Tattoos, clips, and radiology in imaging the colon. Surg Endosc 15:1202–1203Įllis KK, Fennerty MB (1997) Marking and identifying colon lesions. Colorectal Dis 13:1184–1187īeretvas RI, Ponsky J (2001) Endoscopic marking: an adjunct to laparoscopic gastrointestinal surgery. Gastrointest Endosc Clin N Am 7:525–539 (Review)Ĭonaghan P, Maxwell-Armstrong C, Garrioch M, Hong L, Acheson A (2011) Leaving a mark: the frequency and accuracy of tattooing prior to laparoscopic colorectal surgery.

Holzman MD, Eubanks S (1997) Laparoscopic colectomy. Zühlke HV, Lorenz EM, Straub EM, Savvas V (1990) Pathophysiology and classiication of adhesions. Yeung JM, Maxwell-Armstrong C, Acheson AG (2009) Colonic tattooing in laparoscopic surgery-making the mark? Colorectal Dis 11:527–530 Vignati P, Welch JP, Cohen JL (1994) Endoscopic localization of colon cancers. SCPS is an effective method for tattooing colonic lesions and has a better safety profile than traditional India ink in terms of post-procedure inflammatory response and intraoperative bowel adhesions. All the endoscopic tattoos were clearly visible. There were significantly fewer adhesions in the SCPS Endoscopic Marker group. No differences were found between groups in WBC, fibrinogen levels, body temperature or VAS scores, but we documented significantly higher CRP values at 6 and 24 h after endoscopic tattooing with India ink injection. Ninety-four patients were included in the study, 47 for each arm. Finally, the visibility of the tattoo during the minimally invasive intervention was assessed. Secondary endpoints were differences in white blood cell, C-reactive protein, and fibrinogen levels as well as, abdominal pain and body temperature at baseline (before endoscopic tattooing) and 6 and 24 h after colonoscopy. The primary endpoint of the study was the presence of intraoperative adhesions related to the endoscopic tattoo. Methodsįrom September 2015 to December 2018, adult patients who were candidates for elective laparoscopic colon resection were randomized to the SCPS or conventional India ink injection group using computer-based randomization. The aim of the present study was to compare the pyrogenic, inflammatory and intraperitoneal effect of these two markers. No comparison between these two markers has yet been made. In recent years, another kind of marker has been developed: sterile carbon particle suspension (SCPS). Different markers have been used preoperatively to mark colonic lesions, especially India ink.

India ink markers