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Article ; Online: Low anterior resection syndrome after rectal resection management: multicentre randomized clinical trial of transanal irrigation with a dedicated device (cone catheter) versus conservative bowel management.

Meurette, Guillaume / Faucheron, Jean-Luc / Cotte, Eddy / Denost, Quentin / Portier, Guillaume / Loriau, Jerôme / Hansen, Andreas Wolff / Vicaut, Eric / Lakkis, Zaher

The British journal of surgery

2023 Volume 110, Issue 9, Page(s) 1092–1095

MeSH term(s)	Humans ; Low Anterior Resection Syndrome ; Postoperative Complications/etiology ; Postoperative Complications/therapy ; Rectal Neoplasms/surgery ; Rectum/surgery ; Catheters
Language	English
Publishing date	2023-03-28
Publishing country	England
Document type	Randomized Controlled Trial ; Multicenter Study ; Journal Article
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1093/bjs/znad078
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Article ; Online: Rectovaginal Fistula: What is the Role of Martius Flap and Gracilis Muscle Interposition in the Therapeutic Strategy?

Pastier, Clément / Loriau, Jérôme / Denost, Quentin / O'Connell, Lauren / Challine, Alexandre / Collard, Maxime / Debove, Clotilde / Chafai, Najim / Parc, Yann / Lefevre, Jérémie H

Diseases of the colon and rectum

2024

Abstract: Background: While numerous treatments exist for management of rectovaginal fistula, none has demonstrated its superiority. The role of diverting stoma remains controversial. Few series include Martius flap in the armamentarium.: Objective: Determine ... ...

Abstract	Background: While numerous treatments exist for management of rectovaginal fistula, none has demonstrated its superiority. The role of diverting stoma remains controversial. Few series include Martius flap in the armamentarium. Objective: Determine the role of gracilis muscle interposition and Martius flap in the surgical management of rectovaginal fistula. Design: Retrospective cohort study of a pooled prospectively maintained database from 3 centers. Settings/patients: All consecutive eligible patients with rectovaginal fistula undergoing Martius flap and gracilis muscle interposition were included from 2001 to 2022. Main outcomes: Success was defined by absence of stoma and rectovaginal fistula. Results: Sixty-two patients were included with 55 Martius flap and 24 gracilis muscle interposition performed after failures of 164 initial procedures. Total length of stay was longer for gracilis muscle interposition by 2 days (p = 0.01) without a significant difference in severe morbidity (20% vs. 12%, p = 0.53). 27% of Martius flap were performed without stoma, without impact on overall morbidity (p = 0.763). Per-patient immediate success rates were not significantly different between groups (35% vs. 31%, p = 1.0). Success of gracilis muscle interposition after failure of Martius flap was not significantly different from an initial gracilis muscle interposition (p = 1.0). The immediate success rate rose to 49.4% (49% vs. 50%, p = 1.0) after simple perineal procedures. After a median follow-up of 23 months, there was no significant difference detected in success rate between the two procedures (69% vs. 69%, p = 1.0). Smoking was the only negative predictive factor (p = 0.02). Limitations: By its retrospective nature, this study is limited in its comparison. Conclusion: This novel comparison between Martius flap and gracilis muscle interposition suggests that Martius flap presents several advantages, including shorter length of stay, similar morbidity, and success. Proximal diversion via a stoma for Martius flap does not appear mandatory. Gracilis muscle interposition could be reserved as a salvage procedure after Martius flap failure. See Video Abstract.
Language	English
Publishing date	2024-04-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	212581-x
ISSN	1530-0358 ; 0012-3706
ISSN (online)	1530-0358
ISSN	0012-3706
DOI	10.1097/DCR.0000000000003148
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Article ; Online: La neuromodulation sacrée dans la vraie vie : suivi correct exigé !

Oumrani, Sarra / Loriau, Jérôme / de Parades, Vincent / Moult, Hélène Pillant-Le

Presse medicale (Paris, France : 1983)

2018 Volume 47, Issue 7-8 Pt 1, Page(s) 700–701

Title translation	Sacral neuromodulation in real life: A proper follow-up is required!
MeSH term(s)	Cohort Studies ; Fecal Incontinence/therapy ; Female ; Follow-Up Studies ; Humans ; Implantable Neurostimulators ; Lumbosacral Plexus ; Male ; Middle Aged ; Retrospective Studies ; Spinal Cord Stimulation ; Urinary Incontinence/therapy
Language	French
Publishing date	2018-06-14
Publishing country	France
Document type	Letter
ZDB-ID	120943-7
ISSN	2213-0276 ; 0032-7867 ; 0755-4982 ; 0301-1518
ISSN (online)	2213-0276
ISSN	0032-7867 ; 0755-4982 ; 0301-1518
DOI	10.1016/j.lpm.2018.04.007
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Zs.A 794: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Ua VI Zs.87: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Correction to: Postoperative ileus concealing intra-abdominal complications in enhanced recovery programs-a retrospective analysis of the GRACE database.

