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Anterior rectal resection for endometriosis: in 76% of rectovaginal cases, pain was either eliminated or got much better, according to a study of 37 women.(Gynecology)
LONDON -- Anterior rectal resection and anastomosis for the treatment of rectovaginal endometriosis can provide significant pain relief with an acceptable level of complications, according to a study presented at the annual congress of the International Society for Gynecologic Endoscopy.
"No one knows whether you should perform a rectal resection or simply shave the disease off the surface. An anterior resection is obviously more radical, but the theory is that by doing this you are more likely to remove all of the disease, including microscopic and multifocal disease, and there will be less chance of recurrence," said Nicholas Kenney, M.D., a clinical fellow at Worthing Hospital (England).
Dr. Kenney presented a review of 37 anterior rectal resections he performed with his colleagues, including his supervisor James English, M.D., a consultant gynecologist at the same hospital.
Of the total 37 procedures, 21 were performed by laparotomy, and the remaining 16 were done by laparoscopy.
In the study, 28 patients (76%) had a primary bowel anastomosis without a stoma, 1 had a preoperative stoma, 2 required a temporary loop colostomy because of low rectal ...
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...com & NewsRx.net) -- Researchers describe techniques for reconstructing intestinal continuity after anterior rectal resection. According to a study from Germany, "Sphincter preservation is a goal in the treatment of rectal cancer and...
- Stapled rectal resection resolves obstructed defecation.(Digestive Disorders)
- Magazine article from: Family Practice News Evans, Jeff October 1, 2004 700+ words
...The new technique, called the stapled transanal rectal resection (STARR), uses a double circular stapler to first...intussusception and bulging of a rectocele in the anterior rectal wall and then to remove the intussusception of...
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...aimed at rectoceles and intussusception - are largely unsuccessful in providing long-term benefits. Stapled transanal rectal resection (STARR) is a new treatment option being used to manage ODS-related constipation in the UK and other European countries...
- Laparoscopic approach for Hartmann reversal procedures.(Editorial)
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...In 1990, not only was the first laparoscopic sigmoid resection described, but also the first laparoscopic anterior rectal resection, the first laparoscopic right hemicolectomy and the first laparoscopic stoma creation. Since then, laparoscopic...
- Study data from P.A. Lehur et al provide new insights into...
- Magazine article from: Women's Health Weekly December 25, 2008 700+ words
...achieved with stapled transanal rectal resection vs. biofeedback training in obstructed...randomized to stapled transanal rectal resection or biofeedback training." "Stapled transanal rectal resection was performed by using two circular...
- Data on constipation reported by researchers at University of Zurich.
- Magazine article from: Women's Health Weekly January 15, 2009 700+ words
...defecation syndrome after stapled transanal rectal resection was prospectively evaluated. Twenty...before and after stapled transanal rectal resection. After a median follow-up of 18...defecation syndrome after stapled transanal rectal resection correlates well with morphologic ...
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- Newspaper article from: Biotech Week May 20, 2009 700+ words
...results following elective colonic and rectal resection within an enhanced recovery programme...days for colonic and 6 days following rectal resection, in previously reported small selected...results following elective colonic and rectal resection within an enhanced recovery ...
- Research on endometriosis reported by scientists at Rouen University.
- Magazine article from: Women's Health Weekly November 27, 2008 700+ words
...rectal endometriosis who had undergone rectal resection during a 22-month period. Endorectal...women were included in the study. Rectal resection was segmental in 14 cases and was...sufficient when selecting the type of rectal-resection procedure." Roman and colleagues...
- Male sexual dysfunction found in some cases following rectal cancer surgery.
- Newspaper article from: Cancer Weekly February 4, 2003 700+ words
...to pelvic nerve injury, are recognized complications of rectal resection. This study investigated the frequency of these complications...and colleagues concluded: "Laparoscopically assisted rectal resection is associated with a higher rate of male sexual dysfunction...
- Few pediatric case reports noted.
- Newspaper article from: Immunotherapy Weekly February 12, 2003 700+ words
...straining efforts during which high intra-abdominal pressure forces the anterior rectal mucosa firmly into the contracting puborectalis muscle. The anterior rectal mucosa is frequently forced into the anal canal and as a consequence becomes...
Source: HighBeam Research, Anterior rectal resection for endometriosis: in 76% of rectovaginal...