SICCR

Events

Last insertion: Journal Club di Coloproctologia

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Last insertion: Letter of the President

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Last insertion: Bowen's anal disease

Masters

Last insertion: - Università Cattolica del Sacro Cuore Dipartimento di Scienze Chirurgiche

Date	Title	Text	Document
13/05/2008	Letter of the President	Enclosed is the letter of the President Gian Andrea Binda to the members.
07/05/2008	Transcript regarding Directive Council 12-01-2008	Please find enclosed the transcript regarding of SICCR’s Directive Council.
07/05/2008	Transcript regarding Directive Council 20-02-2008	Please find enclosed the transcript regarding of SICCR’s Directive Council.
18/04/2008	Recensione a cura di Gianluca Occelli	Rivista DCR 03/03/08 Can depth of tumour invasion predict lymph node positivity in patients undergoing resection for early rectal cancer? A comparative study between T1 and T2 cancers pp. 231-238(8) Authors: Rasheed, S.; Bowley, D. M.; Aziz, O.; Tekkis, P. P.; Sadat, A. E.; Guenther, T.; Boello, M. L.; McDonald, P. J.; Talbot, I. C.; Northover, J. M. A. Revisione del St. Marks Hospital sugli istologici dei retti operati di ben 1549 pazienti dal 71 al 96 con conclusione che: mentre è significativa ed importante per la predittività di metastasi linfonodali a distanza, dei T1 e T2, l’invasione vascolare e il grado di differenziazione del tumore, non è significativa e , quindi, indicativa, la profondità con invasione della submucosa. Predictive factors for successful sacral nerve stimulation in the treatment of faecal incontinence: a 10-year cohort analysis pp. 249-256(8) Authors: Dudding, T. C.; Parés, D.; Vaizey, C. J.; Kamm, M. A. Studio di ben 10 anni dal 96 al 2006 che dimostra che la stimolazione sacrale si può fare con buoni risultati anche in presenza di lesioni o difetti dello sfintere esterno. Is a morphologically intact anal sphincter necessary for success with sacral nerve modulation in patients with faecal incontinence? pp. 257-262(6) Authors: Melenhorst, J.; Koch, S. M.; Uludag, Ö.; van Gemert, W. G.; Baeten, C. G. Stesso risultato si ha con la neuromodulazione. Un difetto dello sfintere anale al di sotto del 33% deve essere trattato in primo lugo con questa metodica. Pilot study of two new injectable bulking agents for the treatment of faecal incontinence pp. 268-272(5) Authors: Maeda, Y.; Vaizey, C. J.; Kamm, M. A. Altro studio del St. Marks Hospital che dimostra come le iniezioni di sostanze (collagene porcino o idrogel sintetico) per l’incontinenza, a lungo termine, portino a scarsi risultati..
03/04/2008	SICCR Science Centre: 1st theoretical-practical course on sutures and medication for doctors and nurses	The first theoretical-practical course on sutures and medications for doctors and nurses took place on the 29th march at San Vito al Tagliamento (PN). The objective of the course was to fill the gaps in the preparation of doctors and nurses in this field. In fact many young surgeons had the mutual impression that there are still many gaps to be filled in this field of study. After an initial historical reappraisal of the subject in question by Dr Alfredo Papadia who covered past and present achievements, Professor G. Abatangelo who has been riding high in the field of the healing of surgical wounds, underlined the biological processes at the basis of the inflammatory- proliferative and moulding phases that lead to recovery. Professor F. Bassetto, a plastic surgeon of Padova, devolopped an up-to-date knowledge on suture and the indications of its use on different parts of the body. Professor Mauro Schiavon director of the operative unit of plastic surgery in Udine, who pointed out the most suitable types of incision and suture on various tissues in order to avoid complications, followed him. Finally, Professor Filippo La Torre of the University La Sapienza in Rome, discussed in detail the various types of suture in surgery of the intestine, mechanic and manual, and underlined that regardless of the procedure employed, the reduction of complications depends mostly on the role played by the surgeon. Dr Aldo Infantino, the coordinator of the course examined in detail the prognostic factors in anastomosis of intestinal dehiscences, today, which are: ASA, the low rectum, smoking, the abuse of alcohol, urgency, Rt, and a surgeon who is not fully committed to his duty. Non-prognostic factors are intestinal preparation, age, and drainages. During the afternoon session, The professors, demonstrated the employment of threads and knots both in open and video-laparoscopy surgery, on simulators, while nurses were divided into small groups and carried out both straight forward and complicated types of medications on patients, following a further two lessons given by professors Baraziol and Fraccalanza both from the division of plastic surgery of Udine. The course, which was held thanks to the sponsorship of Covidien, will probably have a sequel for all those surgeons who were unable to take part, due to the limited number of participants. We confide in the collaboration of Francesco Mazzoleni, director of the institute of plastic surgery in Padova, as chairman of the following course.
