4,980 results match your criteria Annali italiani di chirurgia[Journal]


Giant follicular cyst with maxillary sinus and pterygomaxillary space extension.

Ann Ital Chir 2020 Jun 24;9. Epub 2020 Jun 24.

Background: Dentigerous, follicular, cysts are developmental odontogenic cysts of reduced adamantine epithelium origin, associated with an impacted tooth. They are the second most frequent cystic pathology after inflammatory cysts. Although the frequency of dentigerous cysts associated with upper third molars is far lower than the mandibular ones, their complications are nothing but ordinary. Read More

View Article

Download full-text PDF

Source

A 3D printed custom-made mask model for frameless neuronavigation during retrosigmoid craniotomy. A preclinical cadaveric feasibility study.

Ann Ital Chir 2020 Jun 16;9. Epub 2020 Jun 16.

Background: A 3D printing custom-made mask model was tested in terms of feasibility and accuracy for frameless neuronavigation during retrosigmoid approach.

Methods: A virtual 3D model of a cadaveric injected head was obtained from a high-resolution Computed Tomography (CT) scan and 3D Printed (3DP). The course of the transverse and sigmoid sinus was marked. Read More

View Article

Download full-text PDF

Source

Laparoscopic treatment of De Garengeot hernia with Progrip.

Ann Ital Chir 2020 Jun 16;9. Epub 2020 Jun 16.

Background: Many eponyms have been used to classify some rare conditions of incarceration of a hernia at the level of the groin and femoral canal. The incarceration of the appendix at the level of the groin canal was first described by Claudius Amyand, while the incarceration of the appendix inside the femoral canal is a condition known as De Garengeot hernia. The incidence of such an event is very low and surgical treatment is usually performed via inguinal approach. Read More

View Article

Download full-text PDF

Source

A 3D printed custom-made mask model for frameless neuronavigation during retrosigmoid craniotomy. A preclinical cadaveric feasibility study.

Ann Ital Chir 2020 Jun 16;9. Epub 2020 Jun 16.

Background: A 3D printing custom-made mask model was tested in terms of feasibility and accuracy for frameless neuronavigation during retrosigmoid approach.

Methods: A virtual 3D model of a cadaveric injected head was obtained from a high-resolution Computed Tomography (CT) scan and 3D Printed (3DP). The course of the transverse and sigmoid sinus was marked. Read More

View Article

Download full-text PDF

Source

Bilateral breast lesions mimicking metastases of hepatocellular carcinoma in a male patient.

Ann Ital Chir 2020 May 11;9. Epub 2020 May 11.

Hepatocellular carcinoma metastases to the breast have been reported only rarely. A 63-year-old male patient with metastatic hepatocellular carcinoma presented with a lump in his left breast. On physical examination, there was a hard, well-circumscribed, and partially mobile mass of 2 cm in diameter in the lower middle quadrant of the left breast. Read More

View Article

Download full-text PDF

Source

Right hemicolectomy: laparoscopic versus robotic approach.

Ann Ital Chir 2020 Jun 10;9. Epub 2020 Jun 10.

Background: Minimally invasive surgery for colorectal cancer has been demonstrated to have the same oncological results as open surgery, with better clinical outcomes. Robotic surgery is an evolution of minimally invasive technique. This study aims to evaluate surgical and oncological short-term outcomes of robotic right colon resection in comparison with the laparoscopic approach. Read More

View Article

Download full-text PDF

Source

Prolapsed giant rectal gastrointestinal stromal tumor presented with incarceration A rare case of emergency rectal lesion.

Ann Ital Chir 2020 Jun 10;9. Epub 2020 Jun 10.

Prolapse of the tumor is an extremely rare clinical presentation in patients with rectal gastrointestinal stromal tumor (GIST). A 79-year-old male patient was consulted in the in-patient ward of internal medicine clinic of our hospital due to his incarcerated hemorrhagic mass protruding from the anal canal. Anal inspection revealed an incarcerated prolapsed hemorrhagic mass larger than 10 cm in diameter that looked like a cauliflower. Read More

View Article

Download full-text PDF

Source

Pain control after laparoscopic cholecystectomy. A prospective study.

