Annali italiani di chirurgia最新文献

{"title":"Application of Different Surgical Strategies in Helicobacter pylori-Associated Gastric Ulcers with Perforation: A Comparative Study of Short-Term and Long-Term Outcomes and Complication Risks.","authors":"Jianqiang Pan, Miao Shen, Su Peng","doi":"10.62713/aic.3812","DOIUrl":"10.62713/aic.3812","url":null,"abstract":"<p><strong>Aim: </strong>This study compared the short- and long-term efficacy of simple suture with omental patch repair (Graham patch) in open surgery versus laparoscopic omental patch repair (LOPR) in treating patients with Helicobacter pylori (H. pylori)-associated gastric ulcers with perforation, and analyzed the incidence of complications.</p><p><strong>Methods: </strong>The clinical information of patients who had stomach perforation repair surgery in Deqing People's Hospital between January 2021 and January 2022 was retrospectively analyzed. The patients were divided into a control group (n = 54), whose subjects underwent the Graham patch repair, and an observation group (n = 52), whose subjects underwent laparoscopic gastric perforation repair. The general characteristics, therapeutic outcomes, intraoperative and postoperative surgical indicators, 1-year postoperative recurrence, and incidence of various postoperative complications were recorded and compared between the two groups.</p><p><strong>Results: </strong>A total of 106 patients' clinical data were included in the study, of which 52 (49.1%) underwent LOPR and 54 (50.9%) were treated with Graham patch. The general characteristics of the patients in both groups were comparable. The observation group demonstrated significantly better outcomes in terms of operative time, intraoperative blood loss, and postoperative recovery time compared to the control group (p < 0.05). Moreover, the observation group had lower rates of postoperative complications and recurrence compared to the control group (p < 0.05).</p><p><strong>Conclusions: </strong>LOPR is a potential therapeutic method for patients with H. pylori-associated gastric ulcers with perforations on grounds of its superior efficacy and decreased incidence of comorbidities.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 1","pages":"63-68"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998953","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}

{"title":"A Surgical Priority for Echinococcal Cysts in the Lung and Liver: One or Two-Stage?","authors":"Turkan Dubus, Gokce Cangel, Kenan Büyükasik, Ibrahim Taskin Rakici, Aziz Ari","doi":"10.62713/aic.3793","DOIUrl":"10.62713/aic.3793","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to evaluate the surgical outcomes of liver and lung hydatid cysts treated either simultaneously or in separate stages. The main focus was to determine the impact of surgical timing on postoperative complications and overall patient recovery, with an emphasis on minimally invasive techniques.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 42 patients diagnosed with concomitant liver and lung hydatid cysts between March 2009 and July 2020. Surgical procedures included video-assisted thoracoscopic surgery (VATS), thoracotomy, laparoscopy, and laparotomy. Patient demographics, cyst characteristics, concomitant diseases, surgical procedures, postoperative complications, and recovery times were analyzed. The statistical significance of surgical outcomes between one-stage and two-stage procedures was assessed using appropriate statistical tests.</p><p><strong>Results: </strong>Demographic analysis revealed that 57.1% of the participants were female and 42.9% male, with an average age of 36 years. Comorbidities were present in 23.8% of patients, with chronic obstructive pulmonary disease (COPD) being the most common at 11.9% and asthma at 7.1%. The complication rate was 35.3% in patients who underwent lung hydatid cyst surgery and 30.8% in those who underwent liver and lung hydatid cyst surgery. Although there was no statistically significant difference among the three groups (p = 0.840), liver surgery was associated with a longer hospital stay (p = 0.013). Minimally invasive surgical techniques (VATS, laparoscopy) had a lower complication rate (20% versus 40.9%, p = 0.143). These results suggest that minimally invasive techniques can reduce the risk of complications.</p><p><strong>Conclusions: </strong>The timing of the surgical procedure, whether performed in one or two stages, had no significant effect on the complication rate. Minimally invasive techniques are recommended due to their lower complication rate and shorter recovery time.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 2","pages":"168-178"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432320","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}

