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Video Vignette: DECEMBER 2019

Video Author: Patricia Tejedor, MD; Filippos Sagias, M.D.; Geral David, M.D:; Valerio Celentano, M.D.; Jim S Khan, PHD
Published on: 11.14.2019
Associated with: December 2019, Volume 62, Issue 12;

Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.

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Creator: Emma Westerduin, M.D., Ph.D. • Hossam Elfeki, M.D., Ph.D. • Alice Frontali, M.D. • Zaher Lakkis, M.D., Ph.D. • Søren Laurberg, M.D., D.M.Sc. • Pieter J. Tanis, M.D., Ph.D. • Albert M. Wolthuis, M.D., Ph.D. • Yves Panis, M.D., Ph.D. • Andre D’Hoore, M.D.,
Duration: 2:01
Redo anastomosis is associated with significantly worse quality of life compared with primary successful anastomosis. However, major low anterior resection syndrome was comparable between groups and should not be a reason to preclude restoration of bowel continuity in highly motivated patients.
Creator: Adam Truong, M.D. • Phillip R. Fleshner, M.D. • James M. Mirocha, M.S. Hai P. Tran, Pharm.D. • Rita Shane, Pharm.D. • Karen N. Zaghiyan, M.D.
Duration: 1:33
This first randomized trial comparing laparoscopic transversus abdominis plane block with liposomal bupivacaine or bupivacaine with epinephrine and dexamethasone showed that a liposomal bupivacaine block does not provide superior or extended analgesia in the era of standardized multimodal analgesia protocols.
Creator: Cristina B. Sanger, M.D. • Yiwei Xu, M.H.S. • Evie Carchman, M.D. • Elise H. Lawson, M.D., M.S.H.S. • Charles P. Heise, M.D. • Rob Striker, M.D., Ph.D. • Corrine I. Voils, Ph.D.
Duration: 2:00
In a regional cohort of veterans with HIV, 15% were formally assessed for anal dysplasia. Advanced anal disease was present in 33% of those screened, 5% of the HIV-positive population. A strong predictor of advanced disease in this cohort is the CD4/ CD8 ratio, which is a promising marker to stratify screening practices. Risk stratification using CD4/CD8 has the potential to decrease burdensome invasive examinations for low-risk patients and to intensify examinations for those at high risk.
Creator: Soo Yeun Park, M.D. • Sung Min Lee, M.D. • Jun Seok Park, M.D., Ph.D. Hye Jin Kim, M.D. • Gyu-Seog Choi, M.D., Ph.D.
Duration: 2:06
Robotic surgery for mid/low rectal cancer shows similar long-term oncologic outcomes with laparoscopic surgery but is beneficial to a certain group of patients with advanced rectal cancer with poor response to neoadjuvant chemoradiation. Additional studies are required to confirm our results.
Creator: Paul M. Cavallaro, M.D. • Nicola S. Fearnhead, D.M. • Ian P. Bissett, M.D. Mantaj S. Brar, M.D., M.Sc. • Thomas E. Cataldo, M.D. • Rasheed Clarke, B.S. • Paula Denoya, M.D. • Amber L. Elder, B.A. • Krisztina B. Gecse, M.D., Ph.D. • Samantha Hendren, M.D.,
Duration: 1:58
This study is the first to identify key functional outcomes after pouch surgery with direct input from a large panel of ileoanal pouch patients. The inclusion of patients in all stages of the consensus process allowed for a true patient-centered approach in defining the core domains that should be focused on in future studies of pouch function.
Creator: Susan Galandiuk, MD
Duration: 11:47
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
Creator: Francesco Marchegiani, M.D. • Isacco Damoli, M.D. Cristiano Huscher, M.D., Ph.D.
Duration: 4:57
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
Creator: Gökhan Yilmaz, M.D. • Yusuf Tanrikulu, M.D.
Duration: 1:43
Platelet-rich plasma reduced concerns and accelerated epithelialization and healing in patients with chronic anal fissures.
Creator: Rebecca F. Brown, M.D. • Kara Brockhaus, Pharm.D. • Dixy Rajkumar, M.P.H. • Michael A. Battaglia, M.S. • Robert K. Cleary, M.D.
Duration: 1:59
The Pfannenstiel incision as the specimen extraction site choice in minimally invasive surgery is associated with similar postoperative pain and opioid use as extraction sites in other locations for patients having robotic colorectal resections. Specimen extraction sites may be chosen based on patient factors other than pain and opioid use.