Venara, Aurélien / Alfonsi, Pascal / Cotte, Eddy / Loriau, Jérôme / Hamel, Jean-François / Slim, Karem

International journal of colorectal disease

2019 Volume 34, Issue 8, Page(s) 1509–1514

Abstract: When the original article was first published the given name and family names of Francophone Group for Enhanced Recovery After Surgery (GRACE) individually cited within the author list were inadvertently interchanged. The author list are correctly cited ... ...

Abstract	When the original article was first published the given name and family names of Francophone Group for Enhanced Recovery After Surgery (GRACE) individually cited within the author list were inadvertently interchanged. The author list are correctly cited in this Correction.
Language	English
Publishing date	2019-07-08
Publishing country	Germany
Document type	Published Erratum
ZDB-ID	84975-3
ISSN	1432-1262 ; 0179-1958
ISSN (online)	1432-1262
ISSN	0179-1958
DOI	10.1007/s00384-019-03340-z
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Article ; Online: Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis.

de'Angelis, Nicola / Schena, Carlo Alberto / Moszkowicz, David / Kuperas, Cyril / Fara, Régis / Gaujoux, Sébastien / Gillion, Jean-François / Gronnier, Caroline / Loriau, Jérôme / Mathonnet, Muriel / Oberlin, Olivier / Perez, Manuela / Renard, Yohann / Romain, Benoît / Passot, Guillaume / Pessaux, Patrick

Surgical endoscopy

2023 Volume 38, Issue 1, Page(s) 24–46

Abstract: Background: This systematic review and meta-analysis assessed the effectiveness of robotic surgery compared to laparoscopy or open surgery for inguinal (IHR) and ventral (VHR) hernia repair.: Methods: PubMed and EMBASE were searched up to July 2022. ... ...

Abstract	Background: This systematic review and meta-analysis assessed the effectiveness of robotic surgery compared to laparoscopy or open surgery for inguinal (IHR) and ventral (VHR) hernia repair. Methods: PubMed and EMBASE were searched up to July 2022. Meta-analyses were performed for postoperative complications, surgical site infections (SSI), seroma/hematoma, hernia recurrence, operating time (OT), intraoperative blood loss, intraoperative bowel injury, conversion to open surgery, length of stay (LOS), mortality, reoperation rate, readmission rate, use of opioids, time to return to work and time to return to normal activities. Results: Overall, 64 studies were selected and 58 were used for pooled data analyses: 35 studies (227 242 patients) deal with IHR and 32 (158 384 patients) with VHR. Robotic IHR was associated with lower hernia recurrence (OR 0.54; 95%CI 0.29, 0.99; I Conclusion: These results support robotic surgery as a safe, effective, and viable alternative for IHR and VHR as it can brings several intraoperative and postoperative advantages over laparoscopy and open surgery.
MeSH term(s)	Humans ; Blood Loss, Surgical ; Hernia, Inguinal/surgery ; Hernia, Inguinal/complications ; Hernia, Ventral/surgery ; Hernia, Ventral/complications ; Herniorrhaphy/methods ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Retrospective Studies ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/methods ; Surgical Wound Infection/surgery
Language	English
Publishing date	2023-11-20
Publishing country	Germany
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-023-10545-5
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Article ; Online: Complications of Mesh Sacrocolpopexy and Rectopexy: Imaging Review.

Haouari, Mohamed Amine / Boulay-Coletta, Isabelle / Khatri, Gaurav / Touloupas, Caroline / Anglaret, Sophie / Tardivel, Anne-Marie / Beranger-Gibert, Sophie / Silvera, Stephane / Loriau, Jerome / Zins, Marc

Radiographics : a review publication of the Radiological Society of North America, Inc

2022 Volume 43, Issue 2, Page(s) e220137

Abstract: Sacrocolpopexy and rectopexy are commonly used surgical options for treatment of patients with pelvic organ and rectal prolapse, respectively. These procedures involve surgical fixation of the vaginal vault or the rectum to the sacral promontory with ... ...

