[A new needle for colon-proctological surgery: personal experience]

Area of Science:

• Colorectal Surgery
• Minimally Invasive Procedures
• Surgical Innovation

Context:

• Rectocele and hemorrhoidal prolapse often require anorectal tissue excision.
• Existing treatments include the sequential transfixed stitch technique (STST) for rectocele and transfixed stitch technique (TST) for hemorrhoids.
• Previous techniques aimed to improve outcomes and patient quality of life.

Purpose:

• To introduce and evaluate a novel curved siliconate needle for STST and TST procedures.
• To assess the impact of the new needle on surgical invasiveness, mucosal trauma, and ease of use.
• To compare the new siliconate needle with traditional lanceolate needles in terms of procedure duration and surgical team preference.

Summary:

• The study compared traditional lanceolate needles with a new ultrafine siliconate needle in 10 rectocele and 20 hemorrhoid patients.
• Procedures using the siliconate needle were judged easier by surgical teams (90% for TST, 100% for TSTS) compared to traditional needles (70% for TST).
• While procedure duration showed no significant difference, the siliconate needle facilitated simpler suturing and reduced technical difficulties.

Impact:

• The ultrafine siliconate needle enhances the effectiveness of STST for rectocele and TST for hemorrhoidectomy.
• This innovation contributes to less invasive surgical procedures with reduced mucosal damage.
• Improved surgical ease and potentially better patient outcomes are key benefits.