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Clinics in Colon and Rectal Surgery最新文献

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Ways to Repair Multicompartment Prolapse: Decision-Making and Surgical Approach. 修复多室脱垂的方法：决策和手术方法。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-02-24 eCollection Date: 2025-11-01 DOI: 10.1055/s-0045-1804514
Sara Rahman, Shannon L Wallace, Anna R Spivak, Vanessa A Hortian
{"title":"Ways to Repair Multicompartment Prolapse: Decision-Making and Surgical Approach.","authors":"Sara Rahman, Shannon L Wallace, Anna R Spivak, Vanessa A Hortian","doi":"10.1055/s-0045-1804514","DOIUrl":"10.1055/s-0045-1804514","url":null,"abstract":"<p><p>Multicompartment pelvic organ prolapse (POP) occurs when multiple pelvic organs herniate through the pelvic floor, impacting quality of life and daily function. Concomitant POP and rectal prolapse are common but often underrecognized. A multidisciplinary approach involving urology, urogynecology, and colorectal surgery is essential for comprehensive care and improved outcomes. Concurrent surgeries are increasingly performed, allowing patients to address both conditions in a single operation without heightened complication rates. Treatment for rectal and vaginal prolapse can be achieved through robotic, laparoscopic, open abdominal, or vaginal/perineal approaches. Surgical selection is guided by patient comorbidities, treatment goals, the choice of mesh versus native tissue repair, and the surgeon's experience. This article presents five different approaches to illustrate the nuances of combined surgical approaches, offering insights into optimizing the treatment of multicompartment POP.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 6","pages":"375-383"},"PeriodicalIF":1.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Collaboration Commentary: Breaking Down the Role of Pelvic Health Physical Therapy in Colorectal Care. 临床合作评论：分解盆腔健康物理治疗在结直肠护理中的作用。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-02-24 eCollection Date: 2025-11-01 DOI: 10.1055/s-0045-1804526
Julia Barten
{"title":"Clinical Collaboration Commentary: Breaking Down the Role of Pelvic Health Physical Therapy in Colorectal Care.","authors":"Julia Barten","doi":"10.1055/s-0045-1804526","DOIUrl":"10.1055/s-0045-1804526","url":null,"abstract":"<p><p>Pelvic health treatment demands an understanding of multiple pelvic subspecialties to adequately address. While there are many providers who identify as pelvic health physical therapists, not all are sufficiently able to manage bowel dysfunction. There is a limited number of certified pelvic health specialists within the United States. The goal of this clinical commentary is to break down the role pelvic health physical therapy (PHPT) plays in treatment for colorectal care. The \"background\" provides insight into the physical therapy (PT) education process and pelvic health specialization. The \"methods\" discuss PHPT treatment including patient education, examination techniques, value of tests and images, as well as common colorectal conditions. A table summarizes possible findings and treatment considerations for common colorectal conditions, methods for optimizing pelvic floor muscles (PFMs) are discussed, and pelvic devices are explained. The \"results\" of referring patients and expectation for goals is reviewed along with a \"discussion\" of room for improvement and \"conclusion\" of important takeaways. The depth of the vast subjects covered shall only be briefly summarized in this clinical commentary with the hope that it provides context, explanations, recommendations, and leads to future discussions and research that includes PHPT.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 6","pages":"392-401"},"PeriodicalIF":1.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Low Anterior Resection Syndrome, Role of SNM? 前低位切除综合征，SNM的作用？
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-02-20 eCollection Date: 2025-11-01 DOI: 10.1055/s-0045-1804527
Franco Marinello
