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| 1 | Management of obstructed defecation显示文摘The management of obstructed defecation syndrome(ODS) is mainly conservative and mainly consists of fiber diet, bulking laxatives, rectal irrigation or hydrocolontherapy, biofeedback, transanal electrostimulation, yoga and psychotherapy. According to our experience, nearly 20% of the patients need surgical treatment. If we consider ODS an 'iceberg syndrome', with 'emerging rocks', rectocele and rectal internal mucosal prolapse, that may benefit from surgery, at least two out of ten patients also has 'underwater rocks' or occult disorders, such as anismus, rectal hyposensation and anxiety/depression, which mostly require conservative treatment. Rectal prolapse excision or obliterative suture, rectoceleand/or enterocele repair, retrograde Malone's enema and partial myotomy of the puborectalis muscle are effective in selected cases. Laparoscopic ventral sacral colporectopexy may be an effective surgical option. Stapled transanal rectal resection may lead to severe complications. The Transtar procedure seems to be safer, when dealing with recto-rectal intussusception. A multidisciplinary approach to ODS provides the best results. | Vlasta Podzemny Lorenzo Carlo Pescatori Mario Pescatori | 2015 | World Journal of Gastroenterology2015，21，4： | 20 |
| 2 | Vertebroplasty and delayed subdural cauda equina hematoma: Review of literature and case report显示文摘Vertebroplasy is considered an alternative and effective treatment of painful oncologic spine disease. Major complications are very rare, but with high morbidity and occur in less than 1% of patients who undergo vertebroplasty. Spinal subdural hematoma(SDH) is an extremely rare complication, usual developing within 12 h to 24 h after the procedure. We report the case of a tardive SDH in an oncologic patient who underwent VP for Myxoid Liposarcoma metastasis. Trying to explain the pathogenesis, we support the hypothesis that both venous congestion of the vertebral venous plexus of the vertebral body and venous congestion due to a traumatic injury can provoke SDH. To our best knowledge, only 4 cases of spinal subdural hematoma following a transpedicular vertebroplasty have been previously described in International literature and only one of them occurred two weeks after that surgical procedures. Percutaneous verteboplasty is a wellknown treatment of pain oncologic spine disease, used to provide pain relief and improvement of quality life and is considered a simple surgical procedure, involving a low risk of complications, but related to high morbidity, such as SDH. Therefore it has to be performed by experienced and skilled surgeons, that should also recognize possible risk factors, making SDH more risky. | Maria Pia Tropeano Biagia La Pira Lorenzo Pescatori Manolo Piccirilli | 2017 | World Journal of Clinical Cases2017，5，8： | 4 |
| 3 | Results, Outcome Predictors, and Complications after Stapled Transanal Rectal Resection for Obstructed Defecation显示文摘 | Giuseppe Gagliardi M.D. Mario Pescatori M.D. F.R.C.S. E.B.S.Q. Donato F. Altomare M.D. Gian Andrea Binda M.D. Corrado Bottini M.D. Giuseppe Dodi M.D. Vincenzino Filingeri M.D. Giovanni Milito M.D. Marcella Rinaldi M.D. Giovanni Romano M.D. Liana Spazzaf | 2008 | Diseases of the Colon & Rectum2008，，2： | 2 |
| 4 | Failed stapled rectal resection in a constipated patient with rectal aganglionosis显示文摘A rare case of a severely constipated patient with rectal aganglionosis is herein reported.The patient,who had no megacolon/megarectum,underwent a STARR,i.e.,stapled transanal rectal resection,for obstructed defecation,but her symptoms were not relieved.She started suffering from severe chronic proctalgia possibly due to peri-retained staples fibrosis.Intestinal transit times were normal and no megarectum/megacolon was found at barium enema.A diverting sigmoidostomy was then carried out,which was complicated by an early parastomal hernia,which affected stoma emptying.She also had a severe diverting proctitis,causing rectal bleeding,and still complained of both proctalgia and tenesmus.A deep rectal biopsy under anesthesia showed no ganglia in the rectum,whereas ganglia were present and normal in the sigmoid at the stoma site.As she refused a Duhamel procedure,an intersphincteric rectal resection and a refashioning of the stoma was scheduled.This case report shows that a complete assessment of the potential causes of constipation should be carried out prior to any surgical procedure. | Lorenzo C Pescatori Vincenzo Villanacci Mario Pescatori | 2014 | World Journal of Gastroenterology2014，20，15： | 2 |
| 5 | Surgical manage- ment of constipation 显示文摘 | Knowlcs CH Dinning PG Pescatori M | 2009 | Neurogastroenterol Motil2009，21，2： | 1 |
| 6 | Damage to the erectile function following radical pelvic surgery:prevalence of veno-occlusive dysfunction显示文摘 | De Luca V Pescatori ES Taher B | 1996 | Eur Urol1996，29，1： | 1 |
| 7 | A new grading of rectal internal mucosal prolapse and its correlation with diagnosis and treatment 显示文摘 | Pescatori M Quondamcarlo C | 1999 | Int J Colorectal Dis1999，14，45： | 1 |
| 8 | A prospec-tive evaluation of occult disorders in obstructed defeca-tion using the 'iceberg diagram '显示文摘 | Pescatori M Spyrou M Pulvirenti dUrso A | 2007 | Colorectal Dis2007，9，5： | 1 |
| 9 | Reinterventions after complicat ed or failed STARR procedure显示文摘 | Pescatori M Zbar AP | 2008 | Int J Colorectal Dis2008，24，1： | 1 |
| 10 | Postoperative complications after procedure for prolapsed hereorrholds (PPH) and stapled transanal rectal resec- tion (STARR) procedures显示文摘 | Pescatori M Gagliardi G | 2008 | Tech Coloproctol2008，12，1： | 1 |
| 11 | Postoperative complications afterprocedure for prolapsed hemorrhoids (PPH) and stapledtransanal rectal resection (STARR) procedures 显示文摘 | Pescatori M Gagliardi G | 2008 | TechColoproctol2008，12，1： | 1 |
| 12 | Reinterventions after complicated or failed stapled hemorrhoidopexy显示文摘 | Brusciano L Ayabaca SM Pescatori M | 2004 | Dis Colon Rectum2004，47，： | 1 |
| 13 | Stapled transanal rectal muco- sectomy ten years aher显示文摘 | Pescatori M Aigner F | 2007 | Tech Coloproctol2007，16，11： | 1 |
| 14 | Psychologic aspects in proctalgia显示文摘 | Renzi C Pescatori M | 2000 | Dis ColonRectum2000，43，4： | 1 |
| 15 | Results, outcome predictors, and complications after stapled transanal rectal resection for obstructed defecation 显示文摘 | Gagliardi G Pescatori M Altomare DF | 2008 | Dis Colon Rectum2008，51，2： | 1 |
| 16 | Peristalsis in distal colon of the rabbit; an analysis of mechanical events显示文摘 | Pescatori | 1979 | Am J Phys1979，236，： | 1 |
| 17 | Psychologic aspects in proctalgia显示文摘 | Renzi C Pescatori M | | 0，，04： | 1 |
| 18 | Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures显示文摘 | Pescatori M Gagliardi G | | 0，，12： | 1 |
| 19 | Stapled transanal rectal rnuco-sectomy ten years after显示文摘 | Pescatori M Aigner F | | 0，，11： | 1 |
| 20 | Stapled transanal rectal mucosectomy ten yeare aher显示文摘 | Pescatori M Aigner F | 2007 | Tech Coloproctol2007，16，11： | 1 |
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