{"title":"Advances in General Surgery With the Hugo™ RAS System: A Monocentric Experience.","authors":"Roberto Cammarata, Vincenzo La Vaccara, Gennaro Melone, Alberto Catamerò, Tommaso Farolfi, Roberto Coppola, Damiano Caputo","doi":"10.62713/aic.3941","DOIUrl":"https://doi.org/10.62713/aic.3941","url":null,"abstract":"<p><p>This editorial reviews the early experiences and outcomes associated with the application of the Hugo™ Robotic-Assisted Surgery (RAS) system in general surgical procedures, highlighting its technical advantages and clinical implications. A retrospective analysis of three robotic cholecystectomies and three robotic rectal resections performed with the Hugo™ RAS system was conducted, with a focus on operative times, docking efficiency, and patient outcomes. Key system features and procedural strategies were evaluated. Robotic cholecystectomies demonstrated a significant reduction in docking times and excellent patient outcomes, with no complications and short hospital stays. Robotic rectal resections showcased the system's adaptability for intricate pelvic dissections, achieving clear oncological margins and favorable postoperative recovery. The Hugo™ RAS system proves to be a versatile and cost-effective platform for general surgery, with potential to democratize access to robotic-assisted procedures. Future research is warranted to optimize workflows and validate its benefits across broader surgical.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 5","pages":"568-571"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075021","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}

{"title":"Nomograms Predicting Long-Term Survival in Patients With De Novo Metastatic Colon Cancer: A Population-Based Analysis.","authors":"Rong Wang, Junchi Cheng, Wangyan Zhong, Xiaohong Wang","doi":"10.62713/aic.3345","DOIUrl":"https://doi.org/10.62713/aic.3345","url":null,"abstract":"<p><strong>Aim: </strong>Our study aims to evaluate the overall survival (OS) and cancer-specific survival (CSS) of patients with colon cancer who present with distant metastasis, and to construct a prognostic nomogram for forecasting long-term survival outcomes.</p><p><strong>Methods: </strong>This population-based cohort analysis involved patients identified with de novo metastatic colon cancer between 2010 and 2015, utilizing data from the Surveillance Epidemiology and End Results (SEER) database.</p><p><strong>Results: </strong>The analysis comprised 6857 individuals diagnosed with de novo metastatic colon cancer and divided evenly into training and validation sets. Results from multivariate Cox regression analysis revealed that both OS and CSS were independently influenced by histological grade, patient age, T and N stage, presence of distant metastasis, perineural invasion, levels of carcinoembryonic antigen (CEA), receipt of chemotherapy, and surgery. Additionally, race emerged as a predictive factor for CSS but not for OS. The investigation successfully crafted a predictive nomogram capable of estimating personalized long-term survival probabilities, with a concordance index (C-index) of approximately 0.72 in both training and validation cohorts. By incorporating various clinicopathological characteristics, this nomogram effectively stratifies patients into distinct risk groups, each with a unique prognostic outlook.</p><p><strong>Conclusions: </strong>This investigation sheds light on prognostic factors that impact the survival of patients with newly diagnosed metastatic colon cancer. Nomograms also enable accurate prediction of individual long-term survival for patients with de novo metastatic colon cancer.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 5","pages":"695-702"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075388","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}

{"title":"Impacts of Average Real Variability Parameters of Blood Pressure on Recovery Following Posterior Fixation Surgery for Thoracolumbar Vertebral Fractures.","authors":"Guanyi He, Nan Yu, Rui Huang, Yingzhe Jin, Ming Yao, Shuo Wang, Huibin Zhang","doi":"10.62713/aic.3929","DOIUrl":"https://doi.org/10.62713/aic.3929","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the influence of average real variability (ARV) parameters of blood pressure on the recovery following posterior fixation surgery for thoracolumbar vertebral fractures.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 190 patients who underwent posterior fixation surgery for thoracolumbar vertebral fractures at Ningbo Medical Center Lihuili Hospital between January 2021 and December 2023. Patients were divided into two groups based on their postoperative recovery: the good recovery group (n = 140) and the poor recovery group (n = 50). Univariate and binary logistic regression analyses were performed to identify factors influencing postoperative recovery. Pearson correlation analysis was used to assess the relationships between ARV and other variables, while receiver operating characteristic (ROC) curve analysis was conducted to evaluate the predictive value of ARV in postoperative recovery.</p><p><strong>Results: </strong>No statistically significant differences were observed between the two groups in terms of age, body mass index (BMI), gender, place of residence, monthly family income, occupation, education level, surgery duration, intraoperative blood loss, fracture type, fracture location, or fracture stage (p > 0.05). However, significant differences were noted in complication rates, ARV levels, and self-efficacy scores (p < 0.05). Pearson linear correlation analysis revealed that ARV was positively correlated with the presence of complications (r = 0.151, p < 0.05). Binary logistic regression analysis identified complications, ARV, and self-efficacy as significant factors influencing postoperative recovery (p < 0.05). Patients were divided into four groups based on ARV quartiles: Group 1 (ARV < 0.79), Group 2 (0.79 ≤ ARV < 0.89), Group 3 (0.89 ≤ ARV < 0.98), and Group 4 (ARV ≥ 0.98). A statistically significant difference in complication rates was observed across the groups (p < 0.05). ROC analysis showed that the area under the curve (AUC) for ARV in predicting postoperative recovery was 0.724 (95% confidence interval (CI): 0.612-0.836, p < 0.001).</p><p><strong>Conclusions: </strong>ARV is a significant factor influencing recovery following posterior fixation surgery for thoracolumbar vertebral fractures. Higher ARV levels are associated with increased postoperative complications, leading to poorer recovery outcomes.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 4","pages":"470-477"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959741","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}

