A5034538482- Pelvic floor disorders treatments
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Colorectal Cancer Surgical Treatments
- Hernia repair and management
- Gastroesophageal reflux and treatments
- Esophageal and GI Pathology
- Colorectal and Anal Carcinomas
- Appendicitis Diagnosis and Management
- Abdominal Surgery and Complications
- Gastrointestinal motility and disorders
- Abdominal vascular conditions and treatments
- Urinary Bladder and Prostate Research
- Eosinophilic Esophagitis
- Enhanced Recovery After Surgery
- Cervical Cancer and HPV Research
- Omental and Epiploic Conditions
- Reconstructive Facial Surgery Techniques
- Systemic Sclerosis and Related Diseases
- Gastric Cancer Management and Outcomes
- Tracheal and airway disorders
- Intraperitoneal and Appendiceal Malignancies
- Surgical site infection prevention
- Laser Applications in Dentistry and Medicine
- Nonmelanoma Skin Cancer Studies
Ospedale Buon Consiglio Fatebenefratelli
2019-2024
Fatebenefratelli Hospital
2019-2024
University of Milano-Bicocca
2019
Villa Torri Hospital
2011-2016
Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale"
2009
Federico II University Hospital
2006
Cleveland Clinic Florida
2006
University of Campania "Luigi Vanvitelli"
2003-2004
Cleveland Clinic
2002
University of Fort Lauderdale
2001
This prospective, randomized, controlled trial was designed to compare the clinical, functional, and morphologic results of pneumatic balloon dilatation with lateral internal sphincterotomy for treatment chronic anal fissure.All patients symptomatic fissure were randomly assigned or invited complete a standardized questionnaire inquiring about their symptoms. Anal ultrasonography manometry performed before six months after surgery. A proctologic examination between fifth sixth postoperative...
The use of a dedicated score represents an essential tool for the clinical staging obstructed defecation syndrome (ODS), subsequent diagnostic and therapeutic options, evaluation results. This study was designed to develop validate new, simple, disease-specific scoring system ODS. questionnaire consists 5 items: excessive straining, incomplete rectal evacuation, enemas and/or laxatives, vaginal-anal-perineal digitations, abdominal discomfort pain. Each item graded from 0 with ranging ( no...
Introduction . Functional disorders of the pelvic floor represent have a significant impact on quality life. The advent open-configuration systems allowed for evaluation defecation with MR imaging in sitting position. purpose present study is to compare results static and dynamic performed supine position versus position, using new prototype machine, diagnosis descent. Materials Methods Thirty-one patients were enrolled, underwent Defecography 1.5 T closed magnet (MAGNETOM Symphony, Siemens,...
PURPOSE: As many as 60 percent of patients present with recurrent symptoms fecal incontinence after anterior overlapping anal sphincter repair. The aim this study was to assess the outcome repeat METHODS: All female obstetric damage who underwent repair between November 1988 and June 2000 were reviewed. preoperatively assessed by anorectal manometry, electromyography, pudendal nerve terminal motor latency; manometry repeated during follow-up. Preoperative endoanal ultrasonography available...
The aim of these evidence-based guidelines is to present a consensus position from members the Italian Unitary Society Colon-Proctology (Società Italiana Unitaria di Colon-Proctologia, SIUCP) on diagnosis and management hemorrhoidal disease, with goal guiding physicians in choice best treatment option. A panel experts was charged by Board SIUCP develop key questions main topics related disease perform an accurate comprehensive literature search each topic, order provide answers summarize...
Stapled transanal rectal resection has become the primary surgical procedure for treatment of obstructed defecation syndrome caused by rectocele or intussusception. The is generally performed with 2 circular staplers. Recently, a dedicated contour-curved stapler was developed.This study designed to compare effects these types on relief symptoms.A randomized controlled trial conducted at regional referral center in Naples, Italy.Patients and intussusception, treated from November 2005 through...
Pneumatic balloon dilation has been shown to be effective in the management of chronic anal fissure, but its effect on sphincter not fully investigated. The aim this study was evaluate prospectively clinical, anatomic, and functional pattern a group patients treated by pneumatic dilation.A series 33 consecutive suffering from fissure underwent dilation. Anal manometry ultrasonography were performed prior 6 12 months after treatment. Manometry accomplished means an endoanal 40-mm inflated...
Purpose: This study was designed to evaluate the safety and efficacy of Stapled Trans-Anal Rectal Resection (STARR) in treatment Obstructed Defecation Syndrome ODS by analysis data collected STARR Italian Registry (SIR) with a special emphasis on symptoms quality life. Methods: Collected included, preoperative tests findings, evaluation symptoms; latter obtained using dedicated tools such as Score (ODS-S), Severity Symptom (SSS), Continence Grading Scale (CGS). Data life were Patient...
Perianal giant condyloma acuminatum is a rare variant of acuminata and often represents therapeutic challenge. We report case successfully treated with surgical excision alone.
We hypothesized that pathological perineal descent may be responsible for the failure of operations obstructed defecation syndrome and correcting excessive improve outcome in this group patients.The purpose study was to report short-term preliminary results a novel surgical procedure, transverse support, correction descent.This prospective, uncontrolled, open-label study.The conducted hospital university center.Among 25 patients observed with previous surgery syndrome, 12 underwent were...
Purpose. To evaluate the results of Damage Control Strategy (DCS) in treatment generalized peritonitis from perforated diverticular disease patients with preoperative severe systemic diseases. Methods. All diffuse (Hinchey 3 and 4) American Society Anesthesiologists (ASA) score ≥3 were included underwent DCS consisting a 2-step procedure. The first was peritoneal lavage, colon-stapled resection, temporary abdominal closure negative pressure wound therapy combined instillation. second step,...
Despite the widely accepted association between excessive straining and perineal descent, clinical significance of descent in patients with obstructed defecation syndrome is still unclear.This study aimed to evaluate prevalence pathological impact on symptoms severity.This was a prospective multicenter uncontrolled study.The involved 3 hospital pelvic-care centers conducted from January 2018 2022.The included 141 consecutive adult an score 9 or more no evidence organic GI pathology. All...
This multicenter randomized study was designed to compare the clinical and functional results of stapled transanal rectal resection (STARR) performed with 2 staplers (PPH-01 vs. PPH-03) in treatment hemorrhoidal disease associated a large internal prolapse.From total 937 patients, referred for 20 centers involved study, 425 (45.3%) prolapsed hemorrhoids prolapse were undergo STARR PPH-01 or PPH-03. Postoperative evaluation made at 3, 6, 12 months.The incidence bleeding line significantly...
Fistula-in-ano is one of the most commonly presenting anorectal diseases. Sphincter sparing treatment options should be considered in patients with complex fistulas. Salvecoll-E gel a native collagen deantigenated and purified, non-cross-linked equine dermal extract, an amino acid composition identical to human collagen. The multicentric trial study was prospective, single-arm observational clinical objective assess efficacy for anal fistula repair 70 patients. All had undergone preliminary...
Purpose . This study was designed to evaluate the role of maintenance therapy with partially hydrolyzed guar gum (PHGG) after topical application glyceryl trinitrate (GTN) in conservative treatment chronic anal fissure (CAF). Methods From all patients CAF observed during period, 165 subjects healed standard GTN 0.4% ointment were randomized receive (group II) or not I) PHGG for 10 months. Clinical and manometric followup carried out 6 12 months treatment. Results At six-month followup,...