Minerva Surgery最新文献

Endoscopic pilonidal sinus treatment versus excision with wound closure: a systematic review of the literature. 内窥镜治疗与伤口闭合切除：文献的系统回顾。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-04-03 DOI: 10.23736/S2724-5691.25.10615-1

Stefano Agnesi, Francesco Virgilio, Francesco Candiloro, Letizia Biundo, Andrea Balla

{"title":"Endoscopic pilonidal sinus treatment versus excision with wound closure: a systematic review of the literature.","authors":"Stefano Agnesi, Francesco Virgilio, Francesco Candiloro, Letizia Biundo, Andrea Balla","doi":"10.23736/S2724-5691.25.10615-1","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10615-1","url":null,"abstract":"Introduction: The aim of this systematic review was to compare minimally invasive procedures versus excision and wound closure for the treatment of pilonidal disease (PD) in terms of perioperative outcomes.Evidence acquisition: Search was performed in PubMed, Embase and Web of Science, founding 581 articles.Evidence synthesis: Six articles published between 2018 and 2023, including 595 patients were included in the present systematic review. All of these studies presented endoscopic pilonidal sinus treatment (EPSIT) as the minimally invasive surgical technique for the treatment of pilonidal disease, while no articles meeting the inclusion and exclusion criteria addressed video-assisted ablation of pilonidal sinus. One hundred eighty-two patients (30.6%) underwent EPSIT (Group A), whereas 413 (69.4%) underwent excision and wound closure (Group B). Patients in Group A experienced shorter operative times (42.1±16 minutes) and hospital stay (0.5±0.3 days) in comparison to Groups B (59.3±19 minutes and 2.4±1 days, respectively). Group A had lower complication rate (12.5%) compared to Group B (35.2%) and recurrence rate (17.9% versus 14.8%). Wound dehiscence rate was 12.8% in Group B. Mean time to complete healing was longer in Group A than Group B (47.9±26.1 days and 39.1±22.3 days, respectively).Conclusions: EPSIT requires approximately 9 additional days to fully heal, but it avoids the risk of wound dehiscence, and had fewer complications, along with a shorter hospital stay, compared to those treated with excision and wound closure. The choice of treatment should be personalized, considering the individual needs and specific risk factors for wound dehiscence.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The American College of Surgeon National Surgical Quality Improvement Program risk calculator does not predict individual outcomes in an elderly Italian population. 美国外科医生学会国家外科质量改进计划风险计算器无法预测意大利老年人群的个体结果。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-03-19 DOI: 10.23736/S2724-5691.25.10714-4

Stefano Siboni, Pietro Fusella, Pamela Milito, Roberta DE Maron, Francesca Senzani, Alessandro Meloni, Maria T Cuppone, Daniele Bernardi, Marco Sozzi, Emanuele L Asti

{"title":"The American College of Surgeon National Surgical Quality Improvement Program risk calculator does not predict individual outcomes in an elderly Italian population.","authors":"Stefano Siboni, Pietro Fusella, Pamela Milito, Roberta DE Maron, Francesca Senzani, Alessandro Meloni, Maria T Cuppone, Daniele Bernardi, Marco Sozzi, Emanuele L Asti","doi":"10.23736/S2724-5691.25.10714-4","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10714-4","url":null,"abstract":"Background: Elderly population has an increased risk of post-operative complications, therefore a precise and quick assessment of the expected risks allows a more aware decision on surgical indications. The American College of Surgeons NSQIP Surgical Risk Calculator (ACS-NSQIP SRC) is a practical tool that provides estimates of outcomes, however previous studies showed heterogeneous results. Our aim was to test its ability to correctly predict post-operative complications in a cohort of elderly patients who underwent major surgery in our Institution.Methods: Data on consecutive elderly patients (≥75 years) that underwent major surgery (2022-2023) were retrospectively collected. The SRC was queried and the risk of post-operative complications, including geriatric outcomes, was obtained. Patients were divided into four groups based on CPT code. Observed and expected complication rates were compared.Results: A total of 112 patients (50.9% female, median age 80 years, median BMI 28.8 kg/m2) were included and divided into groups (urgent 60 patients, colorectal 20, upper-GI resections 17 and benign upper-GI 15). In the urgent group, we observed a higher rate of serious complications (22 vs. 12.7, P=0.005), any complications (30 vs. 15.6, P<0.001) and superficial SSI (17 vs. 4.9, P<0.001) than the expected. Discharge to post-acute care facilities was over-estimated.Conclusions: The ACS-NSQIP SRC demonstrated poor ability to predict post-operative complications and geriatric outcomes in our cohort of elderly patients. Our findings confirm other studies that temper the enthusiasm towards the NSQIP SRC as a practical tool to predict post-operative complications, especially in an urgent setting.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early mobilization after anatomical lung resection with thoracotomy. 胸廓切开术解剖性肺切除术后的早期活动。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-03-19 DOI: 10.23736/S2724-5691.25.10791-0