Ann Ital Chir 2020 Jun 10;9. Epub 2020 Jun 10.

Aim: The purpose of this study is to evaluate three different analgesic procedures after laparoscopic cholecystectomy for pain control.

Material Of Study: The study involved 183 patients who underwent laparoscopic cholecystectomy with the same technique for the induction and maintenance of the general anesthesia. They were divided into three different postoperative pain treatment groups: continuous infusion of Tramadol and Ketorolac with elastomeric pump, intraperitoneal topical instillation of Levobupivacaine, and intraperitoneal aerosolization of Levobupivacaine. Read More

View Article

Download full-text PDF

Source

The factors of pancreatic fistula development in patients who underwent classical pancreaticoduodenectomy.

Ann Ital Chir 2020 Jun 10;9. Epub 2020 Jun 10.

Aim: Pancreatic fistula (PF) and anastomotic leakage are significant complications of the pancreaticoduodenectomy (PD). The PF is considered as the root cause of other major complications of PD. The aim of the study was to investigate the risk factors underlying PF that occurred after PD and the effects of the PF on postoperative morbidity. Read More

View Article

Download full-text PDF

Source

Thyroid cancer incidence and clinicopathological differences in patients with end-stage renal failure.

Ann Ital Chir 2019 Dec 9;8. Epub 2019 Dec 9.

Aim: In the present study we aimed to determine the prevalence of thyroid cancer and the clinicopathological properties of papillary thyroid cancer (PTC) in a patient population undergoing dialysis for end-stage renal failure (ESRF).

Material And Methods: We retrospectively reviewed all thyroid ultrasonography (USG) examinations performed between January 2007 and December 2015 to determine the incidence of nodular thyroid disease in ESRF and normal patient populations. For both patient groups, differences between patient and tumor characteristics were evaluated in patients diagnosed to have PTC. Read More

View Article

Download full-text PDF

Source
December 2019

Ectopic adrenal tissue in a hernia sac in an adult. A case report.

Ann Ital Chir 2020 Jun 3;9. Epub 2020 Jun 3.

The discovery of ectopic adrenal tissue in the hernial sac is very rare, and in the majority of reported cases it is in children, while it is never described in adult subjects. This could be due to a progressive previous atrophy of the ectopic tissue or to an insufficient examination of the sac removed surgically. The most frequent site of these ectopias is the kidney, adjacent to the adrenal glands. Read More

View Article

Download full-text PDF

Source

Prognostic significance of the neutrophil to lymphocyte ratio in patients with curative resection of esophageal cancer. A single center experience.

Ann Ital Chir 2020 May 18;9. Epub 2020 May 18.

Aim: In this study, we aimed to determine the clinical value and prognostic significance of the Neutrophil / Lymphocyte Ratio in patients undergoing curative surgery due to esophageal cancer.

Material And Method: Patients who underwent curative resection for esophageal cancer between 2015-2019 were included in the study. Two groups, Group1 (low NLR) and Group2 (high NLR), were created. Read More

View Article

Download full-text PDF

Source
May 2020
0.683 Impact Factor

Use of Meckel's diverticulum as a temporary diverting ostomy.

Ann Ital Chir 2020 May 25;9. Epub 2020 May 25.

Meckel's diverticulum is among the most common congenital defects of the gastrointestinal tract, and is associated with a total lifetime risk of complications around 4%. While debate on prophylactic resection of incidental Meckel's diverticulum continues, there have been reports of its successful use for urinary diversion and reconstruction. In contrast, its use as a means of fecal diversion has been described anecdotally. Read More

View Article

Download full-text PDF

Source

How I do it: parastomal hernia repair and ventral post-incisional hernia repair using PCS/TAR A case report.

