- Cardiac, Anesthesia and Surgical Outcomes
- Gastric Cancer Management and Outcomes
- Breast Implant and Reconstruction
- Reconstructive Surgery and Microvascular Techniques
- Appendicitis Diagnosis and Management
- COVID-19 and healthcare impacts
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Gastrointestinal Tumor Research and Treatment
- Metastasis and carcinoma case studies
- Colorectal Cancer Surgical Treatments
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Diversity and Career in Medicine
- Frailty in Older Adults
- Esophageal and GI Pathology
- Hip and Femur Fractures
- Global Health and Surgery
- Intraperitoneal and Appendiceal Malignancies
- Genetic factors in colorectal cancer
- Radiation Dose and Imaging
- Male Breast Health Studies
- Body Image and Dysmorphia Studies
- Multiple and Secondary Primary Cancers
- Economic and Financial Impacts of Cancer
- Gallbladder and Bile Duct Disorders
Valley Hospital
2023
University of Siena
2020-2023
Abstract Background This study evaluated the efficacy of pressurized intraperitoneal aerosol chemotherapy (PIPAC) with systemic as a bidirectional approach for gastric cancer (GC) patients synchronous peritoneal metastases (SPM). Methods A retrospective analysis prospective PIPAC database was queried who underwent between October 2019 and April 2022 at two high-volume GC surgery units in Italy (Verona Siena). Surgical oncological outcomes were analyzed. Results Between 2022, 74 procedures 42...
Introduction: The timing of contralateral symmetrisation in patients with large and ptotic breasts undergoing a unilateral skin-reducing mastectomy (SRM) is one the most debated topics reconstructive field. There no evidence to support advantage immediate or delayed help surgeons this decision. aim study was investigate clinical aesthetic outcomes symmetrisation. Methods: A randomised observational conducted on who underwent an SRM for breast cancer. Based simple randomisation list, were...
COVID-19 has been declared a pandemic by the World Health Organization. As of April 1, 2020, Italy was country with second highest number cases in world. The spread required rapid reorganization health service delivery face pandemic. Breast cancer units have reprioritized their workload to guarantee oncologic patients at risk and regular screening activities. However, end emergency, many benign reconstructive will return our attention surgical treatment be necessary as soon possible.
Background and Objectives: The use of oncoplastic techniques has spread widely in the last decade, with an expansion indications demonstration excellent oncological safety profiles. A potential downside may be increased complication rates, which could influence timing adjuvant therapy. To date, there is increasing evidence that negative pressure therapy on closed wounds can reduce rates after surgery. From this perspective, we tested portable wound dressings (NPWDs) surgery to minimize early...
Background: Although the prognostic value of epithelial-to-mesenchymal transition (EMT) in gastric cancer has been reported several studies, strong association with diffuse type may represent a confounding factor. Our aim is to investigate potential correlations among EMT status, tumor advancement, and prognosis cancer. Methods: Between 1997 2012, 84 patients microsatellite-stable (MSS) diffuse-type tumors underwent surgery. The phenotype was assessed E-cadherin, CD44, zinc finger E-box...
Abstract Background Identification of reliable risk‐stratification tools is critical for surgical decision making, particularly in frail and elderly. The aim the study to validate Emergency Surgery Frailty Index (EmSFI), over 65 years old patients operated on acute appendicitis. Methods An observational was conducted enrolling elderly with diagnosis appendicitis who underwent emergency appendicectomy or right colectomy, between 2016 2021. All were treated according last...
Abstract Background Evidence on the efficacy of minimally invasive (MI) segmental resection splenic flexure cancer (SFC) is not available, mostly due to rarity this tumor. This study aimed determine survival outcomes MI and open treatment, investigate whether noninferior procedure regarding short-term outcomes. Methods nationwide retrospective cohort included all consecutive SFC resections performed in 30 referral centers between 2006 2016. The primary endpoint assessing was overall (OS)....
Summary Background Porcelain gallbladder (PGB) is defined as calcium deposits encrusting the internal visceral layer, which becomes hard, brittle, and bluish. rare has been found in less than 1% of routine cholecystectomy specimens. Several studies report an incidence carcinoma (GBC) associated with calcification varying between 12.5 61%, data have known for 60 years. There a lack information concerning PGB its association GBC, aim this study to better define relationship. Methods A total 10...
Abstract Acute diverticulitis (AD) is associated with relevant morbidity/mortality and increasing worldwide, thus becoming a major issue for national health systems. AD may be challenging, as clinical relevance varies widely, ranging from asymptomatic picture to life-threatening conditions, continuously evolving diagnostic tools, classifications, management. A 33-item-questionnaire was administered residents surgeons analyze the actual practice verify real spread of recent recommendations,...
Introduction Laparoscopic surgery has been adopted in some parts of the world as an innovative approach to resection gastric cancers. However, modern era surgical oncology, overcome intrinsic limitations traditional laparoscopy, robotic is advocated able facilitate lymph node dissection and complex reconstruction after gastrectomy, assure oncologic safety also advanced cancer patients. Previous meta-analyses highlighted a lower complication rate well bleeding group when compared with...
Extranodal non-Hodgkin’s lymphomas of the gastrointestinal tract represent 30%–40% all extranodal lymphomas. Gastric are increasingly described in literature due to development diagnostic techniques and increased incidence, together with reduced incidence gastric solid neoplasms. Significant difficulties determined by non-specificity symptoms, which mostly chronic, characterised a slow progression. Localisation small intestine often appears as surgical urgency, an intestinal obstruction or...
SUMMARY: Skin-sparing mastectomy (SSM) is a surgical technique that preserves as much of the breast skin possible. D.a.C.i. - Double asymmetric Circular incision novel immediate reconstruction for prepectoral implant placement using titanium-coated polypropylene mesh. The aim this to optimize cosmetic benefits smaller incisions, preserve anatomy, avoid deformities and reduce negative psychological impact on patient without increasing local recurrence risk. SSM uses double circular incision:...
During the first hit of SARS-COVID pandemic, an important reorganization Healthcare Services has been done, and new protocols pathways to protect frail patients like oncological were designed. The second pandemic had stressed these suggests health-workers some improvements for safer management patents.We reported our experience in organizing clinical pathway neoadjuvant therapy candidate based on execution sentinel lympho-node biopsy placement implantable venous access port same operating...