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Rojas JI, Gracia F, Parciak T, Alonso R, Becker J, Treviño-Frenk I, Alonso-Serena M, Giunta D, Abad P, Carnero-Contentti E, Carrá A, Correa-Díaz EP, Correale J, Cristiano E, Flores J, Fruns M, Galleguillos L, Garcea O, Hamuy F, Lana-Peixoto M, Navas C, Pappais-Alvarenga R, Patrucco L, Rivera V, Tenembaum S, Ysrraelit MC, Peeters LM. [Core data set for real world data in multiple sclerosis: customization for latin america from a global task force recommendation]. Rev Neurol 2024; 78:185-197. [PMID: 38502167 DOI: 10.33588/rn.7807.2023326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/20/2024]
Abstract
INTRODUCTION The primary objective of the core data set is to reduce heterogeneity and promote harmonization among data sources in EM, thereby reducing the time needed to execute real life data collection efforts. Recently, a group led by the Multiple Sclerosis Data Alliance has developed a core data set for collecting real-world data on multiple sclerosis (MS) globally. Our objective was to adapt this global data set to the needs of Latin America, so that it can be implemented by the registries already developed and in the process of development in the region. MATERIAL AND METHODS A working group was formed regionally, the core data set created globally was adapted (translation process into Spanish, incorporation of regional variables and consensus on variables to be used). Consensus was obtained through the remote Delphi methodology of a round of questionnaires and remote discussion of the core data set variables. RESULTS A total of 25 professionals from Latin America carried out the adaptation process between November 2022 and July 2023. Agreement was established on a core data set of nine categories and 45 variables, version 2023 to suggest its implementation in developed or developing registries, and MS cohorts in the region. CONCLUSION The core data set seeks to harmonize the variables collected by registries and cohorts in MS in Latin America in order to facilitate said collection and allow collaboration between sources. Its implementation will facilitate real life data collection and collaboration in the region.
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Affiliation(s)
- J I Rojas
- Hospital Alemán, Buenos Aires, Argentina
- Centro de Esclerosis Múltiple de Buenos Aires (CEMBA), Buenos Aires, Argentina
| | - F Gracia
- Hospital Santo Tomás, Panamá, República de Panamá
| | - T Parciak
- Universidad Hasselt, Diepenbeek, Bélgica
| | - R Alonso
- Hospital J. M. Ramos Mejía, Buenos Aires, Argentina
- Universidad de Buenos Aires, Buenos Aires, Argentina
- Sanatorio Güemes, Buenos Aires, Argentina
| | - J Becker
- Universidad Pontificia de Rio Grande do Sul, Porto Alegre, Brasil
| | - I Treviño-Frenk
- Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México
| | | | - D Giunta
- Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - P Abad
- Hospital Metropolitano de Quito, Quito, Ecuador
| | | | - A Carrá
- Hospital Británico, Buenos Aires, Argentina
- Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina
| | - E P Correa-Díaz
- Hospital Carlos Andrade Marín. Universidad Central del Ecuador, Quito, Ecuador
| | | | - E Cristiano
- Centro de Esclerosis Múltiple de Buenos Aires (CEMBA), Buenos Aires, Argentina
| | - J Flores
- Instituto Nacional de Neurología y Neurocirugía, Ciudad de México, México
| | - M Fruns
- Clínica Las Condes , Santiago de Chile, Chile
| | - L Galleguillos
- Clinica Alemana, Santiago de Chile, Chile
- Universidad del Desarrollo, Santiago de Chile, Chile
| | - O Garcea
- Hospital J. M. Ramos Mejía, Buenos Aires, Argentina
- Universidad de Buenos Aires, Buenos Aires, Argentina
| | - F Hamuy
- Hospital IMT, Asunción, Paraguay
| | - M Lana-Peixoto
- Universidad Federal de Minas Gerais, Belo Horizonte, Brasil
| | - C Navas
- Clínica Universitaria Colombia, Bogotá, Colombia
| | | | - L Patrucco
- Centro de Esclerosis Múltiple de Buenos Aires (CEMBA), Buenos Aires, Argentina
| | - V Rivera
- Universidad de Medicina Baylor, Houston, EE.UU
| | - S Tenembaum
- Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina
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Schiavon M, Camagni S, Venuta F, Rosso L, Boffini M, Parisi F, Bertani A, Meloni F, Paladini P, Faccioli E, Colledan M, Diso D, Cattaneo M, Scalini F, Alfieri S, Giunta D, Morosini M, Luzzi L, Lorenzoni G, Dell'Amore A, Rea F. A multicentric evaluation of pediatric lung transplantation in Italy. J Thorac Cardiovasc Surg 2023; 165:1519-1527.e4. [PMID: 35863967 DOI: 10.1016/j.jtcvs.2022.06.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Revised: 05/17/2022] [Accepted: 06/07/2022] [Indexed: 11/25/2022]
Abstract