28/03/2008	Recensione a cura di Massimo Sartelli	L’introduzione della chirurgia laparoscopica ha, anche nel caso del trattamento chirurgico dell’appendicite acuta, introdotto la disputa su quale sia il più efficace metodo di approccio a tale patologia. E’ ormai noto come l’approccio laparoscopico rispetto a quello “open” riduca in maniera significativa l’incidenza della infezione della ferita chirurgica, il dolore postoperatorio, la durata della degenza ed il periodo di astensione dal lavoro, ma aumenti, al contrario, l’incidenza degli ascessi intraddominali postoperatori, per la minore capacità insita nell’approccio laparoscopico di garantire una sicura toilette del cavo addominale nelle peritoniti. In questo studio pubblicato sul British Journal of Surgery del mese di marzo viene confermata l’utilità dell’approccio laparoscopico senza evidenza di complicanze infettive post-operatorie. Massimo Sartelli Changing trends in surgery for acute appendicitis. H. M. Paterson, M. Qadan, S. M. de Luca, S. J. Nixon, S. Paterson-Brown. British Journal of Surgery. Volume 95, Issue 3 , Pages 363 – 368. Abstract Background Laparoscopic appendicectomy (LA) offers faster recovery times and a reduced rate of wound infection compared with open appendicectomy (OA) but may be associated with more intra-abdominal abscesses. This study examines the changing trends in management of appendicitis in a regional setting during service reorganization and compares infective complication rates for each procedure. Methods Data were retrieved from the Lothian Surgical Audit database on 1824 patients treated for appendicitis by OA or LA during equal 31-month periods before and after service reorganization in August 2002. Outcome measures were duration of admission, recovery time from operation to discharge and reintervention for infective complications. Analysis was by intention to treat. Results The rate of LA in Lothian increased from 29,9 to 39,4 per cent (P < 0,001) after subspecialist service reorganization. Recovery time from operation to discharge was significantly shorter after LA than OA when results were stratified with respect to sex (mean 2,5 versus 4,4 days respectively in women, P < 0,001; 2,7 and 3,1 days in men, P = 0,023), timing of surgery (2,7 versus 3,3 days before subspecialization, P = 0,007; 2,5 versus 3,6 days after subspecialization, P < 0,001) and whether appendicitis was associated with peritoneal contamination (2,2 versus 3,0 days for uncontaminated surgery, P < 0,001; 4,3 versus 5,1 days for contaminated surgery, P = 0,060). Peritoneal contamination at primary operation was the only independent risk factor that predicted reintervention for infective complications. Conclusion LA is associated with a shorter hospital stay from operation to discharge than OA, with no evidence of an increased rate of intra-abdominal infective complications.
21/03/2008	Eurasian Colorectal Technologies Association	We are pleased to announce the involvement of some of our members in the birth of the *Eurasian Colorectal Technologies Association* of which the first congress will take place in Shanghai on 1st–2nd November 2008. With the wish of the development of a close cooperation between ECTA and SICCR.
21/03/2008	New ECM National Commission	The birth of the new ECM National Commission is official. The first meeting, which took place in Cernobbio on March 17th with the new ECM Commission and the market dealers, developed along an articulate event schedule which entailed a wider analysis of the functioning of the organs, the procedures and the instruments of the renewed ECM system. Some of the topics to be dealt with in future events dedicated to ECM will be: credit cerfification , the crediting of formative and business schemes, the regulation of didactic activities and of resource acquisition methods.
10/03/2008	Stoma rehabilitation courses	The SICCR Directive Council has approved a training plan regarding the promotion of the quality of Stoma care centres. It is addressed not only to national health hospital operators but also to schools of post graduate studies in general surgery and schools for the training of Nurses. The section of Stoma rehabilitation coordinated by Dr Antonio D’Elia organizes them.
04/03/2008	Important Congress on “The pelvic floor” held in Treviso	The 21st-22nd of February an international congress was held in Treviso on “Updating on imaging and management of pelvic floor disorders” proceeded by the 11th course on ultrasonography of the pelvic floor. Among the participants were three hundred specialists of various fields of study: colon proctology, urology, gynaecology, radiology ect. The congress hosted specialists from eighteen foreign countries. The intervention of the 26 Italian and 13 foreign chairmen was highly appreciated. Among these, Professor J.O.L. DeLancey, director of the pelvic floor centre of The University of Michigan Alabama, who also received an Honorary Membership of the SICCR on behalf of Dr. Gian Andrea Binda, president of the SICCR society. The congress which was organized by Dr. G.A. Santoro, directive member of the SICCR, and a recognized expert in the international field of the study of sonography of the pelvic floor, underlined the most modern forms of diagnosis of faecal and urinary incontinence and of the prolapse of the pelvic organs, thanks to three dimensional trans-anal and trans-vaginal sonography, and to dynamic and three dimensional trans-perineal sonography. These new methodologies can already replace and substitute traditional radiological examinations (defaecography, cystography, pelvic MR) and also functional examinations such as urodynamic and neurophysiologic tests. Many were the papers on the new approach of treatment, which goes from sacral neuromodulation, to bulking agents, surgical trans-anal techniques for rectal prolapses and the use of slings, and meshes for urinary incontinence caused by stress and for genital- urinary prolapses.
03/03/2008	Surgical training committee, courses and congresses and of quality control of the SICCR	Please find enclosed the letter of Dr. Paola De Nardi who is responsable for the surgical training committee, courses and congresses and of quality control of the SICCR.
21/01/2008	Transcript regarding Directive Council 11-11-2007	Please find enclosed the transcript regarding 1st of SICCR’s Directive Council.
21/12/2007	SICCR in year 2007	Enclosed is the activities carried out by the SICCR throughout the year 2007.
21/12/2007	Christmas greetings on behalf of the SICCR’s President.	Enclosed you will find Christmas greetings on behalf of the SICCR’s President Gian Andrea Binda.
14/12/2007	2nd Educational Course in Colonproctology	Even for 2008 the SICCR has entrusted the 2nd edition organisation of an educational course in Colonproctology to the Colorectal Eporediensis Centre. The course is addressed to surgeons who wish to study in depth the principal themes of the special fields of colon proctology. It is a full immersion course in various subjects introduced by the major italian experts in colorectal surgery and by Professor R.J. Nicholls, who has now worked for the centre, these subjects will be dealt with in open and constuctive discussion. At the end all members will be granted a certificate of participation by SICCR.
23/11/2007	Course in Methodology of Research in Surgery	From the 12th to the 14th of November the first course in methodology of research in surgery was held in the University “Cattolica” of Rome. The initiative promoted by the SICCR in the field of SICCR’s Science Centre educational activities and sponsored by the University “Cattolica” was coordinated by Professor Donato Altomare (university of Bari) with the participation of the following professors Liana Spazzafumo (INRCA Ancona) Carlo Ratto (university “Cattolica” Rome), La Torre ( University “Cattolica” Rome), Aldo Infantino (San Vito al Tagliamento), Rinaldo Marzaioli ( University of Bari), and organized by Doctor Marina Fiorino (Roma). Twenty-nine surgeons from all parts of Italy keenly took part in this course, throughout the three days of intensive activities they studied in depth the general concepts of methodology of research, the essential rules for the management of a clinical trial and the preparation of papers for the most important scientific journals. Doctor Spazzafumo studied the basic concepts of medical statistics in depth in a pleasant and eager manner. By starting to analyse the scientific articles individually, she explained the how and why of adopting the different statistics available. The last day the technical aspects of the use of the most common software and the presentation of data at congresses were studied in depth. The outcome of the course was so positive that it encouraged the participants to want to attend a further course on the topic, foreseen hopefully in the near future.
