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The article discusses surgical techniques for repairing rectal prolapse, specifically focusing on robotic mesh rectopexy using the Geneva technique. The text explains that there are various approaches to rectal prolapse repair, ranging from perineal approaches to transabdominal approaches. The article highlights the diversity of methods for transabdominal rectopexy and the lack of strong evidence to compare these techniques. It also mentions that minimally invasive rectopexy using robotics may improve patient outcomes compared to laparoscopy. The article provides a step-by-step description of the robotic mesh rectopexy procedure, including patient positioning, port insertion, laparoscopic exploration, docking of the surgical robot, dissection, mesh preparation and stitching, and peritoneum closure. The authors of the article are listed, and a conflict of interest statement is included. [Extracted from the article]

This article discusses the potential impact of electronic nicotine delivery systems (ENDS), commonly known as e-cigarettes, on the postoperative course in colorectal surgery. While traditional tobacco smoking has been shown to increase the incidence of surgical site infection and anastomotic leak, the effects of ENDS have not yet been explored. Some scientific societies urge caution and consider ENDS to be similar to traditional tobacco smoking, while others view them as a safe alternative. However, the article notes that there is a lack of literature on the impact of ENDS in colorectal surgery, despite their increasing use. The authors call for further studies to evaluate the effect of ENDS on surgical site infection and anastomotic leak in colorectal surgery. [Extracted from the article]

Aim: Caecal diverticulitis (CD) is an uncommon condition which can be misdiagnosed as acute appendicitis due to similar clinical presentations. Further, its management varies among medical centres. The aim of this study was to review cases of patients with CD, to identify the factors differentiating CD from acute appendicitis and to provide a summary of existing diagnostic methods and therapeutic alternatives regarding its management. Methods: This systematic review was conducted in accordance with the PRISMA guidelines and the AMSTAR2 checklist. We searched MEDLINE and Embase from inception until 1 October 2018 for original publications reporting cases of CD. Results: Out of the 560 identified studies, 146 publications (988 patients) were included in the qualitative synthesis. Most frequent symptoms of CD were right iliac fossa pain (93.2%), nausea and/or vomiting (35.4%) and fever (26.9%). A total of 443 patients (44.8%) underwent radiological imaging, which reported CD in 225 patients (22.8%). For the other patients, the diagnosis was obtained by surgical exploration (73.9%). Among patients diagnosed with CD by imaging, 67 (29.8%) underwent surgery and 158 (70.2%) were treated conservatively. Among patients who underwent surgical exploration, treatment consisted most frequently of right hemi‐colectomy (33%), appendectomy (18.8%) and diverticulectomy with appendectomy (16.3%). Conclusion: CD can be misdiagnosed as acute appendicitis, therefore resulting in unnecessary surgical exploration. The review of the literature starting from 1930 highlights the critical role of medical imaging in supporting the clinician to diagnose this condition and administer adequate treatment. [ABSTRACT FROM AUTHOR]

Moreover, patients who undergo robotic right hemicolectomy (robRHC) have better peri- and postoperative outcomes, as well as quicker recovery when compared to lapRHC [[7], [9]]. However, intracorporeal anastomosis (ICA) and off-midline specimen extraction were shown to, respectively, improve postoperative recovery [[4]] and decrease the incidence of subsequent incisional hernia [[5]]. Laparoscopic right hemicolectomy (lapRHC) with extra-corporeal anastomosis, and sometimes extra-corporeal vessel division, remains the standard of care for minimally invasive right hemicolectomy [[1], [3]]. [Extracted from the article]