Ann Ital Chir 2020 Mar 9;9. Epub 2020 Mar 9.

We present a medical case of a 61 year-old male patient who reported to the outpatient clinic with a parastomal hernia of 10 cm in diameter and a postincisional midline hernia of 15 cm in diameter. We emphasized that the patient had undergone surgery 4 years before for a rectal adenocarcinoma, in which we performed an abdominal perineal resection of the rectum with end colostomy. At the time of admission, there were no imagistic signs of local or distant relapse. Read More

View Article

Download full-text PDF

Source
March 2020
0.683 Impact Factor

Urgent cholecystectomy in patient with left-sided gallbladder Case report and review of the literature.

Ann Ital Chir 2020 May 25;9. Epub 2020 May 25.

Introduction: Sinistroposition of the gallbladder, or true left-sided gallbladder (LSG) without situs viscerum inversus, is a rare congenital anatomical variant where the gallbladder is located to the left of round/falciform ligament. It can be associated with anomalies of the biliary tree, portal system and hepatic vascularization. The surgical management of a LSG could be challenging even for an experienced operator, being usually an incidental intraoperative finding. Read More

View Article

Download full-text PDF

Source

Hindbrain-related syringomyelia and raised intra-abdominal pressure: implications for safety of laparoscopic and robotic surgery.

Ann Ital Chir 2020 May 25;9. Epub 2020 May 25.

Background: The causative role played by intra-abdominal pressure (IAP) in the syringogenesis of the Chiari 1 malformation syringomyelia has been still not adequately studied. The aim of this study is to validate the transmedullary theory about the hindbrain-related syrinx, also discussing the implications for safety of these patients related to the use of high-pressure CO2 pneumoperitoneum during laparoscopic and robotic surgery.

Methods: Fourteen patients with a hindbrain-related syrinx were candidate for a posterior fossa decompression. Read More

View Article

Download full-text PDF

Source

An underrated complication of the organs' transplantations.

Ann Ital Chir 2020 May 25;9. Epub 2020 May 25.

Introduction: Tacrolimus is routinely used to prevent rejection after organs' transplantation. Neurotoxicity is underrated side effect, where no typical clinical, radiological, or histopathological patterns have yet been found. The present study is targeted to a review of the literature on tacrolimus-induced neurotoxicity secondary to organs' transplantation, aimed to its prompt diagnosis. Read More

View Article

Download full-text PDF

Source

Hospitalization costs associated with diabetic foot ulcers treated by a multidisciplinary team in clinical practice. A retrospective study from southern Turkey.

Ann Ital Chir 2020 May 14;9. Epub 2020 May 14.

Purpose: Diabetic foot ulceration (DFU) is a common problem throughout the world and results in major economic consequences for the patients and country. We aim to describe the estimated cost of illness in patients with DFU in southern Turkey.

Methods: A total of 148 (F=55, M=93) patients with DFU were included in this retrospective study. Read More

View Article

Download full-text PDF

Source

Magnetic Resonance Imaging prediction of large volume displacement oncoplastic surgery versus mastectomy in the treatment of breast cancer.

Ann Ital Chir 2020 May 11;9. Epub 2020 May 11.

Purpose: To analyse the influence of tumor volume/breast volume ratio (TV/BV ratio) measured on magnetic resonance imaging (MRI) and other factors on surgeons' choice between large volume displacement oncoplastic surgery (LVOS) versus mastectomy (M) in patients with large sized tumors. Secondly, we investigate the predictive value of TV/BV ratio and other possible predictors for cosmetic results.

Materials And Methods: We retrospectively reviewed 80 MRI examinations performed on 77 breast cancer patients who underwent M (58 breasts, 72. Read More

View Article

Download full-text PDF

Source
May 2020
0.683 Impact Factor

A combined laparoscopic and endoscopic approach for the removal of a gastric foreign body. A case report and review of the literature.