09/11/2007	Ahmed Shafik	The SICCR is very upset at the news that Professor Ahmed Shafik, ingenious coloproctological researcher, is dead 31st October to Paris. To his family our heartfelt simpathy.
05/11/2007	Letter of the President	Enclosed is the letter of the President Gian Andrea Binda to the members.
25/10/2007	New Directive Council	The new Directive Council that was elected shortly before, during an Assembly headed by the senior Counsellor Professor Giuseppe Casula, has elected by secret ballot the following members for the year: 2007-2008 President: Gian Andrea Binda Vice President: Antonino Pulvirenti D’Urso 2008-2009 President: Filippo la Torre Vice President: Claudio Fucini Click here to display the SICCR Directive Council.
22/10/2007	Transcript regarding the election of SICCR’s Directive Council.	Please find enclosed the transcript regarding the election of SICCR’s Directive Council, conclusive document of the electoral committee made up of Ivreo Morganti, as president, Ferruccio Boffi and Donato Scardigno. The following have been elected as counsellors: Gian Andre Binda, Ezio Ganio, Giuseppe Casula, Antonino D’Urso Pulvirenti, Claudio Mattana, Marcella Rinaldi, Luigi Basso, Giulio Aniello Santoro, Claudio Fucini. Secretary:Aldo Infantino. Treasurer: Antonio Amato. Auditors: Ivreo Morganti, Donato Scardigno. Deputy Auditor: Massimiliano Mungo.
05/10/2007	Candidates for the new Directive Council	In October, on the occasion of the 2nd National SICCR Congress which will take place in Verona, the election for the new Directive Council will also be held. The following have sent in their CV and stand as candidates: Antonio Amato Luigi Basso Gian Andrea Binda Giuseppe Casula Claudio Fucini Ezio Ganio Aldo Infantino Filippo La Torre Stefano Mancini Claudio Mattana Giovanni Milito Antonio Pulvirenti D'Urso Biagio Ravo Marcella Rinaldi Giulioaniello Santoro The members who have put forward their nominations are: Biagio Ravo From the statute: art. 7 Founder members and permanent members may acceed to the social position, granted that they have been members for at least 3 years. Members of the Directive Council of other national scientific societies cannot be elected. Members of the directive council that are elected as part of the directive council of other national scientific societies will be obliged to abandon their position (according to the regulations). Any form of retribution and compensation is excluded for the carrying out of social duties.
05/10/2007	ESCP Congress - Malta	This year too, the ESCP congress has witnessed a progressive increase of participants, which reached almost eight hundred. This goes to show how a society, founded a short time ago, in 2005, in Bologna, thanks to the merge of ECCP and EACP, has invested well in quality-aimed projects, in highly prepared speakers and a very precise organisation, which in turn has been able to transform from a practical view point, the strategies of the current management. The next meeting will take place in Nantes in 2008.
04/10/2007	ANEMGI Congress – Rome	The second congress of Neurogastoenterology took place in the impressive surroundings of Rome, between the 12th- 14th September 2007. The most important themes dealt with by the major centres of gastroenterology were gastro- esophagitis reflux, chronic gastritis, functional dyspepsia, IBD, IBS and constipation. This latter was treated with great insight by professor Enrico Corazziari of Rome, who stressed how 80% of patients benefit from conservative treatment, leaving a remaining 20% in the hands of “make-believers”. From an epidemiological point of view, professor Gabrio Bassotti from Perugia, stressed the validity and limits of studies pubblished on this theme and professor Scarpignato from Pavia, underlined the direct and indirect costs of such a pathology, and examined in detail the ratio of the quality of life among patients Those whose quality of life resulted worse were patients with slower bowel movements. He also underlined how a positive reply to medical treatment corresponded to a better score of Qol. Professor Stanghellini and Dr Alessandra Graziottin stirred great interest in dealing with the theme of common clinical profiles between gastroenterology and urogynaecology in pelvic dyssynergy, a peculiarity: little more than 1% of GPs and gynaecologists ask the medical history of a possible sexual abuse which has been confirmed to be a highly responsible factor at the origin of pain and dyssynergy in both fields. We congratulate professor Corazziari and friends of ANEGMI on behalf of SICCR on the excellent scientific organisation in the hope of repeating the positive outcome of this event in the future.
20/09/2007	IPFDS at Palermo	At a time in which the specialists of the perineum no longer find support for their activities, their place is being taken by medical-scientific associations whose interest in the pelvic floor is constantly growing. Among these associations is the IPFDS (International pelvic floor dysfunction society), which has revealed its active engagement, also at an international level, by organizing many courses and conferences: this year alone, in Brazil (Manaus), in India (madras) and at Palermo. The last conference took place in Palermo between the 6th and the 8th September. Many national and international specialists in various disciplines took part : Urologists, gynaecologists, physicians, colon- proctologists, gastroenterologists from all over the world; Brazil, Great Britain, Holland, Norway, Spain, Germany, as well as from Italy. The conference was held under the form of accounts, discussions, live surgery to better demonstrate the details of the techniques, which encouraged a positive exchange of opinions between the experts and the public. Especially the surgical demonstrations stressed the importance of sacral colpopexia, but the greatest interest was shown in the widespread utilization of mesh for the support of the endopelvic organs in the correction of urinary incontinence, space was given also to transanal surgery for the correction of anal incontinence and rectocele. The more than two hundred participants revealed a great interest in the event also thanks to the splendid setting offered by the sea and the sun of Mondello. Our Congratulations go to the organizer Biagio Adile for his effort in obtaining an exceptional outcome.
