Publications by authors named "Guillaume Meurette"

Introduction: Pressurized intraperitoneal aerosol chemotherapy (PIPAC) consists of the administration of aerosolized chemotherapy into the abdominal cavity of patients suffering from peritoneal carcinomatosis. Our aim was to review the evidence supporting PIPAC in patients with peritoneal carcinomatosis from colorectal cancer.

Methods: A systematic review was performed in accordance with the 2020 PRISMA guideline.

View Article and Find Full Text PDF
Article Synopsis
  • * The study analyzes the use of the Papillon device, which delivers low energy X-rays for radiotherapy, allowing dose escalation without harming surrounding tissues.
  • * Results from treating 24 patients showed a 96% organ preservation rate and an 8% local relapse rate after a median follow-up of 43 months, with no severe toxicities, indicating Papillon as a promising alternative to surgery.
View Article and Find Full Text PDF

Perineal injuries can occur during vaginal delivery and they are harmful to anal function, sexuality, and overall quality of life of patients. Among the feared complications, anal incontinence, often difficult to address for both patients and caregivers, has a significant impact and must be looked for during the medical history. Clinical examination of the perineum and additional tests such as endoanal ultrasound and anorectal manometry confirm the diagnosis and guide the management.

View Article and Find Full Text PDF
Article Synopsis
  • Robotics may enhance minimally invasive right hemicolectomy compared to traditional laparoscopy, focusing on intra-corporeal anastomosis and off-midline extraction.
  • A systematic review analyzed 293 studies, ultimately including 16, revealing that robotic procedures generally allowed for greater lymph node retrieval and lower conversion rates to open surgery, though they took longer to perform.
  • Overall, while robotic surgery shows potential for better post-operative recovery, most analyzed studies were observational and non-randomized, indicating a need for further robust research.
View Article and Find Full Text PDF

Aim: Digestive stoma are frequently performed. The last French guidelines have been published twenty years ago. Our aim was to update French clinical practice guidelines for the perioperative management of digestive stoma and stoma-related complications.

View Article and Find Full Text PDF

Objective: Predicting the risk of anastomotic leak (AL) is of importance when defining the optimal surgical strategy in colorectal surgery. Our objective was to perform a systematic review of existing scores in the field.

Methods: We followed the PRISMA checklist (S1 Checklist).

View Article and Find Full Text PDF

BACKGROUND Amyand hernia is a rare condition described as the presence of the appendix within an inguinal hernia. The clinical presentation of can be atypical, depending on the length of the defect's history and the size of the hernia. As inguinal hernia repair is considered a routine surgical procedure, giant hernias are mostly encountered in countries with limited medical care or with patient rejection of surgical management.

View Article and Find Full Text PDF

Laparoscopic ventral mesh rectopexy (VMR) is the standard procedure for the treatment of posterior pelvic organ prolapse. Despite significant functional improvement and anatomical corrections, severe complications related to mesh augmentation can occur in a few proportions of patients. In order to decrease the number of rare but severe complications, we developed a variant of the conventional VMR without any rectal fixation and using a robotic approach with biological mesh.

View Article and Find Full Text PDF

Introduction: The Radical soft-tissue mobilisation (RSTM) described by J.H. Kelly for bladder exstrophy repair implies a detachment of levator ani muscle insertions from the pelvic wall.

View Article and Find Full Text PDF
Article Synopsis
  • * Anal incontinence affects about 10% of the general population, and frequent stool leakage can severely impact social interactions.
  • * Future challenges include improving screening methods, refining patient selection for treatments, understanding underlying mechanisms, and developing algorithms to guide effective treatment choices based on side effects and efficacy.
View Article and Find Full Text PDF

Colorectal cancer represents 4500 incidental cases in Switzerland per year, with an incidence increasing among the youngest patients. Technological innovation guides the management of colorectal cancer. Artificial intelligence in endoscopy optimizes the detection of small colonic lesions.

View Article and Find Full Text PDF

Purpose: Ulcerative colitis (UC) treatment is mainly based on immunosuppressive therapy. As anti-inflammatory effects of sacral neuromodulation (SNM) have been previously reported in animal models, we conducted a pilot study aimed at assessing clinical, biological, and endoscopic response but also safety of SNM use in UC refractory to medical therapy.

Methods: Adult patients with histologically proven UC resistant to immunosuppressive therapy were invited to enroll in the study.

View Article and Find Full Text PDF
Article Synopsis
  • Robotic surgery is becoming more popular for pelvic floor reconstruction, but it's unclear if it's better than traditional methods, so this study aimed to clarify its role using expert opinions.* -
  • An international group of 26 experienced surgeons from various specialties conducted a two-round Delphi process to evaluate the use of robotics in pelvic floor surgeries, discussing numerous aspects from surgeon characteristics to future implications.* -
  • The consensus among experts was that robotic surgery offers significant technical advantages and is safe and effective for pelvic floor reconstruction, with the increased costs justified by improved surgical effectiveness.*
View Article and Find Full Text PDF

Aim: A stoma exposes patients to several complications which could impair their quality of life (QoL). In the last decade, the market for stoma therapy in France has evolved, with a significant increase in the activities of home health providers, meeting a need for patient follow-up and companionship. International studies have demonstrated the impact of the stoma therapist (ST) follow-up on the improvement of an ostomy patient's QoL.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare the effectiveness of surgical closure versus just seton removal for treating fistulizing perianal Crohn's disease in patients being treated with adalimumab.
  • A randomized controlled trial involved 64 patients, where one group received surgical closure and seton removal, while the other group only had the seton removed.
  • Results showed no significant difference in fistula closure rates between the two groups at 12 months, suggesting that seton removal alone may be just as effective as additional surgical intervention.
View Article and Find Full Text PDF

Objective: To report the largest multicentric experience on surgical management of retrorectal tumors (RRT).

Background: Literature data on RRT is limited. There is no consensus concerning the best surgical approach for the management of RRT.

View Article and Find Full Text PDF
Article Synopsis
  • The incidence of early-onset colorectal cancer (diagnosed in individuals under 50) is on the rise globally, with distinct clinical and molecular characteristics compared to late-onset cases.
  • Factors contributing to this increase may include diet, obesity, antibiotic use, and changes in gut microbiome, with most cases occurring sporadically rather than being genetically inherited.
  • There is a need for tailored preventive and therapeutic approaches for early-onset colorectal cancer, as younger patients often present with more severe disease stages but similar outcomes to older patients after treatment.
View Article and Find Full Text PDF

Background & Aims: Inflammatory bowel diseases (IBDs) that encompass both ulcerative colitis and Crohn's disease are a major public health problem with an etiology that has not been fully elucidated. There is a need to improve disease outcomes and preventive measures by developing new effective and lasting treatments. Although polyunsaturated fatty acid metabolites play an important role in the pathogenesis of several disorders, their contribution to IBD is yet to be understood.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Notice

Message: fwrite(): Write of 34 bytes failed with errno=28 No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 272

Backtrace:

A PHP Error was encountered

Severity: Warning

Message: session_write_close(): Failed to write session data using user defined save handler. (session.save_path: /var/lib/php/sessions)

Filename: Unknown

Line Number: 0

Backtrace: