4,779 results match your criteria Annali italiani di chirurgia[Journal]


The predictive value of triage early warning score (TEWS) on mortality of trauma patients presenting to the Emergency Department.

Ann Ital Chir 2019 Feb 4;8. Epub 2019 Feb 4.

Introduction: Posttraumatic injuries are among the most frequent reasons of admission to emergency room services (ERs). In the first assessment of the cases, ATLS protocols recommends use of triage decision scheme consisting of parametres of abnormal physiologic findings, anatomic injury site, pathogenic mechanism of injury, concomitant diseases and conditions, and activation of trauma teams in line with these criteria. The aim of this study is to evaluate TEWS(Triage Early Warning Score) as a marker for predicting mortality in trauma patients who presented to Emergency Services. Read More

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February 2019
1 Read

The prognostic value of KRAS and BRAF in stage I-III colorectal cancer. A systematic review.

Ann Ital Chir 2019 Feb 4;8. Epub 2019 Feb 4.

Background: Colorectal cancer (CRC) is one of the leading cause of cancer deaths worldwide. The aetiology of CRC is complex and involves interaction on environmental and genetic factors. The two most important pathways are the EGFR (Epidermal Grow Factor Receptor) signaling pathway, with the involvement of KRAS and BRAF, and the DNA mismatch repair (MMR). Read More

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February 2019
4 Reads

An uncommon cause of acute bowel obstruction: the left para-duodenal hernia.

Ann Ital Chir 2018 Sep 28;7. Epub 2018 Sep 28.

Internal hernias of the abdomen are uncommun. They represent less than 1% of bowel obstruction cases. The left paraduodenal hernia is the most frequent type of internal hernias. Read More

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September 2018
1 Read

Non-anastomotic aneurysmal degeneration of great saphenous vein graft A case report and review of the literature.

Ann Ital Chir 2019 Jan 16;8. Epub 2019 Jan 16.

Introduction: True aneurysmal degeneration of autogenous vein grafts is unusual, despite their widespread use as arterial substitutes. We report a case of acute lower leg ischemia due to thrombosis of a non-anastomotic venous aneurysm.

Case Report: A 71-year old man presented at Emergency Unit at our Institution with left lower limb acute ischemia. Read More

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January 2019
2 Reads

Effects of surgical and percutaneous tracheotomy on thyroid hormones.

Ann Ital Chir 2019 Jan 25;8. Epub 2019 Jan 25.

Aim: To evaluate the effects of surgical and percutaneous tracheotomy on thyroid hormones.

Material And Method: Sixty patients with respiratory problems who underwent surgical tracheotomy and percutaneous tracheotomy between December 2012 and December 2016 were divided into 2 groups. FT3, FT4, thyroglobulin and TSH levels of the groups were statistically evaluated preoperatively and postoperatively. Read More

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January 2019

Successful transanal removal of unusual foreign body self-inserted in the rectum A case report and review of literature.

Ann Ital Chir 2018 Oct 19;7. Epub 2018 Oct 19.

Foreign bodies in the rectum are a true proctological emergency. The incidence of these cases is increasing in recent years mostly due to auto-erotic acts and behavior disordes and is mainly observed in young patients. Most patients with rectal foreign bodies present to the emergency room usually exhausted after efforts of removingothe object at home. Read More

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October 2018
1 Read

An unusual cause of colic stenosis in a renal transplant recipient: primary colonic diffuse large B-cell lymphoma.

Ann Ital Chir 2019 Jan 31;8. Epub 2019 Jan 31.

Background: Primary colic lymphoma represents a rare disease accounting for the 0.2%-0.6% of all large-bowel malignancies. Read More

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January 2019
1 Read
0.683 Impact Factor

Hyperthermic intraperitoneal chemotherapy (HIPEC). Mechanisms of action and the role of HIPEC in the treatment of peritoneal carcinomatosis.

Ann Ital Chir 2018 ;89:513-527

Peritoneal carcinomatosis represents the advanced, final stage of peritoneal malignancy, although it is often not accompanied by systemic neoplasia. The development of the pharmaceutical industry in combination with advanced surgery techniques has helped to improve the outcome of these patients, considered for a long time without radical resources. Tumoral cytoreduction followed by hypertermic intraperitoneal chemotherapy (HIPEC) is the treatment of choice for these patients, of course, this beeing done in a multimodal treatment, carefully chosen, following a multidisciplinary consensus. Read More

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January 2018
1 Read

Day-surgery stapled prolassectomy: a "ten minutes job".

