Annali italiani di chirurgia最新文献

{"title":"Application of Osborne's Ligament Suspension and Ulnar Nerve Anterior Transposition in Conjunction with Transcutaneous Electrical Nerve Stimulation for Managing Cubital Tunnel Syndrome: A Retrospective Study.","authors":"Wei Wang, Yu Tian, Gang-Gang Zhou, Jian-Feng Deng, Wen-Yan Li, Rui Wang","doi":"10.62713/aic.3725","DOIUrl":"https://doi.org/10.62713/aic.3725","url":null,"abstract":"<p><strong>Aim: </strong>To explore the effectiveness and safety of Osborne's ligament suspension and ulnar nerve anterior transposition (OLSUNAT) in conjunction with transcutaneous electrical nerve stimulation (TENS) for managing cubital tunnel syndrome (CTS).</p><p><strong>Methods: </strong>A total of 116 individuals diagnosed with CTS who underwent OLSUNAT in our hospital between October 2020 and December 2023 were retrospectively selected. They were divided into a treatment group (62 cases) and a control group (54 cases) based on whether they received subsequent TENS. Observation indicators included pain level, numbness, ulnar nerve conduction velocity, strength of the abductor of the little finger, two-point discrimination, elbow range of motion, fine motor activities of the upper limb and hand, SF-36 scores, and incidence of complications.</p><p><strong>Results: </strong>No significant differences in baseline characteristics were identified between the treatment and control groups (p > 0.05). After treatment, both groups showed remarkable improvements in pain level, numbness, motor nerve conduction velocity (MCV), sensory nerve conduction velocity (SCV), strength of the abductor of the little finger, two-point discrimination, elbow range of motion, Simple Test for Evaluating Hand Function (STEF) score, and SF-36 scores compared to before treatment (p < 0.05). However, the treatment group showed greater progress than the control group (p < 0.05). Although the overall incidence of complications in the treatment group was slightly lower than in the control group, this difference did not reach statistical significance (p > 0.05).</p><p><strong>Conclusions: </strong>OLSUNAT combined with TENS offers significant advantages in managing CTS, effectively alleviating symptoms, promoting nerve and elbow function recovery, and improving patients' quality of life while demonstrating high safety. However, further extensive and long-term studies are needed to confirm its sustained efficacy and safety.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 6","pages":"1213-1220"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891537","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":"Bilateral Lumbar Hernia: A Case Report.","authors":"Furkan Karahan, Ahmet Atasever, Arif Atay, Osman Nuri Dilek","doi":"10.62713/aic.3268","DOIUrl":"10.62713/aic.3268","url":null,"abstract":"<p><p>Lumbar hernias are a relatively uncommon occurrence, with two main categories: congenital and acquired. Some acquired hernias are spontaneous, while others are the result of secondary factors such as trauma and surgery. Bilateral primary lumbar hernia is a much rarer occurrence. Abdominal computed tomography is the gold standard for differential diagnosis of bilateral primary lumbar hernia. The treatment plan entails the closure of the defect through either open or laparoscopic methods, accompanied by the use of a suitable mesh to provide support. Nevertheless, no surgical method has yet been identified as the standard procedure for reducing the risk of relapse. We present the case of a 73-year-old female patient who presented with complaints of swelling in the left lumbar region and abdominal pain. The patient exhibited bilateral lumbar hernia. The hernial sac on the left side contained intra-abdominal organs. The diagnosis was confirmed by computed tomography. The defect on the left was subsequently closed with mesh following the dissection of the hernia sac. In this study, we present a case of bilateral lumbar hernia in the context of existing literature. The objective of this study was to assist clinicians in accurately diagnosing and appropriately managing this condition.