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Ann Ital Chir 2018 ;89:552-555

Introduction: Accordingly with the new physiopathologic insights of the 70s and 80s, hemorrhoidal disease appears to originate not much from venous hyperplasia but rather from a progressive deterioration of connective and support tissues with subsequent venous and mucosal prolapse. In the late 90s a new surgical technique for a more physiological treatment of hemorrhoids was introduced: stapled prolassectomy.

Materials And Methods: Between October 2017 and June 2018 we performed 50 hemorrhoidal stapled prolassectomies under local-regional anesthesia. Read More

Rozhl Chir 2018 ;97(9):419-422

Introduction: Bipolar radiofrequency-induced thermotherapy of advanced stage haemorrhoid disease has been used successfully at the Atlas Hospital in Zlin for ten years. The aim of this study was to evaluate long-term outcomes of the method.

Method: RFITTH is bipolar radiofrequency-induced thermotherapy of haemorrhoidal diseases. Read More

Trials 2018 Feb 5;19(1):90. Epub 2018 Feb 5.

National Bowel Research Cente (NBRC) - Digestive Disease, Barts and The London School of Medicine and Dentistry, Queen Mary, University of London, 4 Newark Street, London, E1 2AT, UK.

Background: Laparoscopic ventral mesh rectopexy (LVMR) is an established treatment for external full-thickness rectal prolapse. However, its clinical efficacy in patients with internal prolapse is uncertain due to the lack of high-quality evidence.

Methods: An individual level, stepped-wedge randomised trial has been designed to allow observer-blinded data comparisons between patients awaiting LVMR with those who have undergone surgery. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2017 Dec;20(12):1370-1374

Department of Colorectal Surgery, Zhongnan Hospital, Wuhan University, Wuhan 430071, China.

Objective: To evaluate the safety and efficacy of the perineal rectosigmoidectomy (Altemeier procedure) in the treatment of full thickness rectal prolapse.

Methods: Clinical and follow-up data of 52 patients with full thickness rectal prolapse undergoing Altemeier procedure in 9 hospitals from September 2010 to July 2016 were analyzed retrospectively. Of which 38 cases were from Zhongnan Hospital of Wuhan University, 1 case from Suizhou Central Hospital of Hubei province, 1 case from Jingzhou Second People's Hospital of Hubei province, 3 cases from Wuxue First People's Hospital of Hubei province, 1 case from Jingmen First People's Hospital of Hubei province, 1 case from Tuanfeng County Hospital of Hubei province, 4 cases from Jingzhou Central Hospital of Hubei province, 2 from PLA Rocket Army General Hospital, 1 case from the Affiliated Hospital of Xuzhou Medical University in Jiangsu province. Read More

Colorectal Dis 2017 Sep;19 Suppl 3:49-72

Affiliate section of the Association of Coloproctology of Great Britain and Ireland.

Aim: To assess the outcomes of rectal excisional procedures in adults with chronic constipation.

Method: Standardised methods and reporting of benefits and harms were used for all CapaCiTY reviews that closely adhered to PRISMA 2016 guidance. Main conclusions were presented as summary evidence statements with a summative Oxford Centre for Evidence-Based Medicine (2009) level. Read More

BMJ Case Rep 2017 May 24;2017. Epub 2017 May 24.

Department of Pediatrics, Asahi General Hospital, Chiba, Japan.

Lancet Gastroenterol Hepatol 2016 12 4;1(4):291-297. Epub 2016 Oct 4.

Department of Surgery, THG, Aarhus University Hospital, Denmark.

Background: Laparoscopic ventral mesh rectopexy for rectal prolapse has been widely used over the past decade to reduce postoperative functional bowel disorders. We aimed to compare changes in functional outcome 12 months after laparoscopic ventral mesh rectopexy versus laparoscopic posterior sutured rectopexy in patients with rectal prolapse.

