Evidence map›Paper›PMID 27695959›Full record

ArticleTechniques in coloproctology2016

Transanal total mesorectal excision: dissection tips using 'O's and 'triangles'.

M-P Bernardi, A L A Bloemendaal, M Albert, M Whiteford, A R L Stevenson, R Hompes

Abstract readVideo-Audio Media
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In one paragraph

Article in Techniques in coloproctology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Mesentery in Transanal TME.Clinics in colon and rectal surgery · 2022
    Review
  2. Tips and Tricks.Clinics in colon and rectal surgery · 2020
    Review
  3. Future Directions.Clinics in colon and rectal surgery · 2020
    Review
  4. Total Mesorectal Excision Technique-Past, Present, and Future.Clinics in colon and rectal surgery · 2020
    Review
  5. Evolution of transanal total mesorectal excision according to the IDEAL framework.BMJ surgery, interventions, & health technologies · 2019
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Transanal total mesorectal excision (TaTME) for primary rectal cancer : Video article].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    Review
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

M-P BernardiRoyal Brisbane and Women's Hospital, Brisbane, QLD, Australia. mpbernardi16@gmail.com.
A L A BloemendaalOxford University Hospitals NHS Foundation Trust, Oxford, UK.
M AlbertFlorida Hospital Orlando, Winter Park, Orlando, FL, USA.
M WhitefordProvidence Portland Medical Center, Portland, OR, USA.
A R L StevensonRoyal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
R HompesOxford University Hospitals NHS Foundation Trust, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTransanal total mesorectal excision (taTME) requires specific technical expertise, as it is often difficult to ascertain the correct dissection plane. Consequently, one can easily enter an incorrect plane, potentially resulting in bleeding (sidewall or presacral vessels), autonomic nerve injury and urethral injury. We aim to demonstrate specific visual features, which may be encountered during surgery and can guide the surgeon to perform the dissection in the correct plane.

methodSpecific features of dissection in the correct and incorrect planes are demonstrated in the accompanying video.

resultsThe 'triangles' created using appropriate traction can aid in performing a precise dissection in the correct plane. Recognition of features described as 'O's can alert surgeons that they are entering a new fascial plane and can avoid incursion into an incorrect plane.

conclusionUnderstanding and recognizing the described features which can be encountered in taTME surgery, a safe and accurate TME dissection can be facilitated.

Indexed as

Anatomic LandmarksAutonomic PathwaysBlood Loss, SurgicalDissectionFasciaFasciotomyFemaleHumansMaleMesocolonPostoperative ComplicationsRectumSacrumTransanal Endoscopic SurgeryUrethra‘O’sand ‘triangles’Total mesorectal excisionTransanal TME

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.