Pub Date : 2025-10-01DOI: 10.1016/j.jviscsurg.2025.07.004
Fabien Werey , Gaëtan Pasinato , Hugo Defives , Franck Brazier , Richard Delcenserie , Thierry Yzet , Charles Sabbagh , Jean-Marc Regimbeau
The development of endoscopy and interventional radiology has reduced the need for repeat surgery to manage postoperative complications, thereby reducing morbidity and mortality. Surgical set-ups modify the anatomy and are sometimes difficult for gastroenterologists and radiologists to understand. To improve multidisciplinary management, certain surgical techniques can be adapted to facilitate morphological identification and endoscopic access to the various anastomoses that are a source of complications, particularly at the supra-mesocolic level. The aim of this update is to provide a non-exhaustive list of surgical procedures that can be used to anticipate the endoscopic and radiological management of possible postoperative complications.
{"title":"Modified surgical procedures that facilitate endoscopic and radiologic management of postoperative complications","authors":"Fabien Werey , Gaëtan Pasinato , Hugo Defives , Franck Brazier , Richard Delcenserie , Thierry Yzet , Charles Sabbagh , Jean-Marc Regimbeau","doi":"10.1016/j.jviscsurg.2025.07.004","DOIUrl":"10.1016/j.jviscsurg.2025.07.004","url":null,"abstract":"<div><div>The development of endoscopy and interventional radiology has reduced the need for repeat surgery to manage postoperative complications, thereby reducing morbidity and mortality. Surgical set-ups modify the anatomy and are sometimes difficult for gastroenterologists and radiologists to understand. To improve multidisciplinary management, certain surgical techniques can be adapted to facilitate morphological identification and endoscopic access to the various anastomoses that are a source of complications, particularly at the supra-mesocolic level. The aim of this update is to provide a non-exhaustive list of surgical procedures that can be used to anticipate the endoscopic and radiological management of possible postoperative complications.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 5","pages":"Pages 349-358"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.jviscsurg.2025.08.004
Kamir Ould Ahmed , Marvin Jourdan , Michael Baboudjian , Mathilde Aubert , Diane Mege
Ureteral complications occur rarely during colorectal surgery (0.3 to 1.5%), are mainly diagnosed postoperatively (50–70%), and result in both short- and long-term morbidity. The objective of this update was to report on prevention, diagnosis, and treatment options for ureteral injuries that occur during colorectal surgery. For prevention, it is essential to identify at-risk patients preoperatively. Routine prophylactic insertion of a double-J catheter is not recommended. Intra-operatively, non-invasive techniques to aid in locating the ureters based on intravenous injection of methylene blue or intra-ureteral injection of indocyanine green have been reported. If ureteral injury is diagnosed intra-operatively, direct repair should be performed over a ureteral stent, combined with catheter drainage of the bladder for 5 to 7 days. In case of postoperative diagnosis, urinary diversion can be performed using a double-J catheter, a mono-J catheter, or by insertion of a percutaneous nephrostomy. Ureteral repair will be performed secondarily depending on the location of the injury and the size of the defect. For ureteral injuries in the pelvis, uretero-vesical re-implantation with or without a psoas-bladder hitch procedure may be proposed. For ureteral injuries at the lumbar or iliac levels, segmental resection with uretero-ureteral anastomosis, or possibly with ileal or appendiculoplasty, may be performed. The main complications after ureteral injury repair are anastomotic leakage and ureteral stricture. Uretero-vesical re-implantation techniques appear to be less likely to cause anastomotic leakage than direct uretero-ureteral anastomoses.
