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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