BACKGROUND Pediatric lung transplantation is performed in highly experienced centers due to the peculiar population characteristics. The literature is limited and not representative of individual countries' differences. The purpose of this study was to analyze the Italian experience. METHODS A multicentric retrospective analysis was performed on 110 pediatric patients (<18 years old) who underwent lung transplantation from 1992 to 2019 at 9 Italian centers. Heart-lung transplantations and lung retransplantations were excluded. RESULTS The population was composed of 44 male and 66 female patients, with a median age of 15 years. The most frequent indication was cystic fibrosis (83%). One quarter of patients were transplanted in an emergency setting. Median donors' Oto score and age were 1 and 15 years, respectively, with 43% of adult donors. In 17% of patients a graft reduction was performed. Postoperatively, the median duration of mechanical ventilation, intensive care unit, and in-hospital stay were 48 hours, 11 and 35 days, respectively. Thirty-day mortality was 6%, and 1-, 5-, and 10-year survival was 72%, 52%, and 33%, respectively. Risk factors for mortality were Oto score and recipients' body mass index. CONCLUSIONS The outcomes of pediatric lung transplantation in Italy are comparable with current literature. Particular attention should be paid to the Oto score and recipient body mass index. Conversely, adult donors and graft reductions can be safely used to expand the donor pool.
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Affiliation(s)
- Marco Schiavon
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University Hospital of Padova, Padova, Italy.
| | - Stefania Camagni
- Department of Organ Failure and Transplantation, ASST Giovanni XXIII, Bergamo, Italy
| | - Federico Venuta
- Department of Organ Failure and Transplantation, University of Rome, Rome, Italy
| | - Lorenzo Rosso
- Department of Pathophysiology and Transplantation, University of Milan, Milano, Italy
| | | | - Francesco Parisi
- Thoracic Transplant and Pulmonary Hypertension Unit, Bambino Gesù Children Hospital, Rome, Italy
| | - Alessandro Bertani
- Division of Thoracic Surgery and Lung Transplantation, IRCCS ISMETT-UPMC, Palermo, Italy
| | - Federica Meloni
- Respiratory Disease Department, IRCCS San Matteo Foundation and University Pavia, Pavia, Italy
| | - Piero Paladini
- University of Siena, Siena, Italy, Azienda Ospedaliera Le Scotte, Siena, Italy
| | - Eleonora Faccioli
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University Hospital of Padova, Padova, Italy
| | - Michele Colledan
- Department of Organ Failure and Transplantation, ASST Giovanni XXIII, Bergamo, Italy
| | - Daniele Diso
- Department of Organ Failure and Transplantation, University of Rome, Rome, Italy
| | - Margherita Cattaneo
- Department of Pathophysiology and Transplantation, University of Milan, Milano, Italy
| | | | - Sara Alfieri
- Thoracic Transplant and Pulmonary Hypertension Unit, Bambino Gesù Children Hospital, Rome, Italy
| | - Domenica Giunta
- Division of Thoracic Surgery and Lung Transplantation, IRCCS ISMETT-UPMC, Palermo, Italy
| | - Monica Morosini
- Respiratory Disease Department, IRCCS San Matteo Foundation and University Pavia, Pavia, Italy
| | - Luca Luzzi
- University of Siena, Siena, Italy, Azienda Ospedaliera Le Scotte, Siena, Italy
| | - Giulia Lorenzoni
- Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic Vascular Sciences and Public Health, University of Padua, Padova, Italy
| | - Andrea Dell'Amore
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University Hospital of Padova, Padova, Italy
| | - Federico Rea
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University Hospital of Padova, Padova, Italy
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La Mantia M, De Monte L, Tancredi G, Giunta D, Ferrigno P, Gristina V, Galvano A, Barraco N, Rizzo S, Russo TB, Salemi D, Santoro A, Liotta R, Bertani A, Russo A, Bazan V. EP08.03-007 Spontaneous Regression in Metastatic Non-small Cell Lung Cancer: A Case Report. J Thorac Oncol 2022. [DOI: 10.1016/j.jtho.2022.07.863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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Giraudo C, Nistri F, Ferrigno P, Dolci G, Stramare R, Guglielmi G, Mammana M, Quaia E, Giunta D, Dell'Amore A, Rea F. Sternal transplant using cadaveric allograft: quantitative and qualitative assessment of bone healing by computed tomography. Quant Imaging Med Surg 2021; 11:502-509. [PMID: 33532251 DOI: 10.21037/qims-20-90] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Background Sternal transplant using cadaveric allograft (STCA) is a complex and rarely performed surgical procedure usually applied for massive bone tissue loss, sternotomy complications, or neoplastic resections. Although radiological imaging and especially computed tomography (CT) is routinely applied for the post-surgical assessment, up to now, a standardized approach evaluating the outcome of STCAs is missing. Therefore, aim of this study was to qualitatively and quantitatively evaluate, by CT, bone healing after STCA. Methods The first and the last available postsurgical CT of patients who underwent