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Aim: Sacral neuromodulation (SNM) has become a standard surgical treatment for faecal incontinence (FI). Prior studies have reported various adverse events of SNM, including suboptimal therapeutic response, infection, pain, haematoma, and potential need for redo SNM. The aim of this study was to identify the risk factors associated with long‐term complications of SNM. Method: This retrospective cohort reviewed patients who underwent two‐stage SNM for FI at our institution between 2011–2021. Preoperative baseline characteristics and follow‐up were obtained from the medical record and/or by telephone interview. Management and outcome of each postoperative event were evaluated by univariate and multivariate regression analyses. Results: A total of 291 patients (85.2% female) were included in this study. Postoperative complications were recorded in 219 (75.2%) patients and 154 (52.9%) patients required surgical intervention to treat complications. The most common postoperative event was loss of efficacy (46.4%). Other common adverse events were problems at the implant site (pain, infection, etc.) in 16.5% and pain during stimulation in 11.7%. Previous vaginal delivery (OR 2.74, p = 0.003) and anal surgery (OR = 2.46, p = 0.039) were independent predictors for complications. Previous colorectal (OR = 2.04, p = 0.026) and anal (OR = 1.98, p = 0.022) surgery and history of irritable bowel syndrome (IBS) (OR = 3.49, p = 0.003) were independent predictors for loss of efficacy. Conclusion: Postoperative adverse events are frequently recorded after SNM. Loss of efficacy is the most common. Previous colorectal or anal surgery, vaginal delivery, and IBS are independent risk factors for complications. [ABSTRACT FROM AUTHOR]

Aim: Staplers used in ileocolic anastomosis construction differ in length and height. We assessed the impact of stapler type in creating ileocolic anastomoses on postoperative outcomes. Methods: This retrospective cohort study of an Institutional Review Board approved database included patients who underwent laparoscopic right colectomy for cancer between January 2011 and August 2021. All patients had construction of extracorporeal antiperistaltic stapled ileocolic anastomosis using a linear cutting stapler. Main outcome measures were short‐term (<30 day) morbidity and mortality. Results: In all, 270 patients (136 men; median age 70.2 years) were included. A 75 mm stapler was used in 49 (18.1%) patients, 80 mm in 97 (35.9%) and 100 mm in 124 (45.9%). Blue cartridge (stapler height 3.5 mm) was used in 175 (64.5%) and green cartridge (4.8 mm) in 18 (7%) patients; this information was unavailable in 77 (28.5%) cases. Apical enterotomy closure was performed by linear stapler in 54% and linear cutting stapler in 46%. Apical staple line reinforcement or imbrication suturing was used in 26.3%. The overall postoperative complication rate was 28.9%. The anastomotic leak rate was 2.6%. Independent predictors of complications after laparoscopic right colectomy were older age (OR 1.03, 95%CI 1–1.06; P = 0.01), extended colectomy (OR 2.76, 95%CI 1.07–7.08; P = 0.035) and emergency surgery (OR 4.5, 95%CI 1.3–14.9; P = 0.014). A 100‐mm linear cutting stapler was an independent protective factor against postoperative complications (OR 0.3, 95%CI 0.18–0.85; P = 0.019). Stapler height and closure technique of apical enterotomy did not affect postoperative complications. Conclusion: Independent predictors of complications after laparoscopic right colectomy were older age, extended colectomy and emergency surgery. Using a 100 mm stapler was an independent protective factor against postoperative complications. [ABSTRACT FROM AUTHOR]

This article, published in the journal Colorectal Disease, presents a case study of a 79-year-old woman who underwent a robotic-assisted ventral rectopexy with mesh. The patient had previously undergone multiple unsuccessful procedures for rectal prolapse. The video included in the article highlights the challenges and unique techniques required in redo surgery due to the presence of adhesions and fibrosis. The authors declare no conflicts of interest, and the video recording was deemed exempt from ethics approval as the patient provided informed consent. [Extracted from the article]