Abstract	Sacrocolpopexy and rectopexy are commonly used surgical options for treatment of patients with pelvic organ and rectal prolapse, respectively. These procedures involve surgical fixation of the vaginal vault or the rectum to the sacral promontory with mesh material and can be performed independently of each other or in a combined fashion and by using an open abdominal approach or laparoscopy with or without robotic assistance. Radiologists can be particularly helpful in cases where patients' surgical histories are unclear by identifying normal sacrocolpopexy or rectopexy mesh material and any associated complications. Acute complications such as bleeding or urinary tract injury or stricture are generally evaluated with CT. More chronic complications such as mesh extrusion or exposure with or without fistulization to surrounding structures are generally evaluated with MRI. Other complications can have a variable time of onset after surgery. Patients with suspected bowel obstruction are generally evaluated with CT. Those with suspected infection, abscess formation, and discitis or osteomyelitis may be evaluated with MRI, although CT evaluation may be appropriate in certain scenarios. The authors review the sacrocolpopexy and rectopexy surgical techniques, discuss appropriate imaging protocols for evaluation of patients with suspected complications, and illustrate the normal appearance and common complications of these procedures.
MeSH term(s)	Female ; Humans ; Digestive System Surgical Procedures/adverse effects ; Laparoscopy/methods ; Rectal Prolapse/surgery ; Rectum/surgery ; Surgical Mesh/adverse effects ; Treatment Outcome ; Vagina/surgery
Language	English
Publishing date	2022-12-28
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	603172-9
ISSN	1527-1323 ; 0271-5333
ISSN (online)	1527-1323
ISSN	0271-5333
DOI	10.1148/rg.220137
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Zs.A 1751: Show issues

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Article ; Online: Postoperative ileus concealing intra-abdominal complications in enhanced recovery programs-a retrospective analysis of the GRACE database.

Venara, Aurélien / Alfonsi, Pascal / Cotte, Eddy / Loriau, Jérôme / Hamel, Jean-François / Slim, Karem

International journal of colorectal disease

2018 Volume 34, Issue 1, Page(s) 71–83

Abstract: Purpose: Postoperative ileus (POI) occurrence within enhanced recovery programs (ERPs) has decreased. Also, intra-abdominal complications (IAC) such as anastomotic leakage (AL) generally present late. The aim was to characterize the link between POI and ...

Abstract	Purpose: Postoperative ileus (POI) occurrence within enhanced recovery programs (ERPs) has decreased. Also, intra-abdominal complications (IAC) such as anastomotic leakage (AL) generally present late. The aim was to characterize the link between POI and the other complications occurring after surgery. Methods: This retrospective analysis of a prospective database was conducted by the Francophone Group for Enhanced Recovery after Surgery. POI was considered to be present if gastrointestinal functions had not been recovered within 3 days following surgery or if a nasogastric tube replacement was required. Results: Of the 2773 patients who took part in the study, 2335 underwent colorectal resections (83.8%) for cancer, benign tumors, inflammatory bowel disease, and diverticulosis. Among the 2335 patients, 309 (13.2%) experienced POI, including 185 (59.9%) cases of secondary POI. Adjusted for well-known risk factors (male gender, need for stoma, right hemicolectomy, surgery duration, laparotomy, and conversion to open surgery), POI was associated with abdominal complications (OR = 4.55; 95% confidence interval (CI): 3.30-6.28), urinary retention (OR = 1.75; 95% CI: 1.05-2.92), pulmonary complications (OR = 4.55; 95% CI: 2.04-9.97), and cardiological complications (OR = 3.01; 95% CI: 1.15-8.02). Among the abdominal complications, AL and IAC were most strongly associated with POI (respectively, OR = 5.97; 95% CI: 3.74-8.88 and OR = 5.76; 95% CI: 3.56-10.62). Conclusion: Within ERPs, POI should not be considered as usual. There is a significant link between POI and IAC. Since POI is an early-onset clinical sign, its occurrence should alert the physician and prompt them to consider performing CT scans in order to investigate other potential morbidities.
MeSH term(s)	Aged ; Databases as Topic ; Female ; Humans ; Ileus/etiology ; Male ; Middle Aged ; Multivariate Analysis ; Postoperative Complications/etiology ; Recovery of Function ; Retrospective Studies ; Risk Factors
Language	English
Publishing date	2018-10-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	84975-3
ISSN	1432-1262 ; 0179-1958
ISSN (online)	1432-1262
ISSN	0179-1958
DOI	10.1007/s00384-018-3165-9
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Article: Perioperative hemodynamic optimization: from guidelines to implementation-an experts' opinion paper.

Fellahi, Jean-Luc / Futier, Emmanuel / Vaisse, Camille / Collange, Olivier / Huet, Olivier / Loriau, Jerôme / Gayat, Etienne / Tavernier, Benoit / Biais, Matthieu / Asehnoune, Karim / Cholley, Bernard / Longrois, Dan

Annals of intensive care

2021 Volume 11, Issue 1, Page(s) 58

Abstract: Despite a large body of evidence, the implementation of guidelines on hemodynamic optimization and goal-directed therapy remains limited in daily routine practice. To facilitate/accelerate this implementation, a panel of experts in the field proposes an ... ...

