Show simple item record

 
dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorGarcia-Granero, Alvaro
dc.contributor.authorPellino, Gianluca
dc.contributor.authorFletcher Sanfeliu, Delfina
dc.contributor.authorMillán Scheiding, Mónica
dc.contributor.authorPrimo-Romaguera, Vicent
dc.contributor.authorGarcia Gausi, Maria
dc.date.accessioned2022-08-10T11:38:58Z
dc.date.available2022-08-10T11:38:58Z
dc.date.issued2022-03
dc.identifier.citationGarcia-Granero A, Pellino G, Fletcher-Sanfeliu D, Millan M, Primo-Romaguera V, Garcia-Gausí M, et al. “Near-TME”: proposed standardisation of the technique for proctectomy in male patients with ulcerative colitis. Tech Coloproctol. 2022 Mar;26:217–26.
dc.identifier.issn1128-045X
dc.identifier.urihttp://hdl.handle.net/11351/7981
dc.descriptionIntra-mesorectal; Surgical anatomy; Ulcerative colitis
dc.description.abstractBackground The aim of the present study was to describe in detail an approach to proctectomy in ulcerative colitis (UC), which can be standardized; near-total mesorectal excision (near-TME), to prevent injuries to autonomic pelvic nerves and subsequent sexual dysfunction. Methods We demonstrate the technique ex vivo on a cadaver from a male patient in lithotomy position and on a sagittal section of a male pelvis. We also demonstrate the technique in vivo in two male patients diagnosed with UC, with no history of sexual dysfunction or bowel neoplasia. The study was performed at the Human Embryology and Anatomy Department. University of Valencia, Spain. Results The posterolateral dissection during a near-TME is similar to that of an oncologic TME, whereas the anterolateral is similar to that of a close rectal dissection. The near-TME technique preserves the superior hypogastric plexus, the hypogastric nerves, the nervi erigentes, the inferior hypogastric plexus, the pelvic plexus and the cavernous nerves. Conclusion The near-TME technique is the standardisation of the technique for proctectomy in male patients with ulcerative colitis. Near-TME requires experience in pelvic surgery and an exhaustive knowledge of the embryological development and of the surgical anatomy of the pelvis.
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofseriesTechniques in Coloproctology;26
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectColitis ulcerosa - Cirurgia
dc.subjectExtirpació (Cirurgia)
dc.subject.meshColitis, Ulcerative
dc.subject.mesh/surgery
dc.subject.meshProctectomy
dc.title“Near-TME”: proposed standardisation of the technique for proctectomy in male patients with ulcerative colitis
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1007/s10151-022-02579-z
dc.subject.decscolitis ulcerosa
dc.subject.decs/cirugía
dc.subject.decsproctectomía
dc.relation.publishversionhttps://doi.org/10.1007/s10151-022-02579-z
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Garcia-Granero A] Colorectal Unit, Hospital Universitario Son Espases, Palma de Mallorca, Spain. Applied Surgical Anatomy Unit, Human Embryology and Anatomy Department, University of Valencia, Valencia, Spain. Human Embryology and Anatomy Department, University of Islas Baleares, Palma, Spain. [Pellino G] Department of Advanced Medical and Surgical Sciences, Università Degli Studi Della Campania “Luigi Vanvitelli”, Naples, Italy. Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Fletcher-Sanfeliu D] Cardiac Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain. [Millan M, Primo-Romaguera V] Colorectal Surgery, Hospital Universitario Y Politecnico “La Fe”, Valencia, Spain. [Garcia-Gausí M] Applied Surgical Anatomy Unit, Human Embryology and Anatomy Department, University of Valencia, Valencia, Spain
dc.identifier.pmid35103902
dc.identifier.wos000749434400002
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record