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  1. Article ; Online: The Residency Training Program in Colon and Rectal Surgery.

    Abcarian, Herand

    Diseases of the colon and rectum

    2022  Volume 65, Issue 4, Page(s) e250

    MeSH term(s) Colon ; Digestive System Surgical Procedures ; Education, Medical, Graduate ; Humans ; Internship and Residency ; Minnesota
    Language English
    Publishing date 2022-01-14
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000002412
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Journey.

    Abcarian, Herand

    Diseases of the colon and rectum

    2020  Volume 63, Issue 9, Page(s) 1177–1182

    MeSH term(s) Chicago ; Colorectal Surgery/history ; History, 20th Century ; History, 21st Century ; Iran
    Language English
    Publishing date 2020-11-19
    Publishing country United States
    Document type Autobiography ; Historical Article ; Journal Article
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000001770
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Instead of a Sitz Bath, Use a Detachable Shower Head.

    Abcarian, Herand

    Diseases of the colon and rectum

    2018  Volume 61, Issue 10, Page(s) e367

    MeSH term(s) Baths ; Water
    Chemical Substances Water (059QF0KO0R)
    Language English
    Publishing date 2018-09-07
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000001194
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Is the Holy Plane the Last Word?

    Abcarian, Herand

    Diseases of the colon and rectum

    2016  Volume 59, Issue 2, Page(s) 160–161

    MeSH term(s) Colectomy/adverse effects ; Colectomy/history ; Colectomy/methods ; History, 20th Century ; Humans ; Rectal Neoplasms/history ; Rectal Neoplasms/surgery ; Treatment Outcome
    Language English
    Publishing date 2016-02
    Publishing country United States
    Document type Historical Article ; Journal Article
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0000000000000501
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Transanal Hemorrhoidal Dearterialization With Mucopexy Versus Ferguson Hemorrhoidectomy for Prolapsed Internal Hemorrhoids: A Multicenter Prospective Study.

    Gachabayov, Mahir / Angelos, George / Orangio, Guy / Abcarian, Herand / Bergamaschi, Roberto

    Annals of surgery

    2023  Volume 278, Issue 3, Page(s) 376–382

    Abstract: Objective: To compare transanal hemorrhoidal dearterialization (THD) with mucopexy to Ferguson hemorrhoidectomy in terms of recurrence rates and quality of life.: Background: There is uncertainty regarding the durability of the therapeutic effect of ... ...

    Abstract Objective: To compare transanal hemorrhoidal dearterialization (THD) with mucopexy to Ferguson hemorrhoidectomy in terms of recurrence rates and quality of life.
    Background: There is uncertainty regarding the durability of the therapeutic effect of THD with mucopexy compared with Ferguson hemorrhoidectomy in terms of recurrence rates.
    Methods: This was a multicenter prospective study. Participating surgeons performed the operation they knew best enrolling 10 patients each. Surgeons' unedited videos were reviewed by an independent expert. Patients with prolapsed internal hemorrhoids in at least 3 columns were eligible. The primary endpoint was recurrence rates defined as prolapsing internal hemorrhoids. Patient-reported outcomes and satisfaction were evaluated with Pain Scale and Brief Pain Inventory, Fecal Incontinence Quality Of Life (FIQOL), Cleveland Clinic Incontinence, Constipation, Short-Form 12 scores, and Patient satisfaction (4-point Likert) scale.
    Results: Twenty surgeons enrolled 197 patients. THD patients had lower Visual pain scores at postoperative day (POD) 1 (6.2 vs 8.3, P =0.047), POD7 (4.5 vs 7.7, P =0.021), POD14 (2.8 vs 5.3, P <0.001), and medication use at POD14 (23% vs 58%, P <0.001). Median follow-up was 3.1 (1.0-5.5) years. Recurrence rates did not differ between the study arms (5.9% vs 2.4%, P =0.253). Patient satisfaction rate was higher after THD at POD14 (76.4% vs 52.5%, P =0.031) and 3 months (95.1% vs 63.3%, P =0.029), but did not differ at 6 months (91.7% vs 88%, P =0.228) and 1 year (94.2% vs 88%, P =0.836).
    Conclusion: THD with mucopexy was associated with improved patient-reported outcomes and quality of life as compared with Ferguson hemorrhoidectomy with nonsignificantly different recurrence rates.
    MeSH term(s) Humans ; Hemorrhoids/surgery ; Hemorrhoids/complications ; Hemorrhoidectomy ; Prospective Studies ; Quality of Life ; Treatment Outcome ; Ligation ; Pain
    Language English
    Publishing date 2023-06-16
    Publishing country United States
    Document type Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000005961
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: What is the best method of rectovaginal fistula repair? A 25-year single-center experience.

