Essential listening for trainees and experienced colorectal surgeons. Dr Herand Abcarian, Professor of Colorectal Surgery at the Universty of Illinois, USA, and leader in fistula surgery gives a "how I do it" lesson on sphincter saving surgery for fistula, as well as choosing the novel Over The Scope Clip (OTSC) technique as the treatment he'd have for himself. Find out why by listening to the podcast with Giuseppe Gagliardi, Co-Editor in Chief of Techniques in Coloproctology.
The OTSC paper can be found at http://bit.ly/2FMoYzS (Short-term outcomes of a novel endoscopic clipping device for closure of the internal opening in 100 anorectal fistulas)
One of the doyens of colorectal surgery, Dr Abcarian discusses developments in sphincter-sparing surgery for anal fistula. Permacol paste and FiLaC (fistula tract laser closure) are reviewed in part 1 of the podcast.
Papers discussed in the podcast can be found at http://bit.ly/2FK0LKG (Permacol™ collagen paste injection for the treatment of complex anal fistula: 1-year follow-up), http://bit.ly/2HsOpDG (Five years of experience with the FiLaC™ laser for fistula-in-ano management: long-term follow-up from a single institution) and http://bit.ly/2p4VjZ3 (Fistula-tract Laser Closure (FiLaC™): long-term results and new operative strategies)
Rick Nelson tells Jon Lund about his latest meta analysis of evidence in the treatment of anal fissure.
There are some surprises that will challenge what you think you know about efficacy of topical treatments, anal stretch, and the much lower than previously thought incidence of impairment of continence after sphincterotomy.
You can read the full paper at http://bit.ly/2yeyCEZ A systematic review and meta-analysis of the treatment of anal fissure. Techniques in Coloproctology August 2017, Volume 21, Issue 8, pp 605–625
For decades the only real option for perforated diverticular disease was a Hartmann's procedure, but there has been a lot of interest in the less invasive and stoma saving laparoscopic lavage and drainage procedure as an alternative. But is it effective?
In this podcast linked to a meta analysis by Cirocchi et al in Techniques in Coloproctology (2017) 21: 93 (http://bit.ly/2peBO1J) Jon Lund talks to David Humes about the background and the evidence for and against peritoneal lavage as a treatment for this common colorectal emergency.
David Humes is Associate Professor of Surgery at the University of Nottingham, UK and an NIHR Postdoctoral Fellow.
Dr Ruediger Prosst, Director of The Proctological Institute in Stuttgart, Germany, tells Jon Lund about his experience in treating the often challenging problem of high and complex anal fistula using a novel, sphincter sparing clipping device.
This podcast links to Tech Coloproctol (2016) 20: 753. doi:10.1007/s10151-016-1537-0
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