Giusto Pignata

Defining complex groin hernia and contextualizing approach selection: a three-round Delphi consensus framework

Davide Cavaliere, Sara Capoccia Giovannini, Filippo Paratore, Angelo Iossa et autres

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Correction: Colonic resection or self-expanding metal stents for obstructive left colon cancer: results of a national multicenter prospective cohort study (CROSCO-1)

Alessio GIORDANO, Manuela Mastronardi, Paola Fugazzola, Giulia Montori et autres

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Colonic resection or self-expanding metal stents for obstructive left colon cancer: results of a national multicenter prospective cohort study (CROSCO-1)

Alessio GIORDANO, Manuela Mastronardi, Paola Fugazzola, Giulia Montori et autres

BACKGROUND: The optimal management of acute left-sided malignant colonic obstruction remains controversial. Emergency surgery (ES) is associated with substantial morbidity and high stoma rates, whereas self-expanding metal stents (SEMS) as a bridge to surgery (BtS) may convert an emergency into an elective …

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Robotic versus laparoscopic Hartmann reversal: a multicentric analysis by ICoRS (Italian club of robotic Surgery)

Michele Manigrasso, Pietro Anoldo, Jacopo Andreuccetti, Graziano Ceccarelli et autres

Hartmann's procedure is often performed in emergency settings for complicated diverticulitis, obstructive colorectal cancer, or colonic perforations when primary anastomosis is not feasible. Hartmann Reversal (HR) is technically demanding, primarily due to dense intra-abdominal adhesions, and is traditionally performed in open or …

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Robotic versus Laparoscopic Surgery in Upper Gastrointestinal Procedures: A Narrative Review of Recent Literature

Serena Guarriello, Jacopo Andreuccetti, Giusto Pignata

Introducere: Chirurgia asistată robotic oferă avantaje teoretice faţă de laparoscopie în procedurile tractului gastrointestinal superior, precum vizualizare tridimensională, dexteritate îmbunătăţită şi ergonomie superioară.Cu toate acestea, impactul său clinic rămâne dezbătut, având în vedere durata operatorie mai lungă şi costurile mai ridicate.Metode: Am …

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TCF Plus Radiochemotherapy Versus Neoadjuvant Radiochemotherapy Versus Flot Perioperative Chemotherapy in Esophageal Adenocarcinoma: The Results of a Three-Cohort, Multi-Centric Comparison: The A4 Study

Marco Lorenzo Bonù, Giulia Volpi, Jacopo Balduzzi, Fabrizia Terraneo et autres

Introduction: Recent randomized evidence suggests that stage II–IV non metastatic esophageal adenocarcinoma is best managed with perioperative chemotherapy (CHT) and surgery. Intensification of neoadjuvant chemotherapy and radiochemotherapy are proposed before surgery in high-volume centers with the aim of increasing both systemic and …

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Enhanced recovery and survival after elective surgery for colorectal cancer - propensity score weighting analysis of 2,865 prospective patients

Marco Catarci, Stefano Guadagni, Marco Scatizzi, Raffaele De Luca et autres

BACKGROUND: The impact of enhanced recovery pathway (ERP) on survival after colorectal cancer surgery (CCS) remains controversial. MATERIALS AND METHODS: A total of 2865 adults enrolled in a multicenter cohort study (iCral3 study) after CCS were followed up. The percentage adherence to …

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The Italian national consensus conference on the diagnosis and treatment of Rectus Abdominis diastasis in Post-gravidic Women

Umberto Marcello Bracale, Cesare Stabilini, Giuseppe Cavallaro, Francesca Pecchini et autres

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COVID-19 infection is a significant risk factor for death in patients presenting with acute cholecystitis: a secondary analysis of the ChoCO-W cohort study

Belinda D de Simone, Fikri M. Abu‐Zidan, Lucienne Kasongo, Ernest Eugene Moore et autres

BACKGROUND: During the coronavirus disease (COVID-19) pandemic, there has been a surge in cases of acute cholecystitis. The ChoCO-W global prospective study reported a higher incidence of gangrenous cholecystitis and adverse outcomes in COVID-19 patients. Through this secondary analysis of the ChoCO-W …

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Length of stay after colorectal surgery in Italy: the gap between “fit for” and “actual” discharge in a prospective cohort of 4529 cases

Lorenzo Pandolfini, Duccio Conti, Piercarlo Ballo, Silvia ROLLO et autres

BACKGROUND: It is common to observe a gap between the day on which the discharge criteria are reached and the actual day of discharge after colorectal surgery. The aim of this study is to understand the reasons for this difference and its …

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Global access to technologies to support safe and effective inguinal hernia surgery: prospective, international cohort study

Maria Picciochi, Adesoji Oludotun Ademuyiwa, Adewale Adisa, Anita Eseenam Agbeko et autres

Technological advancement is important to improve healthcare quality and safety, especially in surgery1. For patients with an inguinal hernia, mesh and minimally invasive surgery are the two main technologies that have improved healthcare quality and safety2,3. The use of mesh is proven …

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Access to and quality of elective care: a prospective cohort study using hernia surgery as a tracer condition in 83 countries

Aslıhan Dönmez, Aakansha Giri Goswami, Aashna Raheja, Aayush Bhadani et autres

BACKGROUND: Timely and safe elective health care facilitates return to normal activities for patients and prevents emergency admissions. Surgery is a cornerstone of elective care and relies on complex pathways. This study aimed to take a whole-system approach to evaluating access to …