Ann Ital Chir 2018 ;89:552-555

Introduction: Accordingly with the new physiopathologic insights of the 70s and 80s, hemorrhoidal disease appears to originate not much from venous hyperplasia but rather from a progressive deterioration of connective and support tissues with subsequent venous and mucosal prolapse. In the late 90s a new surgical technique for a more physiological treatment of hemorrhoids was introduced: stapled prolassectomy.

Materials And Methods: Between October 2017 and June 2018 we performed 50 hemorrhoidal stapled prolassectomies under local-regional anesthesia. Read More

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January 2018
4 Reads

Diagnostic, therapeutic and health-care management protocol for major abdominal trauma at the "Santa Maria" Hospital of Terni. Analysis of the results after two years.

Ann Ital Chir 2018 ;89:540-551

Background: Trauma is the fourth leading cause of death and is more common in people under 45 age. Abdominal trauma is cause of death in 7-10% of traumatized patients. Aim is to evaluate the effectiveness of the diagnostic, therapeutic and health-care management protocol for major abdominal trauma. Read More

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January 2018
3 Reads

Predictors of 1-year postoperative mortality in radical colon cancer surgery.

Ann Ital Chir 2018 ;89:507-512

Aim: The aim of this study was to determine the impact of patient, tumor and surgery-related parameters on 1-year postoperative mortality in a cohort of patients operated in a single tertiary center.

Materials And Methods: The study included 605 patients diagnosed with colon cancer between January 2013 and December 2015 that underwent radical surgery in a tertiary center. Patient demographics, comorbidities, preoperative biological parameters alongside with tumor and surgery-related factors were prospectively recorded and then analyzed in relation 1-year postoperative mortality. Read More

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January 2018
1 Read

Laparoscopic adjustable gastric banding: a 10 year follow-up study.

Ann Ital Chir 2018 ;89:495-500

Background: A comprehensive obesity management can only be accomplished by a multidisciplinary team. Despite the numerous efforts made, a winning solution has not been reached yet. When patients do not respond to conventional treatment, LAGB (Laparoscopic Adjustable Gastric Banding) is a generally effective approach with minimal involvement in anatomical modification. Read More

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January 2018
2 Reads

Drain amylase monitoring for early diagnosis of anastomotic leakage in sleeve gastrectomy An animal study.

Ann Ital Chir 2018 ;89:562-568

Background: Sleeve gastrectomy(SG) is a popular bariatric surgery procedure with rare but dreaded complications. Although drain amylase levels are a reliable early predictor of anastomosis leakage in oesophagectomy and pancreaticoduodenectomy, for SG have not yet been studied. We aimed to monitor drain amylase levels to ascertain their applicability for early diagnosis of gastric leakage in SG. Read More

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January 2018
2 Reads

Laparoscopic splenectomy for hereditary spherocytosis. A case series and review of the literature.

Ann Ital Chir 2018 ;89:569-571

Hereditary spherocytosis (HS) is a common inherited hemolytic anemia caused by a defective erythrocyte cellular membrane. Irrespective of type of surgery performed, several case reports comparing the two type of procedures, have not proven any significant difference between serum bilirubin, serum hemoglobin, red blood cells' and platelets' count, in the followup period at 6 and 12 months respectively, even if platelet count has maintained high for the first 6 months postoperatively, justifying an oral antiplatelet therapy for this time interval. In the present work, we present the use of LS as the treatment of choice for HS as a case series, with all the characteristics. Read More

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January 2018
2 Reads

Gallbladder carcinoma. Surgical management of gallblad-der carcinoma. An analysis of 37 cases.

Ann Ital Chir 2018 ;89:501-506

Background & Aims: Gallbladder carcinoma is a rare yet very aggressive cancer. In this study we evaluate the presentation, staging, procedures, complications and survival of patients with gallbladder carcinoma.