Ann Ital Chir 2020 May 11;9. Epub 2020 May 11.

Background And Aim: Foreign bodies that are ingested and will not pass spontaneously through the gastrointestinal tract, need to be removed either endoscopically or surgically. Surgery will be required when endoscopy alone fails to retrieve the foreign body. In this study, we aimed to present our experience with an combined minimal invasive approach for the removal of a gastric foreign body and to review the medical literature on the complexities related to its management. Read More

View Article

Download full-text PDF

Source

Comparison of medium-term revision rates after autograft and allograft anterior cruciate ligament reconstruction.

Ann Ital Chir 2020 May 11;9. Epub 2020 May 11.

Aim: The present study investigates time until revision and revision rates, and their relationship with gender and age, among 267 patients with anterior cruciate ligament tears treated with autograft and allograft reconstructions.

Materials And Methods: A retrospective evaluation was carried out based on data collected on 269 knees (bone-patellar tendon-bone autograft in 25, gracilis-semitendinosus autograft in 136, quadriceps autograft in two, allograft in 106) belonging to 267 patients who underwent an anterior cruciate ligament reconstruction between 2009 and 2018.

Results: Of the 269 knees of the 267 patients (22 women and 247 men) operated on for an anterior cruciate ligament rupture, an autograft was used in 163, and nine of those required revision, while an allograft was used in 106 knees, and seven required revision. Read More

View Article

Download full-text PDF

Source

The prognostic value of different lymph node classification systems in stage III colorectal cancer patients.

Ann Ital Chir 2020 Mar 11;9. Epub 2020 Mar 11.

Aim: Prognostic significance assessment of different lymph node classification systems in stage III colorectal cancer patients.

Material And Methods: A total of 85 stage III colorectal cancer patients, who had undergone surgery between January 2013 and December 2018, were divided into 3 different groups comprising of lymph node ratios (LNR) and log odds of positive lymph nodes (LODDS) as per the cutoff values of 25 and 75 percentile threshold values. They were accordingly classified as: LNR1 <0. Read More

View Article

Download full-text PDF

Source

A rare case of jejunal gastrointestinal stromal tumor.

Ann Ital Chir 2019 Dec 20;8. Epub 2019 Dec 20.

Gastrointestinal stromal tumors(GISTs) are rare neoplasms of the gastrointestinal(GI) system originating from the mesenchyme. GISTs mostly develop in the stomach and small intestine. We present here a case of jejunal GIST which is the rarest subtype. Read More

View Article

Download full-text PDF

Source
December 2019

Psoriasis, a rare disease of the nipple-areola A case report.

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

Background: Psoriasis is a chronic inflammatory skin disease with an incidence of 1-3%. Psoriasis usually occurs in the scalp, knee, elbow, sacral region and joints. The nipple-areola complex involvement is rarely encountered in the literature. Read More

View Article

Download full-text PDF

Source
November 2019

Superior mesenteric vein thrombosis following open right hemicolectomy and cholecystectomy. Casr report.

Ann Ital Chir 2019 Nov 7;8. Epub 2019 Nov 7.

Aim: Superior mesenteric vein thrombosis (SMVT) is an uncommon but potentially life-threatening postoperative complication of colorectal surgery. Risk factors and prognosis of SMVT have been poorly described and data to create gold standard criteria for diagnosis and management are lacking. SMVT has a wide spectrum of clinical presentation, hence, its early identification may be a diagnostic challenge. Read More

View Article

Download full-text PDF

Source
November 2019

Update on the sentinel lymph node biopsy after neoadjuvant chemotherapy in breast cancer patient.

Ann Ital Chir 2020 Apr 8;9. Epub 2020 Apr 8.