Hatice Eryigit Unaldi

{"title":"Early mobilization after anatomical lung resection with thoracotomy.","authors":"Hatice Eryigit Unaldi","doi":"10.23736/S2724-5691.25.10791-0","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10791-0","url":null,"abstract":"In the past, patients who underwent thoracic surgery were advised to rest, recover, and save energy, avoiding engaging in tiring physical activity. Postoperative rest-centered management of patients following anatomical resection can cause pulmonary and cardiovascular complications. Inability to cough, not deep breathing, dysfunctional diaphragm, pain and lying down cause lung atelectasis, pneumonia, and respiratory failure. Early postoperative mobilization's effects on mental or physical recovery and morbidity rate are unclear. Although advanced technological developments, thoracotomy is still the main incision for thoracic surgery. Lung resection and thoracotomy reduce the quality of patients' daily ambulatory activities. The exercise was shown to have anti-inflammatory effects. Anxiety, fear, and pain activate the same brain regions. Postoperative early mobilization could reduce anxiety and help to reduce the intensity of pain. Many different procedures that stop bed rest, start mobilization, and the walking distance or number of steps during postoperative the first mobilization are applied in the departments of thoracic surgery. How many meters the patient can walk and how many steps he/she needs to take are variable. Protocols to facilitate and enforce early mobilization would be beneficial. Early mobilization can reduce the rate of postoperative complications and length of hospital. Early mobilization as soon as possible within the first 24 h is supported as safe and acceptable in literature.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic parastomal hernia repair: an updated systematic review. 机器人造口旁疝修复：最新的系统综述。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-03-07 DOI: 10.23736/S2724-5691.25.10777-6

Tommaso Violante, Richard Sassun, Davide Ferrari, Annaclara Sileo, Robert R Cima

{"title":"Robotic parastomal hernia repair: an updated systematic review.","authors":"Tommaso Violante, Richard Sassun, Davide Ferrari, Annaclara Sileo, Robert R Cima","doi":"10.23736/S2724-5691.25.10777-6","DOIUrl":"https://doi.org/10.23736/S2724-5691.25.10777-6","url":null,"abstract":"Introduction: Parastomal hernias (PSH) are a frequent complication following ostomy surgery, often requiring surgical intervention. Robotic surgery offers potential advantages in PSH repair, but evidence on its efficacy remains limited. This systematic review evaluates the outcomes of different robotic PSH repair techniques.Evidence acquisition: A systematic search of PubMed, Embase, and Cochrane databases was conducted (2015-2024) to identify studies on robotic PSH repair. Fourteen studies (13 retrospective, two prospective) met the inclusion criteria after screening 324 articles.Evidence synthesis: Data on patient demographics, surgical techniques, complications, recurrence rates, and follow-up duration were extracted. The analysis included 355 patients with a median follow-up of 12 months. Early studies focused on feasibility and safety, with subsequent research refining specific techniques like the Sugarbaker, Pauli, and keyhole repairs. Reported recurrence rates ranged from 0% to 9.5% across these techniques. However, 30-day complication rates varied significantly (0% to 50%), highlighting the need for standardized reporting and patient selection criteria. While some studies demonstrated low recurrence rates with acceptable complication profiles, others revealed higher complication rates, potentially related to specific techniques or patient factors. The emergence of variations within the Sugarbaker technique, such as the retromuscular approach with transversus abdominis release (TAR), demonstrates ongoing innovation in robotic PSH repair.Conclusions: Robotic PSH repair shows promise, but further research is needed to confirm its long-term efficacy and cost-effectiveness.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An analysis of the effect of mechanical devices on compliance in prevention of deep vein thrombosis. 机械装置对预防深静脉血栓形成依从性的影响分析。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-03-07 DOI: 10.23736/S2724-5691.25.10798-3