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 4","pages":"461-465"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142054765","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":"Adenoid Cystic Carcinoma of Esophagus with Lung Metastasis: Case Report.","authors":"Jianjian Ge, Chao Wang, Shengli Zhao, Jianming Zhang, Xiaoyang Wang, Jingjing Sui, Lijian Tang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Adenoid cystic carcinoma (ACC) is a malignant tumor originating in the salivary glands. It most commonly affects the salivary and lacrimal glands, with less frequent occurrences in the esophagus. Esophageal ACC (EACC) typically manifests in the middle or lower parts of the esophagus, with exceedingly rare instances in the upper part. Lung metastasis in EACC is uncommon, and understanding its clinical features and treatment strategies remains challenging. In this study, we present a case of ACC originating in the upper esophagus with lung metastasis. The patient, a middle-aged female, was admitted to the Department of Respiratory and Critical Care Medicine due to an esophageal mass discovered during physical examination that had been present for 4.5 years, along with a newly identified pulmonary nodule for 2 weeks. An X-ray barium meal revealed the presence of a benign esophageal cervical mass. Gastroscopy revealed elevated lesions below the esophageal inlet, and a pathological biopsy confirmed the diagnosis of EACC. The aim of this case report is to enhance understanding of this rare condition and improve clinicians' awareness of the disease. By providing details of the patient's diagnosis, clinical presentation, imaging features and pathological features, we aim to improve diagnostic accuracy and clinical management of similar cases in the future.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 1","pages":"6-12"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140100922","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":"Wrist Arthroscopy-Assisted Reduction for Distal Radius Fracture and its Associated Injuries: Clinical Observation of Triangular Fibrocartilage Complex Injuries.","authors":"Fengwei Yu, Botao Pang, Yongtao Liu, Chengnian Zhang, Zhiyang Deng, Daijie Zhang, Xiaozhi Liu, Weiqiang Yang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>To compare the clinical effects between wrist arthroscopy-assisted open reduction plus internal fixation, using the triangular fibrocartilage complex (TFCC) as an example, and simple open reduction plus internal fixation in the treatment of distal radius fractures (DRFs). The study aims to assess the efficacy of arthroscopic-assisted open reduction and internal fixation in treating distal radius fractures.</p><p><strong>Methods: </strong>The study utilized a retrospective cohort research approach, involving 60 patients treated at Binzhou Medical University Hospital between August 2021 and October 2022. These patients met the specified criteria and underwent two distinct surgical procedures for DRFs. Prior to surgery, thorough communication was established with the patients to elucidate the advantages, risks, and associated costs of wrist arthroscopy, and informed consent was obtained. Subsequent to the surgeries, postoperative follow-up was conducted to evaluate the variances between the two treatment modalities. Postoperative analysis and assessment encompassed the patients' Visual Analogue Scale (VAS) scores, Cooney wrist scores, grip strength of the affected limb (in comparison with the healthy side), wrist range of motion, and the frequency of intraoperative fluoroscopy usage.</p><p><strong>Results: </strong>No surgical complications were observed among all patients. They were followed up for an average duration of (12.1 ± 1.3) months postoperatively, during which all fractures healed successfully. Within the treatment group, arthroscopy detected 14 cases of TFCC tears during the operation, all of which were repaired under a microscope. Conversely, physical examination identified three cases of TFCC injury in the control group, which were treated via incision and suture. At the 3-month postoperative mark, the treatment group exhibited significantly superior comprehensive scores for wrist pain, grip strength, and wrist range of motion compared to the control group (p < 0.05). Cooney's comprehensive wrist joint scoring yielded the following results: treatment group - excellent in 21 cases, good in five cases, and moderate in four cases; control group - excellent in 16 cases, good in nine cases, and moderate in five cases.</p><p><strong>Conclusion: </strong>Wrist arthroscopy-assisted surgery facilitates precise reduction of the articular surface and alleviation of intraarticular congestion. Moreover, it enables evaluation and repair of concurrent intra-articular injuries such as TFCC tears and other tissue injuries, thereby reducing the likelihood of chronic wrist pain. Consequently, this technique should be deemed valuable in clinical practice owing to its outstanding clinical efficacy.