{"title":"Advanced Diagnosis and Treatment Methods of High-Pressure Injection Injury: A Single-Center Retrospective Case Series Study.","authors":"Weijie Zhou, Ahmad Alhaskawi, Haiying Zhou, Xiaodi Zou, Sohaib Hasan Abdullah Ezzi, Zewei Wang, Jingtian Lai, Chengjun Yao, Vishnu Goutham Kota, Mohamed Hasan Abdulla Hasan Abdulla, Olga Alenikova, Sahar Ahmed Abdalbary, Hui Lu","doi":"10.62713/aic.3464","DOIUrl":"https://doi.org/10.62713/aic.3464","url":null,"abstract":"<p><strong>Aim: </strong>This article emphasizes the essential role of radiological imaging in high-pressure injection injury (HPII) management and assesses the results of Magnetic Resonance Imaging (MRI) examinations in providing better details about foreign material extension and assisting surgeons in visualizing operational movement during surgery. Additionally, it shares the authors' experience in managing 16 HPII patients and investigates the application of bone cement in the treatment of injection injuries.</p><p><strong>Methods: </strong>Data collection of HPII patients was performed between January 2020 and June 2022 in our department, with 16 HPII patients hospitalized with mild to severe high injection injuries. We presented four cases in detail and briefly summarized all 16 cases. The previously reported HPII cases were also investigated to provide a better conclusion and comparison.</p><p><strong>Results: </strong>MRI examinations can provide vital details about the extent of foreign material extension, helping surgeons achieve better outcomes. Four detailed cases and a summary of 16 cases are presented. The study also found that polyurethane materials were commonly injected with a low amputation rate, and bone cement application was beneficial in reducing inflammation and infection.</p><p><strong>Conclusions: </strong>The study highlights the importance of MRI in diagnosing HPII and the potential benefits of using bone cement to control infections and decrease the number of surgeries. The comprehensive approach described ensures better outcomes and reduces the rate of severe consequences like amputation.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 4","pages":"550-561"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952631","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}

{"title":"An Explainable Deep Learning Framework for Predicting Postoperative Radiotherapy-Induced Vaginal Stenosis in Surgically Treated Cervical Cancer Patients.","authors":"Hua Han, Honger Zhou, Jing He, Xiang Zhang","doi":"10.62713/aic.4011","DOIUrl":"https://doi.org/10.62713/aic.4011","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;Surgery (e.g., radical hysterectomy) combined with radiotherapy is the mainstay of treatment strategy for locally advanced cervical cancer. However, the beneficial effects of adjuvant radiotherapy are frequently offset by late-onset toxicities, such as vaginal stenosis (VS), which significantly impact patients' quality of life. Although imaging techniques like computed tomography (CT) and magnetic resonance imaging (MRI) are key for both surgical planning and radiotherapy targeting, their ability to predict VS risk before treatment remains limited. This challenge underscores the need for accurate and interpretable predictive models specifically adapted to surgical oncology contexts. This study aims to develop and validate an explainable deep learning framework, integrating Squeeze-and-Excitation (SE) networks and Gradient-weighted Class Activation Mapping (Grad-CAM) visualization, for predicting radiotherapy-induced VS to enable early, personalized intervention strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Pre-treatment (i.e., post-surgical, pre-radiotherapy) CT images of cervical cancer patients diagnosed between January 2017 and March 2022 were retrospectively collected. These patients underwent radical hysterectomy (or equivalent surgical resection) followed by radiotherapy. Each patient was categorized as either positive or negative for subsequent VS development. Following normalization and augmentation, we employed a Squeeze-and-Excitation enhanced Inception network (SE-Inception) to distinguish between high- and low-risk cases. Model performance was compared to a conventional Random Forest and a deep learning baseline (ResNet50). Additionally, Grad-CAM visualization was integrated to highlight discriminative image regions for enhanced interpretability and clinical validation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among the 140 patients included in the study, 51 developed VS after treatment, representing an incidence rate of 36.4%. The SE-Inception model yielded superior performance (accuracy: 0.93; area under the receiver operating characteristic curve [AUC]: 0.95), surpassing both ResNet50 (accuracy: 0.85; AUC: 0.90) and Random Forest (accuracy: 0.59; AUC: 0.65). Recall and F1 scores also improved markedly, indicating robust sensitivity and precision. Calibration curves demonstrated excellent agreement between predicted and observed risks, while decision curve analysis (DCA) consistently indicated superior net clinical benefits of the SE-Inception model across various threshold probabilities compared to ResNet50 and Random Forest. Grad-CAM consistently localized to anatomically relevant regions correlating with surgeon- and radiologist-identified risk sites, strengthening the clinical interpretability and trustworthiness of the predictive framework.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Taking the surgical context into account, our SE-Inception framework demonstrated enhanced accuracy and interpretability in identifying pati","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 5","pages":"602-616"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075048","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}

