{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:21:59Z","timestamp":1740126119428,"version":"3.37.3"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T00:00:00Z","timestamp":1496361600000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>There are many surgical techniques that deal with external rectal prolapse but perineal procedures have the advantage of reduced invasiveness. Therefore, despite concerns regarding high recurrence rates, the technique is still used by many surgeons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This manuscript and video describe our early clinical experience using the Harmonic scalpel in 11 consecutive patients who underwent a Delorme's procedure for external rectal prolapse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median age of patients was 76 (range: 30\u201394) years. There were no intra\u2010operative complications, and the median operative time was 78\u00a0min. Intra\u2010operative blood loss was minimal (mean 45\u00a0ml; range 20\u201370\u00a0ml). Median length of stay was 2 (range: 0\u20138) days. Overall morbidity and recurrence were both 18%, with a median follow\u2010up of 15 (range: 1\u201323) months. Nine patients were operated on by a senior trainee with consultant supervision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The advantages of this device are mainly those of ease of mucosal dissection, minimal blood loss and shorter operative time in comparison with published series.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13688","type":"journal-article","created":{"date-parts":[[2017,4,18]],"date-time":"2017-04-18T13:24:54Z","timestamp":1492521894000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of the Harmonic scalpel for Delorme's procedure"],"prefix":"10.1111","volume":"19","author":[{"given":"D.","family":"Par\u00e9s","sequence":"first","affiliation":[{"name":"National Bowel Research Centre The Blizzard Institute Barts &amp; the London School of Medicine and Dentistry Queen Mary University of London London UK"},{"name":"The Royal London Hospital Barts Health NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Drami","sequence":"additional","affiliation":[{"name":"The Royal London Hospital Barts Health NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3187-1207","authenticated-orcid":false,"given":"K.","family":"Adams","sequence":"additional","affiliation":[{"name":"The Royal London Hospital Barts Health NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Grossi","sequence":"additional","affiliation":[{"name":"National Bowel Research Centre The Blizzard Institute Barts &amp; the London School of Medicine and Dentistry Queen Mary University of London London UK"},{"name":"The Royal London Hospital Barts Health NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Suliman","sequence":"additional","affiliation":[{"name":"The Royal London Hospital Barts Health NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. H.","family":"Knowles","sequence":"additional","affiliation":[{"name":"National Bowel Research Centre The Blizzard Institute Barts &amp; the London School of Medicine and Dentistry Queen Mary University of London London UK"},{"name":"The Royal London Hospital Barts Health NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.140.1.63"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2012.03135.x"},{"key":"e_1_2_5_4_1","first-page":"CD001758","article-title":"Surgery for complete rectal prolapse in adults","author":"Tou S","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12177"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2008.11.012"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0505-6"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.138.5.498"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2012.11.011"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13688","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.13688","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T13:49:14Z","timestamp":1696340954000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.13688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1111\/codi.13688"],"URL":"https:\/\/doi.org\/10.1111\/codi.13688","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"type":"print","value":"1462-8910"},{"type":"electronic","value":"1463-1318"}],"subject":[],"published":{"date-parts":[[2017,6]]},"assertion":[{"value":"2016-10-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-01-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-06-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}