STCA in two tertiary centers between 2009 and 2017 were collected. Standardized regions of interest were applied on the cancellous bone along the transplanted sternum, and, as reference, on the fourth thoracic vertebra, at both time points, collecting the density values. The areas nearby the fixation devices were assessed by a four-points qualitative score. To evaluate the mineralization, the analysis of the variance (ANOVA) with post-hoc Bonferroni correction was applied for the quantitative measurements while the Wilcoxon test was used for the qualitative score (P<0.05). To evaluate the intra-rater reliability of the qualitative and the quantitative analyses, the same rater repeated the measurements after two months and the Cohen's kappa (k) and the intraclass correlation coefficient (ICC) were computed. Results Fourteen patients (11 females, 61±12.8 years) were examined. The first control CTs were performed 32±40.26 days after the STCA and the last CT were acquired after 729±745 days. The quantitative and the qualitative score significantly increased between the two intervals (P<0.05, each). The density of the transplanted sternum was lower than that of the vertebral reference at the first CT (P=0.006) while no differences occurred at the last control (P=0.361). The assessments showed high intra-rater reliability and agreement (ICC ≥0.890, k≥0.906). Conclusions The hereby-proposed qualitative and quantitative methods demonstrated to be good tools for assessing bone healing after STCA.
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Affiliation(s)
- Chiara Giraudo
- Radiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy
| | - Francesca Nistri
- Radiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy
| | - Pia Ferrigno
- Thoracic Surgery Unit, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy
| | - Giampiero Dolci
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Roberto Stramare
- Radiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy
| | - Giuseppe Guglielmi
- Department of Clinical and Experimental Medicine, Foggia University School of Medicine, Foggia, Italy
| | - Marco Mammana
- Thoracic Surgery Unit, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy
| | - Emilio Quaia
- Radiology Institute, Department of Medicine - DIMED, University of Padova, Padova, Italy
| | - Domenica Giunta
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Andrea Dell'Amore
- Thoracic Surgery Unit, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy
| | - Federico Rea
- Thoracic Surgery Unit, Department of Cardiothoracic Surgery and Vascular Sciences, University of Padova, Padova, Italy
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Ciarrocchi AP, Dell'Amore A, Campisi A, Diodato S, Giunta D, Dolci G, Guidalotti P, Fanti S, Stella F. Long-Term Metabolic Assessment of Cryopreserved Sternal Allograft: A Case Series. Ann Thorac Surg 2020; 111:1059-1063. [PMID: 32745518 DOI: 10.1016/j.athoracsur.2020.05.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Revised: 05/17/2020] [Accepted: 05/22/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND Sternal resection and reconstruction with cryopreserved allografts provides a safe alternative to traditional methods of anterior chest wall reconstruction. Despite favorable results, successful integration of the graft sternum has never been demonstrated owing to the invasiveness of bone biopsy. We describe our experience of using 18F-sodium fluoride positron emission tomography/computed tomography scans as a noninvasive method of evaluating graft integration. METHODS Seven patients underwent surgery and radiologic follow-up. Surgical indications were sternal metastases (n = 5) and sternal dehiscence (n = 2). Sternal reconstruction was performed using a cryopreserved cadaveric sternal allograft fixed in place with titanium plates and screws. Follow-up with 18F-sodium fluoride positron emission tomography/computed tomography scans was performed at 1 and 2 years after surgery. RESULTS Three patients underwent total sternectomy. Two underwent partial upper sternectomy involving the manubrium, clavicle (1 patient only), and upper sternal body; and 2 had partial sternectomy of the sternal body and xiphoid process. Focal tracer accumulation occurred at the junctions between native bone and graft bone. The median maximum standardized uptake value at 1 year was 16.8 (range, 11.2 to 37.9; interquartile range, 13.6 to 19.4), and at 2 years it was 10.8 (range, 6.1 to 30.2; interquartile range, 8.9 to 15.1). In 6 cases accumulation was lower at the second scan, whereas in 1 patient the accumulation was higher at the second scan. CONCLUSIONS Sternal reconstruction with cryopreserved allograft is safe and well tolerated. The 18F-sodium fluoride positron emission tomography/computed tomography scans are a useful and promising noninvasive method of demonstrating the metabolic activity of the graft and its incorporation into the host skeleton during follow-up.