{"title":"Factors Influencing the Indwelling Time of Retrievable Inferior Vena Cava Filters in Fracture Patients With Deep Vein Thrombosis: A Retrospective Cohort Study.","authors":"Guozhu Wei, Wei Sun, Hong Liu, Hong Gao, Yan Lin, Zhengsheng Cai, Jixiang Li, Yajie Gao, Jinhong Yan, Fenqin Chen","doi":"10.62713/aic.4027","DOIUrl":"https://doi.org/10.62713/aic.4027","url":null,"abstract":"<p><strong>Aim: </strong>To investigate factors influencing the indwelling time of retrievable inferior vena cava filters (IVCFs) in fracture patients with deep vein thrombosis (DVT), particularly comparing Denali and Cordis filters and analyzing the impact of thrombus location and patient characteristics.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted from June 2017 to December 2021 at Shenyang Orthopedic Hospital, China. We analyzed 802 patients with fractures and acute DVT who underwent successful IVCF retrieval. Patients were stratified into Denali (n = 360) and Cordis (n = 442) groups, with DVT categorized into four subgroups: above-knee DVT (AKDVT), popliteal vein thrombosis (PVT), below-knee DVT (BKDVT), and mixed DVT (MDVT). The normality of continuous variables was assessed using the Kolmogorov-Smirnov test (p ≥ 0.05). Statistical analyses included Cox regression for hazard ratios (HRs), independent t-tests for normally distributed variables, chi-square tests for categorical variables (e.g., gender, diabetes prevalence), and Mann-Whitney U tests for non-normally distributed variables.</p><p><strong>Results: </strong>A total of 802 patients underwent IVCF insertion and had their filters successfully removed. Significant differences in the indwelling time for AKDVT, PVT, BKDVT, and MDVT were observed between the Denali and Cordis groups (p < 0.001). In the Denali group, the indwelling times for AKDVT, PVT, BKDVT, and MDVT were 58, 67, 42, and 51 days, respectively, while in the Cordis group, the corresponding times were 21, 15.5, 16, and 19 days (p < 0.001). Cox regression analysis revealed that age influenced the indwelling time in the Denali group. In both the Denali and Cordis groups, metabolic factors such as diabetes, hypertension, and blood lipids were not significantly correlated with indwelling time (p > 0.05). Multivariate Cox regression identified that age ≥60 years (adjusted HR = 1.3, 95% confidence interval (CI) = 1.051-1.609, p = 0.016) and BKDVT (BKDVT vs. AKDVT: HR = 1.802, 95% CI = 1.029-3.157, p = 0.039) were predictors of prolonged indwelling time in the Denali group, while PVT (p = 0.943) and MDVT (p = 0.831) showed no significant association.</p><p><strong>Conclusions: </strong>Denali filters require longer indwelling durations than Cordis filters, with age and DVT location (BKDVT) being critical determinants for Denali, whereas only DVT location affects Cordis. Clinicians should tailor follow-up schedules and prioritize early retrieval for Cordis filters to reduce complications. These findings underscore the importance of individualized IVCF management based on filter type and thrombus location.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 5","pages":"654-663"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075370","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}