Methods: In this double-blind, randomised trial, consecutive patients aged 18 years or older at a single centre in Denmark with full-thickness rectal prolapse were randomly assigned (1:1) to either laparoscopic ventral mesh rectopexy or laparoscopic posterior sutured rectopexy by drawing numbers from opaque envelopes, in blocks of four for patients with or without preoperative constipation. Read More

Colorectal Dis 2017 Sep;19(9):857-862

Department of Surgery, Bankstown Hospital, Sydney, New South Wales, Australia.

Aim: Laparoscopic ventral rectopexy (LVR) is a nerve-sparing technique for the treatment of rectal prolapse. Concerns about the use of synthetic meshes in the pelvis and the associated risk of erosion have led to the recent use of biological meshes in some colorectal units. This retrospective study aims to assess the outcomes of patients undergoing LVR using a noncross-linked nondermal biological mesh. Read More

Indian J Surg 2017 Feb 26;79(1):45-50. Epub 2016 Oct 26.

Department of Surgery, Seth Nandlal Dhoot Hospital, A1, MIDC, Chikalthana, Aurangabad, Maharashtra 431210 India.

Recurrent and chronic rectal prolapse might lead to irreducibility and ultimately gangrene of the rectum if neglected. Gangrenous rectal prolapse is a surgical emergency and needs urgent surgical management. In view of irreducibility and gangrenous bowel, it is not advisable to attempt manual reduction of rectal prolapse. Read More

Int Urogynecol J 2017 Oct 11;28(10):1499-1505. Epub 2017 Mar 11.

University of Sydney, Sydney, New South Wales, Australia.

Introduction And Hypothesis: Female pelvic organ prolapse is highly prevalent and childbirth has been shown to be an important risk factor. The study was carried out to observe if pelvic organ support deteriorates over time following a first birth.

Methods: This is a retrospective review using archived data sets of women seen in the context of two prospective perinatal imaging studies. Read More

Cir Cir 2017 Dec 16;85 Suppl 1:84-88. Epub 2017 Jan 16.

Cirugía de Colon y Recto, Hospital Ángeles del Pedregal, Ciudad de México, México. Electronic address:

Background: Rectal prolapse is defined as the protrusion of the rectal wall through the anal canal; with a prevalence of less than 0.5%. The most frequent symptoms include pain, incomplete defecation sensation with blood and mucus, fecal incontinence and/or constipation. Read More

Am J Obstet Gynecol 2017 05 28;216(5):491.e1-491.e6. Epub 2016 Dec 28.

Obstetrics/Gynecology & Women's Health Institute Cleveland Clinic, Cleveland, OH.

Background: After vaginal surgery, oral and parenteral narcotics are used commonly for pain relief, and their use may exacerbate the incidence of sedation, nausea, and vomiting, which ultimately delays convalescence. Previous studies have demonstrated that rectal analgesia after surgery results in lower pain scores and less intravenous morphine consumption. Belladonna and opium rectal suppositories may be used to relieve pain and minimize side effects; however, their efficacy has not been confirmed. Read More

Rev Gastroenterol Mex 2016 Oct - Dec;81(4):202-207. Epub 2016 Oct 4.

Servicio de Endoscopia Gastrointestinal, Departamento de Gastroenterología, División Quirúrgica, Escuela de Medicina de la Universidad de Sao Paulo, Sao Paulo, Brasil.

Introduction And Aims: Rectal prolapse is common in the elderly, having an incidence of 1% in patients over 65years of age. The aim of this study was to evaluate the safety and feasibility of a new endoluminal procedure for attaching the previously mobilized rectum to the anterior abdominal wall using an endoscopic fixation device.

Materials And Methods: The study is a single-arm phasei experimental trial. Read More

Prog Urol 2016 Jul;26 Suppl 1:S27-37

Service d'urologie, CHU Nantes, place Alexis-Ricordeau, 44093 Nantes Cedex 1, France.

Introduction: Open sacrocolpopexy have demonstrated its efficiency in surgical treatment of pelvic organ prolapse with an important backward on a large number of patients. Laparoscopic sacrocolpopexy reproduced the same surgical technique with reduced morbidity and may benefits from the recent development of robotic. Numerous technical variants have been developped around the original procedure but results seems not ever equivalent. Read More

Langenbecks Arch Surg 2016 Jun 25;401(4):519-29. Epub 2016 Apr 25.

