ACTIVITY

TREATED DISEASES
  • Hemorrhoids
    Treatment with conservative (HPS, elastic ligature elastica) and excisional procedures (hemorrhoidectomy)
  • Abscesses and anal fistulas
    After incision and drainage of anal abscess, in nearly 50% of cases may be highlighted the fistula responsible of abscess.  Its treatment varies from therapies preserving integrity of sphincters (LIFT, VAAFT, Core out + mucous flap) to those instead involving a privation of sphincter parts with minimal impact on continence and a high rate of complete healing (95%), depending on complexity of fistula.
  • Anal fissure
    Treatment with conservative procedures for acute forms, while for chronic ones the partial internal sphincterotomy is applied definitively healing the disease.
  • Sinus Pilonidalis
    Minimally invasive procedures are only used which with minimal surgical trauma in local anesthesia and same-day discharge, allow immediate recovery of school, job and sport activity. The operations mainly performed are Lord-Millar, Fistulotomy + marsupialization and EPSIT.
  • Rectovaginal and anovaginal fistula
    These fistulas may use transvaginal, transanal or videolaparoscopy abdominal way, depending on fistula height.
  • Proctocele
    This anatomical-functional alteration can be corrected transanally and transvaginally.
  • Rectal prolapse
    Both transabdominal videolaparoscopic, in particular the ventral rectopexy, and transanal (Delorme and Altemeier) procedures are used. For hidden prolapse or recto-anal intussusception, associated or not with proctocele, we use the ERPP (EndoRectal ProctoPexy or Internal Delorme).
  • Constipation
    It is treated with sacral neuromodulation and, in selected cases, with videolaparoscopic total colectomy.
  • Bowel incontinence
    This disorder resulting from sphincteric birth injuries or previous anal or rectal surgery, degenerative neurological alterations or idiopathic forms, is treated with bulking agents, sacral neuromodulation or sphincteric repair.
  • Anal and anal canal malignant neoplasms
    Radical surgery (synchronous abdomino-perineal amputation of rectum) in cases of failed response to chemoradiotherapy.
  • Rectum early stage benign/malignant tumors
    Transanal removal by Transanal Endoscopic Microsurgery (TEM).
  • Colon and rectum malignant tumors: Videolaparoscopic resection
  • Colon diverticulitis: Videolaparoscopic resection