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  1. Article: Replacing Transanal Excision with Transanal Endoscopic Microsurgery and/or Transanal Minimally Invasive Surgery for Early Rectal Cancer.

    Hakiman, Hekmat / Pendola, Michael / Fleshman, James W

    Clinics in colon and rectal surgery

    2015  Volume 28, Issue 1, Page(s) 38–42

    Abstract: The use of local resection of rectal polyps and early rectal cancer has progressed to become the standard of care in most institutions with a colorectal surgery specialist. The use of transanal excision (TAE) with anorectal retractors and standard ... ...

    Abstract The use of local resection of rectal polyps and early rectal cancer has progressed to become the standard of care in most institutions with a colorectal surgery specialist. The use of transanal excision (TAE) with anorectal retractors and standard instrumentation has been supplanted by the application of endoscopic techniques which allow direct video augmented visualization. The transanal endoscopic microsurgery method provides a 3D view and works under a constant flow of air to keep the rectal vault open. Instruments capable of accomplishing a surgical excision and suture closure work through a long 4 cm tube set at the anal canal. The newest version of TAE is transanal minimally invasive surgery which is similar to a single-site laparoscopic technique using a hand access port at the anal canal to maintain a seal for insufflation of the rectum, regular 2D video camera for visualization, and laparoscopic instrumentation through the port in the anus. Each of these techniques is described in detail and the outcomes compared, which show the progress being made in this area of colorectal surgery.
    Keywords covid19
    Language English
    Publishing date 2015-02-17
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2048635-2
    ISSN 1531-0043
    ISSN 1531-0043
    DOI 10.1055/s-0035-1545068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3931: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Rapid progression of a germ cell tumor encasing the inferior vena cava and aorta following a radical orchiectomy.

    Hakiman, Hekmat / Margulis, Vitaly / Kapur, Payal / Huerta, Sergio

    Rare tumors

    2013  Volume 5, Issue 2, Page(s) 79–82

    Abstract: Early stage testicular germ cell tumors are highly curable malignancies, but the need for close radiologic and biomarker surveillance is pivotal. Even in the setting of recurrence, rescue therapy has been successfully implemented. The present report ... ...

    Abstract Early stage testicular germ cell tumors are highly curable malignancies, but the need for close radiologic and biomarker surveillance is pivotal. Even in the setting of recurrence, rescue therapy has been successfully implemented. The present report describes a patient that had rapid and aggressive recurrence after radical orchiectomy for a testicular germ cell tumor and presented with bulky disease necessitating reconstruction of the inferior vena cava at the time of salvage retroperitoneal debulking.
    Language English
    Publishing date 2013-06-07
    Publishing country England
    Document type Case Reports
    ZDB-ID 2514363-3
    ISSN 2036-3613 ; 2036-3605
    ISSN (online) 2036-3613
    ISSN 2036-3605
    DOI 10.4081/rt.2013.e21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Coughing-induced bowel transection in a patient with an incarcerated inguinal hernia: a case report.

    Hakiman, Hekmat / Delibero, Jana / Pham, Thai / Dineen, Sean / Huerta, Sergio

    Journal of medical case reports

    2013  Volume 7, Page(s) 47

    Language English
    Publishing date 2013-02-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2269805-X
    ISSN 1752-1947
    ISSN 1752-1947
    DOI 10.1186/1752-1947-7-47
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Rapid progression of a germ cell tumor encasing the inferior vena cava and aorta following a radical orchiectomy

    Hekmat Hakiman / Vitaly Margulis / Payal Kapur / Sergio Huerta

    Rare Tumors, Vol 5, Iss 2, Pp e21-e

    2013  Volume 21

    Abstract: Early stage testicular germ cell tumors are highly curable malignancies, but the need for close radiologic and biomarker surveillance is pivotal. Even in the setting of recurrence, rescue therapy has been successfully implemented. The present report ... ...