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 1","pages":"78-90"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140100936","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":"Effects of Multimodal Analgesia Combined with Comfort Management on Pain and Stress Indexes in Patients with Orthopedic Trauma after Intervention: A Retrospective Study.","authors":"Haining Zuo, Chao Liu, Wenchuang Fan, Xing Lu","doi":"10.62713/aic.3527","DOIUrl":"https://doi.org/10.62713/aic.3527","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to assess the impact of combining multimodal analgesia with comfort care on pain levels, stress, negative emotions, and quality of life in individuals recovering from traumatic fractures.</p><p><strong>Methods: </strong>This retrospective study analyzed clinical data from traumatic fracture patients who underwent emergency operations at our hospital between June 2022 and February 2024. Patients were divided into two groups based on their postoperative pain management: the control group, which received standard measures, and the exposure group, which received a combination of multimodal analgesia and comfort-based care. We compared these groups for pain intensity (baseline and activity Visual Analog Scale (VAS) scores), serum stress biomarkers (norepinephrine, adrenaline, cortisol), emotional distress (self-rating depression scale (SDS), and the self-rating anxiety scale (SAS)), and overall quality of life (Comprehensive Quality of Life Assessment Questionnaire (GQOLI-74) score). Overall, this study evaluated differences in postoperative complications between the two pain management approaches.</p><p><strong>Results: </strong>In this study, we included 101 participants, 41 in the exposed group and 60 in the control group. Before the intervention, baseline characteristics were similar between the two groups (p > 0.05). However, one week after the intervention, the resting and active VAS scores were significantly reduced in the exposed group than in the control group (p < 0.05). Furthermore, one week after the intervention, the exposed group had lower levels of serum sodium, epinephrine, cortisol, stress, and anxiety, as well as higher physical and mental health scores on the GQOLI-74 scale. During the intervention period, there was no significant difference in postoperative complications between the two groups (p > 0.05).</p><p><strong>Conclusions: </strong>Combining multi-mode analgesia with comfort management for patients with traumatic fractures significantly reduces postoperative pain and stress levels. Additionally, this approach can effectively enhance patients' negative emotions and improve their quality of life. This approach holds significant promise for practical use in clinical settings.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 5","pages":"886-893"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520846","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":"The Effect of Early Scapular Training on Shoulder Joint Function after Surgery for Rotator Cuff Injuries: A Retrospective Study.","authors":"Mingkun Yu, Zhifeng Tang","doi":"10.62713/aic.3632","DOIUrl":"https://doi.org/10.62713/aic.3632","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to evaluate the impact of early scapular rehabilitation training in patients after rotator cuff injury. Furthermore, it sought to analyze the application of this approach in promoting surgical site healing and enhancing shoulder joint function recovery.</p><p><strong>Methods: </strong>This retrospective study obtained the clinical data from 74 patients who underwent rotator cuff repair between July 2022 and June 2024. Patients were divided into two experimental groups: the control group (n = 35), including those who underwent routine rehabilitation exercises after rotator cuff repair, and the exposed group (n = 39), who received scapular training exercises. The patients were followed up and examined at 8 weeks and 16 weeks after surgery. The range of motion (adduction and abduction), shoulder muscle strength (adduction and abduction), Visual Analogue Scale (VAS) scores, and the University of California-Los Angeles (UCLA) shoulder scales were compared between the two groups before rotator cuff repair.