Iranian Journal of Colorectal Research
Volume:3 Issue: 1, May 2015

Context: Colorectal cancer (CRC) is the third most prevalent cancer worldwide which is less common in the Middle East. It is also the second leading cause of cancer-related mortality and represents a major public health problem in developed countries.. The present review aimed to explore the differences among the reports on number and age standardized incidences of CRC in both sexes in different areas of Iran to find the incidence trend of this cancer..Data Sources: All the published reports citing the incidence of CRC in Iran were collected by conducting a literature search in international databases..Study Selection: English articles were included where there was a clear definition of the population of patients under study and where the criteria for diagnosing CRC were well described..Data Extraction: One author read each paper and extracted several studies and then the studies suitable for inclusion were reported in three categories.. We identified 181 independent studies dating back to 2003; 168 full text articles were assessed for eligibility. However, 136 full text articles were excluded due to different reasons. Finally, 26 studies were suitable for inclusion in the analysis. The highest and lowest (age standardized rates) ASRs were respectively 3.4 and 2.6 in males and 11.42 and 10.56 in females. Time showed a slightly increasing trend in recent years.. Although Iran was expected to have a low incidence rate of CRC, recent studies revealed a slightly increasing trend for the incidence rate of CRC. This finding shows the necessity to consider CRC screening as an important issue in health policy priorities..

Perineal herniation following pelvic surgery, including abdomino-perineal resection (APR) and pelvic exenteration is a rare condition but can present with serious complications. Multiple methods of repair are possible including either an abdominal or perineal approach. Laparoscopic abdominal repairs have been described.. An 83 year-old lady, under follow-up following a laparoscopic APR two years previously for a T2N0M0 low rectal cancer, presented with a symptomatic perineal hernia which caused significant impairment in her daily living activities. She had no major comorbidities and was keen for intervention. She was electively admitted for a laparoscopic repair of perineal hernia. This was performed using a double-mesh technique, which allows strengthening of the repair as a feasible alternative to consider in repair of this difficult complication.. This technique is feasible as an alternative to standard laparoscopic or perineal repair of perineal herniation. Further studies are required to demonstrate its long-term efficacy..