    Abstract Early stage testicular germ cell tumors are highly curable malignancies, but the need for close radiologic and biomarker surveillance is pivotal. Even in the setting of recurrence, rescue therapy has been successfully implemented. The present report describes a patient that had rapid and aggressive recurrence after radical orchiectomy for a testicular germ cell tumor and presented with bulky disease necessitating reconstruction of the inferior vena cava at the time of salvage retroperitoneal debulking.
    Keywords testicular germ cell tumor ; retroperitoneal tumor ; teratoma ; Medicine ; R ; Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282
    Language English
    Publishing date 2013-06-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  5. Article ; Online: Single-site laparoscopic surgery for inflammatory bowel disease.

    Olson, Craig H / Bedros, Nicole / Hakiman, Hekmat / Araghizadeh, Farshid Y

    JSLS : Journal of the Society of Laparoendoscopic Surgeons

    2014  Volume 18, Issue 2, Page(s) 258–264

    Abstract: Background and objectives: Single-site laparoscopic colorectal surgery has been firmly established; however, few reports addressing this technique in the inflammatory bowel disease population exist.: Methods: We conducted a case-matched retrospective ...

    Abstract Background and objectives: Single-site laparoscopic colorectal surgery has been firmly established; however, few reports addressing this technique in the inflammatory bowel disease population exist.
    Methods: We conducted a case-matched retrospective review of 20 patients who underwent single-site laparoscopic procedures for inflammatory bowel disease compared with 20 matched patients undergoing multiport laparoscopic procedures. Data regarding these patients were tabulated in the following categories: demographic characteristics, operative parameters, and perioperative outcomes.
    Results: A wide range of cases were completed: 9 ileocolic resections, 7 cases of proctocolectomy with end ileostomy or ileal pouch anal anastomosis, 2 cases of proctectomy with ileal pouch anal anastomosis, and 2 total abdominal colectomies with end ileostomy were all matched to equivalent multiport laparoscopic cases. No single-incision cases were converted to multiport laparoscopy, and 2 single-incision cases (10%) were converted to an open approach. For single-incision cases, the mean length of stay was 7.7 days, the mean time to oral intake was 3.3 days, and the mean period of intravenous analgesic use was 5.0 days. There were no statistically significant differences between single-site and multiport cases.
    Conclusions: Single-site laparoscopic surgery is technically feasible in inflammatory bowel disease. The length of stay and period of intravenous analgesic use (in days) appear to be higher than those in comparable series examining outcomes of single-site laparoscopic colorectal surgery, and the outcomes are comparable with those of multiport laparoscopy. This may be because of the nature of inflammatory bowel disease, limiting the benefits of a single-site approach in this population.
    MeSH term(s) Adolescent ; Adult ; Aged ; Anal Canal/surgery ; Anastomosis, Surgical/methods ; Colectomy/methods ; Colonic Pouches ; Female ; Humans ; Inflammatory Bowel Diseases/surgery ; Laparoscopy/methods ; Male ; Middle Aged ; Retrospective Studies ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2014-06-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2011211-7
    ISSN 1938-3797 ; 1086-8089
    ISSN (online) 1938-3797
    ISSN 1086-8089
    DOI 10.4293/108680813X13753907292872
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5183: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 310: Show issues

    Order via subito

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  6. Article ; Online: Rapid progression of a germ cell tumor encasing the inferior vena cava and aorta following a radical orchiectomy

    Hekmat Hakiman / Sergio Huerta / Payal Kapur / Vitaly Margulis

    Rare Tumors, Vol 5, Iss 2, Pp e21-e

    2013  Volume 21

    Abstract: Early stage testicular germ cell tumors are highly curable malignancies, but the need for close radiologic and biomarker surveillance is pivotal. Even in the setting of recurrence, rescue therapy has been successfully implemented. The present report ... ...

