Bariatric surgery for patients with gastro-oesophageal reflux disease and/or hiatus hernia.
CONCLUSIONS: Though RYGB is the best anti reflux procedure it is associated with significant higher morbidity/mortality as compared to SG and OAGB. These two procedures can be used in the majority of patients with GORD and/or HH seeking BMS with an acceptance that some patients will need conversion to RYGB in the long term.
PMID: 32773756 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - August 13, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Efficacy of different treatment of 134 cases of cesarean scar pregnancy.
CONCLUSIONS: Ultrasound-guided uterine Curettage can be used as a better treatment for type I and II scar pregnancy. UAE or HIFU before Curettage can reduce uterine bleeding, while UAE before the laparotomy did not reduce uterine bleeding.
PMID: 32672434 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - July 18, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
The yield, effectiveness and safety of gastroscopy in management of early postbariatric upper gastrointestinal pain.
CONCLUSIONS: Upper GI symptoms in the early postbariatric surgery period are common with most endoscopic examination revealing normal postsurgical anatomy. In this setting, gastroscopy is safe, without procedural related complications.
PMID: 32550725 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - June 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Acute abdominal pain in older adults: a clinical and diagnostic challenge.
CONCLUSIONS: A systematic approach based on the organization of differential diagnoses into categories, may provide a helpful framework by the combined use of history-taking, physical examination, and results of diagnostic studies. In elderly patients admitted to the emergency department, a crucial role is played by a prompt use of radiological investigations in order to discriminate between older subjects admitted to the emergency department with abdominal pain and pathological cases requiring immediate surgical treatment.
PMID: 32550726 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - June 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Acute diverticulitis: old challenge, current trends, open questions.
Authors: Costi R, Annicchiarico A, Morini A, Romboli A, Zarzavadjian Le Bian A, Violi V
Abstract
Acute diverticulitis (AD) is an increasing issue for health systems worldwide. As accuracy of clinical symptoms and laboratory examinations is poor, a pivotal role in preoperative diagnosis and severity assessment is played by CT scan. Several new classifications trying to adapt the intraoperative Hinchey's classification to preoperative CT findings have been proposed, but none really entered clinical practice. Treatment of early AD is mostly conservative (antibiotics) and may be administered in outpatients in ...
Source: Minerva Chirurgica - June 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
The effect of bupivacaine on postoperative pain following thyroidectomy: a systematic review and meta-analysis.
CONCLUSIONS: We recommend local infiltration with bupivacaine ranged from 20 to 75 mg before or after skin closure or BSCPB with bupivacaine ranged from 25 to 100 mg to reduce postoperative pain after thyroidectomy.
PMID: 32550728 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - June 21, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
The effect of a simple simulator on the application of laparoscopic common bile duct exploration in a low volume center.
CONCLUSIONS: LCBDE simulator can improve the application in a low volume center, and help to increase the utilization of this effective, one stage treatment for choledocholithiasis and reduce the need for costlier ERCP.
PMID: 32456389 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
The ratio of the length from the incisor to the tumor to the height predict recurrent laryngeal nerve lymph node metastasis in patients with thoracic esophageal squamous cell carcinoma.
CONCLUSIONS: LH is a useful predictive tool in the evaluation of RLN LN metastasis for esophageal cancer. The present findings support the result that LH can be an indicator of RLN LN dissection.
PMID: 32456390 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Combined ionized calcium and PTH evaluation in the management of post-thyroidectomy hypocalcaemia.
CONCLUSIONS: Our data show that our protocol, including serum ionized calcium on 1st, 2nd, 7th days and PTH on 7th day after surgery, is safe and low cost and therefore may be useful in the post surgical management of total thyroidectomy.
PMID: 32456391 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Rightward shift in colorectal cancer: experience in 1101 patients.
CONCLUSIONS: Data suggest the existence of two different tumor entities in CRC between right-sided colon cancer and left-sided colon cancer. The proximal shift may be a reflection of improved screening programmes, diagnostic accuracy and population aging. Ethnicity, gender, diet, environment, and socioeconomic status contribute to CRC incidence and prevalence in different regions.
PMID: 32456392 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Von Meyenburg complexes, a rare intrahepatic bile duct malformation. Review of the literature and reports of a high volume Liver Unit.
Authors: Tarchi P, Di Renzo C, Tabrizian P, Rocha C, Schwartz ME
PMID: 32456393 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Primary laparoscopic approach to repair perforated peptic ulcer. A retrospective cohort study.
CONCLUSIONS: Our data show that a primary laparoscopic approach in patients with PPU is associated with postoperative advantages and acceptable rates of morbidity and mortality, essentially related to high Boey score. Therefore, we suggest that the surgical repair of PPU could be always started laparoscopically.
PMID: 32456394 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Comparison among Transanal Endoscopic Operation (TEO), Endoscopic Submucosal Dissection (ESD) and Full-Thickness Resection Device (FTRD) based on the Over-the-Scope (OVESCO) Clip System: which is the best technique for en bloc resection of rectal lesions?
CONCLUSIONS: Our study showed that each technique has specific features, so that each one offers advantages and disadvantages. Nevertheless, all of them ensure high en bloc resection rates, whereas no difference exists for R0 resection rate. TEO provides the possibility to remove low rectal large lesions as compared to ESD and FTRD.
PMID: 32456395 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Obstructive left side colon cancer: time for a tailored operative approach?
CONCLUSIONS: The various options of treatment should have different indications: primary anastomosis in stable patients, Hartmann in critical cases, SEMS for palliative intent and stoma when neo-adjuvant therapy is needed.
PMID: 32456396 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
Accuracy and feasibility of SENTIMAG technique for localization of non-palpable breast lesions. Experience from a single institution.
DISCUSSION: The SentiMag represents a fast and safe preoperative marking system of non-palpable breast lesions, cutting the radio exposure for personnel and patients. The marker is not displaced over time and it is rapid to place and easy to locate intraoperatively, allowing a clear dissection plane around the lesion. Thus, this reduces the amount of gland removed, improving the aesthetic result mostly in small breasts.
PMID: 32456397 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 29, 2020 Category: Surgery Tags: Minerva Chir Source Type: research