Today, sentinel lymph node biopsy (SLNB) is considered the gold standard for axillary staging in early breast cancer patients with clinically negative lymph nodes (cN0). SLNB allows to determine the axillary lymph node status sparing the axillary dissection (AD) and its potential complications (seroma formation, loss of sensation, shoulder dysfunction and lymphedema) On the other hand, SLNB for nodal staging in breast cancer patients with clinically negative lymph nodes after neoadjuvant chemotherapy (ycN0) is a highly debated topic due to different reported success rates. In order to optimize oncological results, high identification rate (> 90%) and false negative rate as low as possible (< 10%) should always be obtained when performing SLNB after neaodjuvant chemotherapy. Read More

View Article

Download full-text PDF

Source
April 2020
0.683 Impact Factor

Therapeutic nipple-sparing mastectomy combined with endoscopic immediate prosthetic breast reconstruction via axillary incision. A further step towards an evidence-based and personalized surgery.

Ann Ital Chir 2020 Apr 8;9. Epub 2020 Apr 8.

Introduction: Nipple-sparing mastectomy is an oncologically validated technique for selected breast cancer patients and allows to improve aesthetic results and patients' quality of life. Conventional skin incisions are often a suboptimal solution due to the visibility of the scars. Aim of this work is to show our innovative technique, which allows to perform nipple-sparing mastectomy, lymph-node surgery, and endoscopic immediate prosthetic breast reconstruction using a single cosmetic axillary incision. Read More

View Article

Download full-text PDF

Source
April 2020
0.683 Impact Factor

Non-antibiotic prophylaxis in thyroid surgery. Experience of a single Institution and revision of literature.

Ann Ital Chir 2020 Apr 8;9. Epub 2020 Apr 8.

Aim: To evaluate the incidence of SSI and systemic infectious complications in a consecutive series of patients undergoing thyroid surgery in the absence of prophylactic antibiotic (NO-AP).

Methods: Prospective observational study including 77 patients who underwent total thyroidectomy and completion of previous hemithyroidectomy in NO-AP. The surgical intervention was performed by surgeons who were experienced in the procedure, and involved the use of Ligasure Harmonic Ethicon®, absorbable hemostat in oxidized regenerated cellulose (Tabotamp®), and skin incision suture device Skin Stapler®. Read More

View Article

Download full-text PDF

Source

Retained gallbladder stones in trocar site hernia.

Ann Ital Chir 2020 Mar 30;9. Epub 2020 Mar 30.

Aim: Retained stones after laparoscopic cholecystectomy occur after perforated gallbladder during surgery. A trocar site hernia with 8 retained gallstones is presented.

Patient-method: A 54-year-old female presented to our clinics with a paraumbilical hernia in trocar site. Read More

View Article

Download full-text PDF

Source

A prospective comparative study of contrast-enhanced CT, contrast-enhanced MRI and 18F-FDG PET/CT in the preoperative staging of colorectal cancer patients.

Ann Ital Chir 2020 Mar 25;9. Epub 2020 Mar 25.

Aim: In patients with colorectal cancer an accurate diagnostic work-up is mandatory in order to perform the most specific treatment. In this study, we aimed to evaluate the accuracy of computed tomography (CT), magnetic resonance imaging (MRI) and 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) for detection of regional lymph node metastases (RLNMs) and the additional value of PET/CT in the preoperative staging of colorectal cancer.

Material And Methods: From June 2015 to May 2018, 72 colorectal cancer patients were preoperatively examined using CT, MRI, and PET/CT. Read More

View Article

Download full-text PDF

Source

A prospective comparative study of ultrasonography, contrast-enhanced MRI and 18F-FDG PET/CT for preoperative detection of axillary lymph node metastasis in breast cancer patients.

Ann Ital Chir 2020 Mar 25;9. Epub 2020 Mar 25.

Aim: We aimed to evaluate; (i) the accuracy of ultrasonography (US), contrast-enhanced magnetic resonance imaging (cMRI) and 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) for detection of axillary lymph node metastases (ALNMs), (ii) the role of late prone imaging, and (iii) the effect of PET/CT on preoperative staging of breast cancer.

