Tag Archives: ACS

Post Image

Treating Hemorrhoids: What’s New

The upshot:

New: doppler-guided hemorrhoidal artery ligation is a technique under study.
Stapled hemorrhoidectomy (like laser therapy twenty years ago) has NOT proven to be superior to common techniques.

Image courtesy of Peter van der Sluijs
I recently watched a webcast of presentations from the …

Post Image

Fistula in Ano: What’s New

Fibrin glue? Fistula plug? LIFT technique? What’s fad and what works for fistula in ano?
I recently watched a webcast of presentations from the American College of Surgeons 2012 meeting, which I link here for reference integrity and because the content is excellent. Meanwhile, …

Post Image

Diverticulitis: What’s New

Evolving management of diverticulitis in the US strikes me as a nice example of the shift from dogma to evidence-based surgical practice. Add diverticulitis to the dwindling-indications-for-surgery list, alongside splenic trauma, asymptomatic groin hernia, paraesophageal hernia, GI bleed, mastectomy, penetrating …

Single Incision Laparoscopic Surgery (SILS)

I tried out a SILS instrument set in the expo area of the American College of Surgeons Clinical Congress in San Francisco last week. While I’ve yet to try it on living tissue, I found the technique compelling.
While pretending to …