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  1. Article ; Online: Colorectal surgery for functional bowel disorders.

    Bretagnol, F / Hain, E / Moszkowicz, D / Giovinazzo, D

    Journal of visceral surgery

    2022  Volume 159, Issue 1S, Page(s) S35–S39

    Abstract: Surgery is a last-resort treatment for the management of severe constipation, an alternative after failure of medical treatment. We can distinguish two types of management: "conservative" colon-sparing surgery, i.e. the Malone procedure (MP), or sacral ... ...

    Abstract Surgery is a last-resort treatment for the management of severe constipation, an alternative after failure of medical treatment. We can distinguish two types of management: "conservative" colon-sparing surgery, i.e. the Malone procedure (MP), or sacral neuromodulation (SNM), and "radical" surgery such as colorectal resection. While the place of SNM remains to be defined, the MP is well codified and has shown very satisfactory results. For radical treatment, total colectomy with ileo-rectal anastomosis is the reference procedure because it is the best documented. The place of more limited segmental colectomies is poorly defined and needs a more precise identification of the colonic segment involved. Finally, it is imperative that any severe constipation be managed within a multidisciplinary radiology-medico-surgical consultative program. Indeed, a multidisciplinary strategy allows rigorous selection of patients, the only guarantee of better long-term functional results, even though they unfortunately remain uncertain.
    MeSH term(s) Anastomosis, Surgical ; Colectomy/methods ; Colon/surgery ; Constipation/surgery ; Constipation/therapy ; Humans ; Rectum/surgery ; Treatment Outcome
    Language English
    Publishing date 2022-02-05
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2021.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Obesity increases the surgical complexity and risk of recurrence after midline primary ventral hernia repair: results on 2307 patients from the French Society of hernia surgery (SFCP-CH) registry database.

    Turmine, J / Florence, A-M / Tardivon, C / Passot, G / Gillion, J-F / Moszkowicz, D

    Hernia : the journal of hernias and abdominal wall surgery

    2023  

    Abstract: Purpose: Obesity is a known risk factor of recurrence after hernia surgery, but available data often concern pooled cases of primary and incisional hernia, with short follow-up. We aimed to analyze the impact of severe obesity (BMI ≥ 35 kg/m: Methods!# ...

    Abstract Purpose: Obesity is a known risk factor of recurrence after hernia surgery, but available data often concern pooled cases of primary and incisional hernia, with short follow-up. We aimed to analyze the impact of severe obesity (BMI ≥ 35 kg/m
    Methods: Data were extracted from a multicentric registry, in which patients' data are consecutively and anonymously collected. We conducted a retrospective comparative study on patients with severe obesity (sOb) versus non-severely obese patients (non-sOb), who underwent surgery, with a minimal 2-year follow-up after their mPVHR.
    Results: Among 2307 patients, 267 sOb and 2040 non-sOb matched inclusion criteria. Compared with non-sOb, sOb group gathered all the worse conditions and risk factors: more ASA3-4 (39.3% vs. 10.2%; p < 0.001), symptomatic hernia (15.7% vs. 6.8%; p < 0.001), defect > 4 cm in diameter (24.3% vs. 8.8%; p < 0.001), emergency surgery (6.1% vs. 2.5%; p = 0.003), and Altemeir class > 1 (9.4% vs. 2.9%; p < 0.001). Laparoscopic IPOM was used more often in sOb patients (40% vs. 32%; p = 0.016), but with smaller Hauters' ratio (46 vs. 73; p < 0.001). Compared with the non-sOb, the rate of day-case surgery was lower (48% vs. 68%; p < 0.001), the surgical site occurrences were significantly more frequent (6.4 %vs. 2.5%; p < 0.001). The main outcome, 2-year recurrence, was 5.9% in the sOb vs. 2.1% (p = 0.008), and 2-year reoperations was 3% vs. 0.3% (p = 0.006). In the adjusted analysis, severe obesity was an independent risk factor for recurrence [OR = 2.82, (95%CI, 1.45; 5.22); p = 0.003].
    Conclusion: In patients with severe obesity, mPVHR is technically challenging and recurrence rate is three times higher than that of non-severely obese patients.
    Language English
    Publishing date 2023-09-13
    Publishing country France
    Document type Journal Article
    ZDB-ID 1388125-5
    ISSN 1248-9204 ; 1265-4906
    ISSN (online) 1248-9204
    ISSN 1265-4906
    DOI 10.1007/s10029-023-02875-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Endoscopic-assisted mini- or less-Open sublay technique (MILOS) for umbilical incisional hernia (with video).