22/07/2007	Letter of the President.	Enclosed is the letter of the President Donato Altomare to the members.
25/06/2007	Theoretical-Practical Refresher Course in Colonproctology for General Practitioners - Volume 2	Enclosed is the Calendar "Theoretical-Practical Refresher Course in Colonproctology for General Practitioners - Volume 2"
28/05/2007	ESCP Council Meeting in Amsterdam 13th May 2007	The first issues debated was the renewal of the contract with Integrity the service agency of the ESCP. After having considered the work made so far and the cost for the society the executive board decided to extend the contract for the next 3 years with a possible re-negotiation for the next 2. However the administrative place of the society will be moved from England to Austria (Vienna)as requested by many eastern members. The next ESCP meeting in Malta was then discussed from a financial point of view. Although the expenses are not jet covered by the sponsors, Mike Parker is confident to be able to fix the problem soon. Remarkably the Ethicon company refused to sponsor the meeting, even if a video presentation of the STARR technique was introduced in the program with this purpose. J Nicholls and Andrew Shorthouse have discussed the main topics for the next ESCP meeting in Nantes 2008. The scientific committee (Giovanni Romano is included) will make a first assignment of the topic during the meeting in Malta and then for them final program in February in another meeting. A fair agreement among the executive board has been reached for Napoli as a possible place for the ESCP meeting in Sept 2010. A definitive decision will be taken after a visit of Lindsey Whitehouse to the Stazione Marittima of Napoli. Possible other places Salizburg in Austria. After a short discussion the executive meeting have decided for Giovanni Romano as ESCP President Elect for the 2009-2010 and as Chairman of the Scientific Committee Emanuel Tiret or Johan Pfeiffer in substitution of J Nicholls. The last point was the administration of the web site because Terry Irwin is no more available and there are no candidates at the moment. The name of Infantino was proposed but he is now too much involved with our society. Donato F Altomare ESCP National Rappresentative for Italy
27/05/2007	Rectal Bleeding Unit	1) Minor rectal bleeding Rectal bleeding is a very important symptom. With the Rectal Bleeding Unit the Hospitals might be more close to the general practitioners and to the population; infact in this way they permit easier and rapid diagnosis and treatment of these symptoms. What does rectal bleeding mean? The rectal bleeding is a lost of blood from the anus. This can be minor chronic or major acute. The blood can be red as if it comes from a blessure or dark red as the old blood with clots.The latter blood has lost the oxygen and it contains much carbonic acid. The red blood can comes from the anorectum and from all the left colon. The clots and the dark red blood come generally from stomach and upper g.i. tract. From the right colon blood comes very rarely macroscopically,we generally have occult positive test that indicates a lesion. The presence of mucous observed in the toilet is also very important. Because of this in the colorectal cancer prevention, one of the most important goals is to explain to the people how is important to observe the stool in the toilets daily and observe the presence of blood or mucous.It is also very important to explain to the people that two pathologies like haemorrhoids and cancer can coexist. The rectal bleeding unit therefore must be the point of reference for these patients. In the R.B.U. thank a correct clinic history of the patient with symptoms,the patient will be submitted to the correct examinations,belonging to the age,the symptoms,and the family history. For this reason we will do only the investigations that will be necessary,so the waiting list will be reduced on time and the treatment will be exactly fired to the symptom. This is the real prevention of colorectal cancer; infact we will treat the symptomatic patients more rapidly. Even if the asyptomatic patient will underwent to the screening the R.B.U. will treat the symptomatic population with a risk of cancer much more elevated. The R.B.U.allows to make the diagnosis also because can perform quickly a left colonoscopy( which is done normally in the screening on asymptomatic patients) in all the patients with high risk for colorectal cancer(age,family history,and predisponent diseases) who are symptomatic for bleeding. This unit presents many difficulties to start obviously because it is managed by surgeons and it is against the actual sanitaris system actally present in Europe where the gastroenterologists are the leaders of the endoscopy and the colorectal screening. For this reason first of all we must have an agreement with the gastroenterologist to start the unit. Not only the gastroenterologists are important but also the pathologists, radiologists and the oncologists. That’s why it must be multidisciplinary. 2) Major acute rectal bleeding The rectal bleeding unit must treat also the major rectal bleeding. This mean that the great loss of blood from anus can be acute and followed by shock of the patient. These patients need to go to an emergency department to be stabilized first of all and then they have to be followed by a colorectal surgeon with a gastroenterologist, a radiologist who perform arteriography, ct scan, and scintigraphy. In fact between the diagnostic exames to do we have colonoscopy, anoscopy, ct scan, arterography, scintigraphy with labelled RBC. In the patients with major rectal bleeding these diagnostic techniques can also permit to perform a therapeutic procedure, often without a surgical operation. In this way the operation ,if necessary, will be done later with less risk for the patient. The ct scan, the arteriography the scintigraphy permit a quick diagnosis and a rapid treatement. In particular the MDCT permit a diagnosis in 95% of cases in all the emergency patients. The rectal bleeding team well organized is on call for 24 hours per day and it is already been experienced at the Mayo Clinic of Rochester. Now we are trying to organize it at the S.Giovanni Battista Hospital of Turin. This Unit will reduce the risk of mortality in these patients and will permit to use in the best way the resources of the Hospital. Dr. Edoardo Formento Dr. Elisabetta Radice Unità di sanguinamento rettale Ospedale Molinette Dipartimento di Fisiopatologia Chirurgica Università di Torino Via Genova 2 Torino. edfor@libero.it Elisabetta.radice@unito.it
25/05/2007	Nomination	The Directive Council, during the meeting of 25th May, held at Rome, confirmed the appointment of Corrado Bottini (corrado.bottini@libero.it) as Coordinator of UCPs and of Claudio Mattana (claudiomattana@libero.it) as Coordinator of Regional Representatives. The Coordinators will be pleased to accept any of the centres’ proposals.
