- Abdominal Trauma and Injuries
- Anorectal Disease Treatments and Outcomes
- Diverticular Disease and Complications
- Esophageal and GI Pathology
- Trauma Management and Diagnosis
- Trauma and Emergency Care Studies
- Hepatocellular Carcinoma Treatment and Prognosis
- Colorectal Cancer Surgical Treatments
- Pelvic floor disorders treatments
- Appendicitis Diagnosis and Management
- Pelvic and Acetabular Injuries
- SARS-CoV-2 and COVID-19 Research
- Biliary and Gastrointestinal Fistulas
- Gastrointestinal disorders and treatments
- Gastric Cancer Management and Outcomes
- COVID-19 and healthcare impacts
- Liver Disease and Transplantation
- Esophageal Cancer Research and Treatment
- COVID-19 Clinical Research Studies
- Abdominal Surgery and Complications
- Multiple and Secondary Primary Cancers
- COVID-19 diagnosis using AI
- Foreign Body Medical Cases
- Gallbladder and Bile Duct Disorders
- Long-Term Effects of COVID-19
Ospedale “M. Bufalini” di Cesena
2019-2024
Azienda Ospedaliera Universitaria Pisana
2020
Ospedale Santa Maria Goretti
2018
University of Cologne
2016-2017
Ospedale Regina Apostolorum
2013-2015
Sapienza University of Rome
2012-2013
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,...
Abstract Background This multicentre case–control study aimed to identify risk factors associated with non-operative treatment failure for patients CT scan Hinchey Ib-IIb and WSES Ib-IIa diverticular abscesses. Methods included a cohort of adult experiencing their first episode CT-diagnosed abscess, all whom underwent initial comprising either antibiotics alone or in combination percutaneous drainage. The was stratified based on the outcome treatment, specifically identifying those who...
BACKGROUND: Obstructed defecation syndrome is a widespread and disabling disease. OBJECTIVE: We aim to evaluate the safety efficacy of stapled transanal rectal resection performed with new dedicated curved device in treatment obstructed syndrome. DESIGN: A retrospective review 187 resections from June 2007 February 2011 was conducted. SETTINGS: The entire study conducted at university hospital. PATIENTS: All patients symptomatic presence rectocele and/or rectorectal or rectoanal...
The optimal timing and best method for removal of common bile duct stones (CBDS) associated with gallbladder (GBS) is still controversial. aim this study to investigate the outcomes a single-step procedure combining laparoscopic cholecystectomy (LC), intra-operative cholangiography (IOC), endoscopic retrograde cholangiopancreatography (ERCP). Between January 2003 2012, 1972 patients underwent at our hospital. Of those, 162 (8.2%; male/female 72/90) presented GBS suspected CBDS. We treated 54...
Abstract Background In contrast to adults, the situation for pediatric trauma care from an international point of view and global management severely injured children remain rather unclear. The current study investigates structural in centers different levels as well experiences with around world. Methods A web-survey had been distributed mailing list World Society Emergency Surgery 10/2021–03/2022, investigating characteristics respondents affiliated hospitals, case-load patients,...
Abdominal surgery in cirrhotic patients with portal hypertension is associated high incidence of disease and mortality.In these patients, oncological gastric procedures lymph-nodes dissection show much higher complication rates than normotensive vein patients.Thus, normalization pressure may be a favorable determinant factor to reduce complications.We report case patient hepatitis C virus-related hepatic cirrhosis, esophageal varices, cancer.We demonstrated the efficacy preoperative...
Hartmann's procedure is still performed in those cases which colorectal anastomosis might be unsafe. Reversal of (HR) considered a major surgical with high morbidity (55 to 60%) and mortality rate (0 4%). To decrease these rates, laparoscopic reversal was successfully experienced. We report our totally technique. Between 2004 2010 we 27 HRs approach. The efficacy safety this technique were demonstrated evaluating the operative data, postoperative complications, outcome patients. There no...
Laparoscopic low anterior rectal resection (LLAR), allowing better visualization and mobilization, can reduce postoperative pain recovery. A Contour Curved Stapler (CCS) is a very helpful device because of its curved profile that consents access into the pelvic cavity allows to perform closure section in one shot, especially presence narrow pelvis, complex anatomy, or large tumors. We developed an original technique laparoscopic using CCS. Between 2005 2009, 36 cases, we performed LLAR with...
Postoperative staple-line bleeding after stapled hemorrhoidopexy represents a major issue of this procedure, especially in the day surgery setting. In study we assess possible benefit using circular bioabsorbable reinforcement to reduce risk hemorrhage when performing Patients with symptomatic II III grade hemorrhoidal disease were randomly assigned into two groups. Group A performed PPH33-03® Seamguard®, reinforcement; B, used only stapler. We evaluated intraoperative and postoperative and,...
Objectives: Recent evidence showed improved outcomes in surgical fixation, compared to conservative management, of flail chest and severe non-flail rib fractures patterns. The dedicated fixation systems are expensive not available most hospitals. This study aims establish the feasibility stabilization traumatic sternum with off-label utilization cranio-maxillo-facial surgery titanium implants. Methods: Case series where data patients, who underwent or implants at Bufalini Hospital Cesena,...
Reviewing the world literature, we found a multitude of reports about ingestion peculiar foreign bodies; some them require high index suspicion, due to their specific shape: A recent paper by Jo et Al. describes two cases toothpick-ingestion-induced colon injury, mimicking diverticulitis. Both required surgical intervention for removal.
Background: The pandemic of Coronavirus Disease 2019 asked to change the organization entire hospitals try prevent them become epidemiological clusters. actually adopted diagnostic tools are lacking sensibility or specificity. aim study is create an easy-to-get risk score (Ri.S.I.Co., RIsk Score for Infection from new COronavirus), developed on field, stratify patients admitted hospital according their Covid-19 infection. Methods: This prospective included all who were consecutively in...
Abstract Background: The pandemic of Coronavirus Disease 2019 asked to change the organization entire hospitals try prevent them become epidemiological clusters. actually adopted diagnostic tools are lacking sensibility or specificity. aim study is create an easy-to-get risk score (Ri.S.I.Co., RIsk Score for Infection from new COronavirus), developed on field, stratify patients admitted hospital according their Covid-19 infection. Methods: This prospective included all who were consecutively...