Department of General, Visceral, Endocrine and Transplantation Surgery, Kantonsspital St. Gallen, 9007, St. Gallen, Switzerland.

Purpose: Perineal stapled prolapse resection (PSP) has been described as a new surgical treatment for external rectal prolapse in 2008. Short-term and midterm results acknowledged PSP as a safe, fast and simple procedure for high-risk patients. This study aims to assess long-term results after PSP. Read More

BMJ Case Rep 2016 Apr 15;2016:10.1136/bcr-2016-214811. Epub 2016 Apr 15.

Department of General Surgery, King George's Medical University Lucknow, Lucknow, Uttar Pradesh, India.

Spontaneous prolapse of the sigmoid colon and evisceration of the small bowel through a rupture in the rectosigmoid is a rare presentation. We report a case of a 60-year-old man presenting with massive small bowel evisceration through a perforation in a prolapsed sigmoid colon. The patient had a 2-year history of rectal prolapse. Read More

Surg Res Pract 2016 21;2016:2906145. Epub 2016 Feb 21.

General Surgery, Fatebenefratelli Hospital, Rome, Italy.

The clinical chart of 621 patients with III-IV haemorrhoids undergoing Stapled Hemorrhoidopexy (SH) with CPH34 HV in 2012-2014 was consecutively reviewed to assess its safety and efficacy after at least 12 months of follow-up. Mean volume of prolapsectomy was significantly higher (13.0 mL; SD, 1. Read More

Int J Surg Case Rep 2016 14;19:38-40. Epub 2015 Dec 14.

1st Surgical department of General Hospital of Athens "G. Gennimatas", Athens, Greece.

Introduction: Transanal evisceration of small bowel is an extremely rare surgical emergency. Of the nearly 70 cases reported in the literature, rectal prolapse is the predisposing factor that has been most frequently related to this pathology.

Presentation Of Case: We report a 78-year-old female with history of chronic rectal prolapse who presented in our emergency department with evisceration of small intestinal loops through the anus. Read More

Tech Coloproctol 2016 Feb 20;20(2):101-7. Epub 2015 Nov 20.

Department of Gastroenterological Surgery, Kameda Medical Center, 929 Higashi-cho, Kamogawa City, Chiba, 296-8602, Japan.

Background: This study was designed to assess defecatory function in patients who underwent laparoscopic ventral rectopexy (LVR) for external rectal prolapse (ERP).

Methods: Thirty-one patients who underwent evacuation proctography 6 months postoperatively were assessed. Preoperative proctography had been performed in 21 patients of these patients. Read More

J Am Assoc Lab Anim Sci 2015 Jul;54(4):433-8

Rectal prolapse is a common clinical problem in laboratory mice. This condition may occur spontaneously, develop after genetic manipulations, result from infections with pathogens such as Citrobacter species, or arise secondary to experimental design such as colitis models. The current standard of care at our institution is limited to monitoring mice until tissue becomes ulcerated or necrotic; this strategy often leads to premature euthanasia of valuable animals prior to the study endpoint. Read More

J Neurogastroenterol Motil 2015 Oct;21(4):589-602

Department of Physiology and Cell Biology, University of Nevada School of Medicine, Reno, Nevada, USA.

Background/aims: Smooth muscle cells (SMCs) characteristically express serum response factor (SRF), which regulates their development. The role of SRF in SMC plasticity in the pathophysiological conditions of gastrointestinal (GI) tract is less characterized.

Methods: We generated SMC-specific Srf knockout mice and characterized the prenatally lethal phenotype using ultrasound biomicroscopy and histological analysis. Read More

Rofo 2016 Jan 1;188(1):38-44. Epub 2015 Sep 1.

Department of General and Thoracic Surgery, University Hospital of Giessen, Germany.

Purpose: Resection rectopexy (RR) provides good functional results and low recurrence rates for the treatment of obstructed defecation syndrome based on rectal prolapse and cul-de-sac syndrome, whereas little is known about changes in pelvic floor dynamics and patient satisfaction after surgery.