02/05/2007	SICCR Spring Congress	The first National SICCR Spring Congress took place in the University of Tor Vergata on the 23rd and 24th April, organized by professor G. Milito with the collaboration of Professor F. La Torre. Why was it called Spring Congress? Firstly because it took place in April, secondly because dedicated to the young colorectal surgeons who completed all reports and carried out live operations helped by some of the most famous foreign colorectal surgeons. All this took place by means of a link via satellite between the new operating theatres of the splendid Tor Vergata policlinic and the main hall of the faculty of Economics of the same university, kindly granted by the head professor L. Paganetto. Participation was great and enthusiastic regardless of financial difficulties, owing to the freeze of the financial law. Themes regarded colorectal cancer, dysfunctions of the pelvic pavement, difficult pereanal fistulas, IBD. In the operating theatre, operations were carried out faultlessly, with an enthusiasm, which forced me to ask the Directive Council of SICCR to allow the event to be repeated every year in my University at the same time. Regardless of the many years of experience in the operating theatre, I noticed how expert surgeons such as J. Nicholls and R. Philips of St. Mark’s hospital London and R. Bergamaschi from the United States and our Professor Cervigni contributed to the successful outcome of the event in order to shed light on some important aspects of pathologies that at times result difficult, and on surgical indications with consequent therapies. Throughout the operations discussion was lively thanks to both the chairmen and to the participants. A special and sincere thanks goes to my friend F. La Torre for his collaboration and for insisting that the event take place on the dates fixed. I would also like to thank the Directive Council together with the president and the organizing secretariat adept in coordinating the difficult tasks. The conclusions are that the congress be repeated every year with the same guide lines as promised to the chorus of requests made by participants. Giovanni Milito
20/04/2007	Annual report of the Specialistic Division of Image Diagnostics.	Enclosed is the annual report of the Specialistic Division of Image Diagnostics by the person responsible Dr. Piloni.
20/04/2007	Annual report of the Specialistic Division of IBD and Polyposis.	Enclosed is the annual report of the Specialistic Division of of IBD and Polyposis by the person responsible Dr. Asteria.
20/04/2007	Thankses	Prof. Francesco Gabrielli thanks all SICCR friends who warmly have supported him in the recent mournful event.
16/04/2007	Annual report of the Specialistic Division of Stoma Rehabilitation.	Enclosed is the annual report of the Specialistic Division of Stoma Rehabilitation by the person responsible Dr. D'Elia.
03/04/2007	Annual report of the Specialistic Division of Ultrasound Scanning.	Enclosed is the annual report of the Specialistic Division of Ultrasound Scanning by the person responsible Dr. Santoro.
19/03/2007	Surgenos at "Porta a Porta"	On 03/21/2007 the talking show "Porta a Porta" (RAI 1) will guest the President of ACOI.
16/03/2007	Condolences	The SICCR expresses sympathy to its friend, member and colleague Francesco Gabrielli, for the recent loss of his beloved spouse. Our thoughts are with you.
14/03/2007	Bibliographic Update: British Journal of Surgery.	Enclosed is the Abstract in Italian of the issue January 2007 of the British Journal of Surgery, edited by Prof. Mario Pescatori.
07/03/2007	Bibliographic Update: International Journal of Colorectal Diseases.	Enclosed is the Abstract in Italian of the issue of January 2007 of the International Journal of Colorectal Diseases.
07/03/2007	Bibliographic Update: Colorectal Disease.	Enclosed is the Abstract in Italian of the issue of January and Febbrary 2007 of the Colorectal Disease, edited by Prof. Mario Pescatori.
04/03/2007	Letter of the President.	Enclosed is the letter of the President Donato Altomare to the members.
05/02/2007	Educational Course in Colonproctology	The SICCR has entrusted the organisation of an educational course in Colon proctology for the year 2007 to the colorectal Eporediensis centre. The course is addressed to surgeons who wish to study in depth the principal themes of the special fields of colon proctology. It is a full immersion course in various subjects introduced by the major italian experts in colorectal surgery and by Professor R.J. Nicholls, who has now worked for the centre for some months. These subjects will be dealt with in open and constuctive discussion. At the end all members will be granted a certificate of participation.
25/01/2007	Sends you a last farewell to Gianfranco Molinari	On the morning of 23rd January, passed away Gianfranco Molinari, appraised and unforgettable colorectal surgeon from Brescia, a member of our society for decades, former delegate of the region of Lombardia, organiser and chairman of numerous conferences. His death leaves a gap that cannot be filled and a profound bitterness in all those who had the pleasure of knowing him and appreciating his professionalism, his clinical acumen, his thoughtfullness in his decisions and most of all his humanity. He had wanted to transmit these personal capabilities with discretion although his professional value was not appreciated by all. In fact he confessed that at times he felt neglected and probably isolated. As the announcer of this news, I was near to him in these last years of agony, and I can assert that he fought with extreme perseverance and awareness up to the very last minute, trying to win his lost battle, in the same manner he had fought to cure all his patients. We begin to appreciate the righteous only when they are no longer present and that is why the memory of his humanity and professionalism will remain in our hearts forever. As a society we could not afford and did not want to lose Gianfranco Molinari but now feel the need to express our gratitude by drawing close to his loved ones to pay him homage. thank you for having been with us and for having given us so much.We will try to follow your example as well as we can. Corrado Asteria, on behalf of all SICCR members sends you a last farewell.
22/01/2007	Subscription to Diseases of the Colon and Rectum	This year too, SICCR members are offered the opprtunity of taking out a subscription to Diseases of the Colon and Rectum at a discount price of 110 euro. If you wish to take advantage of this offer, you may do so by sending an email to Marina Fiorino marinafiorino@libero.it Below you will find the different modes of payment of the subscription fee: - Bank transfer in the name of Società Italiana di Chirurgia Colo- rettale on the giro number 2409 (ABI 06160 - CAB 66750 - CIN P) at the Bank CR Firenze Spa Division CR. Mirandola - Via Matteoti 2, 41034 Finale Emilia (MO) - indicate in the payment description: renewal of fee 2007. - Bank draft or giro non transferable in the name of Società Italiana di Chirurgia Colo-rettale, sent to Dr. Marina Fiorino, Via Val Maggia 146, 000141 Roma.
