A5025207279- Colorectal Cancer Surgical Treatments
- Anorectal Disease Treatments and Outcomes
- Colorectal and Anal Carcinomas
- Diverticular Disease and Complications
- Colorectal Cancer Screening and Detection
- Pelvic floor disorders treatments
- Minimally Invasive Surgical Techniques
- Surgical Simulation and Training
- Hernia repair and management
- Gastric Cancer Management and Outcomes
- Pelvic and Acetabular Injuries
- Body Contouring and Surgery
- Anesthesia and Pain Management
- Intestinal Malrotation and Obstruction Disorders
- Radiation Dose and Imaging
- Cardiac, Anesthesia and Surgical Outcomes
- Sarcoma Diagnosis and Treatment
- Reconstructive Facial Surgery Techniques
- Stoma care and complications
- Ureteral procedures and complications
- Reconstructive Surgery and Microvascular Techniques
- Pain Management and Opioid Use
- Intestinal and Peritoneal Adhesions
- Abdominal Surgery and Complications
AdventHealth Orlando
2013-2024
American Society of Colon and Rectal Surgeons
2013-2017
Florida Hospital Medical Group
2012
AdventHealth Celebration
2012
Ochsner Medical Center
2010
BACKGROUND: Since its inception in 2009, transanal minimally invasive surgery has been used increasingly the United States and internationally as an alternative to local excision endoscopic microsurgery for of neoplasms distal mid rectum. Despite increasing acceptance, clinical benefits have not yet validated. OBJECTIVE: The aim this study is assess adequacy benign malignant lesions DESIGN: This a retrospective analysis consecutive patients who underwent at single institution. SETTINGS: was...
This study describes the outcomes for 200 consecutive transanal minimally invasive surgery (TAMIS) local excision (LE) rectal neoplasia.TAMIS is an advanced platform that can result in high quality LE of neoplasia.Consecutive patients from July 1, 2009 to December 31, 2015 a prospective institutional registry were analyzed. Indication TAMIS was endoscopically unresectable benign lesions or histologically favorable early cancers. The primary endpoints resection quality, neoplasia recurrence,...
Transanal total mesorectal excision is a new approach to curative-intent rectal cancer surgery. Training and surgeon experience with this has not been assessed previously in America.The purpose of study was characterize structured training program determine the delegate surgeons.Data were assimilated from an anonymous, online survey delivered attendees on course completion. Data performance during hands-on cadaveric dissection collected prospectively.This conducted at single tertiary...
Rectovaginal fistulas are abnormal epithelial-lined connections between the rectum and vagina. They can be quite bothersome to both patient surgeon due their irritating embarrassing symptoms high failure rate after repair. An individualized, systematic approach these based on size, location, etiology provides a more concise treatment plan. Treatment options of medical therapy, advancement flaps, plugs, fistula ligation, tissue interposition discussed.
BACKGROUND: Multispecialty management should be the preferred approach for treatment of pelvic floor dysfunction, as there is often multicompartmental prolapse. OBJECTIVE: To assess safety combined robotic ventral-mesh rectopexy and either uterine or vaginal fixation organ prolapse at our institution. DESIGN: Retrospective analysis. SETTINGS: Tertiary referral academic center. PATIENTS: All patients who underwent a procedure discussed biweekly multidisciplinary team meeting. MAIN OUTCOME...
Atallah, Sam B. M.D.; Larach, Sergio deBeche-Adams, Teresa C. Albert, Matthew R. M.D. Author Information
Objective: To investigate fecal incontinence and defecatory, urinary, sexual functional outcomes after taTME. Summary Background Data: Proctectomy for rectal cancer may result in alterations function that persist beyond 12 months. The recent multicenter Phase II taTME trial demonstrated the safety of patients with stage I-III tumors. Methods: Prospectively registered self-reported questionnaires were collected from 100 patients. Fecal continence (FIQL, Wexner), defecatory (COREFO), urinary...
Atallah, Sam B. M.D.; deBeche-Adams, Teresa C. Larach, Sergio M.D. Author Information
<b><i>Introduction:</i></b> Opioid analgesia remains the mainstay of postoperative pain management strategies despite being associated with many adverse effects. A specific opioid-free protocol was designed to limit opioid usage. <b><i>Objective:</i></b> The aim study audit rate within this and identify factors that might contribute surgery. <b><i>Methods:</i></b> retrospective all elective patients receiving abdominal...
Abstract Background Transanal TME (taTME) combines abdominal and transanal dissection to facilitate sphincter preservation in patients with low rectal tumors. Few phase II/III trials report long-term oncologic functional results. We early results from a North American prospective multicenter II trial of taTME (NCT03144765). Methods 100 stage I–III adenocarcinoma located ≤ 10 cm the anal verge (AV) were enrolled across 11 centers. Primary secondary endpoints quality, pathologic outcomes,...
Objectives: To report the results of a rigorous quality control (QC) process in grading total mesorectal excision (TME) specimens during multicenter prospective phase II trial transanal TME. Summary Background Data: Grading TME is based on macroscopic assessment mesorectum and standardized through synoptic pathology reporting. grade strong predictor outcomes with incomplete (IC) associated increased rates local recurrence relative to complete or near (C/NC) Although serves as an endpoint...
Rectal diverticula are a very rare occurrence compared to of the colon. They reported account for only 0.08% all diverticulosis. Diverticula rectum can be caused by congenital or acquired factors. The majority asymptomatic, diagnosed incidentally, and require no treatment. low incidence rectal diverticulosis may attributed unique anatomical structure physiological environment rectum. However, complications arise necessitate surgical endoscopic treatment.We report case 72-year-old female with...