Minerva chirurgica最新文献_第2页

Operative versus non-operative management in acute surgical diseases during COVID-19 pandemic: a 30-day experience from an Italian hospital in Lombardy. COVID-19大流行期间急性外科疾病的手术与非手术治疗:伦巴第一家意大利医院的30天经验

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-09-25 DOI: 10.23736/S0026-4733.20.08391-1

Marta Spalluto, Emanuele Bevilacqua, Gianandrea Baldazzi, Diletta Cassini

{"title":"Operative versus non-operative management in acute surgical diseases during COVID-19 pandemic: a 30-day experience from an Italian hospital in Lombardy.","authors":"Marta Spalluto, Emanuele Bevilacqua, Gianandrea Baldazzi, Diletta Cassini","doi":"10.23736/S0026-4733.20.08391-1","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08391-1","url":null,"abstract":"The spread of COVID-19 pandemic has determined a huge imbalance between real clinical needs of the population and effective resources availability. The aim of this study was to report how this situation forces surgeons to consider a non-operative management as an alternative. This is a retrospective monocentric study and we collected data from 60 patients, split in two groups: info from Group A, 28 patients (11 March to 11 April 2020) were compared with info from group B, 32 patients (11 March to 11 April 2019). The most relevant difference between the groups is related to patient's clinical management. The two groups had a considerably different number of cases that were treated with an operative management: 18 cases (64,7%) in group A vs. 28 cases (87,5%) in group B. Otherwise, non-operative approach occurred in 10 cases (35,7%) in group A and only in 4 patients (12,5%) in group B. These data suggest that the drastic reduction of means narrows the range of therapeutic choices. Indeed, in this emergency scenario, the rationing of healthcare resources was the propelling for surgeons to consider alternative therapeutic pathways.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38419610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Management of surgical working in an Italian neighborhood hospital during the COVID-19 pandemic. COVID-19大流行期间意大利一家社区医院外科工作的管理

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-08-06 DOI: 10.23736/S0026-4733.20.08398-4

Pietro F Bagnoli, Farhad Nehchiri, Monica Lucini, Maria E Messina, Andrea Morlacchi, Giovanni Lenna, Pasquale Ferrante

引用次数: 1

Unexpected evolution of COVID-19 in a heart transplant patient with multimorbidity recently submitted to thoracic surgery. 最近接受胸外科手术的多病心脏移植患者的COVID-19意外演变

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 DOI: 10.23736/S0026-4733.20.08367-4

Giuseppe Mangiameli, Charles Al Zreibi, Julia Caudron, Alex Arame, Francoise Le Pimpec-Barthes

引用次数: 3

The Gauze technique: a simple method of dissection in laparoscopic inguinal hernia repair. 纱布技术:腹腔镜腹股沟疝修补术中一种简便的夹层方法。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-05-26 DOI: 10.23736/S0026-4733.20.08335-2

Francesco Coratti, Martina Trafeli, Giuseppe Barbato, Cristina Maggioni, Andrea Manetti, Fabio Cianchi

引用次数: 1

Thulium cyber laser-assisted uniportal thoracoscopic resection of a pulmonary metastasis from colorectal cancer. 铥激光辅助单门胸腔镜切除1例结直肠癌肺转移灶。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-10-02 DOI: 10.23736/S0026-4733.20.08416-3

Filippo Lococo, Amedeo Iaffaldano, Edoardo Zanfrini, Luca Pogliani, Diomira Tabacco, Carolina Sassorossi, Ciro Mazzarella, Stefano Margaritora

引用次数: 2

COVID-19 and acute perforated diverticulitis: management and surgical timing. COVID-19与急性穿孔性憩室炎:治疗和手术时机。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-09-25 DOI: 10.23736/S0026-4733.20.08487-4

Andrea Costanzi, Michela Monteleone, Marco Confalonieri, Gaia Colletti, Colomba Frattaruolo, Carla Magni, Lucia Corizia, Abe Fingerhut

引用次数: 4

Primary laparoscopic approach to repair perforated peptic ulcer. A retrospective cohort study. 原发性腹腔镜方法修复消化性溃疡穿孔。回顾性队列研究。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-05-26 DOI: 10.23736/S0026-4733.20.08287-5

Gianrocco Manco, Stefania Caramaschi, Giovanni Rolando, Marzio Malagoli, Giuliana Zanelli, Luca Reggiani Bonetti, Aldo Rossi