Material And Methods: From June 2015 to January 2019, 236 breast cancer patients were preoperatively exam ined using US, cMRI, and PET/CT and whom underwent pathological evaluations of axillary lymph nodes were analyzed. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy (ACC) of US, cMRI, and PET/CT for ALNMs were determined. Read More

View Article

Download full-text PDF

Source

An unusual case of large endometrioma within the rectus abdominis muscle misdiagnosed as desmoid tumour.

Ann Ital Chir 2020 Mar 24;9. Epub 2020 Mar 24.

We describe an unusual case of giant intramuscular abdominal endometrioma clinically misdiagnosed as desmoid tumour in a 36-year-old female patient with a one-year history of lower abdominal pain. Endometriosis is defined by the presence of endometrial tissue outside the uterine cavity, associated with fibrosis and inflammatory reaction. Although the abdominal wall is one of the most frequent sites of extra pelvic endometriosis, the localization in the anterior rectus abdominis muscle is unusual and associated with previous cesarean section. Read More

View Article

Download full-text PDF

Source

The association between personality trait and the development of postoperative complications in enterostomized patients. Systematic review of literature.

Ann Ital Chir 2020 ;91:74-87

Aim: To investigate the presence of association between the personality trait and the onset of postoperative complications in patients undergoing enterostomy packaging.

Materials And Methods: Systematic review of the literature.

Results: Type D personality traits and those with a low tendency to optimism and temperament (ex. Read More

View Article

Download full-text PDF

Source
January 2020

Comparison of the effects of thymoquinone and silymarin on the brain of rats having ischemia-reperfusion in the lower extremities.

Ann Ital Chir 2020 ;91:131-136

Aim: We aimed to show whether ischemia reperfusion (I/R) injury causes damage on brain or not, and whether thymoquinone and silymarin, as antioxidant and anti-inflammatory herbs, have beneficial effects on this damage or not.

Methods: Forty Wistar albino rats were carried out and were randomized to 4 groups with equal numbers (n=10): sham group, implemented of only anesthesia; control group, implemented of anesthesia and I/R injury; silymarin group, implemented of anesthesia and I/R injury and treated with a dose of 200 milligram/kg silymarin ip and thymoquinone group, implemented of anesthesia and I/R injury and treated with a dose of 20 mg/kg thymoquinone. Serum lipid hydroperoxide (LOOH) and total free sulfhydryl (Sh) levels were determined. Read More

View Article

Download full-text PDF

Source
January 2020

Evaluation of prognostic factors for 5 year-survival after surgery for colorectal cancer.

Ann Ital Chir 2020 ;91:41-48

Aim: The aim of this study was to assess and analyze the prognostic factors for survival in patients undergoing curative surgery for colorectal cancer and to identify new prognostic factors.

Methods: The prospective study included 301 patients diagnosed with colorectal cancer, stages I-III, undergoing curative surgery. Demographic data, clinical and anamnestic data, laboratory exams, paraclinical examinations, morphological and pathological examination were recorded. Read More

View Article

Download full-text PDF

Source
January 2020

LETTERA DEL DIRETTORE.

Authors:

Ann Ital Chir 2020 ;91:VII-VIII

Fondata nel 1922 quale prima rivista a carattere nazionale, la sua stessa denominazione di "annali" si rifaceva idealmente, con slancio nazionalistico in una particolare nostra epoca storica, al titolo "Annales" del più famoso storico latino dell'epoca imperiale romana, Publio Cornelio Tacito (56-120 d.C.) Nel 1987 il tradizionale modello di pubblicazione ha subito rilevanti cambiamenti ed innovazioni: avvicendamento nella direzione, composizione del Board, responsabilità editoriale, proprietà legale della rivista, adozione ufficiale della lingua Inglese e infine fondazione nel 2008 del sito web www. Read More

View Article

Download full-text PDF

Source
January 2020

An innovative approach for laparoscopic liver resections. Training protocol.

