)
Study1
The main aim of this study was to introduce a novel method for creating a vacuum-assisted drain for the treatment of anastomotic leakage after LAR. (coloproctol.org)
Time1
The mean delay time from the day of operation to the diagnosis of anastomotic leakage was 61.0±80.4 days while the mean time for leakage closure was 117.6±68.3 days. (coloproctol.org)