Materials And Methods: Within three years 26 consecutive female patients were prospectively included. Indications for RR (22 laparoscopic, 3 primary open and 1 converted-to-open) were rectal prolapse III° in 11 patients and cul-de-sac syndrome in 15 patients. Read More

Aust N Z J Obstet Gynaecol 2015 Oct 14;55(5):487-92. Epub 2015 Jul 14.

Department of Obstetrics and Gynaecology, Sydney Medical School Nepean, University of Sydney, Penrith, NSW, Australia.

Background: Rectocele is a herniation of the anterior wall of the rectal ampulla through a defect in the rectovaginal septum causing protrusion of the posterior vaginal wall. Common symptoms include symptoms of prolapse and obstructed defecation.

Aims: To describe subjective, anatomical and functional results of defect-specific rectocele repair. Read More

Tech Coloproctol 2015 Jul 4;19(7):381-9. Epub 2015 Jun 4.

Department of Surgery and Cancer, Imperial College London, Chelsea & Westminster Hospital Campus, London, UK.

Ventral mesh rectopexy is an approach in the treatment of internal and external rectal prolapse and rectocele. Our aim was to assess whether robotic surgery confers any significant advantages over laparoscopy, and the associated complication rate. Two reviewers performed a literature search using MEDLINE and PubMed databases for studies comparing robotic versus laparoscopic surgery. Read More

Int J Surg 2015 Feb 9;14:45-8. Epub 2015 Jan 9.

University of Perugia School of Medicine Department of Surgery, Via Dottori, 06100 Perugia, Italy. Electronic address:

Aim: Rectal prolapse is a distressing condition affecting mostly elderly patients and females. Delorme's procedure is frequently performed since it offers good results and is burdened by a particularly low morbidity. Faecal Incontinence is associated with prolapse in a large percentage of patients, due to the sphincter damage caused by the prolapsed rectum through the anal canal. Read More

Surg Res Pract 2014 15;2014:710128. Epub 2014 Jun 15.

General Surgery, Fatebenefratelli Hospital, Rome, Italy.

CPH34 HV, a high volume stapler, was tested in order to assess its safety and efficacy in reducing residual/recurrent haemorrhoids. The clinical charts of 430 patients with third- to fourth-degree haemorrhoids undergoing SH in 2012-2013 were consecutively reviewed, excluding those with obstructed defecation (rectocele >2 cm; Wexner's score >15). Follow-up was scheduled at six and 12 months. Read More

J Visc Surg 2015 Apr 26;152(2 Suppl):S15-21. Epub 2014 Sep 26.

Service de Proctologie Médico-Chirurgicale, Groupe hospitalier Paris Saint-Joseph, Institut Léopold-Bellan, 185, rue Raymond-Losserand, 75014 Paris, France.

Purpose: The transanal hemorrhoidal de-arterialization (THD) procedure is an effective treatment of hemorrhoidal disease. The ligation of hemorrhoidal arteries ("de-arterialization") can provide a significant reduction of arterial blood flow to the hemorrhoidal tissues. Plication of redundant rectal mucosa/submucosa ("mucopexy") can reposition prolapsing tissue to its original anatomical site. Read More

Afr J Paediatr Surg 2014 Jul-Sep;11(3):229-32

Sub-Department of Pediatric Surgery, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu, Nigeria.

Background: The aim of the following study is to report our management experience and outcome of transanal protrusion of intussusceptions.

Patients And Methods: Retrospective analysis of all cases of intussusceptions protruding through the anal opening from January 2008 to June 2013.

Results: Of 62 cases of intussusceptions, transanal protrusion occurred in 10 patients (16% anal protrusion rate) with a male:female ratio of 2:3. Read More

Int J Colorectal Dis 2014 Oct 18;29(10):1257-62. Epub 2014 Jul 18.

Digestive Disease Center, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400, Copenhagen, Denmark,

Aim: We report the clinical and anal manometric results of elderly patients treated with laparoscopic ventral rectopexy (LVR) for full-thickness rectal prolapse.