Abstract	Despite a large body of evidence, the implementation of guidelines on hemodynamic optimization and goal-directed therapy remains limited in daily routine practice. To facilitate/accelerate this implementation, a panel of experts in the field proposes an approach based on six relevant questions/answers that are frequently mentioned by clinicians, using a critical appraisal of the literature and a modified Delphi process. The mean arterial pressure is a major determinant of organ perfusion, so that the authors unanimously recommend not to tolerate absolute values below 65 mmHg during surgery to reduce the risk of postoperative organ dysfunction. Despite well-identified limitations, the authors unanimously propose the use of dynamic indices to rationalize fluid therapy in a large number of patients undergoing non-cardiac surgery, pending the implementation of a "validity criteria checklist" before applying volume expansion. The authors recommend with a good agreement mini- or non-invasive stroke volume/cardiac output monitoring in moderate to high-risk surgical patients to optimize fluid therapy on an individual basis and avoid volume overload. The authors propose to use fluids and vasoconstrictors in combination to achieve optimal blood flow and maintain perfusion pressure above the thresholds considered at risk. Although purchase of disposable sensors and stand-alone monitors will result in additional costs, the authors unanimously acknowledge that there are data strongly suggesting this may be counterbalanced by a sustained reduction in postoperative morbidity and hospital lengths of stay. Beside existing guidelines, knowledge and explicit clinical reasoning tools followed by decision algorithms are mandatory to implement individualized hemodynamic optimization strategies and reduce postoperative morbidity and duration of hospital stay in high-risk surgical patients.
Language	English
Publishing date	2021-04-14
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	2617094-2
ISSN	2110-5820
ISSN	2110-5820
DOI	10.1186/s13613-021-00845-1
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Article ; Online: Management of female pelvic organ prolapse-Summary of the 2021 HAS guidelines.

Journal of gynecology obstetrics and human reproduction

2023 Volume 52, Issue 3, Page(s) 102535

Abstract: When a patient presents with symptoms suggestive of pelvic organ prolapse (POP), clinical evaluation should include an assessment of symptoms, their impact on daily life and rule out other pelvic pathologies. The prolapse should be described compartment ... ...

Abstract	When a patient presents with symptoms suggestive of pelvic organ prolapse (POP), clinical evaluation should include an assessment of symptoms, their impact on daily life and rule out other pelvic pathologies. The prolapse should be described compartment by compartment, indicating the extent of the externalization for each. The diagnosis of POP is clinical. Additional exams may be requested to explore the symptoms associated or not explained by the observed prolapse. Pelvic floor muscle training and pessaries are non-surgical conservative treatment options recommended as first-line therapy for pelvic organ prolapse. They can be offered in combination and be associated with the management of modifiable risk factors for prolapse. If the conservative therapeutic options do not meet the patient's expectations, surgery should be proposed if the symptoms are disabling, related to pelvic organ prolapse, detected on clinical examination and significant (stage 2 or more of the POP-Q classification). Surgical routes for POP repair can be abdominal with mesh placement, or vaginal with autologous tissue. Laparoscopic sacrocolpopexy is recommended for cases of apical and anterior prolapse. Autologous vaginal surgery (including colpocleisis) is a recommended option for elderly and fragile patients. For cases of isolated rectocele, the posterior vaginal route with autologous tissue should be preferentially performed over the transanal route. The decision to place a mesh must be made in consultation with a multidisciplinary team. After the surgery, the patient should be reassessed by the surgeon, even in the absence of symptoms or complications, and in the long term by a primary care or specialist doctor.
MeSH term(s)	Female ; Humans ; Aged ; Pelvic Organ Prolapse/surgery ; Rectocele ; Vagina/surgery ; Gynecologic Surgical Procedures ; Genital Diseases, Female ; Pelvic Floor/pathology
Language	English
Publishing date	2023-01-16
Publishing country	France
Document type	Practice Guideline ; Journal Article
ISSN	2468-7847
ISSN (online)	2468-7847
DOI	10.1016/j.jogoh.2023.102535
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Article ; Online: Re: Re: "Adult appendicitis: Clinical practice guidelines from the French Society of Digestive Surgery (SFCD) and the Society of Abdominal and Digestive Imaging (SIAD).

Collard, Maxime K / Christou, Niki / Lakkis, Zaher / Mege, Diane / Bridoux, Valérie / Millet, Ingrid / Sabbagh, Charles / Loriau, Jérôme / Lefevre, Jérémie H / Ronot, Maxime / Maggiori, Léon

Journal of visceral surgery

2021 Volume 158, Issue 6, Page(s) 540–541

MeSH term(s)	Abdomen ; Adult ; Appendicitis/diagnostic imaging ; Appendicitis/surgery ; Diagnostic Imaging ; Digestive System Surgical Procedures ; Humans
Language	English
Publishing date	2021-09-09
Publishing country	France
Document type	Letter ; Comment
ISSN	1878-7886
ISSN (online)	1878-7886
DOI	10.1016/j.jviscsurg.2021.09.002
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