A5038962719- Hernia repair and management
- Stoma care and complications
- Colorectal Cancer Surgical Treatments
- Body Contouring and Surgery
- Pancreatitis Pathology and Treatment
- Pancreatic and Hepatic Oncology Research
- Congenital Diaphragmatic Hernia Studies
- Gallbladder and Bile Duct Disorders
- Pelvic and Acetabular Injuries
- Abdominal Surgery and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Urological Disorders and Treatments
- Bariatric Surgery and Outcomes
- Minimally Invasive Surgical Techniques
- Colorectal and Anal Carcinomas
- Colorectal Cancer Screening and Detection
- Nutrition and Health in Aging
- Frailty in Older Adults
- Modular Robots and Swarm Intelligence
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda
2020-2024
Ospedale Maggiore
2020
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
2020
Obesity is a risk factor for ventral hernia development and affects up to 60% of patients undergoing repair. It also associated with higher rate surgical site occurrences an increased recurrence after repair, but data lacking on the differences between obesity classes.Between 2008 2018, 322 underwent laparoscopic repair in our department: class I n = 231 (72%), II 55 (17%), III 36 (11%). We compared short long-term outcomes three classes.Patients had longer median length hospital stay (5...
Abstract Aim Locally advanced rectal cancer (LARC) is commonly treated with neoadjuvant chemoradiotherapy (nCRT) and total mesorectal excision (TME) to reduce local recurrence (LR) improve survival. However, LR, particularly associated lateral lymph node (LLN) involvement, remains a concern. The aim of this study was investigate preoperative factors LLN involvement their impact on LR rates in LARC patients undergoing nCRT curative surgery. Method This multicentre retrospective study,...
Abstract Background Complex incisional hernias pose challenges for abdominal wall surgeons, often requiring invasive procedures like Transversus abdominis release (TAR). However, these approaches may not always be sufficient or overly patients. Tissue expanders provide a viable solution. This report presents clinical case demonstrating the feasibility and safety of an expansion system, enabling Rives technique in patients with large previously recommended TAR. Method We treated 77-year-old...
Abstract Background Transversus abdominis release (TAR) was introduced in 2012 and has emerged as a preferred method for addressing wide complex ventral hernias. In recent years, it been explored the role of minimally invasive approach retromuscular repairs, to permit anatomical reconstruction placement mesh an extraperitoneal location. Advancements robotic surgery have led increase utilization repair hernias, combining benefits techniques with TAR. Our aim is describe our surgical technique...
Abstract Background Robot-assisted approach in abdominal wall hernia repair (AWHR) is constantly spreading, increasing minimally invasive procedures and sublay or extraperitoneal mesh placement. Few evidences about robotassisted approaches are available literature, especially looking at new emerging robotic platforms. The aim of this study to prospectively report our initial monocentric experience AWHR performed with a multimodular platform. Method All consecutive patients, undergoing...
Abstract Robotic surgery is gaining more space in every country at level. Wall one of the fields which technology can help surgeons and give opportunities to patients. One biggest differences between laparoscopic that use robot provides excellent 3D VISION abdomen ease surgeon, during difficult tricky situation mostly. this wall affection diastasis recti. It affects about 1/3 women after childbirth, yet it still little talked today. Often underestimated or confined a cosmetic problem, most...
Abstract Parastomal hernias (PSH) occur in 50–80% after stoma formation and its treatment is considered a real challenge. According to the recent literature, use of prophylactic mesh at time primary should decrease odds hernia formation. The most common occurrences PSH surgery are: recurrence, seroma wound complications. In this video, we report 2 cases infection with fistula necessitated removal 10 4 years placement. first patient was 66 years-old male. 2007 he underwent radical...
Abstract Aim Posterior component separation with transversus abdominis release (PCS-TAR) represents a good option for challenging complex ventral hernia repairs. We present case of PCS-TAR giant lumbar in patient transplanted kidney. Material and Methods The is 46 years old man Charlson Comorbidity Index 2 BMI 27.5 kg/m2 who underwent kidney transplant 2005 subsequent open repair mesh implantation an incisional 2007. Two later, he experienced recurrence, but chose conservative management. In...
Abstract Aim To assess the short- and long-term outcomes of posterior component separation with transversus abdominis release (PCS-TAR) at our Centre. Material methods From 2016, abdominal wall unit started PCS-TAR for treatment patients complex hernias. We report prospectively collected preliminary results. Results Sixty-six underwent PCS-TAR. Twenty had already received least one previous hernia repair, 16 mesh implantation. The median width defect was 12 cm (range 3 - 35), length 15 4...
Abstract Aim To assess the long-term outcomes after laparoscopic repair (LR) of ventral hernias located on abdominal borders. Material and methods Out our prospectively collected LR database, all cases were reviewed. Defects near borders identified (M1, M5, L1 L4 according to EHS classification). All patients received intraperitoneal implantation an e-PTFE mesh. The primary aim this study was outcomes. Results 175 LR, 105 (60%) had a M1 component, 61 (35%) 24 (14%) 5 (3%) L4. median defect...
Abstract Aim to point out the critical issues of management a challenging case complex ventral hernia (CVH) in high risk patient Material and methods A 58-year-old female was referred our Institution with history alcohol smoking abuse, COPD class I obesity. Four years before she underwent liver transplantation. In next two had 2 VH repairs polypropilene (PP) meshes. The postoperative course complicated by deep surgical site infection (SSI) dehiscence. wound resulted large R2 M3-L2 CWH...
Abstract Aim the worldwide increase in morbidly obese patients with complex hernia raises controversies choice of appropriate treatment timing: synchronous bariatric and abdominal wall surgery versus delayed surgery. We report an innovative tailored surgical carried out at our Institution. Material Methods approach provided injection, six weeks before surgery, 500 international units botulinum toxin A on either side large muscles. Four pneumoperitoneum was inducted out-patient daily sessions...