0000000000310553
AUTHOR
Cocorullo G.
An international assessment of the adoption of enhanced recovery after surgery (ERAS®) principles across colorectal units in 2019–2020
Aim The Enhanced Recovery After Surgery (ERAS® ) Society guidelines aim to standardise perioperative care in colorectal surgery via 25 principles. We aimed to assess the variation in uptake of these principles across an international network of colorectal units. Method An online survey was circulated amongst European Society of Coloproctology members in 2019/20. For each ERAS® principle, respondents were asked to score how frequently the principle was implemented in their hospital, from 1 ('rarely') to 4 ('always'). Respondents were also asked to recall whether practice had changed since 2017. Subgroup analyses based on hospital characteristics were conducted. Results Of hospitals approache…
Intraperitoneal drain placement and outcomes after elective colorectal surgery: International matched, prospective, cohort study
Abstract Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and tim…
Correction to: Mesoglycan for pain control after open excisional HAEMOrrhoidectomy (MeHAEMO): an observational multicentre study on behalf of the Italian Society of Colorectal Surgery (SICCR) (BMC Surgery, (2020), 20, 1, (251), 10.1186/s12893-020-00914-5)
An amendment to this paper has been published and can be accessed via the original article.
Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement
Hemorrhoidal disease (HD) is the most common proctological disease in the Western countries. However, its real prevalence is underestimated due to the frequent self-medication. The aim of this consensus statement is to provide evidence-based data to allow an individualized and appropriate management and treatment of HD. The strategy used to search for evidence was based on application of electronic sources such as MEDLINE, PubMed, Cochrane Review Library, CINAHL, and EMBASE. These guidelines are inclusive and not prescriptive. The recommendations were defined and graded based on the current levels of evidence and in accordance with the criteria adopted by American College of Chest Physician…
Tailored treatments in internal rectal prolapse
Background: Internal rectal prolapse is commonly reported in patients suffering pelvic floor disorders, such as obstructive defecation and incontince. Unfortunately, its treatment not always offers a symptoms resolution. Material and methods: To investigate the correct management and its influence in symptoms resolution, we investigated patients submitted to hierarchic therapeutic options from conservative to surgical treatments. An evaluation of the appropriate treatment tailored on the entity of the prolapse was proposed. Results: We investigated 84 patients [64 F, 20 M (median age 52)]. In 44 a symptoms resolution was obtained with medical therapy. To 40 patients biofeedback rehabilitati…