Material And Methods: Data at presentation, operative findings, postoperative evolution, complications and survival data were analyzed for 37 patients with gallbladder carcinoma (as cohort study) confirmed at histopathology between January 2005 and December 2011 in Surgical Department of Regional Institute of Gastroenterology And Hepatology "Octavian Fodor" Cluj-Napoca, Romania. Read More

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January 2018
2 Reads

Surgical management of hereditary spherocytosis Current strategies.

Ann Ital Chir 2018 ;89:473-478

Background: Hereditary spherocytosis is a benign hematologic disease, which needs surgical treatment when medical therapy fails. Currently, the surgical strategies consist mainly in total or partial splenectomy, which can be performed either in open or in laparoscopic fashion. In this study, we analyzed our series of splenectomies for hereditary spherocytosis and we discuss about the surgical management, reviewing the Literature. Read More

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January 2018
15 Reads

Should we perform routine prophylactic central neck dissection in patients with thyroid papillary microcarcinoma?

Ann Ital Chir 2018 ;89:485-488

Purpose: Cervical lymph node (LN) metastases in papillary thyroid cancer (PTC) are common in tumors especially that are larger than 1cm. Ipsilateral central neck dissection (CND) is usually preferred even in the absence of a palpable LN. This study aims to clarify the incidence and predictive factors for occult ipsilateral central LN metastasis in these patients, and the management of patients without clinical evidence of metastasis. Read More

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January 2018
3 Reads

Carotid artery stenting without using any embolic protective device A single Centre experience.

Ann Ital Chir 2018 ;89:556-561

Introduction: Despite the use of embolic protective devices in the majority of cases applied with carotid stenting to prevent embolic neurological complications related to the carotid stenting procedure, this procedure is applied to some cases without protection. The aim of this study was to present the clinical outcomes of carotid artery stent application without a cerebral embolism protective device.

Material And Method: A retrospective examination was made of a total of 171 patients applied with a stent between 2014 and 2017. Read More

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January 2018
1 Read

Which factors affecting the success of iatrogenic obstetric vesical fistulas?

Ann Ital Chir 2018 ;89:534-539

Aim: In developing countries, surgery, birth traumas, and especially gynecological procedures are the most common cause of vesicovaginal fistulas (VVFs). We retrospectively evaluated our treatment modalities for VVF repair caused by obstetric causes and compared with the current literature.

Materials And Methods: We compared the surgical approach preferences and their results with patient characteristics as well as fistula size and location for the management of VVFs. Read More

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January 2018
2 Reads

An uncommon cause of acute abdomen in an acromegalic patient: colonic volvulus.

Ann Ital Chir 2018 ;89:572-576

Acromegaly is a chronic endocrine disease, typically caused by a pituitary adenoma leading to increased circulating GH levels and increased IGF-I secretion by peripheral tissues. Gastrointestinal diseases related acromegaly such as colon cancers, adenomatous polyps, and dolichocolon are much less known. We aimed to present a case of complete colonic volvulus in a patient with acromegaly. Read More

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January 2018
3 Reads

The role of combination preand postoperative albendazole therapy in the surgical management of liver hydatidosis.

Ann Ital Chir 2018 ;89:528-533

Aims: ALB is the most commonly used drug for the treatment of echinococcosis. The aim of the present study was to evaluate the effect of ALB using the intraoperative and perioperative periods as dual therapy.

Materials And Methods: Material of this retrospective study were the consecutive series of 98 patients operated for hepatic hydatidosis (HC) over a period of 7 years, at a single centre. Read More

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January 2018
4 Reads

Chronic inguinal pain in children.

Ann Ital Chir 2018 ;89:479-484

Purpose: To present our experience in the management of chronic groin pain in children.

Methods: We report 4 patients (age range 0-18 years old) who presented with history of chronic groin pain (April 2010 January 2017). After failure of all conservative treatments they underwent surgical management as ultima ratio. Read More

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January 2018
2 Reads

Is there a correlation between the severity of Idiopathic Granulomatous Mastitis and pre-treatment Shear-Wave Elastography Findings? Original research.

Ann Ital Chir 2018 ;89:489-494

Aim: The aim of this study was to analyze the correlation between the severity of idiopathic Garulomatous Mastitis (IGM) and the pre-treatment Shear-Wave Elastography (SWE) findings.

