5,272 results match your criteria Annali Italiani di Chirurgia[Journal]


A peculiar case of Paget's disease of the breast.

Ann Ital Chir 2022 May 5;11. Epub 2022 May 5.

Mammary Paget's disease is a disorder of the nipple-areola complex of the breast that, while rare, is often associated with an underlying carcinoma. The typical aspect is usually an eczematoid change of the nipple or a red and ulcerative nipple's lesion or erythematous and crusted lesion, with or without mass-like lesion and infiltration and inversion of the nipple. It was described at first by Sir James Paget in 1874, [1] who classified the disease in mammary and extramammary type. Read More

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A rare tumor of the male breast "angiolipoma" Case report and review of literature.

Ann Ital Chir 2022 Feb 25;11. Epub 2022 Feb 25.

Aim: Angiolipoma is uncommon lesion in the breast and has clinical importance due to the potential of confusion with malignant breast lesions. To date, there is no defined diagnosis and treatment algorithm for breast angiolipomas. We aim to contribute to the literature for the diagnosis and treatment of angiolipomas with this case report and literature review. Read More

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February 2022

Emergency Surgery in a "No-Covid-19 Spoke Center" during the pandemic. One year of experience and a new organizational model.

Ann Ital Chir 2022 ;93:147-151

Aim: We analysed our one-year surgical activity in a spoke 'COVID-19 free' centre during the pandemic in South Italy.

Material Of Study: From Feb 2020 to Feb 2021 we performed 800 operations (40% in emergency and 60% of major surgery). We applied restrictive measures for the access of patients in our department from 15/2/2020 after several cases of unclear fever. Read More

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Radiofrequency ablation of the great saphenous vein in the treatment of varicose veins of the lower extremities.

Ann Ital Chir 2022 ;93:235-240

Objective: The present study aims to investigate the therapeutic effect and safety of radiofrequency ablation (RFA) of the great saphenous vein in the treatment of varicose veins of the lower extremities.

Methods: Sixty-nine affected limbs of 45 patients were treated with RFA of the great saphenous vein. All patients underwent retrograde puncture of the distal great saphenous vein under the guidance of B-ultrasound. Read More

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Laparoscopic deroofing in large hepatic cyst with alcohol sclerotherapy. Analysis of three cases.

Ann Ital Chir 2022 ;93:224-228

Hepatic cysts have become increasingly frequent findings thanks to the improvement in diagnostic investigations. Distinction has to be made between congenital hepatic cysts (like liver cyst, PLCD) and acquired forms (such as a parasitic cyst and a cyst occurring as part of a neoplastic process) (1). When a simple hepatic cyst becomes symptomatic, when its size is > 4 cm or when there is some radiological suspicion of malignancy (thick wall, peripheral enhancement on CT/MRI) surgical management is indicated and relies on a variety of techniques (2). Read More

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Cholecystectomy in the elderly: clinical outcomes and risk factors.

Ann Ital Chir 2022 ;93:160-167

Aim Of The Study: Recent decades have seen a steady increase in the number of elderly patients undergoing cholecystectomy surgery. The objective of this study is to evaluate clinical outcomes in this cohort of patients and to identify any predictive factors correlative with adverse outcomes arising in the postoperative period.

Method: A retrospective study was conducted regarding patients aged ≥65 years who underwent cholecystectomy surgery. Read More

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Analysis of patients with emergency surgery in a pandemic hospital.

Ann Ital Chir 2022 ;93:254-258

Aim: This study aimed at comparing the patients that received emergency management surgery (surgery and medical treatment) in our hospital, which is a pandemic hospital and provides emergency surgery, with the pre-pandemic period.

Material And Methods: Data of the patients who received treatment at the emergency surgery clinic of our hospital between March 12 and May 12, 2020, were compared with those of the patients treated between March 12 and May 12, 2019.

Results: A 55% decrease was observed in the number of patients hospitalized in the emergency surgery clinic. Read More

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Retrospectıve analysis of pelvic and retroperitoneal sarcomas. Single center's experience.