Creator: Jiayin Yao, Ph.D. • Yi Jiang, M.D.• Jia Ke, Ph.D.2,3 • Yi Lu, Ph.D. • Jun Hu, Ph.D.5 • Min Zhi, Ph.D.
Duration: 0:57
Our validated prognostic model effectively predicted early-onset complications leading to surgery and screened aggressive Crohn’s disease, which will enable physicians to customize therapeutic strategies and monitor disease.
Creator: Ira L. Leeds, M.D., M.B.A., Sc.M. • Emmanuel F. Drabo, Ph.D. • Lisa Soleymani Lehmann, M.D., Ph.D. • Bashar Safar, M.B.B.S. • Fabian M. Johnston, M.D., M.H.S.
Duration: 1:46
Although currently not comprehensively reimbursed, focused preoperative optimization may reduce total costs of care while also reducing complications from colon cancer surgery.
Creator: Francesco Litta, M.D. • Angelo A. Marra, M.D. • Nuria Ortega Torrecilla, M.D. • Raffaele Orefice, M.D. • Angelo Parello, M.D. • Veronica De Simone, M.D. • Paola Campennì, M.D. • Marta Goglia, M.D. • Carlo Ratto, M.D.
Duration: 1:56
Artificial anal sphincter implantation improved the external anal sphincter muscle tension; there was a positive correlation between its increase and the clinical outcome.
Duration: 10:11
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
Creator: Andrea Caudo, M.D. • Silvia Neri, M.D. • Alberto Testolina, R.N. • Elisa Bortolato, R.N. • Giacomo Furlanetto, R.N. • Emilio Morpurgo, M.D.
Duration: 4:47
Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
Creator: Yesenia Rojas-Khalil, MD
Duration: 13:02
Creator: Paul M. Cavallaro, M.D. • Caitlin Stafford, B.S. • Christy E. Cauley, M.D. David L. Berger, M.D., M.P.H. • Liliana Bordeianou, M.D., M.P.H. • Hiroko Kunitake, M.D., M.P.H. Todd Francone, M.D., M.P.H. • Rocco Ricciardi, M.D., M.P.H.
Duration: 2:00
In microsatellite unstable cancers, lymphovascular invasion, perineural invasion, and high-grade histology are not associated with worse overall survival, even when deferring adjuvant chemotherapy. These data support National Comprehensive Cancer Network recommendations to forego chemotherapy in stage II cancers with microsatellite instability and these features. In contrast, some high-risk features were associated with worse survival despite microsatellite unstable biology, and therapies to improve survival need to be explored.
Creator: Aditi Bhatt, M.S., M.Ch. • Nazim Benzerdjeb, M.D., Ph.D. Guillaume Passot, M.D., Ph.D. • Praveen Kammar, M.S., M.Ch. Sanket Mehta, D.N.B. • Nathalie Laplace, M.D. Eddy Cotte, M.D., Ph.D. • Olivier Glehen, M.D., Ph.D.
Duration: 2:00
Surgical peritoneal cancer index of >20 should not be the sole factor to exclude patients from surgery, especially in responders to systemic therapies. The pathologic peritoneal cancer index, pathologic response to systemic chemotherapy, and disease distribution in the peritoneal cavity should be meticulously documented. Correlation with survival will define their future prognostic value. The primary anastomotic site is a common site for peritoneal disease and should be carefully evaluated in all patients.
Creator: Mohammad Adileh, M.D. • Jonathan B. Yuval, M.D. • Shan Huang, M.D. Alexander N. Shoushtari, M.D. • Felipe Quezada-Diaz, M.D. Emmanouil P. Pappou, M.D., Ph.D. • Martin R. Weiser, M.D. Julio Garcia-Aguilar, M.D., Ph.D. • J. Joshua Smith, M.D., Ph.D.
Duration: 1:54
Immune checkpoint inhibition therapy by itself does not appear to improve survival in patients who undergo resection or excision of anorectal melanoma. Combinations of immune checkpoint inhibition with other therapeutic modalities warrant further investigation.
Creator: Emmeline Nugent, M.B. B.Ch., B.A.O. • Anna Spivak, D.O. • Brooke H. Gurland, M.D. Sherief Shawki, M.D. • Tracy L. Hull, M.D. • Massarat Zutshi, M.D.
Duration: 1:41
The greater the length of prolapsed rectum, the greater the risk of recurrence. The length of prolapse should be considered when planning the most appropriate surgical repair to modify the recurrence risk.
Creator: Susan Galandiuk, MD
Duration: 9:14
Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.