Roberta Tutino
- Colorectal Cancer Surgical Treatments
- Anorectal Disease Treatments and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Diverticular Disease and Complications
- Appendicitis Diagnosis and Management
- Pelvic floor disorders treatments
- COVID-19 and healthcare impacts
- Hernia repair and management
- Abdominal Surgery and Complications
- Thyroid and Parathyroid Surgery
- Stoma care and complications
- Enhanced Recovery After Surgery
- Colorectal and Anal Carcinomas
- Colorectal Cancer Screening and Detection
- Global Health and Surgery
- Pelvic and Acetabular Injuries
- Pancreatic and Hepatic Oncology Research
- Gallbladder and Bile Duct Disorders
- Hip and Femur Fractures
- Trauma and Emergency Care Studies
- Surgical site infection prevention
- Intestinal and Peritoneal Adhesions
- Gastrointestinal disorders and treatments
- Pancreatitis Pathology and Treatment
- Gastric Cancer Management and Outcomes
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino
2022-2025
Ca' Foncello Hospital
2022-2024
University of Edinburgh
2024
Marche Polytechnic University
2024
National Institute for Health Research
2024
University of Birmingham
2024
Fondazione Ricerca Molinette
2023-2024
Azienda ULSS 9 TREVISO
2021-2022
University of Palermo
2015-2022
University of Turin
2021
Abstract Background Laparoscopic cholecystectomy is considered the gold standard for treatment of gallbladder lithiasis; nevertheless, incidence bile duct injuries (BDI) still high (0.3–0.8%) compared to open (0.2%). In 1995, Strasberg introduced "Critical View Safety" (CVS) reduce risk BDI. Despite its widespread use, scientific evidence supporting this technique prevent BDI controversial. Methods Between March 2017 and 2019, data patients submitted laparoscopic in 30 Italian surgical...
The aim of this retrospective study was to evaluate morbidity, mortality, postoperative function and recurrences in patients treated by Altemeier's rectosigmoidectomy for complete rectal prolapse a referral center pelvic floor functional disorders. Peri-operative data on 43 consecutive female were reviewed. At follow-up any change determined. Thirty four assessed at median interval 49 (2–135) months, six being deceased reason not related the three lost follow-up. Post-operative complications...
Abstract Background The aim of the present study was to evaluate efficacy and safety 3% polidocanol foam for treating 2nd-degree haemorrhoids. Methods A multicentre, open-label, single-arm, phase 2 trial involving 10 tertiary referral centres haemorrhodal disease (HD) performed. Between January June 2019, patients with haemorrhoids were prospectively included in this study. primary outcome establish success rate after one sclerotherapy session terms complete resolution bleeding episodes week...
To date, the exact pathophysiology of haemorrhoids is poorly understood. The different philosophies on aetiology may lead to approaches treatment. A pathogenic theory involving a correlation between altered anal canal microflora, local inflammation, and muscular dyssynergia proposed through an extensive review literature. Since middle twentieth century, three main theories exist: (1) varicose vein theory, (2) vascular hyperplasia (3) concept sliding lining. These phenomena determine changes...
Abstract Purpose Time to closure and morbidity are significant issues associated with ileostomy reversal after rectal cancer resection. This study aimed investigate the rate, time, procedure. Methods Between February December 2022, patients who underwent protective surgery across 45 Italian surgical centres were prospectively included. Data on times, methods, complications collected analyzed. Both univariate multivariate statistical tests employed assess stoma rates occurrence of...
Purpose Small bowel obstructions represent a major cause of hospitalization, morbidity and mortality in surgical emergency departments. The Gastrografin protocol could be an effective tool facilitating its evaluation treatment. Methods A prospective observational study was conducted on patients admitted to the department with diagnosis small obstruction treated challenge analyze risk factors related outcome. Results 55 were included. In 38 (69.09%) resolution occlusive condition obtained....
Perforated peptic ulcers (PPU) remain one of the most frequent causes death. Their incidence are largely unchanged accounting for 2–4% and second abdominal cause perforation indication gastric emergency surgery. The minimally invasive approach has been proposed to treat PPU however some concerns on offered advantages remain. Data 184 consecutive patients undergoing surgery were collected. Likewise, perioperative data including shock at admission interval between evaluate Boey's score. It was...
Acute mesenteric ischemia is a rare affection with high related mortality. NOMI presents the most important diagnostic problems and higher risk of white laparotomy. This study wants to give contribution for validation laparoscopic approach in case NOMI.Thirty-two consecutive patients were admitted last 10 years ICU Paolo Giaccone University Hospital Palermo AMI. Diagnosis was obtained by multislice CT selective angiography done if clinical conditions permissive. If necrosis already present...
Sclerotherapy with 3% polidocanol foam is becoming increasingly popular for the treatment of symptomatic I-II or III degree haemorrhoidal disease (HD). However, there are no studies that have reported a follow-up more than 1 year. The purpose this study was to analyse long-term outcomes sclerotherapy in II-degree HD.This an open label, single-arm, phase 2b trial conducted 10 tertiary referral centres HD. A total 183 patients HD, aged between 18 and 75 years HD according Goligher...
Abstract Background Open abdomen (OA) permits the application of damage control surgery principles when abdominal trauma, sepsis, severe acute peritonitis and compartmental syndrome (ACS) occur. Methods Non‐traumatic patients treated with OA between January 2010 December 2015 were identified in a prospective database, data collected retrospectively reviewed. Patients’ records from charts surgical intensive care unit (ICU) registries. The Acosta “ modified ” technique was used to achieve...
Anaplastic thyroid carcinoma (ATC) is a very rare and extremely aggressive disease with poor prognosis. Several risk factors have been hypothesized, but there no clear-cut literature data on it. We reviewed the concerning for ATC analyzed institutional database from 2005 to 2022. In total, 15 papers were suitable review, while retrospective collection search, conducted our database, provided 13 results. experience, in agreement data, seems be neoplasm peculiar old age (in mean 72 years),...
Abstract Aim The percentage recurrence after any surgical treatment for low rectovaginal fistula ( LRVF ) is unacceptably high. aim of this study was to evaluate the short‐ and long‐term results Martius procedure in a carefully selected series patients with at least 1 cm diameter who had two previous surgeries or presence chronically inflamed local tissues. Method Between January 2009 April 2017, 24 abovementioned features were prospectively included study. Success defined both as absence...
Hemorrhoidal artery embolization (Emborrhoid) is a novel method for the treatment of severe hemorrhoidal bleeding. Despite having technical success rate 93%-100%, clinical ranges between 63% and 94%, with rebleeding 13.6%.