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Affiliation(s)
- Angelo Paolo Ciarrocchi
- Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni-L. Pierantoni Hospital, Forlì, Italy
| | - Andrea Dell'Amore
- Division of Thoracic Surgery, Department of Cardiothoracic Surgery and Vascular Sciences, Padua University Hospital, University of Padua, Padua, Italy
| | - Alessio Campisi
- Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni-L. Pierantoni Hospital, Forlì, Italy.
| | - Stefania Diodato
- Nuclear Medicine, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Italy
| | - Domenica Giunta
- Division of Thoracic Surgery and Lung Transplantation, Department for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, IRCCS ISMETT, Palermo, Italy
| | - Giampiero Dolci
- Department of Cardiothoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Pierluigi Guidalotti
- Nuclear Medicine, Department of Hematology and Oncology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
| | - Stefano Fanti
- Nuclear Medicine, Department of Hematology and Oncology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
| | - Franco Stella
- Thoracic Surgery Unit, Department of Thoracic Diseases, University of Bologna, G.B. Morgagni-L. Pierantoni Hospital, Forlì, Italy
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Congiu S, Migliano M, Giunta D, Dolci G, Gramenzi A, Vicennati V, Pirini M, Ambrosini V, Trevisani F, Daddi N. EP1.09-06 An Unusual Diagnostic Case of Hypoglycemia: A Different Perspective of the Doege-Potter Syndrome. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.08.2202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Dell'Amore A, Campisi A, Giunta D, Congiu S, Daddi N, Dolci G, Barbera N, Reggiani LB. The influence of the trocar choice on post-operative acute pain after thoracoscopy. J Vis Surg 2018; 4:104. [PMID: 29963393 DOI: 10.21037/jovs.2018.05.16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Accepted: 05/08/2018] [Indexed: 11/06/2022]
Abstract
Background Acute post-operative pain following thoracic surgery procedures is still an unresolved problem despite the introduction of minimally invasive procedures such as video assisted surgery. Until now it is never investigated if different surgical instruments could influence post-operative pain. The aim of our study is to investigate the role of different type of trocar on post-operative pain in minimally invasive thoracic surgery. Methods This was a prospective randomized single center study. We identified 53 patients randomized into three groups underwent single port thoracoscopy for malignant pleural effusion with drainage of the fluid and talc poudrage. The three groups differ for the trocar type, rigid, flexible and wound protector. Results We compared the postoperative pain between the three groups in which there was no statistical difference. Rigid trocar seems to give a more stable level of pain during the days, flexible trocar gains more pain in the first few hours, however the pain at discharge decreases significantly, reaching the similar values, in all the three groups. The association between pain at discharge and operative time or days of drainage was analyzed by means of linear regression, no statistically significant difference was found. Conclusions Our study showed that different type of trocars during video assisted thoracic surgery (VATS) produces similar level of acute postoperative pain. In future, further randomized study with a great number of patients enrolled needs to confirm our results.