Method: From March 2009 to June 2012, patients were consecutively included. A modified laparoscopic Orr-Loygue procedure with posterior mobilisation was used. Read More

Int Urogynecol J 2014 Dec 28;25(12):1665-72. Epub 2014 May 28.

St Vincent's Clinic, Darlinghurst, NSW, Australia,

Introduction And Hypothesis: Posterior vaginal compartment repairs (PR) have traditionally involved a subjective approach. We aim to quantify such repairs using key anatomical indicators (KAI).

Methods: At 50 consecutive PRs: perineal gap (PG); posterior vaginal vault descent (PVVD); mid-vaginal laxity (MVL-vault undisplaced/displaced); and recto-vaginal fascial laxity (RVFL) were measured. Read More

Tech Coloproctol 2014 Oct 1;18(10):907-14. Epub 2014 May 1.

Department of Proctology, Krankenhaus Barmherzige Brueder Regensburg, Pruefeninger Str. 89, 93049, Regensburg, Germany,

Background: The aim of this prospective study was to evaluate the functional outcome of transanal surgery in male patients suffering from fecal incontinence, soiling, and obstructed defecation associated with rectal mucosal prolapse.

Methods: All male patients who underwent transanal surgery (either stapled or Delorme mucosectomy) for rectal mucosal prolapse associated with fecal incontinence and obstructed defecation were prospectively enrolled in the study. The recruitment phase was 17 months (April 2011 to August 2012). Read More

BMJ Case Rep 2014 Apr 28;2014. Epub 2014 Apr 28.

Department of Colorectal/General Surgery, Milton Keynes Hospital NHS Foundation Trust, Milton Keynes, UK.

We present a case of an elderly man with what appeared to be an episode of rectal prolapse following straining while defaecating. Laparotomy revealed the prolapse to be an intussusception of large bowel with a villous adenoma as its lead point. Reduction resection was performed with primary anastomosis, and the patient recovered well from the surgery. Read More

Ann Coloproctol 2014 Feb 28;30(1):47-9. Epub 2014 Feb 28.

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Doctor Peset, Valencia, Spain.

Transrectal evisceration caused by colorectal injury is an unusual entity. This pathology is more frequent in elderly patients and it is usually produced spontaneously. Rectal prolapse is the principal predisposing factor. Read More

J Clin Diagn Res 2014 Jan 12;8(1):183-4. Epub 2014 Jan 12.

Associate Professor, Department of Surgery, M.S.Ramaiah Medical College , Bangalore, India .

Transanal evisceration of small bowel is an extremely rare surgical emergency. This is the condition in which the small bowel herniates through breach in the anterior rectal wall and seen eviscerating through the anal canal. It is challenging for a surgeon to deal and manage such a case during emergency, especially if he hasn't dealt with such condition earlier. Read More

Indian Pediatr 2014 Jan;51(1):53-4

Departments of Pediatrics and *Surgery, RD Gardi Medical College, Surasa, Ujjain, India. Correspondence to: Dr Poonam Singh, Assistant Professor, Department of Pediatrics, RD Gardi Medical College, Surasa, 456010 Ujjain, India.

Background: Wound myiasis in the Indian subcontinent is most commonly caused by old world screw-worm (Chrysomya bezziana).

Case Report And Management: A 4-year-old malnourished girl presented with full thickness rectal prolapse following acute diarrhea with a large wound and screwworm myiasis of the rectum. Turpentine oil was applied to immobilize the maggots followed by manual extraction. Read More

Am J Surg 2014 Jul 16;208(1):21-5. Epub 2014 Jan 16.

Department of General Surgery, San Camillo Clinic Institute, Via Turati 44, 25123 Brescia, Italy.

Background: We report the results of 2-year regular use of the hemorrhoidal laser procedure (HeLP) in 97 patients with symptomatic second- to third-grade hemorrhoids with minimal or moderate internal mucosal prolapse.