Material And Methods: A total of 39 patients diagnosed with granulomatous mastitis were included in the study between the dates of December 2014 and February 2017. The patients were divided into two groups. Read More

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January 2018
1 Read

The role of combination preand postoperative albendazole therapy in the surgical management of liver hydatidosis.

Authors:
Brahim Yetim

Ann Ital Chir 2018 Nov 5;7. Epub 2018 Nov 5.

Aims: ALB is the most commonly used drug for the treatment of echinococcosis. The aim of the present study was to evaluate the effect of ALB using the intraoperative and perioperative periods as dual therapy.

Materials And Methods: Material of this retrospective study were the consecutive series of 98 patients operated for hepatic hydatidosis (HC) over a period of 7 years, at a single centre. Read More

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November 2018
5 Reads

Laparoscopic organ-preserving gastric resection improves the quality of life in stromal tumor patients An Observational Study with 23 Patients.

Ann Ital Chir 2018 Oct 23;7. Epub 2018 Oct 23.

Aim: The aim of this study is to investigate whether organ preserving gastrectomy (OPG) would yield a greater ability to save more tissue and functions of the stomach and eventually provide better quality of postoperative life (QoPL) for patients with primary gastric gastroinstestinal stromal tumor (PG-GIST).

Material And Methods: A retrospective analysis of 23 consecutive patients with PG-GIST who underwent laparoscopic conventional surgery and OPG from June 2008 to December 2016 was performed. Gastrointestinal quality of life index (GIQLI), the area of tumor-free tissue (TFT), body mass index, and postoperative complications were recorded. Read More

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October 2018
5 Reads

Analysis of the factors influencing the outcome of bleeding of the lower digestive tract. A report of 15 consecutives cases.

Ann Ital Chir 2018 ;89:212-216

The authors present a series of 15 patients with lower gastrointestinal bleeding. 11 (73%) out of 15 patients, were directly subjected to surgery, and 4 (37%) attempted to stop hemorrhage with angiography. In the group of patients undergoing surgery we had a mortality of 1 out of 12 (8%). Read More

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January 2018
2 Reads

Endoscopy for treating minor post-cholecystectomy biliary fistula A review of the literature.

Ann Ital Chir 2018 Jun 25;7. Epub 2018 Jun 25.

Aim: Laparoscopic cholecystectomy for gallstone disease is the most common surgical procedures performed in Western countries and bile leaks remain a significant cause of morbidity. A recognized treatment for minor biliary injury is internal biliary decompression by endoscopic retrograde cholangiopancreatography. The aim of this study was to assess the effectiveness of endoscopic strategy in the management of minor biliary injuries. Read More

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June 2018
7 Reads

Controlled hypotension during middle ear surgery: hemodynamic effects of remifentanil vs nitroglycerin.

Ann Ital Chir 2018 ;89:283-286

Introduction: Controlled hypotension is a well-known technique used by anesthesiologists to limit intraoperative bleeding in patients undergoing middle ear surgery and improve visibility of the surgical field. Nitroglycerin and remifentanil are among the drugs used to induce controlled hypotension.The aim of our study was to compare the hemodynamic effects of remifentanil and nitroglycerin in this patient population. Read More

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January 2018
1 Read

Central mesh failure (CMF) after abdominal wall repair. A rare cause of recurrence.

Ann Ital Chir 2018 ;89:266-269

Central Mesh Failure (CMF) after abdominal wall repair (AWR) is uncommon but should be considered in case of recurrence. The mechanism is unclear and different theories are actually proposed, as the action of opposite forces acting in the abdominal wall on the prosthesis, and the characteristics of the device to be implanted. The use of lightweight meshes in some cases could be inadequate to withstand the bursting strenght of the abdominal wall. Read More

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January 2018
1 Read

The clinical and therapeutic approach to anal stenosis.

Ann Ital Chir 2018 ;89:237-241

Anal stenosis is a fibrous narrowing of the anal channel. It develops, in most cases, in the aftermath of proctologic surgical procedures with extensive anoderm excision or in the presence of chronic anal inflammation in patients with Crohn Disease. However rare, this condition is thoroughly debilitating for the patients. Read More

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January 2018
11 Reads

Short-term outcome and survival after multiorgan resection for locally advanced colo-rectal cancer. Identification of risk factors.