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Affiliation(s)
- Andrea Dell'Amore
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Alessio Campisi
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Domenica Giunta
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Stefano Congiu
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Niccolò Daddi
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Giampiero Dolci
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Niccolò Barbera
- Anaesthesiology Unit, Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Letizia Bacchi Reggiani
- Department of Cardiothoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
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Giunta D, Daddi N, Dolci G, Campisi A, Congiu S, Buia F, Bagni A, Dell'Amore A. A new image-guided technique for intraoperative localization of lung small solid nodules or ground-glass opacities with a self-expanding tract sealant device: a preliminary experience. Interact Cardiovasc Thorac Surg 2018; 28:23-28. [DOI: 10.1093/icvts/ivy205] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Accepted: 05/29/2018] [Indexed: 11/12/2022] Open
Affiliation(s)
- Domenica Giunta
- Department of CardioThoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Niccolò Daddi
- Department of CardioThoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Giampiero Dolci
- Department of CardioThoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Alessio Campisi
- Department of CardioThoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Stefano Congiu
- Department of CardioThoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Francesco Buia
- Interventional Radiology Unit, Department of CardioThoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Alberto Bagni
- Pathology Department of Experimental, Diagnostic and Specialty Medicine DIMES, S. Orsola Malpighi University Hospital, Bologna, Italy
| | - Andrea Dell'Amore
- Department of CardioThoracic Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy
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Dell'Amore A, Campisi A, Giunta D, Congiu S, Dolci G, Murana G, Suarez SM, Daddi N. Surgical options to treat massive sternal defect after failed Robicsek procedure. J Thorac Dis 2018; 10:E410-E415. [PMID: 30069394 DOI: 10.21037/jtd.2018.06.02] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- Andrea Dell'Amore
- Department of Cardiothoracic Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Alessio Campisi
- Department of Cardiothoracic Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Domenica Giunta
- Department of Cardiothoracic Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Stefano Congiu
- Department of Cardiothoracic Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Giampiero Dolci
- Department of Cardiothoracic Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Giacomo Murana
- Department of Cardiothoracic Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Sofia Martin Suarez
- Department of Cardiothoracic Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Niccolò Daddi
- Department of Cardiothoracic Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
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Dell'Amore A, Campisi A, Congiu S, Giunta D, Dolci G, Niro F. Unilateral pulmonary vein atresia without anomalous connection in adult patient with recurrent severe hemoptysis. J Vis Surg 2018; 4:111. [PMID: 29963400 DOI: 10.21037/jovs.2018.05.03] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Accepted: 04/27/2018] [Indexed: 11/06/2022]
Abstract
Isolated unilateral pulmonary vein atresia (UPVA) is a rare congenital malformation and the management remains controversial. In adults, pneumonectomy is the treatment of choice when significant hemoptysis becomes life-threatening. We report a case of a 28-year-old male with isolated unilateral right atresia of the pulmonary vein who had life-threatening hemoptysis treated with bronchial arteries embolization followed by successful right pneumonectomy.
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Affiliation(s)
- Andrea Dell'Amore
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Alessio Campisi
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Stefano Congiu
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Domenica Giunta
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Giampiero Dolci
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Fabio Niro
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
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Dell'Amore A, Giunta D, Campisi A, Congiu S, Dolci G, Barbera NA, Agosti R, Buia F. Uniportal thoracoscopic resection of intralobar and extralobar pulmonary sequestration. J Vis Surg 2018; 4:63. [PMID: 29682473 DOI: 10.21037/jovs.2018.03.05] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2018] [Accepted: 03/02/2018] [Indexed: 11/06/2022]
Abstract
Pulmonary sequestration (PS) is a rare congenital malformation of the respiratory tract. Two main variants are described, the intralobar and the extralobar PS. Clinical manifestations vary from accidental findings to life threatening complications. Surgical resection is the definitive and indicated treatment of PS. The operation could be performed through an open thoracotomy or video-assisted thoracic surgery approach. We report the management of two patients with diagnosis of extralobar PS in the first case and intralobar PS in the second case. Both patients underwent uniportal video-assisted thoracic surgery resection of PS with success. In our experience, we confirm that uniportal video-assisted thoracic surgery is a safe and feasible approach for extralobar and intralobar PS.
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Affiliation(s)
- Andrea Dell'Amore
- Department of Cardiothoracic Surgery, S. Orsola University Hospital, Bologna, Italy
| | - Domenica Giunta
- Department of Cardiothoracic Surgery, S. Orsola University Hospital, Bologna, Italy
| | - Alessio Campisi
- Department of Cardiothoracic Surgery, S. Orsola University Hospital, Bologna, Italy
| | - Stefano Congiu
- Department of Cardiothoracic Surgery, S. Orsola University Hospital, Bologna, Italy
| | - Giampiero Dolci
- Department of Cardiothoracic Surgery, S. Orsola University Hospital, Bologna, Italy
| | | | - Roberto Agosti
- Department of Pathology, S. Orsola University Hospital, Bologna, Italy
| | - Francesco Buia
- Department of Radiology, S. Orsola University Hospital, Bologna, Italy
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Dell'Amore A, Campisi A, Giunta D, Congiu S, Dolci G, Agosti R. Uniportal video-assisted removal of a right paratracheal pericardial cyst: an unusual location. J Vis Surg 2018; 4:55. [PMID: 29682465 DOI: 10.21037/jovs.2018.02.08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2017] [Accepted: 02/06/2018] [Indexed: 11/06/2022]
Abstract
Cystic lesions of the pericardium are a rare entity. Generally, they are congenital and located in the cardiophrenic angle. The right paratracheal location is unusual and differential diagnosis in particular with bronchogenic cyst is difficult even when using magnetic resonance imaging (MRI). The surgical indication exists in case of symptomatic patients or huge mass with compression of nearby structures. Different surgical approaches have been reported in literature to treat mediastinal cysts. We report a case of uniportal thoracoscopic removal of an unusual located right paratracheal pericardial cyst.