Ann Ital Chir 2022 ;93:195-201

Background: Retroperitoneal sarcoma (RPS) is a surgically manageable condition that can recur locally after complete macroscopical resection. Managing patients at high-volume specialized healthcare centers has positive effects on treatment outcome. The present study aimed to preoperatively, perioperatively, and postoperatively assess patients who underwent surgery for RPS. Read More

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Management of benign parotid tumors. What can we learn from our experience?

Ann Ital Chir 2022 ;93:152-159

Aim: Parotid gland is the most common location for salivary gland tumors, more commonly pleomorphic adenoma and Warthin's tumor. Types of parotid surgery include superficial parotidectomy (SP), partial superficial parotidectomy (PSP), total conservative parotidectomy (TCP), enucleation (E), extracapsular dissection (ECD), and are related to different incidence of complications. The choice depends on tumors localization, dimension and histology. Read More

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Role of narrow band imaging (NBI), in the treatment of non-polypoid colorectal lesions, with endoscopic mucosal resection (EMR). A single-center experience.

Ann Ital Chir 2022 ;93:178-182

Background: In this study, the authors evaluated the role of narrow band imaging endoscopy in the early detection of infiltration of the colon wall by flat and depressed lesions, highlighted during colonoscopy, to confirm the possibility of removal with Endoscopic Mucosal Resection (EMR).

Methods: 67 patients (37 males and 30 females) with non-polypoid colorectal lesions were included in this study. The location of the lesions, the size and possible infiltration of the colon wall were performed with a colonoscopy with NBI. Read More

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Intracorporeal versus extracorporeal anastomosis in laparoscopic right hemicolectomy A retrospective study and review of literature.

Ann Ital Chir 2022 ;93:229-234

Introduction: Several studies have suggested that intracorporeal anastomosis (IC) has advantages over extracorporeal anastomosis (EC) in laparoscopic right colectomy. Scientific evidence is lacking. The aim is to define the possible benefits of intracorporeal anastomosis compared with extracorporeal anastomosis in elective surgery. Read More

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Case series: isolated small bowel perforations, secondary to blunt abdominal traumas.

Ann Ital Chir 2022 ;93:174-177

Isolated small bowel trauma after blunt abdominal trauma is rare and diagnosis may be difficult. The method used in the diagnostic is computed tomography so there is no consensus on this issue. Difficulty in diagnosis and delay in treatment can cause increased morbidity and mortality. Read More

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Isolated Roux loop versus conventional pancreaticojejunostomy following pancreaticoduodenectomy.

Ann Ital Chir 2022 ;93:248-253

Aim: This study aimed to examine the effects of isolated Roux loop (IP) versus conventional pancreaticojejunostomy (CP) techniques on the rate of postoperative pancreatic fistula and its severity.

Material And Methods: This study included retrospectively collected data from 132 patients who underwent pancreaticoduodenectomy in a single institute. Collected data were compared between IP and CP groups. Read More

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Analysis of upper gastrointestinal endoscopy results during the Covid-19 pandemic. A high-volume single-Center experience.

Ann Ital Chir 2022 Mar 28;11. Epub 2022 Mar 28.

Purpose: The histopathological effects of the COVID-19 period on the upper gastrointestinal system are not clearly known. This study is the first in the literature to compare the results of upper endoscopic biopsy before and during the COVID- 19 period.

Methods: Data of 10510 patients who underwent upper endoscopy with a given biopsy sample during the procedure between March 2019 and March 2021 were retrospectively scanned. Read More

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Is robotic better than laparoscopic approach for right colectomy? A cohort study from two Tuscany centers.

Ann Ital Chir 2022 Mar 28;11. Epub 2022 Mar 28.

Robotic surgery is becoming more and more frequent. In colon surgery it can be used safely with similar results to laparoscopic surgery. The objective of our work is to retrospectively compare the short-term results (30 days) of robotic and laparoscopic right hemicolectomy. Read More

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A rare case of primary ovarian mesonephric adenocarcinoma and a review of the literature.

Ann Ital Chir 2022 Mar 28;11. Epub 2022 Mar 28.

Objective: Are reported in the cervix in the female genital tract, has been reported in very few studies in the literature. In this report, we aimed to present a case with mesonephric carcinoma, which was detected in the ovary and is very rarely seen.