Ann Ital Chir 2020 ;91:105-111

Aim: To evaluate the benefits of systematical use of ex vivo liver model and CT imaging in the planning process for swine laparoscopic liver resections done by residents during a dedicated training program.

Material And Methods: Thirty general surgery residents, part of a dedicated and continuous training program, were equally divided into two groups: first one which performed laparoscopic liver resections without planning stage and the second one which systematically used an interactive tutorial for establishing the strategy for the resection followed by performing open liver dissection and the same resection on an ex vivo swine model. Afterwards, laparoscopic procedures were performed on twenty anesthetized domestic pigs. Read More

View Article

Download full-text PDF

Source
January 2020
0.683 Impact Factor

Hemosuccus pancreaticus A case report and review of the literature.

Ann Ital Chir 2020 ;91:27-34

Hemosuccus pancreaticus is a rare clinical condition, defined as a bleeding from an artery around the pancreas or a lesion on the pancreas, to the pancreatic duct. The intensity of bleeding can vary from occult bleeding to life threatening massive acute bleeding. In this article, we aimed to present a 68-year-old man who presented to our clinic with recurrent upper gastrointestinal bleeding and abdominal pain. Read More

View Article

Download full-text PDF

Source
January 2020

Extracorporeal versus intracorporeal anastomosis after laparoscopic right hemicolectomy: cost-effectiveness analysis.

Ann Ital Chir 2020 ;91:49-54

Aim: The cost effectiveness of the laparoscopic right hemicolectomy is still debated, and the current literature does not allow to be drawn certain conclusion. Our study compared direct clinical costs and outcomes for laparoscopic right hemicolectomy with the two most used type of anastomosis, such as ExtraCorporeal Anastomosis (ECA) and IntraCorporeal Anastomosis (ICA).

Material And Methods: In this retrospective study, all patients who underwent laparoscopic right hemicolectomy with intracorporeal and extracorporeal anastomosis between January 2016 and April 2018 were evaluated. Read More

View Article

Download full-text PDF

Source
January 2020

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

Ann Ital Chir 2020 ;91:65-68

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

View Article

Download full-text PDF

Source
January 2020

An electron microscopy study of liver and kidney damage in an experimental model of obstructive jaundice.

Ann Ital Chir 2020 ;91:122-130

With this experimental study we investigated the consequences of ligation of the common bile duct (CBD) on hepatic cells and on the renal ultrastructure by electron microscopy and also determine the effects after liberation of the ductus joint in order to clarify the mechanisms of renal failure commonly observed in cholestatic liver disease. The study was conducted on 53 Wistar albino rats divided into 4 subgroups. In the comparison group (sham) we proceeded to the simple laparotomy. Read More

View Article

Download full-text PDF

Source
January 2020

Endoscopy-assisted, single trans-gastric trocar, laparoscopic pseudocysto-gastrostomy A minimally invasive alternative for drainage of large pseudocysts.

Ann Ital Chir 2020 ;91:112-115

Introduction: Pancreatic pseudocyst is a complication of acute and chronic pancreatitis, which requires treatment in correlation with its size, symptomatology and mass effect on adjacent structures. Currently, pseudocyst drainage can be done within the stomach or small intestine through endoscopic, laparoscopic or open surgery approach.

Aims: In this paper we present a hybrid surgical technique applied by our team on 3 consecutive patients with pancreatic pseudocyst. Read More

View Article

Download full-text PDF

Source
January 2020

High ligation of sapheno-femoral junction and thermal ablation for lower limb primary varicosity in day hospital setting.

