4,797 results match your criteria Annali italiani di chirurgia[Journal]


Do diabetic patients who undergo transtibial amputation receive adequate treatment?

Authors:
Salih Beyaz

Ann Ital Chir 2019 Apr 1;8. Epub 2019 Apr 1.

Aims: To determine if patients who undergo below-knee amputation (BKA) for intractable wounds caused by diabetes complications receive adequate treatment before surgery.

Materials And Methods: The study included a total of 528 patients who underwent transtibial amputation for diabetic foot. All patients were assessed on the basis of duration of preoperative treatment, HbO therapy, negative wound pressure therapy (NPWT), peripheral vascular angioplasty (PVA) treatment, wound cultures, antibiotic medications, consultations with plastic and vascular surgeons, need for hemodialysis treatment, use of anticoagulant treatment as an inpatient, and assessment of blood sugar regulation by an endocrinologist. Read More

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April 2019
1 Read

The importance of colonoscopy in the treatment of colorectal polyps and colorectal cancer screening.

Ann Ital Chir 2019 Apr 1;8. Epub 2019 Apr 1.

Aim: Colorectal polyp is the most commonly encountered intestinal colon pathology in patients over 50 years of age, and 5% of which develops a "colorectal cancer". The early-stage polyps can be detected and removed endoscopically, which reduce the incidence of carcinoma. Our study is aimed to investigate the role of colonoscopy in colorectal adenoma treatment and screening for colorectal cancers, and to answer the question of whether the colorectal polyps would become malignant or not malignant by means of the comparative analysis of their histological features. Read More

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April 2019
2 Reads

Evaluation of tissue oxygenation and block quality using Near Infrared Spectroscopy (NIRS) in patients undergoing ultrasound-guided infraclavicular block at different arm angles A prospective observational study.

Ann Ital Chir 2019 Apr 1;8. Epub 2019 Apr 1.

Background: The preference for peripheral nerve block methods is increasing with every passing day. Our aim in this study is to evaluate tissue oxygenation using a near-infrared spectroscopy (NIRS), as a non-invasive device that detects tissue oxygen saturation (St02), in patients subjected to infraclavicular blockage at different angles.

Method: Included in the study were 34 patients aged between 18 and 65 in the ASA I-II group who were scheduled to undergo hand, forearm or arm surgery. Read More

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April 2019
1 Read

Gallstone ileus of the sigmoid colon. A case repor.

Ann Ital Chir 2019 Mar 28;8. Epub 2019 Mar 28.

Gallstone ileus is a complication of cholelithiasis which is due to gallstone migration through a fistula between the gallbladder and the gastrointestinal tract followed by intraluminal impaction. This uncommon form of mechanical bowel obstruction occurs in <1% of patients with cholelithiasis. Gallstone ileus due to cholecystocolonic fistula is rare, and therefore appropriate surgical treatment is still a matter of debate. Read More

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March 2019
3 Reads

Gastric GIST and prognostic models. Which is the best to predict survival after surgery?

Ann Ital Chir 2019 ;90:31-40

Background: Gastrointestinal Stromal Tumours (GIST) are the most frequent mesenchymal tumour of the alimentary tract. Their prognosis is largely variable as are their size, mitotic rate and site, the stomach being mostly affected. Several risk classifications have been proposed: two developed by the NIH, one proposed by the AFIP and one presented by the AJCC in 2010. Read More

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January 2019
5 Reads

Peritoneal sarcoidosis mimicking peritoneal carcinomatosis.

Ann Ital Chir 2019 Jan 10;8. Epub 2019 Jan 10.

Aim: Describtion of a rare case of intestinal obstruction due to peritoneal sarcoidosis mimicking peritoneal carcinomatosis, and of the literature review about its surgical management.

Material Of Study: A 69 year-old woman was referred to our emergency department with diffuse abdominal pain, enteric vomiting and constipation. Abdominal CT showed a dilatated small bowel loops extended to the jejunum with a mechanical obstruction. Read More

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January 2019
3 Reads

Rectal perforation caused by deep infiltrating endometriosis in non-pregnant woman: Case report and short review of the literature.

