Listen to the Editor-in-Chief who talks in this video about the top reasons to read the issue:



Title: How to Be An Educated Consumer of Observational Data (An Editorial on the article by Rumer KK, et al. below on "Use of biological medications does not increase postoperative complications...)

Author: Scott E. Regenbogen, MD, MPH

Institution: Division of Colorectal Surgery, University of Michigan, Ann Arbor, Michigan

Excerpt: Chance is the threat that we are most familiar with in our daily lives. If I flip a dime and a quarter each 50 times and get heads with the dime 23 times, but heads with the quarter 27 times, should I conclude that quarters are more likely to come up heads? No, this was probably chance, and we can even assess it with statistical tests to understand how likely this result was, in the absence of any real difference between the two.



Title: Use of Biological Medications Does Not Increase Postoperative Complications Among Patients With Ulcerative Colitis Undergoing Colectomy: A Retrospective Cohort Analysis of PrivatelyInsured Patients

Authors: Kristen K. Rumer, M.D., Ph.D. • Melody S. Dehghan, B.A. • Lindsay A. Sceats, M.D.• Amber W. Trickey, Ph.D., M.S., C.P.H. • Arden M. Morris, M.D., M.P.H.• Cindy Kin, M.D., M.S.

Institution: Department of Surgery, Stanford University School of Medicine, Stanford, California

Description: Biological exposure among patients with ulcerative colitis is not associated with higher odds of postoperative complications or healthcare resource use. These data, in combination with clinical judgment and patient preferences, may aid in complex decision making regarding operative timing, operation type,and perioperative medication management.


Title: Early Experience With Transanal Total Mesorectal Excision Compared With Laparoscopic Total Mesorectal Excision for Rectal Cancer: A Propensity Score-Matched Analysis


Authors: Mohamed Kamal Alhanafy, M.D. • Sung Sil Park, M.D. • Sung Chan Park, M.D. • Boram Park, Ph.D. • Min Jung Kim, M.D. • Dae Kyung Sohn, M.D., Ph.D. • Hee Jin Chang, M.D., Ph.D. • Jae Hwan Oh, M.D., Ph.D.

Institution: Center for Colorectal Cancer, National Cancer Center, Gyeonggi-do, South Korea; General Surgery Department, Faculty of Medicine, Menoufia University, Al Minufya, Egypt; Biostatistics Collaboration Team, Research Institute, National Cancer Center, Gyeonggi-do, South Korea

Description:   Early experience with the transanal approach showed similar pathologic outcomes as those of conventional laparoscopy; hence, it should be considered as a surgical option for lower rectal cancer.


Title: Video-Assisted Ligation of Intersphincteric Fistula Tract for Complex Anal Fistula: Technique and Preliminary Outcomes


Authors: Worrawit Wanitsuwan, M.D. • Karuna Junmitsakul, M.D. • Supakool Jearanai, M.D. • Varut Lohsiriwat, M.D., Ph.D.

Institution: Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand; Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Description: The outcomes of video-assisted ligationof intersphincteric fistula tract for complex anal fistulas are quite good. This technique has the potential to become another viable option of sphincter-preserving peration for complex anal fistulas.


Title: Overprescription of Opioids Following Outpatient Anorectal Surgery: A Single-Institution Study


Authors: Devon Livingston-Rosanoff, M.D., Ph.D. • Taylor Aiken, M.D.• Brooks Rademacher, M.D. • Christopher Glover, B.S. • Paul Skelton, B.S.• Marissa Paulson, B.S. • Elise H. Lawson, M.D., M.S.H.S.

Institution: Division of Colorectal Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin

Description:The majority of patients do not need more than five to ten 5-mg oxycodone equivalents to achieve adequate pain management after outpatient anorectal surgical procedures.


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