{"title":"Low Anterior Resection Syndrome, Role of SNM?","authors":"Franco Marinello","doi":"10.1055/s-0045-1804527","DOIUrl":"10.1055/s-0045-1804527","url":null,"abstract":"<p><p>Low anterior resection syndrome (LARS) includes all bowel dysfunctions after rectal cancer surgery, causing significant damage to survivors' quality of life. Among different therapeutical approaches, sacral neuromodulation (SNM) has become an interesting technique to palliate LARS symptoms. This article highlights the pathophysiology of LARS, describing the most important aspects of SNM in this scenario.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 6","pages":"417-419"},"PeriodicalIF":1.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updates on Pelvic Floor Disorders: Evaluation and Management. 盆底疾病的最新进展：评估和管理。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-02-20 eCollection Date: 2025-11-01 DOI: 10.1055/s-0045-1804511
Anna R Spivak
{"title":"Updates on Pelvic Floor Disorders: Evaluation and Management.","authors":"Anna R Spivak","doi":"10.1055/s-0045-1804511","DOIUrl":"10.1055/s-0045-1804511","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 6","pages":"361-362"},"PeriodicalIF":1.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reflections on 30 Years of Taking Care of Patients with Pelvic Floor Disorders. 盆底疾病患者护理30年的体会。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-02-20 eCollection Date: 2025-11-01 DOI: 10.1055/s-0045-1804522
Tracy L Hull
{"title":"Reflections on 30 Years of Taking Care of Patients with Pelvic Floor Disorders.","authors":"Tracy L Hull","doi":"10.1055/s-0045-1804522","DOIUrl":"10.1055/s-0045-1804522","url":null,"abstract":"<p><p>Over the past three decades care of patients with pelvic floor disorders has changed dramatically. Fecal incontinence surgery that initially was repair or encircling the anal sphincter now is treated as a first line with sacral nerve stimulation. Rectal prolapse surgery has benefited from minimally invasive approaches and an abdominal approach is considered even in older frail individuals. Medication for constipation has dramatically helped more patients avoid surgery. A multidisciplinary approach with surgeons operating during the same anesthesia on the middle/anterior pelvis and posterior pelvis is common. Evaluation of outcomes and patient-reported outcomes are the norm. We have come a long way toward care of this group of patients, but we still have huge steps to achieve to optimize care as we look toward the next 30 years.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 6","pages":"427-431"},"PeriodicalIF":1.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Psychologists in Treating Pelvic Pain Conditions. 心理学家在治疗盆腔疼痛中的作用。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-02-20 eCollection Date: 2025-11-01 DOI: 10.1055/s-0045-1804499
Anna K Gernand, Darrielle L Allen, Stephen E Lupe, Madison L Simons
{"title":"The Role of Psychologists in Treating Pelvic Pain Conditions.","authors":"Anna K Gernand, Darrielle L Allen, Stephen E Lupe, Madison L Simons","doi":"10.1055/s-0045-1804499","DOIUrl":"10.1055/s-0045-1804499","url":null,"abstract":"<p><p>Patients with pelvic floor disorders may experience a wide range of symptoms affecting one or more compartments of the pelvic floor (anterior/urinary, apical/reproductive, and posterior/gastrointestinal). Disorders affecting the pelvic organs (e.g., endometriosis, IBS), nerves, and supportive musculature (e.g., pelvic floor dysfunction, muscle trauma) often co-occur. As a result, individuals with one or more of these conditions may fluctuate between or simultaneously experience symptoms such as pelvic pain, urinary frequency/urgency/incontinence, sexual dysfunction, and gastrointestinal problems. This multifaceted range of symptoms results in the need for interdisciplinary team-based approaches to tailor treatment. Given the negative impact pelvic floor symptoms can have on quality of life and mental health which in turn can \"turn up the dial\" on the severity of symptoms, psychologists play an integral role in optimizing care for the whole patient. The rationale for and role of the psychologist in treating gastrointestinal and urogynecological symptoms will therefore initially be discussed according to symptom cluster after which the scope for a transdiagnostic treatment approach will be explored.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 6","pages":"402-410"},"PeriodicalIF":1.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anna R. Spivak, DO, FACS, FASCRS. Anna R. Spivak， DO， FASCRS。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-02-17 eCollection Date: 2025-11-01 DOI: 10.1055/s-0045-1804510
