Maria Michela Chiarello
A5082686331- Colorectal Cancer Surgical Treatments
- Appendicitis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Anorectal Disease Treatments and Outcomes
- Gastric Cancer Management and Outcomes
- Metastasis and carcinoma case studies
- Intraperitoneal and Appendiceal Malignancies
- Pelvic floor disorders treatments
- Gastrointestinal Tumor Research and Treatment
- Abdominal Surgery and Complications
- COVID-19 and healthcare impacts
- Diverticular Disease and Complications
- Hernia repair and management
- Colorectal and Anal Carcinomas
- Gallbladder and Bile Duct Disorders
- Surgical site infection prevention
- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Enhanced Recovery After Surgery
- Esophageal Cancer Research and Treatment
- Inflammatory Bowel Disease
- Pelvic and Acetabular Injuries
- COVID-19 Clinical Research Studies
- Medical Malpractice and Liability Issues
- Esophageal and GI Pathology
Istituto S.Anna Crotone
2025
Azienda Ospedaliera di Cosenza
2022-2024
Nuovo Ospedale San Giovanni di Dio
2019-2023
Agostino Gemelli University Polyclinic
2021
Istituti di Ricovero e Cura a Carattere Scientifico
2021
Western General Hospital
1998
Abstract Purpose Chronic constipation is a common symptom. Constipation due to pelvic floor disorders remain therapeutic challenge. Biofeedback therapy considered as the first-choice treatment for disorders, whenever dedicated expertise available. Type A botulinum toxin has been used selectively weaken external anal sphincter and puborectalis muscle in constipated patients. Method Eighty-two patients with chronic outlet obstruction were treated 100 units type toxin, injected into sphincter....
Enteric fistulas are a common problem in gastrointestinal tract surgery and remain associated with significant mortality rates, due to complications such as sepsis, malnutrition, electrolyte imbalance. The increasingly widespread use of open abdomen techniques for the initial treatment abdominal sepsis trauma has led observation so-called entero-atmospheric fistulas. Because their clinical complexity, proper management enteric fistula requires multidisciplinary team. main goal is closure...
Abstract Background Severe complicated intra-abdominal sepsis (SCIAS) has an increasing incidence with mortality rates over 80% in some settings. Mortality typically results from disruption of the gastrointestinal tract, progressive and self-perpetuating bio-mediator generation, systemic inflammation, multiple organ failure. A further therapeutic option may be open abdomen (OA) management negative peritoneal pressure therapy (NPPT) to remove inflammatory ascites attenuate damage SCIAS,...
Acute mesenteric ischaemia (AMI) is a condition with high mortality. This survey assesses current attitudes and practices to manage AMI worldwide.A questionnaire about the of diagnosing managing AMI, endorsed by several specialist societies, was sent different medical specialists hospitals worldwide. Data from individual health care professionals teams were collected.We collected 493 forms 71 countries 94 team 34 countries. Almost half respondents surgeons, most responding (70%) led...
Bianchi, Valentina MD; Misuriello, Filomena Piras, Edoardo Nesci, Carmen Chiarello, Maria Michela Brisinda, Giuseppe MD Author Information
Surgery for gastric cancer is a complex procedure and lymphadenectomy often mandatory. Postoperative mortality morbidity after curative surgery not insignificant.To evaluate the factors determining in population of patients undergoing R0 resection D2 cancer.A retrospective analysis clinical data pathological characteristics (age, sex, primary site tumor, Lauren histotype, number positive lymph nodes resected, negative depth invasion as defined by standard nomenclature) was conducted with...
Anal fissure is caused by a pathological contraction of the internal anal sphincter. Lateral sphincterotomy remains gold standard for treatment fissure. Botulinum toxin injections have been proposed to treat this condition without any risk permanent injury We investigate clinical and variables effects different dosage regimens botulinum induce healing in patients with idiopathic fissure.This retrospective study at single center. The underwent pre-treatment evaluation that included inspection...
The objectives of the study were to investigate organizational characteristics acute care facilities worldwide in preventing and managing infections surgery; assess participants' perception regarding infection prevention control (IPC) measures, antibiotic prescribing practices, source control; describe awareness about global burden antimicrobial resistance (AMR) IPC measures; determine role Coronavirus Disease 2019 pandemic on said awareness.A cross-sectional web-based survey was conducted...
Anastomotic leakage (AL) after restorative surgery for rectal cancer (RC) is associated with significant morbidity and mortality.To ascertain the risk factors by examining cases of AL in this retrospective cohort study.To identify AL, a review 583 patients who underwent resection double-stapling colorectal anastomosis between January 2007 2022 was performed. Clinical, demographic operative features, intraoperative outcomes oncological characteristics were evaluated.The incidence 10.4%, mean...
(1) Background: Lymph node (LN) dissection is the cornerstone of curative treatment GC. The pattern distribution LN metastases closely related to several factors. aim this study evaluate factors determining nodal in a population N+ distal GC patients undergoing gastrectomy and D2 lymphadenectomy. (2) Methods: medical charts 162 who underwent surgical resection over 15-year period were retrospectively analyzed. Clinical, pathological anatomical characteristics evaluated identify affecting...
Introduction: The most frequent local complication of insulin injection is the occurrence subcutaneous nodules due to incorrect technique. Injection into negatively impacts metabolic compensation and requirement for greater doses its partial erratic absorption. Despite these concepts being accepted by scientific community, it not yet clear whether causally related worsening chronic diabetes (DM) complications morphological nature such nodules. Aim: This multicenter study aimed evaluate...