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video Adjuvant hyperthermic intraperitoneal chemotherapy in patients with locally advanced colonic cancer; the COLOPEC randomised trial

By In Colon Cancer

One of the Six Best Free Papers - Daniel Wisselink (The Netherlands) at ESCP Vienna 2019

pdf Adoption and success rates of perineal procedures for fistulae-in-ano

By In Anorectal Abscess and Fistula

Short Paper - Christos Kontovounisios (UK) at Tripartite Colorectal Meeting 2014

video Advance-UC trial: appendectomy vs anti-TNF alpha in inducing clinical and endoscopic remission in left-sided ulcerative colitis: a randomised clinical trial

By In Ulcerative Colitis

New Trials Forum - Gaetano Luglio (Italy) at ESCP Thessaloniki 2024

video Advancement flap for anal fistula

By In Anorectal Abscess and Fistula

Trainee video session - Bruno Roche at ESCP Barcelona 2014

video ADVANCEment in colorectal surgery

By In Education, Training, Science writing

Covidien Satellite Symposium - Willem Bemelman at ESCP Sorrento 2010

video Age, preoperative subcutaneous fat area and open laparotomy are risk factors for incisional hernia following colorectal cancer surgery

By In Complications

Free Paper - Toru Yamada at ESCP Barcelona 2014

video AIN and anal malignancy: AIN

By In AIN and Anal Cancer

Symposium - Daniel Dindo at ESCP Dublin 2015

video AIN and anal malignancy: Pathological spectrum of anal neoplasia

By In AIN and Anal Cancer

Symposium - Marianna Berho at ESCP Dublin 2015

video AIN and anal malignancy: Salvage surgery for anal cancer

By In AIN and Anal Cancer

Symposium - Evgeny Rybakov at ESCP Dublin 2015

pdf AJCC regression grade: a new prognostic factor in rectal cancer

By In Rectal Cancer

One of the Six Best Papers - Matthew Kalady (USA) at Tripartite Colorectal Meeting 2014

video ALASCCA - a randomized double-blind placebo-controlled study with aspirin treatment in colorectal cancer patients with mutationsin the PI3K signalling pathway

By In Varia

New Trials Forum - Anna Martling (Sweden) at ESCP Berlin 2017

pdf Allied Health: Conservative management of obstructed defaecation

By In Defaecation Disorders

Meet the Experts - Gill Brook (UK) at Pelvic Floor Day, Tripartite Colorectal Meeting 2014

pdf Allied Health: Overview of functional bowel disorders

By In Defaecation Disorders

Allied Health: Conservative treatment for faecal incontinence and evacuation difficulties

video Alternatives to RCTs in surgical research

By In Basic research

Trials Methodology Symposium - Peer Wille-Jorgensen (Denmark) at ESCP Nice 2018

pdf Ambulatory treatment for acute uncomplicated diverticulitis

By In Diverticular Disease

Short Paper - Nigel Noor (UK) at Tripartite Colorectal Meeting 2014

video Ambulatory treatment versus hospitalisation for uncomplicated diverticulitis

By In Diverticular Disease

Free paper - Thomas Golda at ESCP Vienna 2012

video Ambulatory versus conventional hospitalization laparoscopic or robotic-assisted laparoscopic anterior rectopexy for patients with full-thickness rectal prolapse or enterocele

By In Rectal Prolapse

Free Paper (Functional) - Jean-Luc Faucheron at ESCP Dublin 2015

video An aggressive management of acute mesenteric ischemia is associated with satisfactory long-term survival and functional outcomes

By In Intestinal Bleeding

Free Papers (Functional) - Léon Maggiori at ESCP Dublin 2015

video An anatomical study of denonvilliers

By In Anatomy

Free Paper - Juan García-Armengol at ESCP Copenhagen 2011

video An interesting first line treatment in anal fissures: the injection of a sclerosing agent

By In Anal Fissure

Oral poster - Michael Dessily at ESCP Belgrade 2013

video An international audit and cohort study of wound closure and surgical site infection prevention strategies in abdominal surgery (WOLVERINE)

By In Periop Management

Global Reach Symposium - Gabrielle van Ramshorst (The Netherlands) at ESCP Thessaloniki 2024

video An open label study to examine the effect of coated Nifedipine suppositories on anal pressure in healthy subjects

By In Anal Fissure

Oral poster - Michael Shapiro at ESCP Sorrento 2010

document Anal and Rectal Trauma (Chapter 32, European Manual of Medicine: Coloproctology Second Edition)

By In Anal and Rectal Trauma

While accidental anal and rectal trauma is relatively rare, iatrogenic injuries to this region – particularly the anus – are quite common. This chapter describes the most frequent etiologies of anal/rectal trauma and the basic clinical and instrumental investigations necessary to provide the most appropriate treatment, particularly in emergencies, when saving patient’s life is a surgeon’s primary concern.

The surgical management of anal and rectal trauma and retention of foreign bodies in the rectum is discussed using a dedicate algorithm. Finally, the possible functional consequences of these traumas are reviewed and how to preserve fecal continence and normal evacuation is described.

document Anal Fissure (Chapter 5, European Manual of Medicine: Coloproctology Second Edition) Popular

By In Anal Fissure

An anal fissure is a tear in the epithelial lining of the anal canal, distal to the dentate line. It is accompanied by a significant increase in the tone of the internal anal sphincter. Anal pain is usually intense, occurs during or minutes after a bowel movement, and can last from minutes to hours. It may be accompanied by minimal bleeding. A fissure is usually located in the posterior (in 90 % of cases) or anterior midline (in 10 % of women and 1–5 % of men with anal fissure). If there are multiple fissures or occur at a lateral position, other anal pathologies must be ruled out (e.g., tuberculosis, syphilis, HIV, Crohn’s disease). Treatment of anal fissure is based on general measures and pharmacological intervention. General measures consist of sitz baths, avoiding the presence of hard stools by using laxatives or significantly increasing fiber intake, and using analgesics. Pharmacological treatment is based on three groups: a nitric oxide donor (glyceryl trinitrate), calcium channel antagonists (diltiazem, nifedipine), and botulinum toxin. The results of these treatments are better than placebo but inferior to surgery. If these treatments fail, surgery is the best option. Sphincterotomy is an outpatient procedure with a success rate greater than 90 %, but it has a postoperative incontinence rate between 3 % and 15 %. A chance of postoperative incontinence is the main reason why drug treatment is now considered as the first therapeutic option, especially in patients with a high risk for incontinence.

video Anal Fistula MDT: Case presentation and discussion

By In Anorectal Abscess and Fistula

Christina Fleming (Ireland) at ESCP Thessaloniki 2024

video Anal Fistula MDT: Case presentation and discussion

By In Anorectal Abscess and Fistula

Emma Carrington (United Kingdom) at ESCP Thessaloniki 2024

video Anal Fistula MDT: Dealing with the (high) rectovaginal fistula (EU view)

By In Anorectal Abscess and Fistula

Debate - Frederic Ris (Switzerland) at ESCP Thessaloniki 2024

See also: US view - Sonia Ramamoorthy

video Anal Fistula MDT: Dealing with the (high) rectovaginal fistula (US view)

By In Anorectal Abscess and Fistula

Debate - Sonia Ramamoorthy (USA) at ESCP Thessaloniki 2024

See also: EU view - Frederic Ris

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