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Affiliation(s)
- Andrea Dell'Amore
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Alessio Campisi
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Domenica Giunta
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Stefano Congiu
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Giampiero Dolci
- Department of Cardiothoracic Surgery, S.Orsola University Hospital, Bologna, Italy
| | - Roberto Agosti
- Department of Pathology, S.Orsola University Hospital, Bologna, Italy
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Rinaldi A, Dell'Amore A, Pastore S, Rocca A, Giunta D, Palazzini M, Manes A, Dardi F, Gotti E, Galiè N. Double Lungtransplantation In Patients with End-Stage Pulmonary Arterial Hypertension or End-Stage Inoperable Chronic Thromboembolic Pulmonary Hypertension. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Campisi A, Dell'Amore A, Giunta D, Congiu S, Daddi N, Dolci G. Micro-incision thoracoscopic treatment of primary spontaneous pneumothorax: the "loop" technique. J Vis Surg 2018; 4:35. [PMID: 29552517 DOI: 10.21037/jovs.2018.02.01] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 02/01/2018] [Indexed: 11/06/2022]
Abstract
Primary spontaneous pneumothorax has been defined as the disease of the 'young and healthy'. There are multiple possible therapies and in recent years, surgery has evolved towards the use of the uniportal thoracoscopic approach. The objective of our study is to describe and present an innovative approach to access to the thoracic cavity in patients with spontaneous pneumothorax. The surgery was performed using a single access of 20 mm at the level of the 8th intercostal space. For the isolation and suspension of any dystrophic area, we use a 'loop' of non-absorbable braided suture inserted through the IV intercostal space and successive wedge resection using an endoscopic 10 mm mechanical stapler. Using this access, we were able to visualize and dissect the pulmonary ligament and perform complete pleural abrasion. We had no complications. The operative time was 60 min, the chest tube was removed the 2th postoperative day and the patient was discharged the day after. The operation we propose permits the reduction of the dimension of the access to the thoracic cavity. We were able to resect blebs without problems, the recovery was excellent and no complications related to the procedure were reported.
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Affiliation(s)
- Alessio Campisi
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Andrea Dell'Amore
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Domenica Giunta
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Stefano Congiu
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Niccolò Daddi
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Giampiero Dolci
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
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Dolci G, Campisi A, Giunta D, Congiu S, Daddi N, Murana G, Dell'Amore A. Video-assisted thoracoscopic surgery lobectomy using "the caudal approach": results and evolution. J Vis Surg 2017; 3:187. [PMID: 29399511 PMCID: PMC5765269 DOI: 10.21037/jovs.2017.11.07] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Accepted: 11/20/2017] [Indexed: 11/06/2022]
Abstract
BACKGROUND Video-assisted thoracoscopic surgery (VATS) has become a common surgical approach in the diagnosis and treatment of lung and mediastinal diseases. In this study, we reported our current experience of thoracoscopic surgery using a new caudal position technique for anatomical lung resections and compared it with the standard anterior VATS technique. METHODS From January 2016 to October 2017, 92 consecutive patients with lung cancer underwent VATS lobectomy. Among these, 34 patients were treated by conventional anterior three portal VATS lobectomy, and 58 patients were treated using the caudal three port VATS lobectomy. The mean operative time, conversion rate, hospital stay, post-operative drainage, reoperation, post operative pain were compared between each group. RESULTS No differences between the two groups are showed in terms of surgical time, post-operative drainage, incidence of prolonged air leaks and post-operative pain. CONCLUSIONS The caudal approach to major pulmonary resection of thoracoscopic lobectomy results in a reliable and comfortable procedure for the surgeon. Once demonstrated the reliability of the VATS lobectomy with three accesses using the caudal position, we are starting to standardize biportal and uniportal VATS with the surgeon in the caudal position.
