Minerva chirurgica最新文献_第3页

Axillary surgery in breast cancer: evolution and de-escalation. 乳腺癌的腋窝手术:演变和降级。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-10-02 DOI: 10.23736/S0026-4733.20.08598-3

Paolo Veronesi, Federico Ghidinelli, Giovanni Corso

引用次数: 0

Prevention of withdrawal symptoms in alcoholic patients with head and neck cancer. 头颈癌酒精患者戒断症状的预防

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-08-06 DOI: 10.23736/S0026-4733.20.08316-9

Melissa Laus, Marianna Trignani, Domenico Crescenzi, Marco Radici, Adelchi Croce

{"title":"Prevention of withdrawal symptoms in alcoholic patients with head and neck cancer.","authors":"Melissa Laus, Marianna Trignani, Domenico Crescenzi, Marco Radici, Adelchi Croce","doi":"10.23736/S0026-4733.20.08316-9","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08316-9","url":null,"abstract":"Background: The role of alcohol abuse is common in the onset of cancer of the upper aerodigestive tract, especially that affecting the tongue, floor of the mouth, palatine tonsil and piriform sinus. The consequences of the abuse of alcohol immediately after surgery in these patients are less known. But they are very important to achieve good final results.Methods: To try to understand the best treatment for withdrawal symptoms in a group of Italian patient with head and neck cancers, we administered a 10-item questionnaire. Subsequently, we decided to send the questionnaire to the main Italian centers of head and neck oncology using the platform of online surveys SurveyMonkey.Results: The results show clearly that it is not easy, within the Italian \"latin\" culture and lifestyle to correctly identify the alcoholic patient (patients in the last stage of the of the disease with a \"behavioral dependency\") and that the centers which address these problems mostly use a drug treatment, employing in particular two classes of drugs, associated or not with thiamine, with a varying quantity of other vitamins.Conclusions: It is important to know the early withdrawal syndrome to assess the ideal treatment. We propose a personal protocol to present this complication.","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":"38245416","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

Axillary management after neoadjuvant treatment. 新辅助治疗后腋窝管理。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 DOI: 10.23736/S0026-4733.20.08600-9

Giacomo Montagna, Giovanni Corso, Rosa Di Micco, Nathalie Van Den Rul, Nicola Rocco

引用次数: 1

TNM: a simple classification system for complicated intra-abdominal sepsis after acute appendicitis. TNM:急性阑尾炎后并发腹腔内脓毒症的简单分类系统。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-08-06 DOI: 10.23736/S0026-4733.20.08274-7

Mario Schietroma, Lucia Romano, Beatrice Pessia, Antonella Mattei, Fabiana Fiasca, Francesco Carlei, Antonio Giuliani

{"title":"TNM: a simple classification system for complicated intra-abdominal sepsis after acute appendicitis.","authors":"Mario Schietroma, Lucia Romano, Beatrice Pessia, Antonella Mattei, Fabiana Fiasca, Francesco Carlei, Antonio Giuliani","doi":"10.23736/S0026-4733.20.08274-7","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08274-7","url":null,"abstract":"Background: Delayed diagnosis in case of acute appendicitis (AA) could lead to complicated intra-abdominal sepsis (IAS). Grading systems are not commonly employed in the clinical practice, because they are too complicated or too specific. Therefore, we suggest grading the severity of complicated IAS after AA with a simple system: TNM, an acronym borrowed by cancer staging where T indicates temperature, N neutrophils, and M multiple organ failure (MOF). This prospective observational study evaluates the predictive value of the TNM score on mortality of patients with complicated IAS after AA.Methods: Sixty-eight patients with complicated IAS after AA were treated. Three classes of attributes were chosen: temperature (T), neutrophils count (N), and MOF (M). After defining the categories T (T0-T4), N (N0-N3) and M (M0-M2), these were grouped in stages (0-IV). Variables analyzed for their possible relation to death were age, sex, temperature, neutrophils count, preoperative organ failure, immunocompromised status, stage (0-IV). Odds ratios were calculated in a univariate and multivariate analysis.Results: TNM staging was: one patient stage 0; 16 patients at stage I; 26 patients at stage II; 16 patients at stage III; nine patients at stage IV. Death occurred in 15 patients (22%). Neutrophil count, preoperative organ failure, immunocompromised status, stages III-IV were potential predictors of postoperative death in univariate analysis; only stage IV was significant independent predictor of postoperative mortality in multivariate analysis.Conclusions: TNM classification is very easy to use; it helps to define the mortality risk and is useful to objectively compare patients with sepsis.","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":"38245413","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: 4

Altemeir procedure in a singular case of irreducible total rectal prolapse. 阿特梅尔手术治疗难治性全直肠脱垂一例。

IF 1.3

Minerva chirurgica Pub Date : 2020-12-01 Epub Date: 2020-08-06 DOI: 10.23736/S0026-4733.20.08356-X

Angelo Zappalà, Marco Vacante, Giuseppe A Reina, Carlo Reina, Davide Mascali, Diego Piazza, Antonio Biondi, Vincenzo G Piazza

引用次数: 0

A strategy to guarantee oncological surgical care during the COVID-19: the public and private healthcare partnership. 新冠肺炎期间保障肿瘤外科护理的战略：公共和私人医疗保健伙伴关系。

IF 1.3

Minerva chirurgica Pub Date : 2020-11-11 DOI: 10.23736/S0026-4733.20.08578-8

A. Giordano, Lorenzo Forasassi, Silvia Galli

引用次数: 2

Surgical management protocol during the COVID-19 pandemic in an Italian non-referral center. 新冠肺炎大流行期间意大利非转诊中心的手术管理方案。