Ann Ital Chir 2019 03 5;8. Epub 2019 Mar 5.

Aim: The aim of this paper is to describe an unique case of deep infiltrating endometriosis of the rectum in non-pregnant woman with unusual clinical and pathological presentation resulting in spontaneous perforation.

Materials And Methods: A female (20 years of age) with a two year history of chronic recurrent abdominal pain of unknown etiology treated by a psychiatrist underwent diagnostic laparoscopy which revealed many peritoneal implants of endometriosis involving the right ovarian fossa, the vesico-uterine pouch and sacrouterine ligament; the bowel wall showed no structural abnormalities. Peritonectomy of the broad and uterosacral ligaments was used and eight days after the operation, the patient developed crampy abdominal pain and enterorrhagia necessitating laparoscopic revision; pelvic haematoma and rectosigmoiditis were found. Read More

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March 2019
1 Read

Bilateral prophylactic mastectomy in BRCA mutation carriers: what surgeons need to know.

Ann Ital Chir 2019 ;90:1-2

Aim of this paper is to allows to analyze a topic of great relevance and media interest such as the role of prophylactic mastectomy in healthy women with BRCA mutation proposing to the surgeons some useful informations for decision-making. Less than 15% of all breast cancers are associated with germline genetic mutations. The majority of hereditary breast tumors are due to mutations in BRCA1 and BRCA2 genes that are responsible for only one third of hereditary cases. Read More

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January 2019
5 Reads

Laparoscopic modified double stapling technique with transanal resection for low anterior resection of rectal cancer.

Ann Ital Chir 2019 ;90:78-82

Background And Aim: Anterior resection of the rectum with a total mesorectal excision is the standard surgical technique for the treatment of rectal cancer. Laparoscopic low anterior resection (LALAR) is an alternative to open surgical approach and was validated in diverse randomized control trials to be as safe and oncologically effective. That said, confronting a low rectal tumor in an obese patient with a narrow pelvis can be technically challenging even for the most expert surgeon. Read More

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January 2019

Predictive factors of occult cystobiliary fistula after conservative surgical treatment of the hepatic hydatid cyst A retrospective study of 105 patients.

Ann Ital Chir 2019 ;90:52-56

Objectives: The objective of our study was to determine the predictive factors of their occurrence during conservative surgical treatment of the hepatic hydatid cyst (HHC).

Patients And Methods: We carried out a retrospective review of patients who had undergone conservative surgical treatment of the HHC during 6 years. Univariate analyzes were used to determine the predictive factors of an occult cystobiliary fistula (CBF). Read More

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January 2019
1 Read

Stratifying the risk factors for hypoparathyroidism after total thyroidectomy. A single Center study.

Ann Ital Chir 2019 ;90:21-30

Background: Post-operative hypoparathyroidism is a complication in patients who undergo thyroid surgery. Our study aimed to evaluate the incidence and causes of post-operative transient and permanent hypoparathyroidism in patients undergoing thyroid surgery.

Materials And Methods: The data of 933 consecutive patients who underwent total thyroidectomy in a single center were retrospectively evaluated. Read More

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January 2019
2 Reads

Anastomotic leakage following laparoscopic resection of low and mid rectal cancer.

Ann Ital Chir 2019 ;90:57-67

Purpose: Anastomotic leakage is considered the commonest major complication after surgery for rectal cancer.

Materials And Methods: Patients who underwent laparoscopic LAR or ULAR for rectal cancer were recruited. The primary outcome was the incidence of the AL during 30 days postoperative. Read More

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January 2019
0.683 Impact Factor

A prospective follow-up study on completion thyroidectomy for well-differentiated thyroid cancer. A single-center report.

Ann Ital Chir 2019 ;90:14-20

Background: Completion thyroidectomy (cT) becomes a choice after any type of less than total thyroid surgery, when a "total" would have been indicated on primary intervention if malignancy diagnosis had been available. The study main aim is to define predictive factors of malignancy in the thyroid remnant and to assess the morbidity risk after cT according to the type of initial intervention.