    Abstract Early stage testicular germ cell tumors are highly curable malignancies, but the need for close radiologic and biomarker surveillance is pivotal. Even in the setting of recurrence, rescue therapy has been successfully implemented. The present report describes a patient that had rapid and aggressive recurrence after radical orchiectomy for a testicular germ cell tumor and presented with bulky disease necessitating reconstruction of the inferior vena cava at the time of salvage retroperitoneal debulking.
    Keywords testicular germ cell tumor ; retroperitoneal tumor ; teratoma ; Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Oncology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2013-04-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  7. Article: Replacing Transanal Excision with Transanal Endoscopic Microsurgery and/or Transanal Minimally Invasive Surgery for Early Rectal Cancer

    Hakiman, Hekmat / Pendola, Michael / Fleshman, James W.

    Clinics in Colon and Rectal Surgery

    (Rectal Cancer)

    2015  Volume 28, Issue 01, Page(s) 38–42

    Abstract: The use of local resection of rectal polyps and early rectal cancer has progressed to become the standard of care in most institutions with a colorectal surgery specialist. The use of transanal excision (TAE) with anorectal retractors and standard ... ...

    Series title Rectal Cancer
    Abstract The use of local resection of rectal polyps and early rectal cancer has progressed to become the standard of care in most institutions with a colorectal surgery specialist. The use of transanal excision (TAE) with anorectal retractors and standard instrumentation has been supplanted by the application of endoscopic techniques which allow direct video augmented visualization. The transanal endoscopic microsurgery method provides a 3D view and works under a constant flow of air to keep the rectal vault open. Instruments capable of accomplishing a surgical excision and suture closure work through a long 4 cm tube set at the anal canal. The newest version of TAE is transanal minimally invasive surgery which is similar to a single-site laparoscopic technique using a hand access port at the anal canal to maintain a seal for insufflation of the rectum, regular 2D video camera for visualization, and laparoscopic instrumentation through the port in the anus. Each of these techniques is described in detail and the outcomes compared, which show the progress being made in this area of colorectal surgery.
    Keywords local excision of rectal cancer ; transanal endoscopic microsurgery ; transanal excision ; transanal minimally invasive surgery ; covid19
    Language English
    Publishing date 2015-02-18
    Publisher Thieme Medical Publishers
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2072321-0
    ISSN 1530-9681 ; 1531-0043
    ISSN (online) 1530-9681
    ISSN 1531-0043
    DOI 10.1055/s-0035-1545068
    Database Thieme publisher's database

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  8. Article ; Online: Coughing-induced bowel transection in a patient with an incarcerated inguinal hernia

    Hakiman Hekmat / DeLibero Jana / Pham Thai / Dineen Sean / Huerta Sergio

    Journal of Medical Case Reports, Vol 7, Iss 1, p

    a case report

    2013  Volume 47

    Abstract: Abstract Introduction Although blunt trauma to a hernia-containing bowel is known to cause bowel perforation, this report documents the first incident of a small bowel transection following a non-traumatic event. Case presentation We report the case of a ...

    Abstract Abstract Introduction Although blunt trauma to a hernia-containing bowel is known to cause bowel perforation, this report documents the first incident of a small bowel transection following a non-traumatic event. Case presentation We report the case of a 49-year-old African American man with a chronic incarcerated inguinal hernia awaiting elective repair. He presented to the Emergency Department with abdominal pain following an episode of coughing. On examination, he was found to have peritonitis. He underwent exploratory laparotomy, and had a complete small bowel transection. A bowel resection with primary anastomosis was performed, as well an inguinal hernia repair. Conclusion Chronic hernia incarceration can lead to weakening and ischemia of the bowel, and minimal trauma can lead to perforation of the weakened segment. In such presentations, bowel resection and repair of the defect with a biological material is safe and feasible.
    Keywords Bowel transection ; Hemoperitoneum ; Inguinal hernia ; Medicine ; R
    Language English
    Publishing date 2013-02-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

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