Ann Ital Chir 2018 ;89:229-236

Introduction: Although multi-organ resections (MOR) are recommended by international guidelines for advanced colorectal cancer, the literature shows that the morbidity and mortality that accompanies these complex interventions limits the number of patients receiving this treatment. The purpose of our study was to analyse the immediate and remote results obtained after MOR and to identify potential factors that might influence the outcome.

Material And Method: Our study is a retrospective cohort which included patients surgically treated in our service for locally advanced colorectal cancer. Read More

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January 2018
3 Reads

A comparison of logistic regression and artificial neural networks in predicting central lymph node metastases in papillary thyroid microcarcinoma.

Ann Ital Chir 2018 ;89:193-198

Objective: Prophylactic central lymph node dissection(CLND) is a controversial issue in papillary thyroid microcarcinoma( PTMC) patients without lymphatic metastasis. Artificial neural network(ANN) has been proposed as an alternative statistical technique for predicting complex biologic phenomena. Our aim is to develop an ANN model in predicting central lymph node metastases(CLNM) in patients with PTMC, in comparison to traditional logistic regression(LR) analysis. Read More

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January 2018
2 Reads

Scar endometriosis, a tricky diagnosis. A case series report and a short review of the literature.

Ann Ital Chir 2018 ;89:223-228

Backround: Abdominal wall endometrioma is a rare condition, which usually develops in surgical scar of a Cesarean section (C-section) or of a hysterectomy. Scar endometriosis is a misdiagnosed condition in general surgery, since it mimics other surgical conditions. Diagnosis is mainly based upon a high index of suspicion. Read More

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January 2018
7 Reads

Assessment of the relationship between clinical and histopathological features in cases of thyroidectomy.

Ann Ital Chir 2018 ;89:199-205

Aim: The aim of this study is to evaluate the relationship between clinical parameters and ultimate histopathologic features of patients underwent thyroid surgery.

Method: Demographic and clinicopathologic parameters of patients who underwent thyroid surgery for benign or malignant disease in our clinic between June 2006 and March 2014 were retrospectively reviewed. Pearson's Chi-Square, Independent Sample T test, ROC Curve and Youden J Index were used to investigate whether there was any relationship between the clinical parameters and permanent histopathologic features of patients. Read More

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January 2018
2 Reads

Abdominal wall endometriosis in patients with a history of cesarian section.

Ann Ital Chir 2018 ;89:425-430

Objective: The aim of this study is to review the characteristics, intraoperative and radiological findings of abdominal wall endometriosis (AWE).

Methods: This retrospective observational cohort study was executed through analysis of the medical records of patients who underwent excision of AWE between January 2000 and June 2017. All the diagnoses were confirmed pathologically. Read More

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January 2018
7 Reads

Obstructing left sided colorectal cancer. A retrospective single center study.

Ann Ital Chir 2018 Dec 7;7. Epub 2018 Dec 7.

Background: In recent years, with population aging, there has been an increased number of colorectal cancer cases with severe occlusion symptoms. About 75% of obstructions due to malignant colorectal cancer (10-30%) occur distal to splenic flexure.

Methods: The authors evaluated the best surgical therapeutic strategy to be used in cases of left-sided colorectal carcinoma in patients over 65 years old, especially considering the emergency condition, age of patients and efficacy in terms of postoperative morbidity, mortality and 5 years survival rate. Read More

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December 2018
4 Reads

A minimally invasive approach with a 3d imaging system for the treatment of esophageal perforation due to Boerhaave syndrome.

Ann Ital Chir 2018 Dec 19;7. Epub 2018 Dec 19.

Boerhaave's syndrome is a rare life-threatening condition that requires urgent surgical management. There are various methods of managing it, with the main principles of limiting sepsis, draining the area and maintaining nutrition. Although the gold standard is open thoracotomy and/or laparotomy, mostly in patients with sepsis, we present a case of a 53-year-old man treated with a combination of laparoscopic suture (3D imaging system) of the oesophageal perforation site, decompressive percutaneous endoscopic gastrostomy and feeding jejunostomy. Read More

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December 2018
3 Reads

New prognostic factors in gastric cancer: the role of lympho-plasmacytic infiltrate.