Material And Method: Sixty-three patients on whom cT was performed were finally included with 61 surgeries performed in our department. Read More

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January 2019
1 Read

Nasal and systemic eosinophilia associated with solid intestinal tumors, a case report and review of the literature.

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

The authors report the study of a clinical case, which presented eosinophilia both in the secretion of the nasal mucosa and in the blood count. After a careful examination of all the pathologies related to hypereosinophilia, through a clinical study, they have documented the presence of an adenocarcinoma located in the ileocecal junction of the colon. From what has been documented it is clear that only a clinical observation of precision, carried out above all through nasal cytology and colonoscopy, is able to diagnose an important pathology, such as oncology. Read More

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March 2019
1 Read

A case of hepatocellular carcinoma mimicking hepatic adenoma.

Ann Ital Chir 2019 Feb 26;8. Epub 2019 Feb 26.

Hepatocellular adenomas (HA) are benign naturally occurring masses that are rarely reported, and rarely reaching tumor size up to 30 cm. Hepatocellular carcinoma (HCC) is the most common primary malignancy of the liver and usually caused by cirrhosis and more commonly reported tumors in males. It has been reported that presentations may occur with masses that are often less than 5 cm or rarely more than 10 cm. Read More

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February 2019
4 Reads

Neuroendocrine tumors of the urinary bladder A case series and review of the literature.

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

Neuroendocrine carcinoma cases, more frequent in the GI tract, have rarely been reported in extrapulmonary areas. Neuroendocrine carcinoma of the bladder is one of the malignancies with a poor prognosis, which is expected to cause rapid metastases. In addition, neuroendocrine carcinoma of the bladder constitutes < 1% of all bladder carcinomas. Read More

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March 2019
1 Read

Multiple endocrine neoplasia type 2A syndrome (MEN2A) and usefulness of 68Ga-DOTATATE PET/CT in this syndrome.

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

Aim: The aim of this study was to evaluate a new imaging method 68Ga-DOTATATE PET/CT as an alternative method to diagnose evidence of neuroendocrine tumors or their metastasis (if any) in patient with MEN 2A.

Methods: Three patients( 2F, 1M; age 28,46 and 50 years) with MEN 2A syndrome who underwent 68Ga-DOTATATE PET/CT scan were prospectively evaluated. PET/CT images were analyzed with measurement of maximum standardized uptake value (SUVmax). Read More

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March 2019
6 Reads
0.683 Impact Factor

Malignant transformation of a chronic anorectal fistula.

Ann Ital Chir 2018 Oct 11;7. Epub 2018 Oct 11.

Up to date, only a small number of carcinomas arising from a chronic anorectal fistula have been described in medical literature, especially in patients without Chron's disease. A 72-year-old man with a 6-year history of discharging perianal sinus without Crohn's disease arrived at our institution. He had previously undergone three surgical procedures in other institutions for incision and drainage of recurrent perianal abscesses. Read More

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October 2018
3 Reads

Textiloma: 28 years of foreign body mimicking pancreatic mass Case Report.

Ann Ital Chir 2019 Feb 18;8. Epub 2019 Feb 18.

Problem of retained foreign bodies is still actual challenge at surgical practice at the present time. Retained surgical sponges (cotton or gauze pads), which can be mistakenly left behind during different surgical operations, represent a difficult diagnostic problem despite of using modern technologic procedures, such as US, CT, MRI and etc. These foreign materials may cause serious complications and may lead even to mortality. Read More

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February 2019

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
5 Reads

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
16 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
4 Reads

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

Ann Ital Chir 2019 ;90:83-87

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
3 Reads

Effects of surgical and percutaneous tracheotomy on thyroid hormones.

Ann Ital Chir 2019 ;90:10-13

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 2019 ;90:88-92

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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January 2019
9 Reads

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
2 Reads

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
6 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
5 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
9 Reads

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
9 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
4 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
3 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
3 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
30 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
5 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
4 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
5 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
9 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
2 Reads

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
13 Reads

Laparoscopic organ-preserving gastric resection improves the quality of life in stromal tumor patients An observational study with 23 patients.

Ann Ital Chir 2019 ;90:41-51

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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January 2019
9 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
4 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
16 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
2 Reads

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
17 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
6 Reads