Methods: Data on duration of the procedure, perioperative complications, postoperative pain, downgrading of hemorrhoids, resolution or persistency, and recurrence of hemorrhoidal disease (HD) were prospectively collected.

Results: No significant intraoperative complications occurred. Read More

Tech Coloproctol 2014 Jul 6;18(7):641-6. Epub 2014 Feb 6.

Cleveland Clinic Florida, Weston, FL, USA,

Background: Laparoscopic resection rectopexy (LRR) and laparoscopic ventral rectopexy (LVR) are favored for the treatment for rectal prolapse (RP) in the USA and Europe, respectively. This study aims to compare these two surgical techniques.

Methods: All patients who underwent LRR because of RP between January 2000 and January 2012 at Cleveland Clinic Florida (Weston, FL, USA) were identified, and all relevant characteristics were entered in a database. Read More

BMC Res Notes 2013 Oct 5;6:401. Epub 2013 Oct 5.

Colorectal Surgery Unit, Department of Surgery, School of Medicine, Makerere College of Health Sciences, Makerere University, P,O, Box 7072, Kampala, Uganda.

Background: Intestinal obstruction secondary to intussusception, occurring simultaneously with complete rectal prolapse, is an unusual entity among young adults. When it occurs the intussusceptum may protrude per anus. Few cases are cited in literature; each with a unique clinical presentation. Read More

Tech Coloproctol 2014 Mar 12;18(3):291-8. Epub 2013 Sep 12.

Department of Surgical Sciences, Catholic University, Largo A. Gemelli, 8, 00168, Rome, Italy,

Transanal hemorrhoidal dearterialization (THD) is an effective treatment for hemorrhoidal disease. The ligation of hemorrhoidal arteries (called "dearterialization") can provide a significant reduction of the arterial overflow to the hemorrhoidal piles. Plication of the redundant rectal mucosa/submucosa (called "mucopexy") can provide a repositioning of prolapsing tissue to the anatomical site. Read More

G Chir 2013 May-Jun;34(5-6):141-4

Pelvic organ prolapse suspension (POPS) is a recent surgical procedure for one-stage treatment of multiorgan female pelvic prolapse. This study evaluates the preliminary results of laparoscopic POPS in 54 women with a mean age of 55.2 and a BMI of 28. Read More

Colorectal Dis 2013 Jun;15(6):695-9

Department of Surgery, Meander Medical Centre, Amersfoort, the Netherlands.

Aim: This retrospective study aimed to determine functional results of laparoscopic ventral rectopexy (LVR) for rectal prolapse (RP) and symptomatic rectoceles in a large cohort of patients.

Method: All patients treated between 2004 and 2011 were identified. Relevant patient characteristics were gathered. Read More

J Neurogastroenterol Motil 2013 Jan 8;19(1):85-9. Epub 2013 Jan 8.

Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.

Background/aims: The patients with rectal prolapse suffer from not only a prolapse rectum but also associated dysfunction. However, most surgical techniques are successful regarding the prolapse, but either do not solve or even worsen defecation dysfunction. The purpose of this study was to investigate the functional and physiological results after surgical correction in patients with rectal prolapse. Read More

Tech Coloproctol 2012 Dec 27;16(6):477-83. Epub 2012 Oct 27.

Department of Surgery, Santa Maria dei Battuti Hospital, Via Savorgnano, 2, 33079, San Vito al Tagliamento, PN, Italy.

Background: Laparoscopic ventral rectopexy limits the risk of autonomic nerve damage, and the colpopexy allows correction of a concomitant prolapse of the middle compartment. The aim of this study is to describe a modified laparoscopic ventral rectocolpopexy procedure with a low approach to the sacral hollow (laparoscopic low ventral rectocolpopexy: LLVR). We propose this technique to manage combined rectogenital prolapse. Read More

PLoS One 2012 15;7(10):e47196. Epub 2012 Oct 15.

Children's Hospital Oakland Research Institute, Oakland, California, USA.