IF 1.3

Minerva chirurgica Pub Date : 2020-11-11 DOI: 10.23736/S0026-4733.20.08632-0

A. Balla, A. De Carlo, D. Aguzzi, S. Petrocca, A. Guida, F. Saraceno, R. Scaramuzzo, G. Fanello, A. Borrello, F. Ferranti, P. Lepiane

{"title":"Surgical management protocol during the COVID-19 pandemic in an Italian non-referral center.","authors":"A. Balla, A. De Carlo, D. Aguzzi, S. Petrocca, A. Guida, F. Saraceno, R. Scaramuzzo, G. Fanello, A. Borrello, F. Ferranti, P. Lepiane","doi":"10.23736/S0026-4733.20.08632-0","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08632-0","url":null,"abstract":"BACKGROUND\u0000In the surgical scenario, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diffusion worldwide entails on one end the need to continue to perform surgery at least in case of emergency or oncologic surgery, in patients with or without COrona Virus Disease 2019 (COVID-19), and on the other hand, to avoid the pandemic diffusion both between patients and medical and nursing team. Aim is to report our surgical management protocol during the COVID-19 pandemic in an Italian non-referral center.\u0000\u0000\u0000METHODS\u0000Data retrieved during the outbreak for the COVID-19 pandemic, from March 8 to May 4, 2020 (study period) were analyzed and compared to data obtained during the same period in 2019 (control period).\u0000\u0000\u0000RESULTS\u0000During the study period 41 surgical procedures (24 electives, 17 emergency surgical procedures) underwent surgery in comparison to 99 procedures in the control period. Stratified procedures in elective and emergency surgery, and based on the indication for surgery, the only statistically significant difference was observed in the elective surgery regarding the abdominal wall surgery (0 vs. 13 procedures, p=0.0339). Statistically significant differences were not observed regarding the colorectal and the breast oncologic surgery. All stuff members were COVID-19 free.\u0000\u0000\u0000CONCLUSIONS\u0000The present protocol proved to be safe and useful to prevent SARS-CoV-2 infection before and after surgery for both patients and stuff. The pandemic was responsible for the reduction in number of procedures performed, anyway for the oncologic surgery a statistically significant volume reduction in comparison to 2019 was not observed.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49481741","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

Intraoperative lymph nodes status evaluation and lymphadenectomy in pancreaticoduodenectomy: surgical considerations based on the current literature. 胰十二指肠切除术中淋巴结状态评估及淋巴结切除:基于现有文献的手术考虑。

IF 1.3

Minerva chirurgica Pub Date : 2020-11-11 DOI: 10.23736/S0026-4733.20.08594-6

M. Zizzo, D. Tumiati, Federica Mereu, C. Castro Ruiz, F. Biolchini, M. Zanelli, F. Sanguedolce, V. Annessi

引用次数: 0

Emergency surgery in the time of Coronavirus: the pandemic effect. 冠状病毒时代的紧急手术：大流行的影响。

IF 1.3

Minerva chirurgica Pub Date : 2020-11-11 DOI: 10.23736/S0026-4733.20.08545-4

J. Martellucci, Andrea Damigella, C. Bergamini, G. Alemanno, D. Pantalone, A. Coratti, P. Muiesan, F. Cianchi, P. Prosperi

{"title":"Emergency surgery in the time of Coronavirus: the pandemic effect.","authors":"J. Martellucci, Andrea Damigella, C. Bergamini, G. Alemanno, D. Pantalone, A. Coratti, P. Muiesan, F. Cianchi, P. Prosperi","doi":"10.23736/S0026-4733.20.08545-4","DOIUrl":"https://doi.org/10.23736/S0026-4733.20.08545-4","url":null,"abstract":"BACKGROUND\u0000The COVID-19 epidemic became a challenge for Emergency Departments (ED) and a remarkable reduction in surgical emergencies has been widely noticed. Aim of the present study was to evaluate the impact of the pandemic period in the need of surgical emergencies.\u0000\u0000\u0000METHODS\u0000Between January 1st and May 31st 2020 all the consecutive general surgery emergencies performed by the Careggi University hospital emergency surgery unit were prospectively recorded and compared to the same period of 2019. Demographic and clinical data were recorded and analyzed.\u0000\u0000\u0000RESULTS\u0000The number of surgical procedures decreased only in the month of March 2020 (compared to 2019), while in April the total numer of emergency surgical procedures was similar. Only appendectomy, complicated hernia repair and colonic resection were significantly reduced (40%, 48% and 33% respectively). The number of small intestine excision, cholecystectomy and lysis of peritoneal adhesions remained stable throughout the entire period. No statistically significant differences were found considering age, sex, Emergency Surgery Score, mortality, ICU postoperative admission and time between admission and surgery, even when analyzed with multivariate analysis for every single surgical procedure, suggesting a comparable disease severity and comorbility patterns. Mortality in COVID patients was 25%, compared to 7% of no-covid patients.\u0000\u0000\u0000CONCLUSIONS\u0000The COVID pandemic has caused major changes in daily clinical practice, especially in areas such as Emergency. This has led to a temporary reduction and changes in the flow of patients to the emergency room, with implications also for emergency surgical activities.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42846004","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: 7

Ultrasound-guided technique versus ultrasound with nerve stimulation technique for obturator nerve block in transurethral resection of bladder tumors under spinal anesthesia: a meta-analysis. 超声引导技术与超声联合神经刺激技术在脊髓麻醉下经尿道膀胱肿瘤闭孔神经阻滞切除术中的应用:荟萃分析。

IF 1.3

Minerva chirurgica Pub Date : 2020-11-11 DOI: 10.23736/S0026-4733.20.08577-6

Dechao Feng, Zhenghao Wang, Yubo Yang, Ao Li, Wuran Wei

引用次数: 2