Scott R Steele
{"title":"Anna R. Spivak, DO, FACS, FASCRS.","authors":"Scott R Steele","doi":"10.1055/s-0045-1804510","DOIUrl":"10.1055/s-0045-1804510","url":null,"abstract":"","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 6","pages":"359-360"},"PeriodicalIF":1.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Malignant Colon Polyps. 恶性结肠息肉的治疗。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-01-23 eCollection Date: 2025-09-01 DOI: 10.1055/s-0044-1801381
Alex Charboneau, Joanna K Law, Jennifer A Kaplan
{"title":"Management of Malignant Colon Polyps.","authors":"Alex Charboneau, Joanna K Law, Jennifer A Kaplan","doi":"10.1055/s-0044-1801381","DOIUrl":"10.1055/s-0044-1801381","url":null,"abstract":"<p><p>Surgically resected stage I colon cancer results in the best possible prognosis for patients diagnosed with colorectal cancer. However, there remains some debate about whether formal oncologic resection is necessary for the earliest of tumors-those detected in a polyp. To best understand whether an oncologic resection is \"avoidable\" in select cases of patients with a malignant polyp, it is necessary to review the contemporary evidence on endoscopic techniques, risks of lymph node metastasis, and nuances of the decision-making between oncologic resection and surveillance.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 5","pages":"322-326"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Good and Bad of Regionalizing Colon Cancer Care. 结肠癌区域化治疗的利弊。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-01-21 eCollection Date: 2025-09-01 DOI: 10.1055/s-0044-1801400
Sara L Schaefer, Calista M Harbaugh
{"title":"The Good and Bad of Regionalizing Colon Cancer Care.","authors":"Sara L Schaefer, Calista M Harbaugh","doi":"10.1055/s-0044-1801400","DOIUrl":"10.1055/s-0044-1801400","url":null,"abstract":"<p><p>Hospitals in the United States continue to merge into expanding hospital networks. As the U.S. health care landscape rapidly evolves toward regionalized hospital networks, there is a critical opportunity for these networks to fulfill their clinical potential toward coordination of care, particularly for cancer patients. While regionalization aims broadly to improve care by distributing services optimally, centralization remains the dominant approach. This article explores regionalization and centralization specific to colon cancer care. We examine the benefits and drawbacks of centralization of colon cancer surgery as a strategy to enhance patient outcomes and access to care. Additional methods for optimizing regional care delivery also exist. In this article, we also present additional strategies for improving regional care delivery and clinical integration for colon cancer patients.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 5","pages":"349-353"},"PeriodicalIF":1.1,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measuring What Matters: Patient-Reported Outcomes in Colon Cancer Care. 衡量什么是重要的：结肠癌治疗中患者报告的结果。
IF 1.1 4区 医学
Clinics in Colon and Rectal Surgery Pub Date : 2025-01-15 eCollection Date: 2025-09-01 DOI: 10.1055/s-0044-1801393
Claire M Sokas, Srinivas Joga Ivatury
{"title":"Measuring What Matters: Patient-Reported Outcomes in Colon Cancer Care.","authors":"Claire M Sokas, Srinivas Joga Ivatury","doi":"10.1055/s-0044-1801393","DOIUrl":"10.1055/s-0044-1801393","url":null,"abstract":"<p><p>Patients have common and personalized questions about expected outcomes after colon cancer treatment. Surgeons and oncologists can use high-quality clinical counseling and patient-reported outcomes to identify what matters most to each patient. This article reviews common patient-centered outcomes and how to elicit personalized outcomes, preferences, and values for patients facing colon cancer.</p>","PeriodicalId":48754,"journal":{"name":"Clinics in Colon and Rectal Surgery","volume":"38 5","pages":"343-348"},"PeriodicalIF":1.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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