Professor Steve Brown, Chief Investigator of the HubBLe trial, talks about treatment choices for patients with haemorrhoids and the evidence behind those choices. This podcast links to the Techniques in Coloproctology article here https://bit.ly/2Uh7Fed

In this podcast Giuseppe Gagliardi, Co-Editor-in Chief of Techniques in Coloproctology, interviews Nicola Fernhead and Jacopo Martellucci on the definition and treatment of low anterior resection syndrome. 2 patients with the syndrome are also interviewed. In this conversation patients and experts share their tips and insights. Some of the discussion is based on a recent article published on the journal "Role of transanal irrigation in the treatment of anterior resection syndrome" which you can view on this link https://rdcu.be/bbn0i

Techniques in Coloproctology talks to Ruediger Prosst, pioneer of the over the scope clip (OTSC) treatment for anal fistula.

Learn about which type of fistula to treat with OTSC, technical tips, outcomes and a look to the future for this promising sphincter-sparing technique

Recorded at the International Conference on Anal Fistula in Rome 2018

Techniques in Coloproctology talks to Damián Garcia-Olmo, pioneer of stem cell treatment for anal fistula, about the latest developments in this cutting-edge treatment.

Professor Garcia-Olmo discusses how the stem cell treatment works, its different indications and successes in Crohn's disease and cryptoglandular fistula, use in anorecto-vaginal fistula, using stem cells and fibrin glue together, compares autologous and allogeneic stem cells and the use of near-patient stem cell kits. He then looks into the future and his aspiration that stem cells replace surgery in fistulas in Crohn's disease.

This was recorded at the International Conference on Anal Fistula in Rome 2018, which you can hear going on loudly in the background!

Techniques in Coloproctology talks to Arne Wilhelm, pioneer of laser treatment for anal fistula (FiLaC) about the latest developments in this interesting approach, including the amount of energy to use, what to do with the internal opening and future combinations with other new techniques.

You can read more at https://bit.ly/2NBhr7g

Recorded at the International Conference on Anal Fistula in Rome, 2018

Recorded at the International Conference of Anal Fistula Treatment in Rome 2018, Techniques in Coloproctology interview Phil Tozer, a consultant at the world famous St Mark's Hospital, UK about current treatments for anal fistula.

Phil takes us through why not to place a seton in the acute setting, the 5 factors preventing healing of fistulas, and the pros and cons of the whole range of fistula treatment including plugs, fibrin glue, permacol, LIFT, the place of sphincter repair, restoring the contour of the anus, VAAFT (including "palliative VAAFT and delta VAAFT"), FiLAC and finally the promise of stem cells in fistula.

Essential listening for anyone who treats anal fistula

Essential listening for trainees and experienced colorectal surgeons. Dr Herand Abcarian, Professor of Colorectal Surgery at the Universty of Illinois, USA, and leader in fistula surgery gives a "how I do it" lesson on sphincter saving surgery for fistula, as well as choosing the novel Over The Scope Clip (OTSC) technique as the treatment he'd have for himself. Find out why by listening to the podcast with Giuseppe Gagliardi, Co-Editor in Chief of Techniques in Coloproctology.

The OTSC paper can be found at http://bit.ly/2FMoYzS (Short-term outcomes of a novel endoscopic clipping device for closure of the internal opening in 100 anorectal fistulas)

One of the doyens of colorectal surgery, Dr Abcarian discusses developments in sphincter-sparing surgery for anal fistula. Permacol paste and FiLaC (fistula tract laser closure) are reviewed in part 1 of the podcast.

Papers discussed in the podcast can be found at http://bit.ly/2FK0LKG (Permacol™ collagen paste injection for the treatment of complex anal fistula: 1-year follow-up), http://bit.ly/2HsOpDG (Five years of experience with the FiLaC™ laser for fistula-in-ano management: long-term follow-up from a single institution) and http://bit.ly/2p4VjZ3 (Fistula-tract Laser Closure (FiLaC™): long-term results and new operative strategies)

Rick Nelson tells Jon Lund about his latest meta analysis of evidence in the treatment of anal fissure.

There are some surprises that will challenge what you think you know about efficacy of topical treatments, anal stretch, and the much lower than previously thought incidence of impairment of continence after sphincterotomy.

You can read the full paper at http://bit.ly/2yeyCEZ A systematic review and meta-analysis of the treatment of anal fissure. Techniques in Coloproctology August 2017, Volume 21, Issue 8, pp 605–625

For decades the only real option for perforated diverticular disease was a Hartmann's procedure, but there has been a lot of interest in the less invasive and stoma saving laparoscopic lavage and drainage procedure as an alternative. But is it effective?

In this podcast linked to a meta analysis by Cirocchi et al in Techniques in Coloproctology (2017) 21: 93 (http://bit.ly/2peBO1J) Jon Lund talks to David Humes about the background and the evidence for and against peritoneal lavage as a treatment for this common colorectal emergency.

David Humes is Associate Professor of Surgery at the University of Nottingham, UK and an NIHR Postdoctoral Fellow.