    Studniarek, A / Abcarian, A / Pan, J / Wang, H / Gantt, G / Abcarian, H

    Techniques in coloproctology

    2021  Volume 25, Issue 9, Page(s) 1037–1044

    Abstract: Background: The surgical treatment of rectovaginal fistula (RVF) remains challenging and there is a lack of data to demonstrate the best, single procedure. The aim of this study was to assess the results of different surgical operations for rectovaginal ...

    Abstract Background: The surgical treatment of rectovaginal fistula (RVF) remains challenging and there is a lack of data to demonstrate the best, single procedure. The aim of this study was to assess the results of different surgical operations for rectovaginal fistula.
    Methods: Patients with RVF who underwent surgical repair between 1992 and 2017 at a single, tertiary care center were included. Twenty different procedures were performed including: primary closure, closure with sphincter repair, flap repairs, plug/fibrin/mesh repair, examination under anesthesia (EUA) ± seton placement, abdominal resections with and without diversion and ileostomy takedown, gracilis muscle transposition, fistulotomy/ligation of intersphincteric fistula tract. All patients with RVF due to diverticulitis and patients without complete data from paper charting were excluded. Success was defined based on the absence of symptoms related to RVF and absence of diverting stoma at 6 months.
    Results: One hundred twenty-four women were analyzed. The median age was 45 (range 18-84) years. Median follow-up time from the last procedure was 6 months (range 0-203 months). The total number of patients considered successfully treated at the end of their treatment was 91 (91/124, 73.4%). When considering all procedures (n = 255), the success rate for flap procedures was 57.9% (22/38), followed by abdominal resections with and without proximal diversion and ileostomy takedown (16/29, 55.2%) and primary closure with sphincter repair (17/32, 53.1%) while fistula plug, and fibrin glue had among the lowest success rates (4/22, 18.2%). The highest success rate was observed among patients whose RVF etiology was due to malignancy (11/16, 68.8%) followed by unknown (8/14, 57%) and iatrogenic (21/48, 43.8%) causes.
    Conclusions: Local procedures such as mucosal flap or primary closure and sphincteroplasty are associated with a high success rate should be considered in patients with low-lying, simple RVF. Abdominal resections with and without proximal diversions and ileostomy takedown have a relatively high success rate in selected patients. The low success rate of fibrin glue and fistula plugs demonstrates their low efficacy in RVF; thus, these procedures should be avoided in the treatment algorithm.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Digestive System Surgical Procedures ; Female ; Humans ; Middle Aged ; Rectal Fistula ; Rectovaginal Fistula/etiology ; Rectovaginal Fistula/surgery ; Retrospective Studies ; Surgical Flaps ; Treatment Outcome ; Young Adult
    Language English
    Publishing date 2021-06-08
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2083309-X
    ISSN 1128-045X ; 1123-6337
    ISSN (online) 1128-045X
    ISSN 1123-6337
    DOI 10.1007/s10151-021-02475-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Fistulotomie. Eine gute Option bei hohen Analfisteln. Fistulotomy. A good option for high anal fistulas

    Abcarian, H.

    Coloproctology

    2011  Volume 33, Issue 6, Page(s) 353

    Language German ; English
    Document type Article
    ZDB-ID 1445332-0
    ISSN 0174-2442
    Database Current Contents Medicine

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  8. Article ; Online: The management of fistula-in-ano: a plea for randomized trials and standard reporting of case series with adequate follow-up.