Ann Ital Chir 2018 ;89:398-405

Background: Gastric cancer triggers an immune response, manifested by immunocompetent cells infiltrating the tumor, such as macrophages, NK cells, neutrophils, T and B-lymphocytes, and plasma cells.

Methods: Were viewed 300 patients who received surgery for gastric cancer, with removal of at least 15 regional lymph nodes, from January 1998 through December 2008, at the Policlinico "Umberto I", Department of Surgery "Pietro Valdoni", "Sapienza" University of Rome, and at "Santa Maria Goretti" Hospital of Latina, Italy. We selected a subset of 46 patients identified according to the following selection criteria: presence of gastric cancer (both intestinal-type and diffuse-type), early-stage (T1 and T2), absence of nodal metastases (N0), or involvement of less than 8 lymph nodes (N1), absence of distant metastases (M0), stage I and II. Read More

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January 2018
6 Reads

Red cell distribution width and mean platelet volume as predictors of anastomotic dehiscence in colorectal surgery A pilot multicenter case-match study.

Ann Ital Chir 2018 ;89:419-424

Aim: One of the most serious complications in modern colorectal surgery is the occurrence of an anastomotic dehiscence. The aim of this study was to evaluate the role of preoperative red cell distribution width (RDW) and mean platelet volume (MPV) as predictors of anastomotic dehiscence in elective surgery for colorectal cancer.

Materials And Methods: Forty-two patients with a clinically manifested anastomotic dehiscence after oncological colorectal surgery, and 42 controls matched for age, sex, pathological stage and tumor localization were enrolled. Read More

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January 2018
2 Reads

"All In One Mesh Hernioplasty" device for inguinal hernia repair. Results of 400 cases.

Ann Ital Chir 2018 ;89:438-442

Background: Our intention in this study was to evaluate the effectiveness of a new open mesh hernia repair procedure, the "All in One Mesh Hernioplasty", for the treatment of primary inguinal hernias in adults.

Methods: Between February 2014 and February 2016, we performed the All In One Mesh Hernioplasty procedure on 400 patient suffering from primary unilateral inguinal hernia at our Institution. The prosthesis was placed on the floor of the inguinal canal, as described in the original technique, and later covered by the fibrocremasteric sheath. Read More

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January 2018
4 Reads

Long-term cosmetic results of single-incision vs. conventional laparoscopic appendectomy A prospective observational cohort study.

Ann Ital Chir 2018 ;89:448-454

Aim: The purpose of this study was to compare cosmetic, along with surgical, results between single incision laparoscopic appendectomy (SILA) and conventional laparoscopic appendectomy (CLA), particularly from patients' points of view.

Materials And Methods: All of the patients who underwent surgery for suspected acute appendicitis and were eligible for laparoscopic surgery were evaluated prospectively in our center between June 2013 and January 2015. Patients were underwent CLA or SILA were compared for operative results and cosmetic outcomes by Body Image Questionnaire. Read More

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January 2018
2 Reads

The effects of infusion of perineural pregabalin in the experimentally created sciatic nerve anastomosis in rats.

Ann Ital Chir 2018 ;89:464-470

Introduction And Object: The aim of our study was to assess the effect of perineural pregabalin administration on the success of coaptation in experimental rat sciatic nerve anastomosis by measuring the expression of anti-inflammatory cytokine TGF-β. It is thus to provide alternative solutions to this problem which we often see in clinical practice and whose results are not satisfactory.

Methods: In our study, 40 adult, male, Sprague-Dawley rats; 5 groups were randomly assigned. Read More

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January 2018
1 Read

Oral surgery for combined haemophilia A and B. The dos and don'ts presented in a clinical scenario.

Ann Ital Chir 2018 ;89:374-378

Background: Haemophilia A (factor VIII deficiency), B (factor IX deficiency) and C (factor XI deficiency) are common genetic bleeding disorders. Most often they are caused by the absence or defective function of coagulation factors, causing inefficient blood clots.

Case Report: The present manuscript describes a rare case of a combined haemophilia A and B patient, who underwent several extractions. Read More

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January 2018
5 Reads

The role of Shear-Wave elastography in the differentiation of benign and malign non-mass lesions of the breast.