22/12/2006	Christmas greetings on behalf of the SICCR’s President.	In the society’s website you will find Christmas greetings on behalf of the SICCR’s President Prof. Donato F Altomare.
27/11/2006	Bibliographic Update: British Journal of Surgery.	Enclosed is the Abstract in Italian of the issue October 2006 of the British Journal of Surgery, edited by Prof. Mario Pescatori.
22/11/2006	Bibliographic Update: International Journal of Colorectal Diseases.	Enclosed is the Abstract in Italian of the issue of October 2006 of the International Journal of Colorectal Diseases.
22/11/2006	Bibliographic Update: Colorectal Disease.	Enclosed is the Abstract in Italian of the issue of October and November 2006 of the Colorectal Disease, edited by Prof. Mario Pescatori.
26/10/2006	LIVE SURGERY - CANDIDATURE	In the perspective of promoting the vocational training of young surgeons, the next SICCR congress (National Spring Congress 2007) that will take place in Rome on the 23rd and 24th April 2007, other than foreseeing entire sessions managed by young doctors, foresees a session of live surgery in which young surgeons will be assisted by some of the well known international colorectal surgeons to carry out important colon proctologic operations. The pathologies that will be dealt with are (except in the case of patients’ unwillingness) external prolapse of the rectum, complex perineal fistulas, cancer of the colon, or the rectum in laparoscopy, (probably hand assisted), total proctocolectomy with ileum pouch for ulcerative colitis. It is advised that surgeons neither be novices nor experts in the mentioned pathologies. The maximum age of participants should be 45. Therefore we kindly invite all doctors who would like to undertake this demanding type of surgery to send within the 30th November 2006 1. their candidature indicating the chosen pathology; 2. a summary of their curricula, with personal data; 3. their experience of colorectal surgery as first surgeons livesurgery@siccr.org Candidatures will be judged by the Directive Council of SICCR and replies will be sent within January 2007.
18/10/2006	Bibliographic Update: International Journal of Colorectal Diseases.	Enclosed is the Abstract in Italian of the issue of September 2006 of the International Journal of Colorectal Diseases.
16/10/2006	Bibliographic Update: Colorectal Disease.	Enclosed is the Abstract in Italian of the issue of September 2006 of the Colorectal Disease, edited by Prof. Mario Pescatori.
06/10/2006	Bibliographic Update: British Journal of Surgery.	Enclosed are the Abstracts in Italian of the issue August and September 2006 of the British Journal of Surgery, edited by Prof. Mario Pescatori.
04/10/2006	Initiative in favour of SICCR	Dr. Mario Trompetto author of the novel Lago Bianco: ultima salita (Musomeci Editor) has proposed an initiative in favour of SICCR; part of the proceeds will go to the society for the realization of a project of research.
04/10/2006	Letter of the President.	Enclosed is the letter of the President Donato Altomare to the members.
03/08/2006	Bibliographic Update: Colorectal Disease.	Enclosed are the Abstracts in Italian of the issue of May, June, and July 2006 of the Colorectal Disease, edited by Prof. Mario Pescatori.
03/08/2006	Bibliographic Update: British Journal of Surgery.	Enclosed are the Abstracts in Italian of the issue May, June and July 2006 of the British Journal of Surgery, edited by Prof. Mario Pescatori.
03/08/2006	Bibliographic Update: International Journal of Colorectal Diseases.	Enclosed are the Abstracts in Italian of the issue of May and July 2006 of the International Journal of Colorectal Diseases.
14/07/2006	Problems and solutions for faecal incontinence: theme of discussion at the first SICCR interregional congress at Treviso.	On the 20th June the first SICCR interregional congress Veneto- Friuli Venezia Giulia on “New therapeutic diagnostic developments in faecal incontinence” organized by the regional representatives Dr. Giulio Santoro and Dr. A. Delbello was held at the regional hospital of Treviso. This meeting, which dealt with one theme only, intrigued specialists from various fields of medicine, from surgery to gastroenterology, and physiotherapy. The multidisciplinary approach in faecal incontinence is in fact of fundamental importance in trying to improve to the uttermost, the management of this neglected ,and sometimes ill-recognised and underestimated pathology but of extreme social and economic importance. In his intervention Professor Pucciani shed light on the numerous factors of the pathology underlining the muscular and or sensorial dysfunction at its basis. Different are the numeric scores that have been proposed in literature in order to define the severity of the complaint, but although some of these are extremely detailed and complex, there isn’t a simple classification that is at the same time exhaustive and unanimously accepted. Instrumental investigations utilised so far, such as anorectal manometry and electromyography, cited by Dr, Masin, were placed side by side by new methodologies such as endoanal ultrasonography which has become a necessary instrument for the definition of the type of muscular lesion of the sphincteral apparatus as reported by Dr Santoro. The three dimensional reconstruction of the images of the anal canal allows a precise identification of the presence or not of sphincteral damages both of traumatic origin as in post-partum as well as iatrogenic, which allowed the following therapeutic approach appropriate to the type of incontinence. From the surgical point of view, as explained by Dr Trompetto, various are the methodologies available (direct sphincteral repair, electrostimulated graciloplastic,artificial sphincter, Malone’s procedure) each one of which has limits and percentages of a successful outcome that are not always long-lasting. The real innovation for the therapy of idiopatic faecal incontinence and without doubt represented by sacral neuromdulation that as reported by Prof. Infantino, even though with mechanisms that still are not clear, may act on the colic and anorectal dynamics leading to the improvement of the symptoms in appropriately selected cases .Dr. Melega illustrated the new therapeutic approach in the case of alteration of the internal anal sphincter. Radiofrequency (SECCA) is able to modify the collagen of the submucosa of the anal canal during twelve months , while the injections of the so called bulking agents are more practical possibly in the endoanal seat, controlled by ultrasonography,.The last theme treated was the rehabilitation presented by Dr Soncin, who illustrated the various methodologies chinesitherapy, electrostimulation and biofeedback. The rehabilitation approach is already an integrating part of the therapeutic algorithm of faecal incontinence both associated to medical therapy and coadjuvant in the surgical approach. The final discussion was particularly lively, chaired well by Prof. Delaini and Dr Tagon, who concluded this interesting congress that reached its objective which is the clarification of the state of the art of the knowledge in the field of faecal incontinence. Dr Beatrice Salvioli Dipartimento di Medicina Interna e Gastroenterologia Università degli Studi di Bologna Policlinico S.Orsola-Malpighi