Case Report: In a case since the frozen section results of the left adnexal mass were reported as malignant. Read More

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Morbidity and long-term results in patients with wild and mutant type Kirsten rat sarcoma viral oncogene homolog (KRAS) mutations undergoing colorectal cancer surgery.

Ann Ital Chir 2022 ;92:65-77

Background: In colorectal cancer (CRC), the mutation of the K(N)RAS gene has a significant impact on the clinical course, and is associated with a negative prognosis. We aim to present the morbidity and long-term results in patients with wild/mut-K(N)RAS, undergoing CRC surgery.

Methods: A total of 116 patients who underwent surgery for colorectal cancers with wild/mut-K(N)RAS were included in this retrospective study. Read More

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Oesophageal carcinoma in the horn of Africa Ten year cumulative experience in two hospitals in Djibouti.

Ann Ital Chir 2022 ;92

Introduction: In this paper we report on our experience of diagnosis, treatment and follow up of cases of cancer of the oesophagus treated in Balbala Cheiko Hospital and in the Djibouty Military Hospital. Oesophageal cancer, mainly squamous cellular type, is the prevalent cancer of the gastrointestinal tract (GIT) observed in our two Hospitals. Djibouti is a small pacific country located in the Horn of Africa in the tropics, bordered by Somaliland in the south, Ethiopia in the southwest, Eritrea in the north and the Red Sea and the Gulf of Aden in the east. Read More

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Antegrade versus retrograde common iliac artery revascularization and occurrence of erectile dysfunction.

Ann Ital Chir 2022 ;92:93-101

Aim: To assess the effect of antegrade and retrograde common iliac artery (CIA) revascularization on erectile dysfunction (ED) using the validated International Index of Erectile Function (IIEF) questionnaire, on patients treated for chronic occlusions of the CIA.

Materials And Methods: Clinical data of patients who were submitted either to endovascular CIA revascularization (group A) or to femoral-femoral crossover bypass (group B) due a unilateral total occlusion of the CIA between 01/2015 and 12/2019 were retrospectively analyzed. Primary outcomes included the evaluation of ED using the IIEF questionnaire, before and 30 days after the operation. Read More

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The relationship between CEA and CA 15-3 positivity and metabolic and volumetric 18F-FDG PET/CT parameters in preoperative evaluation of breast cancer.

Ann Ital Chir 2022 ;92:33-39

Objective: We aimed to examine the relationship between tumor marker (Cancer Antigen 15-3 [CA15-3] and Carcinoembryonic Antigen [CEA]) positivity and metabolic (standardized uptake value [SUV]) and volume-based (metabolic tumor volume [MTV] and total lesion glycolysis [TLG]) 18F-Fluorodeoxyglucose (18F-FDG) positron emission tomography (PET)/computed tomography (CT) parameters of the primary tumor and lymph node.

Material And Methods: Our study group consisted of 91 female patients, who underwent PET/CT between January 2018 and December 2019 in our clinic with a diagnosis of breast cancer. These patients had no distant metastasis or supraclavicular and internal mammarian lymph node metastasis. Read More

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Splenic surgery: a ten years experience of a tertiary center in Turkey.

Ann Ital Chir 2022 ;92:59-64

Aim: Splenectomy has been performed for various indications. In this study, we aimed to present the experience of a tertiary center on splenic surgery and analyze what has changed in the last 10 years.

Material And Methods: Three hundred and sixteen patients who underwent splenic surgery were enrolled in the study. Read More

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Clinical analysis of 60 children with pelvic fracture and associated injuries: an observational study.

Ann Ital Chir 2022 ;92:102-107

Background: The injury mechanism of a pelvic fracture is primarily high-energy injury, and it is easily combined with injuries to other tissues and organs. This study aimed to investigate the clinical effectiveness of early diagnosis and treatment of pelvic fractures and associated injuries in children.

Methods: The diagnosis and treatment of 60 children with pelvic fractures and associated injuries who were admitted to our hospital from January 2005 to December 2016 were retrospectively analyzed. Read More

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Paraplegia after thoracotomy: a single center experience with pediatric patients and a review of the literature.