A mouse model with compromised mitochondrial fatty acid synthesis has been engineered in order to assess the role of this pathway in mitochondrial function and overall health. Reduction in the expression of mitochondrial malonyl CoA-acyl carrier protein transacylase, a key enzyme in the pathway encoded by the nuclear Mcat gene, was achieved to varying extents in all examined tissues employing tamoxifen-inducible Cre-lox technology. Although affected mice consumed more food than control animals, they failed to gain weight, were less physically active, suffered from loss of white adipose tissue, reduced muscle strength, kyphosis, alopecia, hypothermia and shortened lifespan. Read More

J Gastrointest Surg 2012 Dec 2;16(12):2336-7. Epub 2012 Oct 2.

Department of Surgery, University of Munich, Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany.

Case Report: A 56-year-old male presented to the emergency department with a feeling of heaviness and a protruding mass at the anal verge associated with pruritus in this area. The patient did not feel any pain and did not report experiencing faecal incontinence. Physical examination resulted in the visual diagnosis of a total rectal prolapse. Read More

Surg Endosc 2013 Mar 6;27(3):746-52. Epub 2012 Oct 6.

Department of General, Visceral, and Thoracic Surgery, AGAPLESION Markus Krankenhaus, Wilhelm-Epstein-Str. 4, 60431 Frankfurt, Germany.

Background: Reducing access size and trauma are important issues in natural orifice transluminal endoscopic surgery (NOTES). The combination of experience with laparoscopic colorectal surgery and transanal endoscopic microsurgery has helped in the use of the transanal approach as a realistic option of NOTES techniques to introduce transanal hybrid laparoscopic-assisted colon resection into clinical practice. The purpose of this study was to assess the clinical introduction of transanal hybrid colon resection in terms of feasibility and patient safety. Read More

Indian J Urol 2012 Jan;28(1):21-7

Department of Urology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Aims: To assess safety, efficacy, and cost-effectiveness of trans-vaginal total pelvic floor repair with customized prolene mesh in patients with high-grade pelvic organ prolapse.

Materials And Methods: A total of 32 patients, who underwent trans-vaginal total pelvic floor repair using a customized prolene mesh from January 2007 to June 2010 for grade III and IV pelvic organ prolapse, were analyzed retrospectively. Prolapse was graded using Pelvic Organ Prolapse Quantification system of International Continence Society. Read More

Am Surg 2012 Mar;78(3):344-8

Department of General Surgery, Gelibolu Military Hospital, Çanakkale, Turkey.

Doppler-guided hemorrhoidal artery ligation (DGHAL) is a nonexcisional surgical technique for the treatment of hemorrhoidal disease, consisting of the ligation of the distal branches of the superior rectal artery, resulting in a reduction of blood flow and decongestion of hemorrhoidal plexus resulting in fibrosis. The aim of the study was to assess the efficacy and safety of DGHAL, define its indications, and identify its possible advantages and limitations for the treatment of second- and third-degree hemorrhoids. The procedure was performed using a specially designed proctoscope. Read More

Int Urogynecol J 2012 Aug 14;23(8):1035-40. Epub 2012 Mar 14.

Obstetrics and Gynaecology, Sydney Medical School Nepean, Nepean Hospital, Penrith, NSW 2750, Australia.

Introduction And Hypothesis: The aim of the study was to test whether women with symptoms of pelvic floor dysfunction can augment maximum urethral closure pressure (MUCP) with a pelvic floor muscle contraction (PFMC) and whether augmentation is associated with structure and function of the levator ani muscle.

Methods: Between January and December 2009, 300 women attended a tertiary referral service for multichannel urodynamic testing and 4D pelvic floor ultrasound. The MUCP was obtained with a perfused fluid-filled catheter. Read More

J Indian Med Assoc 2011 Jul;109(7):502-3

Department of Paediatrics, Mahatma Gandhi Institute of Medical Sciences, Wardha 442102.

Neonatal genital prolapse is a rare condition, usually associated with congenital spinal defects and is often resistant to simple reduction. A case of complete uterine prolapse which was noted shortly after birth in a female baby with a meningocele at the lumbar region with rectal prolapse is reported. The vagina and uterus was restored to their normal position but came out immediately after reduction. Read More