    Abcarian, Herand

    Diseases of the colon and rectum

    2013  Volume 56, Issue 1, Page(s) e1

    MeSH term(s) Digestive System Surgical Procedures/methods ; Humans ; Rectal Fistula/surgery ; Suture Techniques
    Language English
    Publishing date 2013-01
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 212581-x
    ISSN 1530-0358 ; 0012-3706
    ISSN (online) 1530-0358
    ISSN 0012-3706
    DOI 10.1097/DCR.0b013e31827421b5
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  9. Article ; Online: Management of Common Benign Anorectal Disease: What All Physicians Need to Know.

    Parés, David / Abcarian, Herand

    The American journal of medicine

    2018  Volume 131, Issue 7, Page(s) 745–751

    Abstract: Benign anorectal conditions produce anal pain, rectal bleeding, or discharge from the perianal region, which are highly prevalent symptoms in the general population. Hemorrhoidal disease, anal fissure, perianal abscess, proctalgia syndromes, and pruritus ...

    Abstract Benign anorectal conditions produce anal pain, rectal bleeding, or discharge from the perianal region, which are highly prevalent symptoms in the general population. Hemorrhoidal disease, anal fissure, perianal abscess, proctalgia syndromes, and pruritus anii are the most common clinical disorders. Well-trained physicians, irrespective of their specialty, can treat most of these disorders and refer them to a specialist in proctology only when necessary. The aim of this review is to provide a practical guide to the management of benign anorectal disorders in terms of their initial management and the criteria for specialist referral.
    MeSH term(s) Fissure in Ano/diagnosis ; Fissure in Ano/therapy ; Hemorrhoids/diagnosis ; Hemorrhoids/therapy ; Humans ; Pruritus Ani/diagnosis ; Pruritus Ani/therapy ; Rectal Diseases/diagnosis ; Rectal Diseases/therapy ; Rectal Fistula/diagnosis ; Rectal Fistula/therapy
    Language English
    Publishing date 2018-02-27
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2018.01.050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Anorectal infection: abscess-fistula.

    Abcarian, Herand

    Clinics in colon and rectal surgery

    2011  Volume 24, Issue 1, Page(s) 14–21

    Abstract: Anorectal abscess and fistula are among the most common diseases encountered in adults. Abscess and fistula should be considered the acute and chronic phase of the same anorectal infection. Abscesses are thought to begin as an infection in the anal ... ...

    Abstract Anorectal abscess and fistula are among the most common diseases encountered in adults. Abscess and fistula should be considered the acute and chronic phase of the same anorectal infection. Abscesses are thought to begin as an infection in the anal glands spreading into adjacent spaces and resulting in fistulas in ~40% of cases. The treatment of an anorectal abscess is early, adequate, dependent drainage. The treatment of a fistula, although surgical in all cases, is more complex due to the possibility of fecal incontinence as a result of sphincterotomy. Primary fistulotomy and cutting setons have the same incidence of fecal incontinence depending on the complexity of the fistula. So even though the aim of a surgical procedure is to cure a fistula, conservative management short of major sphincterotomy is warranted to preserve fecal incontinence. However, trading radical surgery for conservative (nonsphincter cutting) procedures such as a draining seton, fibrin sealant, anal fistula plug, endorectal advancement flap, dermal island flap, anoplasty, and LIFT (ligation of intersphincteric fistula tract) procedure all result in more recurrence/persistence requiring repeated operations in many cases. A surgeon dealing with fistulas on a regular basis must tailor various operations to the needs of the patient depending on the complexity of the fistula encountered.
    Language English
    Publishing date 2011-11-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2048635-2
    ISSN 1530-9681 ; 1531-0043
    ISSN (online) 1530-9681
    ISSN 1531-0043
    DOI 10.1055/s-0031-1272819
    Database MEDical Literature Analysis and Retrieval System OnLINE

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