</p><p><strong>Results: </strong>We observed that after 8 weeks of treatment-post-surgery, both the groups showed significant improvement in the range of motion (adduction and abduction) and the muscle strength (adduction and abduction) within the shoulder joint compared with those observed before treatment (p < 0.05). After 16 weeks of treatment, the range of motion (adduction and abduction) and shoulder muscle strength (adduction and abduction) further improved compared to those observed after 8 weeks of treatment (p < 0.05). After 8 weeks and 16 weeks of treatment, the University of California shoulder joint scores in both groups were significantly better compared to those before treatment (p < 0.05), and the VAS score significantly decreased (p < 0.05), with the effects after 16 weeks of treatment being better than those observed after 8 weeks (p < 0.05). Additionally, there was no difference in the overall incidence of complications between the two groups (p > 0.05).</p><p><strong>Conclusions: </strong>Early scapular training, following rotator cuff injury, is beneficial in functional recovery of shoulder joint function, which improves rehabilitation outcomes and ultimately promotes patient prognosis.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 6","pages":"1231-1239"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891591","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":"Establishing a Novel Animal Model of Tricuspid Regurgitation by Self-expanding Stent.","authors":"Peng Xu, Weizhong Feng, Yinhao Jiang, Haixia Xu, Junqing Zhou","doi":"10.62713/aic.3490","DOIUrl":"https://doi.org/10.62713/aic.3490","url":null,"abstract":"<p><strong>Aim: </strong>To establish a simple, safe, and reproducible animal model of tricuspid regurgitation (TR).</p><p><strong>Methods: </strong>A self-expanding stent made of nickel-titanium shape memory metal alloy was developed. Ten white pigs were randomized into an experimental group (n = 7) and a control group (n = 3). TR was induced by an interventional procedure by implanting a self-expanding stent via the internal jugular vein (IJV) to open the tricuspid valve in the experimental group. The pigs in the control group underwent the same procedure without stent implantation. Echocardiography was performed preoperatively and at 1 month and 3 months postoperatively to assess cardiac function and structure modification.</p><p><strong>Results: </strong>Echocardiography displayed enlargement of the right atrium (RA) and tricuspid annulus, as well as reduced right heart function in the experimental group. Additionally, the TR area (p < 0.01), TR/RA (p < 0.01), RA (p < 0.05), and tricuspid annulus (p < 0.01) were significantly higher at 1 month or 3 months postoperatively compared with preoperative values. Likewise, right ventricular Tei index (RVTei) (p < 0.05) was significantly increased. However, right ventricular fractional area change (RVFAC) (p < 0.05), and tricuspid annular plane systolic excursion (TAPSE) (p < 0.05) were decreased, indicating impaired right heart function. Moreover, no significant changes were noted in the body weight of white pigs. All pigs survived, validating the successful establishment of the TR model. Notably, both the success rate and the survival rate were 100% in the experimental group. However, right heart remodeling was observed in the experimental group. Finally, no significant changes were detected in the control group before and after the operation.</p><p><strong>Conclusions: </strong>Self-expanding stent implantation via IJV is a simple and easy-to-manipulate approach for constructing an animal model of TR, which is suitable for exploring right ventricular remodeling.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 6","pages":"1261-1269"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891498","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":"Ingestion of Multiple Magnets by Children: Diagnosis and Management When Ingestion is not Witnessed.","authors":"Letizia Corbi, Simone Frediani, Ivan Pietro Aloi, Valerio Pardi, Arianna Bertocchini, Antonella Accinni, Alessandro Inserra","doi":"10.62713/aic.3481","DOIUrl":"https://doi.org/10.62713/aic.3481","url":null,"abstract":"<p><strong>Aim: </strong>Foreign body ingestion, particularly that of magnets, is a significant issue for children aged 6 months to 3 years due to their prevalence in toys and household items. Most ingested foreign bodies pass naturally, but 10%-20% of such cases require endoscopic removal, and <1% require surgery.</p><p><strong>Case presentation: </strong>A 2-year-old girl presented with abdominal pain, nausea, and vomiting. Abdominal ultrasonography revealed numerous non-specific mesenteric lymph nodes. Plain abdominal radiography identified multiple high-radiopacity foreign bodies, 4.5 mm in diameter.