By Gian Gaetano Delaini
Despite way of life advancements, the occurrence of rectal melanoma is expanding in industrialised international locations. swift advances in know-how, transforming into wisdom of the organic historical past of the ailment and nearer cognizance to sufferers' caliber of existence after surgical procedure have resulted in a much less invasive procedure. within the final 15 years, the surgical method has shifted from prolonged resection to sphincter-saving approaches, that includes a multidisciplinary process and a excessive point of specialisation. The skilled healthcare professional can plan and select the "right therapy for the correct sufferer" simply with the help of the radiologist, endoscopist and pathologist (preoperative staging), oncologist and radiotherapist (neoadjuvant therapy), and psychologist and stomatherapist (rehabilitation). moreover, the tricky difficulties of salvage approach and the reconstruction of anal sphincter after belly resection are explored.
The goal of this booklet is to explain the fast advances and to provide guidance for medical professionals facing rectal melanoma. considering symptoms, contraindications, hazards, merits and controversies, the authors supply transparent and practice-oriented solutions for quite a lot of experts and specialists, in addition to these new to the field.
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Additional info for Rectal cancer : new frontiers in diagnosis, treatment, and rehabilitation
Example text
This represents exactly the rectal length that can be used for a conservative operation of the sphincter, excluding the length of the anal canal, which varies from case to case and does not represent a useful segment for intestinal anastomosis. Differential criteria for the diagnosis of intra- or extraperitoneal location are also very important to plan pre-operative treatment. A comparison of double contrast radiology vs. rectoscopy was carried out in 23 patients with rectal cancer based on the above-described parameters.
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