Ann Ital Chir 2018 ;89:385-391

Aim: The aim of this study is to retrospectively assess the additional diagnostic value of shear wave elastography (SWE) added to ultrasound (US) versus US alone in differentiating malignant and benign non-mass lesions (NMLs) of the breast by readers with different experience levels and to assess interreader agreement.

Material And Methods: This retrospective study enrolled 53 NMLs (31 benign, 22 malignant). Two radiologists (readers 1 and 2 had 15 years and 1 year of experience in breast imaging, respectively) independently reviewed each study and determined the BI-RADS category using US alone and again after adding SWE to US. Read More

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January 2018
7 Reads

Breast cancer and neoadjuvant chemotherapy: indications for and limits of breast-conserving surgery.

Ann Ital Chir 2018 ;89:392-397

Aim: The aim of our study was to determine how many and what subtypes of breast cancer could be treated with breast-conserving surgery after NACT. Another outcome was to determine the applicability of MD Anderson Cancer Center nomogram to predict it.

Material Of Study: We reviewed the histological examinations of 86 performed mastectomies according to the indications to BCS after NACT. Read More

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January 2018
2 Reads

The effects of neutrophil to lymphocyte and platelet to lymphocyte ratios on prognosis in patients undergoing mechanical thrombectomy for acute ischemic stroke.

Ann Ital Chir 2018 ;89:367-373

Introduction: The aim of the study was to investigate the effect of neutrophil lymphocyte (NLR) and platelet lymphocyte ratio (PLR) on prognosis in acute ischemic stroke (AIS) patients undergoing mechanical thrombectomy.

Material-method: A retrospective study was made of the data of 56 patients aged 20-80 years who were diagnosed with AIS and underwent mechanical thrombectomy. Thrombolysis in Brain Ischemia (TIBI) status was evaluated with transcranial Doppler after treatment. Read More

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January 2018
2 Reads

From occult parodontopathy to splenic abscess leading to septic shock.

Ann Ital Chir 2018 Dec 5;7. Epub 2018 Dec 5.

We present a case of a suspect splenic hematoma in an anticoagulated patient with an ignored diabetes mellitus, come to our emergency department. Lab tests showed increased CRP and INR, with an incoming hepatorenal syndrome. During the CT-scan the patient became unstable and the hemoglobin decreased. Read More

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December 2018
2 Reads

A Three-dimensional scaffold from decellularized human umbilical artery for bile duct reconstruction.

Ann Ital Chir 2018 12 5;7. Epub 2018 Dec 5.

The main purpose of the study was to create in vitro bile duct equivalent out of decellularized human umbilical cord artery and use it to reconstruct common bile duct obstruction with preservation of sphincter of Oddi.

Material And Methods: SDS and Triton X-100 were used for decellularization of the artery. Allogeneic isolated cholangiocytes were seeded onto the inner surface of the decellularized artery. Read More

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December 2018
2 Reads
0.683 Impact Factor

Comparison of endocrinological and cytokine response to trauma in laparoscopic and conventional appendectomy in patients with acute appendicitis.

Ann Ital Chir 2018 Nov 29;7. Epub 2018 Nov 29.

Purpose: In this study, we compared the endocrine and cytokine reaction of the patients which laparoscopic and conventional appendectomy was done for acute appendicitis.

Materials And Method: 50 patients who were operated for acute appendicitis in Ankara Atatürk Research and Training Hospital between the dates December 2013 and February 2014 were enrolled and grouped as either laparoscopic or conventional. Serum ACTH, IL-6 and CRP levels were obtained at induction of anesthesia and postoperative 6th hour. Read More

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November 2018
2 Reads

Postoperative outcomes in laparoscopic appendicectomies with histopathologically normal appendix.

Ann Ital Chir 2018 Nov 19;7. Epub 2018 Nov 19.

Aim: Although still debatable, appendicectomy during laparoscopy in patients with abdominal pain is often performed even if the appendix seems normal. The study's aim is to compare the postoperative outcomes of laparoscopic appendicectomies with appendix proven to be histologically normal to those with proven appendicitis, adding evidence on whether a normal appendix should be removed.

Methods: All consecutive patients who underwent laparoscopic appendicectomy in a one-year period in a single centre were retrospectively studied. Read More

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November 2018
7 Reads