{"title":"Primary laparoscopic approach to repair perforated peptic ulcer. A retrospective cohort study.","authors":"Gianrocco Manco, Stefania Caramaschi, Giovanni Rolando, Marzio Malagoli, Giuliana Zanelli, Luca Reggiani Bonetti, Aldo Rossi","doi":"10.23736/S0026-4733.20.08287-5","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08287-5","url":null,"abstract":"Background: Perforated peptic ulcer is a serious complication of peptic ulcer disease and carries high risk for morbidity and mortality. Although the incidence of peptic ulcer disease has decreased in recent decades, the percentage of patients with perforated peptic ulcer requiring emergency surgery remains constant. The use of laparoscopic management as a first choice for the treatment of the perforation is growing but is not routine in many centers.Methods: Clinical and surgical data on 42 patients underwent surgical treatment for perforated peptic ulcer from January 2012 to December 2016 were collected. Laparoscopic repair of the perforation with a three-port technique was made in all cases. The Boey scoring system was used to predict the prognosis.Results: All patients underwent suture-closure of the ulcer, and omental patch through laparoscopy without conversion to open surgery. Duodenal leakages occurred in 3 patients (7.1%), then treated with a conservative approach and resolved on the 10th postoperative day. Two patients (4.7%) had deep space infections in the first week after surgery, therefore subdiaphragmatic and pelvic abscess were drained by ultrasound guidance. Four patients (9.5%) died up to 30-day post-surgery due to progression of multisystem organ failure in absence of leakages or infections. All these patients were American Society of Anesthesiologists Classification >III and Boey Score 3.Conclusions: Our data show that a primary laparoscopic approach in patients with peptic ulcer perforation 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.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37978003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Efficacy and safety of injection treatment after internal urethrotomy on the prevention of stricture recurrence: a network meta-analysis. 输尿管切开后注射治疗预防狭窄复发的有效性和安全性:一项网络荟萃分析。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-08-06 DOI: 10.23736/S0026-4733.20.08301-7

Fangshi Xu, Yibing Guan, Li Xue, Xi Lan, Ke Gao, Tie Chong

引用次数: 0

Hernia surgery in the COVID-19 era: does it require special attention? 新冠肺炎时代的疝气手术:需要特别注意吗?

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-08-06 DOI: 10.23736/S0026-4733.20.08359-5

Damiano Chiari

引用次数: 0

Laparostomy and temporary abdominal closure outcomes in emergency non-trauma surgery and parameters affecting early definite primary fascial closure. 急诊非创伤性手术的剖腹造口和暂时性腹部闭合结果及影响早期明确原发性筋膜闭合的参数。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-05-26 DOI: 10.23736/S0026-4733.20.08320-0

Dimitrios Zosimas, Panagis M Lykoudis, Bogdan Ivanov, Clive Hepworth

{"title":"Laparostomy and temporary abdominal closure outcomes in emergency non-trauma surgery and parameters affecting early definite primary fascial closure.","authors":"Dimitrios Zosimas, Panagis M Lykoudis, Bogdan Ivanov, Clive Hepworth","doi":"10.23736/S0026-4733.20.08320-0","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08320-0","url":null,"abstract":"Background: The open abdomen or laparostomy is a great advance of surgery based on the concept of damage control surgery. Aim of the study is to review the laparostomy outcomes of non-trauma emergency surgery patients in a district general hospital and identify parameters affecting early definite primary fascial closure.Methods: The records of all non-trauma emergency surgical patients who underwent laparostomy in a three-year period in a single institute were studied retrospectively. Outcomes included length of stay, morbidity, mortality, readmission rates, number of re-look operations, rate of definite primary fascial closure and time to closure.Results: Thirty-two patients were included. Morbidity was 84.4% and mortality rates were 21.9% (in-hospital), 18.8% (30-day) and 46.9% (overall). Median length of hospital stay was 22 days. Rate of primary fascial closure was 87.5% and median time to closure was two days. The number of relook operations was the only independent prognostic factor of definite early primary fascial closure, with higher rates of closure in patients with 1-2 relooks.Conclusions: Although the open abdomen has been demonstrated to improve survival, the precise role in abdominal sepsis has not been elucidated. Current consensus does not support use of open abdomen routinely, however in selected situations it becomes unavoidable. Laparostomy is a valid option in non-trauma emergency surgery and can be managed safely in a district hospital. High closure rates can be achieved if one or two re-look operations are performed with an early attempt for closure.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37975934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0