</p><p><strong>Results: </strong>We performed an emergency laparotomy and removed 24 spherical magnets through an intestinal breach.</p><p><strong>Conclusions: </strong>Over the past decade, the incidence of magnet ingestion in children has increased notably, largely owing to the presence of small high-strength neodymium magnets in toys. Legislative actions, including recalls and bans, have effectively reduced ingestion cases; however, challenges, such as the resale of banned products and insufficient public awareness, persist. This case report addresses the concerns of this ongoing trend and suggests easy preventive measures to improve the safety of children.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 6","pages":"1053-1060"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891499","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":"Management of Challenging Endodontic Cases.","authors":"Alfredo Iandolo","doi":"10.62713/aic.3757","DOIUrl":"https://doi.org/10.62713/aic.3757","url":null,"abstract":"<p><p>No abstract present.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 6","pages":"987-989"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891511","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":"Our Experience about Shared Venous Hemodynamics Map (SVHM): A Least Common Denominator for Computerized Comparison of the Results of Chronic Venous Disease (CVD) Treatment.","authors":"Paolo Izzo, Claudia De Intinis, Paolo Meloni, Pierfrancesco Di Cello, Andrea Polistena, Massimo Codacci-Pisanelli, Silvia Lai, Marcello Molle, Luciano Izzo, Sara Izzo","doi":"10.62713/aic.3878","DOIUrl":"https://doi.org/10.62713/aic.3878","url":null,"abstract":"<p><strong>Aim: </strong>Varicose veins, while frequently perceived as a cosmetic concern, should be evaluated within the broader context of chronic venous insufficiency (CVI) affecting the lower extremities. The Mappa Emodinamica Venosa Condivisa, Italian for Shared Venous Hemodynamics Map (MEVeC) project aims to provide an objective method for assessing the hemodynamic disorders underlying CVI and standardizing the evaluation of therapeutic interventions for lower extremity CVI. To achieve objective treatment assessment, it is essential to ensure uniform expertise among phlebologists and the ability to replicate comparable clinical outcomes.</p><p><strong>Methods: </strong>The study focused on patients with internal saphenous vein varices due to saphenous-femoral junction incompetence. Cases exhibiting non-saphenous reflux or incontinence perforating veins were excluded from the study cohort. Experienced medical practitioners conducted ultrasound Doppler scans and interventions on patients meeting specific inclusion criteria. These criteria included age, varix status, lifestyle, and Clinical Etiology Anatomy Pathophysiology (CEAP) classification. The study involved 40 limbs of patients in two groups, one undergoing traditional surgery and the other ablative laser treatment, with a six-month follow-up.</p><p><strong>Results: </strong>Group A (surgical intervention) exhibited a 5% incidence of ostial reflux and no saphenous vein reflux. In contrast, Group B (laser ablation) showed a 15% incidence of ostial reflux and a 20% incidence of saphenous vein reflux, with only one instance exceeding 0.5 seconds. The reflux observed in Group A was attributed to a previously undisclosed incontinent pudendal sub-ostial vein. In Group B, two instances of ostial refluxes resulted from a common incontinent confluence of the epigastric vein with other collateral vessels, while the third case presented sub-ostial incontinence.</p><p><strong>Conclusions: </strong>Despite the absence of a standardized protocol for assessing the efficacy of diverse therapeutic interventions for Chronic Venous Disease (CVD), the MEVeC technique may offer a methodology to reproduce comparable clinical outcomes regardless of the treatment used. The primary objective of MEVeC is to quantitatively evaluate the hemodynamic disorders that are fundamental to the pathogenesis of chronic venous insufficiency, thereby facilitating standardized comparative analyses of outcomes across various Multidisciplinary Vascular Clinic (MVC) treatment strategies.</p>","PeriodicalId":8210,"journal":{"name":"Annali italiani di chirurgia","volume":"95 6","pages":"1280-1286"},"PeriodicalIF":0.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891513","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}