03/07/2006	Report 1st Region of Sardinia SICCR Congress	“Difficult decisions in colorectal surgery” When problems are analysed in great depth, the number of criticalities found in facing the diagnosis and treatment of the single cases is greater, it’s such criticalities that the experts then have to debate. These prerequisites, paved the way for Giuseppe Casula, responsible for the UCP of Cagliari and Francesco Scintu, representative of SICCR in Sardinia, who outlined the programme of the first regional conference held in Cagliari on 23rd June entitled “Difficult decisions in colorectal surgery: what to do in case of …? The pattern followed foresaw the brief presentation of an illustrative clinical situation, the following account of an expert and in the end a general discussion. The brief introductions, which lasted two minutes each, were left to young surgeons of the school of specialisation in surgery of the digestive apparatus of the University of Cagliari, which were able to participate actively in the positive outcome of the event. After the opening greetings on behalf of the rector of the University of Cagliari, the head of the faculty and the president of SICCR, the activities carried out in the morning session regarded matters related to non- tumoral pathology. The session chaired by Romano, Trignano and Pescatori, dealt with the problems connected to the treatment of chronic anal fissures, haemorrhoids at an intermediate stage, sequela of surgery with stapling, syntomatic defecatory dyssynergy, major faecal incontinence, rectal prolapse, perineal pathology in Crohn’s disease. The interest for case histories and the experience of the moderators invited (Pucciani, Giordano, Pescatori, Trompetto and Santoro) absorbed the audience and led to a fruitful discussion. The afternoon session chaired by Dettori, Casula and Trompetto dealt with tumoral pathology. Loriga discussed the problems, which arise from the histological diagnosis of infiltrating carcinoma Of the submucosa after endoscopy of polypectomy, Infantino discussed the choice of therapy after complete response to neoadjuvant therapies and those relative to patients with metastatic pathology sincrona and Badessi on the palliation of cancer of the colon. The experience carried out by the UCP group of Cagliari has been presented in four accounts on problems of particular relevance in everyday clinical practice: Zorcolo spoke of the current trends regarding left colic resection in urgency, Marongiu of the difficulties in the determination of the grade of spreading of neoplasias of the rectum at the initial stage, D’Alia spoke of the advantages and limits of TEM in the local exeresis of tumours of the rectum and Scintu of the possible behaviours in the case when a neoplastic stenosis does not permit a complete endoscopy. This last session too, obtained enormous scientific success and public approval. Enrolment to the congress, which offered its participants three formative credits, was free of charge. The objective was to spread SICCR’s goals and to facilitate the enrolment of new members.
12/06/2006	A myth has been destroyed	Red pepper does not worsen haemorrhoids and there is no scientific reason for patients to avoid eating foods that contain it. This is the conclusion reached by a multicentric and randomized study published by Professor DF Altomare and at (DCR 2006, 49:1-5)
31/05/2006	Human Anatomy in 3D	An interesting link (www.univadis.it) has been published on the web site on a portal reserved exclusively to doctors for professional refresher courses. We recommend visiting the section dedicated to “Human Anatomy in 3D” where you can find three-dimensional images, animations and much more in the most detailed atlas of human anatomy on the web site.
31/05/2006	Eating greens reduces the cases of cancer of the colon?	Source: Van Guelpen B et al. Low folate levels may protect against colorectal cancer. Gut 2006; 000:1 According to Swedish research, in an article published in a journal of gastroenterology (Gut), a diet poor in folates prevents cancer of the colon. Folates are vitamins contained in vegetables (greens, cauliflower, cabbage, Swedes, carrots, oranges, pulses, corn, barley) brewers’ yeast, liver, and kidney. In the past, studies showed that a diet rich in folates could actually be considered as preventive of cancer, The Nurses’ health study, one of the most detailed on this topic, asserts on the contrary, that a diet rich in folates is associated to the reduction of the risk of colorectal cancer, but only after an intake of 15 years and in individuals who are genetically prone to colorectal cancer. It is assumed that folates work in the early years of life when critical events can be altered at a molecular level. The assumptions of the Swedish study contradict what has been asserted so far, the authors of the research assert that folates could prevent the formation of tumours but could also accelerate the progression of developed tumours, or could transform a benign tumour into a malign one. However the study published in GUT concludes without commitment “We can not exclude the possibility that high levels of folates have a protective effect, although our studies suggest that low levels may reduce the risk of cancer of the colon”; which leaves the question unresolved and open to further study.
16/05/2006	Health - Eu	A new portal called “Health-Eu” (http://health.europa.eu) has been inaugurated on the web site. It’s a kind of “unique gateway” planned by the European Community, to facilitate the flow of information in the field of health and health care. It is easily accessible and will supply reliable information on dozens of topics such as children’s’ health, infective pathologies, health ceilings, bio terrorism and many more. In the portal flow data and information on the 25 member countries, the four countries of EFTA and numerous international organizations. The portal has more than 40 thousand links, which lead to other reliable sources, such as the National ministries of health. It is translated into 20 official languages of the European union, moreover it boasts of the contribution of scientists and selected experts.
16/05/2006	Siccr’s Bridge Over Troubled Waters.	Dr Donato Altomare’s account of the Annual Meeting of UCP Coordinators & Regional representatives which took place on the 5 May 2006 in Chianciano Terme.
03/05/2006	Bibliographic Update: Colorctal Disease	Enclosed are the Abstracts in Italian of the issue of Febbrary 2006 of the Colorectal Disease, edited by Prof. Mario Pescatori.
