Roberto Perinotti
- Colorectal Cancer Surgical Treatments
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Pelvic floor disorders treatments
- Stoma care and complications
- COVID-19 and healthcare impacts
- Colorectal Cancer Treatments and Studies
- Colorectal Cancer Screening and Detection
- Colorectal and Anal Carcinomas
- Cardiac, Anesthesia and Surgical Outcomes
- Appendicitis Diagnosis and Management
- Surgical site infection prevention
- Amoebic Infections and Treatments
- Gastric Cancer Management and Outcomes
- Telemedicine and Telehealth Implementation
- Enhanced Recovery After Surgery
- Cancer-related molecular mechanisms research
- Gallbladder and Bile Duct Disorders
- Circular RNAs in diseases
- Respiratory Support and Mechanisms
- Clinical Nutrition and Gastroenterology
- MicroRNA in disease regulation
- Gastrointestinal disorders and treatments
- Anatomy and Medical Technology
- Social Media in Health Education
Ospedale degli Infermi
2016-2025
Federico II University Hospital
2024
University of Naples Federico II
2024
Ospedale degli Infermi
1992-2022
Ospedale Infermi di Rimini
2022
Collaborative Group (United States)
2020
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...
Pilonidal disease (PD) is a relatively common, benign but challenging condition of the natal cleft. This consensus statement was drawn up by panel surgeons, identified Italian Society Colorectal Surgery (SICCR) as having "special interest" in PD, with aim recommending best therapeutic options according to currently available scientific evidence. A three-step modified-Delphi process adopted, implying: (1) choice panelists; (2) development discussion outline and target issues; (3) detailed...
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...
Abstract Aim The management of haemorrhoids has changed significantly in the last two decades as a result new insights into their pathophysiology and availability surgical devices. aim this survey was to evaluate changes Italy over 17 years. Method An electronic database which recorded details relating severity between 2000 2016 obtained from 18 34 colorectal surgeons who were invited participate. Results A total 32 458 patients treated for by expert coloproctologists during 17‐year period....
The choice of whether to perform protective ileostomy (PI) after anterior resection (AR) is mainly guided by risk factors (RFs) responsible for the development anastomotic leakage (AL). However, clear guidelines about PI creation are still lacking in literature and this often decided according surgeon's preferences, experiences or feelings. This qualitative study aims investigate, an open-ended question survey, individual decision-making process regarding elective AR.Fifty four colorectal...
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...
Many different surgical techniques have been reported for the treatment of full-thickness external rectal prolapse. Perianal stapled prolapse resection (PSP) is a relatively newly technique full thickness The aim this prospective multicentre study was to evaluate results procedure.Consecutive patients who underwent PSP at five centres were recruited study. Median operating time, hospital stay, complications, recurrence and functional according Wexner Incontinence Scale obstructive...
Introduction . Various pain management strategies for patients undergoing open excisional hemorrhoidectomy have been proposed, yet postoperative remains a frequent complaint. Objective To determine whether mesoglycan (30 mg two vials i.m. once/day the first 5 days postoperative, followed by 50 1 oral tablet twice/day 30 days) would reduce edema of mucocutaneous bridges and thus improve symptoms. Patients Methods For this prospective observational multicenter study, 101 diathermy III-IV...
Abstract Background The optimal timing of surgery in relation to chemoradiation is still controversial. Retrospective analysis has demonstrated the recent decades that regression adenocarcinoma can be slow and not complete until after several months. More recently, increasing pathologic Complete Response rates have been correlated with longer time interval. purpose trial demonstrate if delayed neoadjuvant chemoradiotherapy actually affects reflects on disease-free survival overall rather...
Abstract The aim of this prospective multicentric study was to compare the accurate colonic lesion localization ratio between CT and colonoscopy in comparison with surgery. All consecutive patients from 1st January 31st December 2019 a histologically confirmed diagnosis dysplastic adenoma or adenocarcinoma planned elective, curative resection who underwent both scans were included. Each patient conventional stage tumour, results each procedure registered. colonoscopic compared surgical...
Temporary ileostomy is a valuable aid in reducing the severity of complications related to rectal cancer surgery. However, it still unclear what best timing its closure relation feasibility an adjuvant treatment, especially considering patient-reported outcomes and health system costs. The aim study compare results early versus late strategy patients with indication chemotherapy after resection for cancer.This prospective multicentre randomised trial, sponsored by Rete Oncologica Piemonte e...
Proctology is one of the surgical specialties that suffered most during COVID-19 pandemic. Using data from a cross-sectional worldwide web survey, we aimed to snapshot current status proctologic practice in Italy with differences between three macro areas (North, Centre, South). Specialists affiliated renowned scientific societies an interest coloproctology were invited join 27-item survey. Predictive power respondents' and hospitals' demographics on change activities was calculated. The...
Excisional haemorrhoidectomy is the gold standard technique in patients with III and IV degree haemorrhoidal disease (HD). However, it associated a significant rate of post-operative pain. The aim our study was to evaluate efficacy mesoglycan period who underwent open excisional diathermy (OEH).This retrospective multicentre observational study. Three hundred ninety-eight from sixteen colorectal referral centres OEH for HD were enrolled. All followed-up on first day (T1) after 1 week (T2), 3...
Abstract Background Neoadjuvant chemoradiotherapy followed by surgery is the mainstay treatment for locally advanced rectal cancer, leading to significant decrease in tumor size (downsizing) and a shift towards earlier disease stage (downstaging). Extensive histopathological work-up of specimen after including regression grading lymph node status helped visualize individual sensitivity chemoradiotherapy, retrospectively. As response neoadjuvant heterogeneous, however, valid biomarkers are...