{"title":"Nuck Cyst, an Unexpected Amethyst Gem in the Inguinal Canal: A Case Report and Literature Review.","authors":"Agostino Fernicola, Armando Calogero, Giuseppe Palomba, Giusy Petti, Mario Pochet, Martina Sommese, Emanuela Capezio, Andrea Paolillo, Nicola Carlomagno, Michele Santangelo","doi":"10.62713/aic.3924","DOIUrl":"https://doi.org/10.62713/aic.3924","url":null,"abstract":"<p><strong>Aim: </strong>Nuck cyst is rare female saccular hydroceles. It appears at birth or months or years later in adulthood, resulting from imperfect closure of the canal of Nuck. Its diagnosis is often incorrect and confused with an inguinal or femoral hernia because of its extreme rarity. Consequently, surgery often leads to intraoperative surprises. We aim to increase knowledge and awareness of this rare pathology to improve the differential diagnosis of female inguinal masses that have been present for several years and to avoid intraoperative surprises. Therefore, with this study we want to highlight the diagnostic and surgical context of this rare pathology of adult women.</p><p><strong>Case presentation: </strong>We report the case of a 42-year-old woman who came to our attention for swelling and right inguinal pain that had been worsening for over ten years. Intraoperative abdominal ultrasound reported the presence of a hernia defect and the presence of a hypoechoic mass of uncertain nature, probably of lymph node type. The intraoperative diagnosis of a Nuck cyst was histologically confirmed. The patient underwent Nuck cyst removal and right inguinal hernioalloplasty.</p><p><strong>Results: </strong>The patient was discharged without any complications the same evening of surgery intervention. At the 10-day postoperative check-up, she reported the disappearance of all preoperative symptoms. Subsequently, we reviewed the currently available literature on different diagnostic and surgical approaches to treat this pathology. Our surgical approach gave postoperative results consistent with those reported in the literature.</p><p><strong>Conclusions: </strong>Nuck cyst is a rare pathology that should always be suspected in women with decades of inguinal pain. It requires an accurate preoperative diagnosis for a perfect surgical removal intervention.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 5","pages":"589-601"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075390","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}

{"title":"Therapeutic Efficacy of Percutaneous Vertebroplasty Combined With Gelatin Sponge Filling in Treating Thoracolumbar Fractures: A Retrospective Analysis.","authors":"Juan Zhang, Quan Liu","doi":"10.62713/aic.4020","DOIUrl":"https://doi.org/10.62713/aic.4020","url":null,"abstract":"<p><strong>Aim: </strong>Percutaneous vertebroplasty (PVP) effectively treats thoracolumbar fractures (TLF) but is plagued by post-operative bone cement leakage. Placing a gelatin sponge in the spinal canal can enhance bone cement viscosity and reduce its fluidity, potentially lowering leakage risks. This study explores the clinical efficacy of PVP combined with gelatin sponge implantation in treating TLF and assesses its role in reducing bone cement leakage and associated postoperative complications.</p><p><strong>Methods: </strong>This retrospective analysis included 120 TLF patients who underwent PVP treatment at the Anji Traditional Chinese Medicine Hospital between January 2022 and September 2024. Based on the use of gelatin sponges during the procedure, patients were divided into a control group, which underwent conventional PVP (n = 67), and an observation group, which received PVP combined with gelatin sponge filling (n = 53). The Visual Analog Scale (VAS) score, Oswestry Disability Index (ODI), anterior edge height and Cobb angle of the injured vertebra, and Beck index were comparatively analyzed between the two groups at three-time points: before the operation, 1 day after surgery, and 3 months postoperatively. Furthermore, the rates of bone cement leakage, adjacent vertebral fractures, adverse reactions, and the Generic Quality of Life Inventory-74 (GQOLI-74) scores were compared between the two groups.</p><p><strong>Results: </strong>Compared to the preoperative values, the VAS scores and ODI were significantly improved in both groups at 1 day and 3 months after the procedure (p < 0.001). The anterior edge height, Cobb angle, and Beck index were significantly recovered (p < 0.001). However, these indicators showed no significant differences between the two groups before the operation, 1 day and 3 months after the procedure (p > 0.05). Within one year postoperatively, the incidence rates of bone cement leakage and adverse reactions were substantially reduced in the observation group than in the control group (p < 0.05). However, there was no statistically significant difference in the incidence rate of adjacent vertebral fractures between the two groups (p > 0.05). Furthermore, no difference was observed in the scores of each dimension of GQOLI-74 between the two groups before operation (p > 0.05). One year after the operation, the scores of each dimension of GQOLI-74 elevated in both groups (p < 0.001), with higher scores observed in the observation group (p < 0.05).</p><p><strong>Conclusions: </strong>Compared to PVP alone, PVP combined with gelatin sponge implantation in treating TLF can effectively reduce the incidence of bone cement leakage and associated postoperative adverse reactions while improving overall quality of life one year after surgery.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"96 5","pages":"634-643"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075584","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}