Management of intra- and post-operative complications during TEM/TAMIS procedures. A systematic review.
CONCLUSIONS: Awareness and knowledge of TEM complications and their management can play an important role in their treatment and patient safety. Here, we present a review of the most important TEM series and their complication rates and describe various approaches to their management.
PMID: 33433070 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 14, 2021 Category: Surgery Tags: Minerva Chir Source Type: research
Evaluation of clinical efficacy of suture-fixation mucopexy in the treatment of prolapsed hemorrhoid.
CONCLUSIONS: Compared with Milligan-Morgan hemorrhoidectomy, suture-fixation mucopexy is as effective in the treatment of prolapsed hemorrhoid, but it has more advantages in reducing postoperative pain and protecting the anal function.
PMID: 33433071 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 14, 2021 Category: Surgery Tags: Minerva Chir Source Type: research
Risk of anastomotic bleeding after left colectomy with preservation of inferior mesenteric artery for diverticular disease: preliminary results.
CONCLUSIONS: IMA preserving left colectomy seems to be associated with a higher risk of mostly selflimited anastomotic bleeding during recovery. BSLR seems to be effective in this group of patients.
PMID: 33433072 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 14, 2021 Category: Surgery Tags: Minerva Chir Source Type: research
Bottom-up suprapubic approach for robotic right colectomy: technical aspects and preliminary outcomes.
CONCLUSIONS: Bottom-up approach for RRC with CME and IA carries a low rate of conversions, intraoperative and short-term postoperative complications.
PMID: 33433073 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - January 14, 2021 Category: Surgery Tags: Minerva Chir Source Type: research
Orthotopic liver transplantation for patients with end-stage alcohol-related liver disease and severe acute alcohol-related hepatitis: a concise review.
Authors: Caputo F, Testino G
Abstract
Worldwide, cirrhosis due to alcohol-related liver disease (ALD) is responsible for 0.9% of global deaths and 47.9% of cirrhosis-related deaths. End-stage ALD (ESALD) is the final condition of alcohol-related cirrhosis, and severe acute alcohol-related hepatitis (SAAH) is a distinct clinical syndrome associated with the consumption of large amounts of alcohol. In some cases, ESALD, and SAAH may need liver transplantation (LT). The severity of ESALD can improve after a few months (three months) of abstinence from alcohol, avoiding or delaying the need for LT. Conversely,...
Source: Minerva Chirurgica - January 14, 2021 Category: Surgery Tags: Minerva Chir Source Type: research
Axillary observation alone versus sentinel node biopsy: past, present and future perspectives.
Authors: Di Micco R, Gentilini OD
Abstract
The evolution of axillary surgery in breast cancer has led from complete axillary dissection (AD) to sentinel node biopsy (SNB). It has not stopped yet but continues with a progressive de-escalation of surgical procedures aiming at axillary conservation. In parallel, the meaning of axillary surgery has changed as well. Over time, the dual role of both a therapeutic and a staging procedure has decreased leaving room to other modalities to treat and stage breast cancer. Although, the gold standard for axillary staging in early breast cancer remains SNB, the idea tha...
Source: Minerva Chirurgica - December 22, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Axillary management after neoadjuvant treatment.
Authors: Montagna G, Corso G, Di Micco R, Van Den Rul N, Rocco N
Abstract
Since its introduction nearly 30 years ago, sentinel lymph node biopsy (SLNB) has become the standard technique to stage the axilla for the great majority of patients with early breast cancer. While the accuracy of SLNB in clinically node-negative patients who undergo neoadjuvant chemotherapy (NAC) is similar to the upfront surgery setting, modifications of the technique to improve the false negative rate are necessary in node-positive patients at presentation. Currently, patients who present with matted nodes, cN1 patients who fail ...
Source: Minerva Chirurgica - December 22, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Ongoing clinical trials on axillary management.
CONCLUSIONS: Although we have covered a long way in the journey of eliminating axillary surgery, there are still lots of questions to be answered and trials to be conducted. We anticipate the results of the ongoing trials to provide the necessary evidence to safely de-escalate more the axillary surgery, both in the non-neoadjuvant as well as in the neoadjuvant setting, hoping that in the not so far future the axillary surgery will eventually perish.
PMID: 33345527 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - December 22, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Unexpected evolution of COVID-19 in a heart transplant patient with multimorbidity recently submitted to thoracic surgery.
Authors: Mangiameli G, Al Zreibi C, Caudron J, Arame A, Le Pimpec-Barthes F
PMID: 33345528 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - December 22, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Minimally invasive surgery for abdominal wall defects: where are we now?
Authors: Guerrieri M
PMID: 33210521 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Laparoscopic repair of inguinal hernia: retrospective comparison of TEP and TAPP procedures in a tertiary referral center.
CONCLUSIONS: In conclusion, TAPP and TEP have similar, overall complication risks, postoperative acute and chronic pain incidence and recurrence rates. Since TAPP and TEP have comparable outcomes it is recommended that the choice of the technique should be based on the surgeon's skills, education, and experience.
PMID: 33210522 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Chevrel technique for ventral incisional hernia. Is it still an effective procedure?
CONCLUSIONS: Most of the objections to the Chevrel procedure focus on the parietal complications and risk of infection. Chevrel procedure cannot be considered an obsolete intervention, in our series, results were very satisfactory in both immediate and late follow-up; moreover this technique is safe and easy to perform.
PMID: 33210523 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Minimally invasive repair of ventral hernia with one third of tackers and fibrin glue: less pain and same recurrence rate.
CONCLUSIONS: The reduction of metallic tackers associated with FA does not present statistically significant differences in the recurrence rate in comparison to conventional DC technique. In the intervention group a reduction in postoperative pain and hospital stay were observed.
PMID: 33210524 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Laparoscopic repair of giant Morgagni hernia by direct suturing with V-Loc.
CONCLUSIONS: Transabdominal laparoscopic approach with primary closure of the diaphragmatic defect is a viable approach for the repair of Morgagni hernia. In our experience, the use of laparoscopic transabdominal suture fixed to the fascia allowed the closure of the defect laparoscopically with minimal tension on the repairs.
PMID: 33210525 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - November 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Innovations in surgical treatment of rectus abdominis diastasis: a review of mini-invasive techniques.
Authors: Cuccurullo D, Guerriero L, Mazzoni G, Sandoval M, Tartaglia E
Abstract
Abdominal rectus diastasis (RD) is characterized by thinning and widening of the linea alba, combined with laxity of the ventral abdominal musculature. This condition is associated with bulging of abdominal content, and it is mostly acquired during pregnancy or obesity. Symptoms include pain and discomfort in the abdomen, musculoskeletal and uro-gynecological problems in addition to negative body image and impaired quality of life. In this review we present current knowledge on the novel surgical mini-invasive techniques for tr...
Source: Minerva Chirurgica - November 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