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Affiliation(s)
- Giampiero Dolci
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Alessio Campisi
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Domenica Giunta
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Stefano Congiu
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Niccolò Daddi
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Giacomo Murana
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
| | - Andrea Dell'Amore
- Department of CardioThoracic and Vascular Surgery, University Hospital S. Orsola Malpighi, Bologna, Italy
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Benchimol J, Boietti B, Elizondo C, Giunta D, Barrientos S, Camera L, Waisman G. ONE-YEAR MORTALITY AFTER HIP FRACTURE IN OLD AND VERY OLD PATIENTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J. Benchimol
- Internal Medicine, Hospital Italiano de Buenos Aires (Argentina), Ciudad de Buenos Aires, Argentina
| | - B. Boietti
- Internal Medicine, Hospital Italiano de Buenos Aires (Argentina), Ciudad de Buenos Aires, Argentina
| | - C. Elizondo
- Internal Medicine, Hospital Italiano de Buenos Aires (Argentina), Ciudad de Buenos Aires, Argentina
| | - D. Giunta
- Internal Medicine, Hospital Italiano de Buenos Aires (Argentina), Ciudad de Buenos Aires, Argentina
| | - S. Barrientos
- Internal Medicine, Hospital Italiano de Buenos Aires (Argentina), Ciudad de Buenos Aires, Argentina
| | - L. Camera
- Internal Medicine, Hospital Italiano de Buenos Aires (Argentina), Ciudad de Buenos Aires, Argentina
| | - G. Waisman
- Internal Medicine, Hospital Italiano de Buenos Aires (Argentina), Ciudad de Buenos Aires, Argentina
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Rojas JI, Patrucco L, MIguez J, Sinay V, Cassara FP, Cáceres F, Liguori NF, Saladino ML, Deri N, Jaacks G, Marcilla MP, Arrigoni MI, Correale J, Fiol M, Ysrraelit MC, Carrá A, Curbelo MC, Martinez A, Steinberg J, Bestoso S, Hryb JP, Di Pace JL, Perassolo MB, Contentti EC, Caride A, Lopez PA, Martinez C, Reich E, Giunta D, Cristiano E. Gender ratio trends over time in multiple sclerosis patients from Argentina. J Clin Neurosci 2017; 38:84-86. [PMID: 28087187 DOI: 10.1016/j.jocn.2016.12.030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Accepted: 12/26/2016] [Indexed: 11/19/2022]
Abstract
Several studies in multiple sclerosis (MS) suggest a trend of increasing disease frequency in women during the last decades. A direct comparison of gender ratio trends among MS populations from Argentina remains to be carried out. The objective of the study was to compare gender ratio trends, over a 50-year span in MS populations from Argentina. METHODS multicenter study that included patients from 14 MS Centers of Argentina. Patients with definite MS with birth years ranging from 1940 to 1989 were included. Gender ratios were calculated by five decades based on year of birth and were adjusted for the F/M born-alive ratio derived from the Argentinean national registry of births. The F/M ratios were calculated using a multivariate logistic regression per five decades by the year of birth approach. Analyses were performed using Stata 10.1. RESULTS 1069 patients were included. Gender ratios showed a significant increase from the first to the last decade in the whole MS sample (from 1.8 to 2.7; p value for trend=0.023). The Gender ratio did not show differences considering MS subtype. CONCLUSION our study showed a modest increase of the F/M ratio (from 1.8 to 2.7) over time among patients affected by MS in Argentina.
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Affiliation(s)
- J I Rojas
- Centro de Esclerosis Múltiple de Buenos Aires, Hospital Italiano de Buenos Aires, Argentina.