Chengxing Yang, Weilong Lu, Wanli Sun

引用次数: 0

Emergency robotic surgery: the beginning of new era in emergency setting. 急诊机器人手术：急诊环境新时代的开始。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-26 DOI: 10.23736/S2724-5691.25.10716-8

Alessio Giordano, Carlo Bergamini, Jacopo Martellucci, Maximilian Scheiterle, Annamaria DI Bella, Alessandro Bruscino, Paolo Prosperi

引用次数: 0

Investigation on the current situation and influencing factors of the knowledge and practice of nurses in operating room for prevention of central venous catheter-related bloodstream infection. 手术室护士预防中心静脉置管相关血流感染知识与实践现状及影响因素调查

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-26 DOI: 10.23736/S2724-5691.25.10697-7

Mayi Yang, Liping Ye, Chunlei Li, Zhe Wang, Xiaofeng He, Yan Hu

引用次数: 0

Point of care ultrasound of small intestine in patients undergoing laparoscopic bowel surgery: a prospective observational study. 腹腔镜肠道手术患者的小肠超声护理点：一项前瞻性观察研究。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-21 DOI: 10.23736/S2724-5691.24.10618-1

Noam Goder, Shiran Gabay, Jawad Tome, Eran Nizri, Yael Lichter, Meir Zemel

{"title":"Point of care ultrasound of small intestine in patients undergoing laparoscopic bowel surgery: a prospective observational study.","authors":"Noam Goder, Shiran Gabay, Jawad Tome, Eran Nizri, Yael Lichter, Meir Zemel","doi":"10.23736/S2724-5691.24.10618-1","DOIUrl":"https://doi.org/10.23736/S2724-5691.24.10618-1","url":null,"abstract":"Background: Point-of-care ultrasound (POCUS) is increasingly utilized in clinical medicine, yet its role in assessing normal postoperative bowel function remains underexplored, particularly after laparoscopic colorectal surgeries.Methods: A prospective cohort study of 20 laparoscopic bowel resection patients was conducted, utilizing small bowel POCUS before surgery and daily from postoperative day (POD) 1 to POD 4. Small bowel width and a Small Bowel Motility Index (SBMI) were recorded in each examination. Statistical analyses involved repeated measures ANOVA to evaluate motility and width changes over study days.Results: The small bowel motility index displayed statistically significant differences across the study days before surgery up to POD4 (P<0.001). Pairwise comparisons revealed significant differences between pre-surgery (10.58±1.31) and POD1 (8.20±2.30) with a mean difference of 2.38 (P=0.009). Subsequent days demonstrated significant differences between POD1 and POD3 (9.78±1.51) and POD4 (10.30±2.05) with mean differences of -1.58 (P=0.049) and -2.10 (P=0.029) respectively. In contrast, small bowel width did not exhibit statistical significance during this follow-up period (P=0.112).Conclusions: Our findings underscore the dynamic nature of small bowel motility, highlighting its potential as a crucial parameter for postoperative assessment. Further larger studies with vareity of patients are warranted to explore the broader applications of small bowel POCUS in postoperative care.","PeriodicalId":29847,"journal":{"name":"Minerva Surgery","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of nursing program based on ERAS-MDT in the perioperative period of total laryngectomy. 基于ERAS-MDT的护理方案在全喉切除术围手术期的应用。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-21 DOI: 10.23736/S2724-5691.24.10749-6

Lingfang Wu, Liyuan Wu, Haiying Cheng, Yuzhu Yao

引用次数: 0

Public opinion in robotic surgery: a cross-sectional and mixed-method survey. 机器人手术中的公众意见：一项横断面和混合方法调查。

IF 1.8 4区医学

Minerva Surgery Pub Date : 2025-02-21 DOI: 10.23736/S2724-5691.24.10690-9

Marco Rabottini, Carlo Lazzari

引用次数: 0