Ann Ital Chir 2022 ;92:27-32

Aim: Paraplegia is an infrequent although fearsome complication of anesthesia and surgical procedures, such as epidural anesthesia and thoracotomy. It may occur in both adults and children and a medullary lesion may be confirmed by magnetic resonance imaging, rather than computed tomography. The aim of this study is to describe the experience of two pediatric tertiary centers, contextualizing it with the other cases reported in literature. Read More

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Classification of Hartmann's procedure reversal complications according to the Clavien-Dindo System.

Ann Ital Chir 2022 ;92:130-134

Background: Hartmann's Procedure (HP) is performed for cancer, trauma or benign diseases of the left colon. It is regarded as a solution to avoid a risky anastomosis with the intent to reverse after the diseased colon is given time to recover. This reversal has been associated with a potential morbidity and mortality. Read More

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Orbital lesions, an interdisciplinary pathology. The experience of the maxillo-facial surgeons.

Ann Ital Chir 2022 Jan 10;11. Epub 2022 Jan 10.

Aim: The main focus of this paper was to describe our experience in the management of primary lesions involving the orbit, analyzing signs and symptoms and illustrating surgical management.

Material Of Study: We describe our experience managing 62 consecutive patients diagnosed with orbital tumors confined to the orbital content (not involving skin or bone, with no intracranial invasion) and treated between January 2013 and December 2016. Demographic characteristics, symptoms, clinical findings, histological types and approaches have been recorded. Read More

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January 2022

Ceramic femoral head in highly cross-linked polyethylene cup. 5 year results of a randomized trial.

Ann Ital Chir 2022 ;93:202-209

Background: Although few methods are used to estimate polyethylene liner wear from radiographs of total hip replacements, there is no consensus with regard to the accuracy of these methods. Highly cross-linked polyethylene (XLPE) is reported to have low rates of linear wear in the literature. However, there are not reports about wear rate of ceramic head in hxple cup at 5 years postoperatively, evaluated by Dorr method. Read More

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Uncommon case of pseudo inflammed incisional hernia.

Ann Ital Chir 2022 Feb 7;11. Epub 2022 Feb 7.

An incisional herniaIncisional hernia after an abdominal operation develops in approximately 10% of the cases. However, incarceration of an incisional hernia is relatively low. On the other hand presence of an inflamed appendix, in one hernia sac is a rare entity which may cause mis or delayed diagnosis. Read More

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February 2022

The role of mesalazine co-treatment in the prevention of recurrence in subjects with subclinical inflammatory bowel disease and perianal fistula who are scheduled for surgical intervention.

Ann Ital Chir 2022 ;93:183-187

Aim: To investigate the impact of mesalazine co-treatment in addition to the surgical intervention on recurrence rate in subjects with subclinical inflammatory bowel disease (SIBD) who present with perianal fistula (PAF).

Materials And Methods: All consecutive patients who had undergone surgery for PAF in our institutes were included in this retrospective analysis. Ileal tissue samples were obtained during colonoscopy for pathological evaluation. Read More

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Oncological and psychological evaluation of laryngectomized patients, pre and post implantation of voice prostheses. A single center experience.

Ann Ital Chir 2022 Feb 28;11. Epub 2022 Feb 28.

Background: In our study we evaluated from an oncological and psychological point of view, a group of patients who had previously undergone total laryngectomy and candidates for the placement of a vocal prosthesis, which allows to recover the voice using the air that passes from the trachea to the esophagus, thus vibrating a segment of the cervical esophagus. For the placement of the prosthesis and the oncological follow-up, we used the support of videoendoscopy, to exclude any recurrence or secondary tumors. At the same time, we subjected patients to a psychological evaluation before and after the implantation of the prostheses, to understand the behavioral changes in the two phases, and the possible achievement of the result of total autonomy, social reintegration, and recovery of oral communication, in the post-surgical phase. Read More

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February 2022

Comparison of laparoscopic and open resections for gastric gastrointestinal stromal tumors (GISTs).

Ann Ital Chir 2022 Feb 28;11. Epub 2022 Feb 28.

Background: Gastrointestinal stromal tumors (GISTs) are the most common mesencyhmal tumors of the gastrointestinal tract. Today surgical resection is still the treatment of choice for primary gastric GISTs. This study compares the laparoscopic versus open surgical resection approaches of gastric GISTs. Read More

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February 2022