{"title":"Ureteral complications during colorectal surgery","authors":"Kamir Ould Ahmed , Marvin Jourdan , Michael Baboudjian , Mathilde Aubert , Diane Mege","doi":"10.1016/j.jviscsurg.2025.08.004","DOIUrl":"10.1016/j.jviscsurg.2025.08.004","url":null,"abstract":"<div><div>Ureteral complications occur rarely during colorectal surgery (0.3 to 1.5%), are mainly diagnosed postoperatively (50–70%), and result in both short- and long-term morbidity. The objective of this update was to report on prevention, diagnosis, and treatment options for ureteral injuries that occur during colorectal surgery. For prevention, it is essential to identify at-risk patients preoperatively. Routine prophylactic insertion of a double-J catheter is not recommended. Intra-operatively, non-invasive techniques to aid in locating the ureters based on intravenous injection of methylene blue or intra-ureteral injection of indocyanine green have been reported. If ureteral injury is diagnosed intra-operatively, direct repair should be performed over a ureteral stent, combined with catheter drainage of the bladder for 5 to 7 days. In case of postoperative diagnosis, urinary diversion can be performed using a double-J catheter, a mono-J catheter, or by insertion of a percutaneous nephrostomy. Ureteral repair will be performed secondarily depending on the location of the injury and the size of the defect. For ureteral injuries in the pelvis, uretero-vesical re-implantation with or without a psoas-bladder hitch procedure may be proposed. For ureteral injuries at the lumbar or iliac levels, segmental resection with uretero-ureteral anastomosis, or possibly with ileal or appendiculoplasty, may be performed. The main complications after ureteral injury repair are anastomotic leakage and ureteral stricture. Uretero-vesical re-implantation techniques appear to be less likely to cause anastomotic leakage than direct uretero-ureteral anastomoses.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 5","pages":"Pages 359-368"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.1016/j.jviscsurg.2025.06.012
Karem Slim , Marc Pocard
{"title":"RE: Evolution of the methodological requirements for surgery-related publications; Update of CONSORT","authors":"Karem Slim , Marc Pocard","doi":"10.1016/j.jviscsurg.2025.06.012","DOIUrl":"10.1016/j.jviscsurg.2025.06.012","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 5","pages":"Pages 398-400"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aorto-duodenal fistula: What should we do?","authors":"Emmanuel Delarue, Dorian Verscheure, Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.09.004","DOIUrl":"https://doi.org/10.1016/j.jviscsurg.2025.09.004","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.jviscsurg.2025.02.008
Arnaud Alves , Karem Slim
{"title":"Rehospitalization after digestive surgery: Which indicators to use?","authors":"Arnaud Alves , Karem Slim","doi":"10.1016/j.jviscsurg.2025.02.008","DOIUrl":"10.1016/j.jviscsurg.2025.02.008","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S1-S3"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.jviscsurg.2025.03.007
Christelle-Dior Ndjandje , Daniel Eyraud , Sébastien Gaujoux
{"title":"Intersecting perspectives on the organization and disorganization of our operating theaters","authors":"Christelle-Dior Ndjandje , Daniel Eyraud , Sébastien Gaujoux","doi":"10.1016/j.jviscsurg.2025.03.007","DOIUrl":"10.1016/j.jviscsurg.2025.03.007","url":null,"abstract":"","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages 253-254"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-01DOI: 10.1016/j.jviscsurg.2025.06.009
Etienne Buscail , Emilie Duchalais
From 7 to 11% of patients undergoing colorectal surgery are re-hospitalized and this occurs mostly due to a post-operative complication. The consequences can be severe with a high morbidity and mortality rate compared to the index hospitalization. Early re-hospitalizations (< 5 days) are mainly due to septic complications and ileus, while late re-hospitalizations are mainly related to septic complications and dehydration caused by high stomal output. Prevention of re-hospitalizations requires a combination of preventive measures, screening for complications prior to discharge, close consultative follow-up or even telemedicine follow-up after discharge, and provision of information to the patient, family, and caregivers about warning signs that warrant medical attention. The challenge in managing re-hospitalizations is to avoid treatment delay for a severe complication at the index center, while protecting patients from avoidable re-hospitalizations if patients present with typical post-operative symptoms or emerging complications that are manageable outside the hospital setting.
{"title":"Unplanned re-hospitalizations after colorectal surgery","authors":"Etienne Buscail , Emilie Duchalais","doi":"10.1016/j.jviscsurg.2025.06.009","DOIUrl":"10.1016/j.jviscsurg.2025.06.009","url":null,"abstract":"<div><div>From 7 to 11% of patients undergoing colorectal surgery are re-hospitalized and this occurs mostly due to a post-operative complication. The consequences can be severe with a high morbidity and mortality rate compared to the index hospitalization. Early re-hospitalizations (<<!--> <!-->5 days) are mainly due to septic complications and ileus, while late re-hospitalizations are mainly related to septic complications and dehydration caused by high stomal output. Prevention of re-hospitalizations requires a combination of preventive measures, screening for complications prior to discharge, close consultative follow-up or even telemedicine follow-up after discharge, and provision of information to the patient, family, and caregivers about warning signs that warrant medical attention. The challenge in managing re-hospitalizations is to avoid treatment delay for a severe complication at the index center, while protecting patients from avoidable re-hospitalizations if patients present with typical post-operative symptoms or emerging complications that are manageable outside the hospital setting.</div></div>","PeriodicalId":49271,"journal":{"name":"Journal of Visceral Surgery","volume":"162 4","pages":"Pages S39-S45"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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