    Obeid, Joseph / Maillot, Betty / Moszkowicz, David

    Journal of visceral surgery

    2023  Volume 161, Issue 1, Page(s) 62–64

    MeSH term(s) Humans ; Incisional Hernia/surgery ; Laparoscopy ; Surgical Mesh ; Hernia, Ventral/surgery ; Herniorrhaphy/methods
    Language English
    Publishing date 2023-12-15
    Publishing country France
    Document type Video-Audio Media ; Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2023.12.001
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  4. Article ; Online: Biological mesh: From concept to clinical reality.

    Moszkowicz, D / Bouillot, J-L

    Journal of visceral surgery

    2018  Volume 155, Issue 5, Page(s) 347–348

    MeSH term(s) Abdominal Wound Closure Techniques/adverse effects ; Absorbable Implants/adverse effects ; Biocompatible Materials/adverse effects ; Bioprosthesis/adverse effects ; Hernia, Inguinal/surgery ; Herniorrhaphy/adverse effects ; Humans ; Incisional Hernia/prevention & control ; Recurrence ; Surgical Mesh/adverse effects ; Surgical Wound Infection/etiology
    Chemical Substances Biocompatible Materials
    Language English
    Publishing date 2018-09-01
    Publishing country France
    Document type Editorial
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2018.07.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Technique for treatment of parastomal hernia with sublay mesh repair and transprosthetic stomal relocation.

    Patroni, A / Moszkowicz, D / Bouillot, J-L

    Journal of visceral surgery

    2020  Volume 157, Issue 6, Page(s) 505–509

    MeSH term(s) Colostomy ; Herniorrhaphy/methods ; Humans ; Ileostomy ; Incisional Hernia/surgery ; Surgical Mesh
    Language English
    Publishing date 2020-08-27
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2020.08.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Botulinum toxin injection before giant incisional hernia repair: Surgical technique.

    Tenaudier, M / Moszkowicz, D / Passot, G / Romain, B / Perrenot, C / Borraccino, B / Renard, Y

    Journal of visceral surgery

    2022  Volume 159, Issue 1, Page(s) 55–58

    MeSH term(s) Botulinum Toxins ; Hernia, Ventral/surgery ; Herniorrhaphy/methods ; Humans ; Incisional Hernia/surgery ; Recurrence ; Surgical Mesh
    Chemical Substances Botulinum Toxins (EC 3.4.24.69)
    Language English
    Publishing date 2022-01-21
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2021.06.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Gastric motility disorders and their endoscopic and surgical treatments other than bariatric surgery.

    Soliman, H / Mariano, G / Duboc, H / Giovinazzo, D / Coffin, B / Gourcerol, G / Moszkowicz, D

    Journal of visceral surgery

    2022  Volume 159, Issue 1S, Page(s) S8–S15

    Abstract: Gastroparesis is the most common gastric motility disorder. The cardinal symptoms are nausea, vomiting, gastric fullness, early satiety, or bloating, associated with slow gastric emptying in the absence of mechanical obstruction. Delayed gastric emptying ...

