BACKGROUND AND AIMS Colorectal cancer is one of the most frequent digestive malignancies, being the third cause of death by cancer, despite early diagnosis and therapeutic progress made over the past years. Standard treatment in these patients is to preserve the anal sphincter with restoration of intestinal function by mechanical colorectal anastomosis or coloanal anastomosis, and to maintain g...

AFTER COMPLETION of an aortic anastomosis, particularly the kind that is required for cardiac trans-plantation or excision of the ascending aorta, persistent leak at the posterior wall suture line (Fig. lA) may be difficult to repair became of poor exposure. We successfully performed the following technique after other efforts at hemostasis had failed. A Aortic anastomosis showing persistent le...

BACKGROUND Sphincter preservation is the goal in the treatment of rectal cancer and should be considered in all patients with an intact sphincter. Sphincter preservation for tumors of the upper rectum is easily achieved, but surgical management of cancer of the mid and lower third of the rectum continues to evolve. Several recent advances may influence future treatment strategies. METHODS We ...

The article by Drs. Wagman and Minsky is an excellent overview of the history, indications, treatment considerations, and comparative results of local excision alone and local excision plus chemoradiotherapy for selected distal rectal cancers. Although the literature and experience with local excision have increased, use of the technique has probably diminished over the past decade, primarily d...

Introduction: The surgical treatment of rectal cancer is constantly improving in order to preserve the anal sphincter. However, the risk of postoperative complications is still present. Amoung these, anastomotic leakage increases morbidity, hospitalization time and costs, prolongs the recovering time and increases the risk of a second surgery. Methods: We studied a group of 26 patients affected...

Approximately 50% of patients have an unsatisfactory functional result after traditional restorative rectal resection, and an even higher percentage, at least in the early postoperative period, suffers from urgency, frequent bowel movements, and occasional faecal incontinence. The rectal reservoir function is disturbed after restorative surgery. This is related to the size of the rectal remnant...

Abstract Aim A Loop ileostomy is one of the most common techniques used in colorectal surgery, order to protect either a downstream anastomosis or coloanal anastomosis. However, it procedure that can cause plethora complications. Currently, there no consensus regarding optimal time for its reversal. Some studies suggested early reversal as solution reduce these This study aims review available ...

OBJECTIVE We conducted a prospective study to assess the long-term results of complete surgery for low rectal endometriosis (LRE), paying particular attention to surgical complications, functional results, and disease recurrence after a follow-up of at least 5 years. SUMMARY BACKGROUND DATA Deep infiltrating endometriosis (DIE) may infiltrate the midlow rectum and lead to severe pelvic pain. ...

Introduction: Anastomotic dehiscence is the main complication after low colorectal and coloanal anastomoses. The techniques commonly used are the double-stapling and handsewn anastomoses, both are made with immediate maturation. These techniques do not prevent pelvic sepsis in many patients and are not feasible in all cases. Objective: The study aim is to report the technical details and result...