03/05/2006	Bibliographic Update: International Journal of Colorectal Diseases.	Enclosed are the Abstracts in Italian of the issue of March and April 2006 of the International Journal of Colorectal Diseases.
03/05/2006	Minutes of the meeting of the Division of Endoanal and Endorectal ultrasonography of the SICCR.	.
28/04/2006	Bibliographic Update: British Journal of Surgery.	Enclosed are the Abstracts in Italian of the issue Febbrary and April 2006 of the British Journal of Surgery, edited by Prof. Mario Pescatori.
24/04/2006	Book: Inflammatory Bowel Disease and Familial Adanomatous Polyposis.	The b>Inflammatory Bowel Disease and Familial Adanomatous Polyposis by *Prof. G.G. Delaini* has been published.
07/04/2006	9th International Meeting of Coloproctology	Professor Donato Altomare’s account of the 9th International Meeting of Coloproctology which took place on the 27-29 March 2006 in Stresa.
07/04/2006	COMPETITION	The SICCR has promoted a prize competition. The communication committee will judge the best clinical case among those presented every two months, according to its originality, rarity and presentation. The winner will be entitled to a DCR subscription for the year 2006 (if already a member) or to TIC (if not a member). The expiry date for the presentation of the papers is the 30th for the 2-month period of May- June. For details contact: Grenga Alessandra E-mail: alessandra.grenga@qnet.it
20/03/2006	The Ordinary Assembly of SICCR Members	The ordinary assembly of SICCR members will meet in STRESA on the 28th March in occasion of the “9th international meeting of colon proctology”. The first meeting will be held at 8am, the second at 6pm in a room that will be decided at the time of the meeting. Agenda: 1. Opening greetings by the president Professor. G. Romano. 2. Report by the treasurer Dr. A. Amato 3. Approval of budget 2005 4. Miscellaneous.
20/03/2006	Letter of the President Giovanni Romano.	Enclosed is the letter of the president Giovanni Romano to the members.
08/03/2006	EBSQ Exams	EBSQ Examinations will be held in Lisbon on Wednesday 13th September. Those wishing to obtain further information should contact: Prof. Dr. K. Matzel Chirurgische Klinik der Universität Erlangen Maximiliansplatz 91054 Erlangen Germany tel: +49 9131 8533297 email: klaus.matzel@chir.imed.uni-erlangen.de web: www.uemssurg.org
06/03/2006	New insight into Gastroenterology.	Has been published Professor Aldo Infantino’s account of the Congress “Approach to the patient with disorders of intestinal function” which took place on the 9 - 11 Febbrary 2006 in Rome.
28/02/2006	Report of the Siccr’s Regional Congress	Has been published professor Mario Pescatori’s account of the SICCR’s regional congress which took place on the 14th January in Genoa on the theme” Cancer of the rectum”
08/02/2006	Bibliographic Update: International Journal of Colorectal Diseases.	Enclosed are the Abstracts in Italian of the issue of January 2006 of the International Journal of Colorectal Diseases.
06/02/2006	Bibliographic Update: British Journal of Surgery.	Enclosed are the Abstracts in Italian of the issue Dicember 2005 of the British Journal of Surgery, edited by Prof. Mario Pescatori.
01/02/2006	Nominations	Attached the file containing the list of the latest nominations regarding the committees, the sections and the SICCR regional representatives for the year 2006.
25/01/2006	New Column	We are developing new sections,bearing in mind our objective which is to obtain a more direct communication with our members, we have opened a new column for those who wish to question the society’s president Prof. Giovanni Romano: LETTERS TO THE PRESIDENT
23/12/2005	Book: Practical manual of urgent proctology	The *'Practical manual of urgent proctology'* by Prof. Filippo la Torre and Prof. Silvestre Lucchese has been published. The book, sponsored by the SICCR, is easy to consult. It has been put together by expert proctologists .
23/12/2005	Christmas greetings on behalf of the SICCR’s President.	In the society’s website you will find Christmas greetings on behalf of the SICCR’s president, Prof. Giovanni Romano and the elected president Prof. Donato Francesco Altomare.
14/12/2005	Renewal Subscription to Diseases of the Colon and Rectum.	We would like to remind our members to renew their subscription to Diseases of the Colon and Rectum at the special price of 110 euro (the normal price of the subscription is about 370 euro). This includes both the paperback magazine and the access online. We invite those who are interested in this initiative to give their adherence at the following address: marinafiorino@libero.it. Payment may be made through: -Bank transfer, made out to Italian Society of Colorectal Surgery on the giro account 240905 (ABI 06375- CAB 66750- CIN B) at the Cassa di risparmio di Mirandola, Filiale di Finale Emilia. Indicate in the description, subscription DC & R; -Bank draft or check non-negotiable, made out to Italian Society of Colorectal Surgery, sent to Dr. Marina Fiorino, Via Val Maggia, 146 00141 Rome.
07/12/2005	Nominations of the Secretaries of the SICCR Scientific Commissions	During the last SICCR directive council meeting, which was held in Rome on the 24th October, the secretaries of some of the scientific commissions were nominated: - Dr. Luigi Basso was nominated for the Trials Commissions and Scientific Protocols. Prof. . Donato Francesco Altomare was nominated as representative of the DC; - Prof. Giovanni Milito was nominated for the Guide Lines Commission. Prof. . Giovanni Romano was nominated as representative of the DC; - Prof. Aldo Infantino, for the Communication Commission. Prof. Francesco Selvaggi was nominated as representative of the DC. In the next few weeks, the newly nominated secretaries will have the task of presenting a shortlist of candidates with CV, in order to complete the organization chart of the single commissions. Dr. Guido Tegon was nominated the new Responsible of the Section of Proctology of the SICCR, during the same session of the DC.
07/12/2005	Bibliographic Update: British Journal of Surgery.	Enclosed are the Abstracts in Italian of the issue of October and November 2005 of the British Journal of Surgery, edited by Prof. Mario Pescatori.
07/12/2005	Bibliographic Update: International Journal of Colorectal Diseases .	Enclosed are the Abstracts in Italian of the issue of November 2005 of the International Jou