    Abstract Gastroparesis is the most common gastric motility disorder. The cardinal symptoms are nausea, vomiting, gastric fullness, early satiety, or bloating, associated with slow gastric emptying in the absence of mechanical obstruction. Delayed gastric emptying is demonstrated by a gastric emptying scintigraphy or by a breath test. Gastroparesis can be idiopathic, post-operative, secondary to diabetes, iatrogenic, or post-infectious. Therapeutic care must be multidisciplinary including nutritional, medical, endoscopic and surgical modes. The complications of delayed gastric emptying must be sought and addressed, particularly malnutrition, in order to identify and correct vitamin deficiencies and fluid and electrolyte disturbances. An etiology should be identified and treated whenever possible. Improvement in symptoms can be treated by dietary regimes and pharmaceutical treatments, including prokinetics. If these are not effective, specialized endoscopic approaches such as endoscopic or surgical pyloromyotomy aim at relaxing the pyloric sphincter, while the implantation of an electrical stimulator of gastric muscle should be discussed in specialized centers.
    MeSH term(s) Bariatric Surgery ; Electric Stimulation Therapy ; Gastroparesis/diagnosis ; Gastroparesis/etiology ; Gastroparesis/surgery ; Gastroparesis/therapy ; Humans ; Pyloromyotomy ; Pylorus/surgery
    Language English
    Publishing date 2022-02-03
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2022.01.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Large incisional hernias: The double layer technique with anterior component separation (with video).

    Chandeze, M-M / Moszkowicz, D / Bouillot, J-L

    Journal of visceral surgery

    2019  Volume 156, Issue 6, Page(s) 553–554

    MeSH term(s) Herniorrhaphy/methods ; Humans ; Incisional Hernia/surgery ; Surgical Mesh
    Language English
    Publishing date 2019-07-09
    Publishing country France
    Document type Journal Article ; Video-Audio Media
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2019.06.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Peri-operative management of obese patients in digestive surgery: Clinical practice guidelines from the French Society of Digestive Surgery.

    Tranchart, H / Gaillard, M / Lazzati, A / Le Fouler, A / Bouriez, D / Zouaghi Bellemin, A / Kinn, H / Roche, C / Théreaux, J / Gronnier, C / Moszkowicz, D

    Journal of visceral surgery

    2023  Volume 160, Issue 3, Page(s) 214–218

    Abstract: Introduction: The French Society of Digestive Surgery (Société Française de Chirurgie Digestive [SFCD]) has elaborated clinical practice guidelines for the management of the obese patient undergoing gastro-intestinal surgery.: Methods: The literature ...

    Abstract Introduction: The French Society of Digestive Surgery (Société Française de Chirurgie Digestive [SFCD]) has elaborated clinical practice guidelines for the management of the obese patient undergoing gastro-intestinal surgery.
    Methods: The literature was analyzed according to the GRADE® (Grading of Recommendations Assessment, Development and Evaluation) methodology divided into five chapters: preoperative management, modalities of transportation and installation of the patient in the operating room, specific characteristics related to laparoscopic surgery, specific characteristics related to traditional surgery, and postoperative management. Each question was formulated according to the PICO format (Patients, Intervention, Comparison, Outcome).
    Results: Synthesis of expert opinions and the application of the GRADE methodology produced 30 recommendations among which three were strong and nine were weak. The GRADE methodology could not be applied for 18 questions, for which only expert opinion was obtained.
    Conclusion: These clinical practice guidelines can help surgeons optimize the peri-operative management of the obese patient undergoing gastro-intestinal surgery.
    MeSH term(s) Humans ; Digestive System Surgical Procedures ; Obesity/complications ; Obesity/surgery ; Laparoscopy
    Language English
    Publishing date 2023-03-31
    Publishing country France
    Document type Practice Guideline ; Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2023.03.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Step-by-step nerve-preserving mesorectal excision in the female.

    Moszkowicz, D / Peschaud, F

    Journal of visceral surgery

    2014  Volume 151, Issue 2, Page(s) 137–140

    MeSH term(s) Digestive System Surgical Procedures/methods ; Female ; Humans ; Lymph Node Excision ; Mesentery/innervation ; Muscle, Smooth/innervation ; Postoperative Complications/prevention & control ; Rectal Neoplasms/surgery ; Rectum/innervation ; Rectum/surgery ; Vagina/innervation
    Language English
    Publishing date 2014-04
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2013.12.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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