Ann Ital Chir 2020 ;91:61-64

Aim: The traditional surgical treatment for lower limb primary varicosity has been for a long time high ligation of sapheno-femoral junction and stripping of great saphenous vein. Surgery, however, has been frustrated by postoperative pains and discomfort and recurrences so that it has been challenged by minimally invasive endovenous techniques such as laser treatment and radiofrequency ablation. The aim of the article is to assess the feasibility, in a day hospital setting, of a combined approach to greater saphenous vein reflux: high ligation of sapheno-femoral junction and thermal treatment of the great sapenous vein. Read More

View Article

Download full-text PDF

Source
January 2020

Can superior mesenteric artery syndrome really be treated surgically?

Ann Ital Chir 2020 ;91:35-40

Aim: Superior mesenteric artery (SMA) syndrome is a rare reason of small bowel obstruction (SBO). İt is a complicated sickness. We aim to analyze the diagnosis, clinical presentation, SMAS management and postoperative outcomes after laparoscopic duodenojejunostomy. Read More

View Article

Download full-text PDF

Source
January 2020

New proposal of flap drawing for the extraction of the third mandibular molar semi-included. Cogswell triangular flap modified and transposed.

Ann Ital Chir 2020 ;91:93-99

Objective: The study proposes a new flap drawing derived from the modification of a triangular Cogswell flap to treat a semi-included third molar.

Material And Method: Two groups of patients underwent surgery: in the study group the new flap proposal was carried out whilst in the control group the triangular Cogswell flap was used. The gingival tissue and the periosteum were detached and the extraction technique was standardised for all the cases. Read More

View Article

Download full-text PDF

Source
January 2020

Prevention, treatment and outcomes of left ventricular assist device driveline infections. A single Center experience.

Ann Ital Chir 2020 ;91:8-15

Introduction: While the survival rates for patients with end-stage heart failure have dramatically improved with newer generations of left ventricular assist devices, LVAD-specific infections are important cause of morbidity, mortality, and hospital readmissions in these patients.

Methods: We performed a retrospective analysis of all driveline infections in patients who had undergone LVAD implantation at a single cardiosurgical center. Between June 2013 and March 2017, 51 patients underwent implantation of LVAD. Read More

View Article

Download full-text PDF

Source
January 2020

Diode laser photocoagulation of sublingual varices in 706 patients on antithrombotic therapy without drug discontinuation.

Ann Ital Chir 2020 ;91:100-104

Several conditions such as age, gender, systemic diseases, smoking, consuming vitamin rich foods, denture wearing may play a role in aetiology of sublingual varices. However, few studies investigating these associations. Nevertheless, prevention of potential bleeding of sublingual varices especially in patients in antithrombotic therapy should led clinicians to treat them by diode laser, since it allows a minimally invasive treatment of photocoagulation. Read More

View Article

Download full-text PDF

Source
January 2020

Hyperthyroidism with thyroid cancer: more common than expected?

Ann Ital Chir 2020 ;91:16-22

Objective: Hyperthyroidism is a group of diseases with many different etiologies and clinical manifestations. The most common causes include toxic multi-nodular goiter, Graves' disease and toxic adenoma. The prevalence of thyroid cancer developing in patients with hyperthyroidism has gradually increased in recent years. Read More

View Article

Download full-text PDF

Source
January 2020

Comparison of Magenstrasse and Mill gastroplasty and sleeve gastrectomy techniques as an experimental study on rabbits.

Ann Ital Chir 2020 ;91:116-121

Aim: Bariatric surgery is an important option when life-style modification, diet, and medical treatment are inadequate in lose weight. Bariatric surgical methods have gained popularity in recent years. In this paper, we compared the Magenstrasse and Mill(M&M) technique, with performing a simpler and more physiological type of gastroplasty without implanted foreign material such as band and reservoir, to the Sleeve Gastrectomy (SG) technique. Read More

View Article

Download full-text PDF

Source
January 2020

Primary neuroendocrine carcinoma of the breast: a 5-year experiences.

Ann Ital Chir 2020 ;91:23-26

Purpose: Breast neuroendocrine carcinomas constitute approximately 0.3-0.5% of all breast cancers. Read More

View Article

Download full-text PDF

Source
January 2020