Obstructed defaecation syndrome: European consensus guidelines on the surgical management

Author:

Picciariello A1ORCID,O'Connell P R2,Hahnloser D3,Gallo G4ORCID,Munoz-Duyos A5,Schwandner O6,Sileri P7,Milito G8,Riss S9,Boccasanta P A10,Naldini G11,Arroyo A12ORCID,de laPortilla F13,Tsarkov P14,Roche B15,Isbert C16,Trompetto M17,d’Hoore A18,Matzel K19,Xynos E20,Lundby L21,Ratto C22,Consten E23,Infantino A24,Panis Y25ORCID,Terrosu G26,Espin E27,Faucheron J -L28ORCID,Guttadauro A29,Adamina M30ORCID,Lehur P A31,Altomare D F1

Affiliation:

1. Department of Emergency and Organ Transplantation, University Aldo Moro of Bari, Bari, Italy

2. Centre for Colorectal Disease, St Vincent's University Hospital, University College Dublin, Dublin, Ireland

3. Department of Visceral Surgery, University Hospital Lausanne, Lausanne, Switzerland

4. Department of Medical and Surgical Sciences, University of Catanzaro, Catanzaro, Italy

5. Department of General Surgery, Colorectal Unit, Hospital Universitari MútuaTerrassa, Terrassa, Barcelona, Spain

6. Department of Proctology, Krankenhaus Barmherzige Brüder, Regensburg, Germany

7. Department of Surgery, Università Vita Salute San Raffaele, Milano, Italy

8. Department of Surgery, Tor Vergata University, Rome, Italy

9. Department of Surgery, Division of General Surgery, Medical University Vienna, Vienna, Austria

10. Istituto Humanitas Gavazzeni & Castelli, Proctology and Perineology Surgical Unit, Bergamo, Italy

11. Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy

12. Department of General Surgery, Colorectal Unit, Elche University Hospital, Miguel Hernández University, Alicante, Spain

13. Gastrointestinal Surgery Department, Coloproctology Unit, Virgen del Rocio University Hospital, Seville, Spain

14. I. M. Sechenov First Moscow State Medical University (Sechenov University), Clinic of Coloproctology and Minimally Invasive Surgery, Moscow, Russia

15. Division of Digestive Surgery, Proctology Unit, University Hospitals of Geneva, Geneva, Switzerland

16. Department of General, Gastrointestinal and Colorectal Surgery, Amalie Sieveking Hospital, Hamburg, Germany

17. Department of Colorectal Surgery, Santa Rita Clinic, Vercelli, Italy

18. Department of Abdominal Surgery, UZ Leuven, Leuven, Belgium

19. Chirurgische Klinik, Universität Erlangen, Erlangen, Germany

20. Department of Surgery, Creta Interclinic Hospital of Heraklion, Heraklion, Greece

21. Department of Surgery, Aarhus University Hospital, Aarhus, Denmark

22. Proctology Unit, Fondazione Policlinico Universitario ‘A. Gemelli’ IRCCS, Rome, Italy

23. Department of Surgery, University Medical Centre Groningen, Groningen, the Netherlands

24. Department of Surgery, General Surgery Unit, Santa Maria dei Battuti Hospital, Pordenone, Italy

25. Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique–Hôpitaux de Paris, Université Paris VII, Clichy, France

26. General Surgery and Transplantation Unit, Department of Medicine, University of Udine, Udine, Italy

27. Department of Surgery, Hospital Universitari Vall d'Hebrón, Barcelona, Spain

28. Department of Surgery, Colorectal Unit, Michallon University Hospital, Grenoble, France

29. General Surgery Department, University of Milano-Bicocca, Istituti Clinici Zucchi, Monza, Italy

30. Department of Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland

31. Coloproctology Unit, Ospedale Regionale di Lugano, Lugano, Switzerland

Abstract

Lay Summary Clinical decision-making in the treatment of patients with obstructed defaecation remains controversial and no international guidelines have been provided so far. This study reports a consensus among European opinion leaders on the management of obstructed defaecation in different possible clinical scenarios.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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