| | - L Patrucco
- Centro de Esclerosis Múltiple de Buenos Aires, Hospital Italiano de Buenos Aires, Argentina
| | - J MIguez
- Centro de Esclerosis Múltiple de Buenos Aires, Hospital Italiano de Buenos Aires, Argentina
| | - V Sinay
- Instituto de Neurociencias Fundación Favaloro (INCyT), Argentina
| | - F Pagani Cassara
- Instituto de Neurociencias Fundación Favaloro (INCyT), Argentina
| | - F Cáceres
- Neurosciences Institute of Buenos Aires (INEBA), Buenos Aires, Argentina
| | | | - M L Saladino
- Neurosciences Institute of Buenos Aires (INEBA), Buenos Aires, Argentina
| | - N Deri
- Centro de Investigación DIABAID, Argentina
| | - G Jaacks
- Centro de Investigación DIABAID, Argentina
| | | | | | - J Correale
- Department of Neurology, Institute for Neurological Research Dr. Raúl Carrea, FLENI, Argentina
| | - M Fiol
- Department of Neurology, Institute for Neurological Research Dr. Raúl Carrea, FLENI, Argentina
| | - M C Ysrraelit
- Department of Neurology, Institute for Neurological Research Dr. Raúl Carrea, FLENI, Argentina
| | - A Carrá
- Hospital Británico Buenos Aires, Argentina
| | | | - A Martinez
- Hospital Británico Buenos Aires, Argentina
| | | | - S Bestoso
- Hospital Escuela "José F. De San Martín", Corrientes, Argentina
| | - J P Hryb
- Hospital General de Agudos Carlos G Durand, Buenos Aires, Argentina
| | - J L Di Pace
- Hospital General de Agudos Carlos G Durand, Buenos Aires, Argentina
| | - M B Perassolo
- Hospital General de Agudos Carlos G Durand, Buenos Aires, Argentina
| | | | - A Caride
- Hospital Alemán, Buenos Aires, Argentina
| | - P A Lopez
- Hospital Alemán, Buenos Aires, Argentina
| | | | - E Reich
- Hospital Julio Mendez, Buenos Aires, Argentina
| | - D Giunta
- Centro de Esclerosis Múltiple de Buenos Aires, Hospital Italiano de Buenos Aires, Argentina
| | - E Cristiano
- Centro de Esclerosis Múltiple de Buenos Aires, Hospital Italiano de Buenos Aires, Argentina
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Cristiano E, Patrucco L, Miguez J, Giunta D, Correale J, Fiol M, Ysrraelit M, Cáceres F, Liguori NF, Saladino M, Garcea O, Silva B, Alonso R, Carrá A, Curbelo M, Martinez A, Steinberg J, Giachello S, Melcom M, Rojas J. Increasing prevalence of multiple sclerosis in Buenos Aires, Argentina. Mult Scler Relat Disord 2016; 9:91-4. [DOI: 10.1016/j.msard.2016.07.007] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2016] [Revised: 07/05/2016] [Accepted: 07/08/2016] [Indexed: 12/23/2022]
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Cristiano E, Patrucco L, Miguez J, Giunta D, Peroni J, Rojas JI. Increasing incidence of multiple sclerosis among women in Buenos Aires: a 22 year health maintenance organization based study. Neurol Sci 2016; 37:1621-6. [PMID: 27338941 DOI: 10.1007/s10072-016-2637-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Accepted: 06/14/2016] [Indexed: 01/18/2023]
Abstract
Studies in multiple sclerosis (MS) suggest a trend of increasing disease prevalence and incidence, and especially, a disproportional increase in the incidence of multiple sclerosis in women. The objective of this study was to evaluate the incidence of MS over 22 years and to determine the ratio in incidence of men to women in a health maintenance organization from Buenos Aires, Argentina. The population was made up of all members of a hospital-based HMO affiliated between January 1992 and December 2013. Each person was followed contributing time at risk. Cases with definite diagnosis of MS were included. Incidence density was calculated with 95 % confidence intervals and compared between women and men. 165,456 subjects were followed for a total of 1,488,575 person-years, of whom 42 developed MS. Incidence density was 3/100,000 person-years (95 % CI 2.1-3.5/100,000 person-years). During this period (1992-2013), the incidence rate in women increased from 1/100,000 (95 % CI 0.8-1.6) to 4.9/100,000 (95 % CI 4.1-5.4) (p < 0.001), while in men the incidence ranged from 1.4/100,000 (95 % CI 1-1.7) to 1.8 (1.3-2.1) (p = 0.16). Incidence density during the study period increased significantly in women but not in men. This is the first report of this phenomenon in Latin America region.
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Affiliation(s)
- E Cristiano
- Centro de Esclerosis Múltiple de Buenos Aires (CEMBA), Italian Hospital of Buenos Aires, Gascón 450, C1181ACH, Buenos Aires, Argentina.
| | - L Patrucco
- Centro de Esclerosis Múltiple de Buenos Aires (CEMBA), Italian Hospital of Buenos Aires, Gascón 450, C1181ACH, Buenos Aires, Argentina
| | - J Miguez
- Centro de Esclerosis Múltiple de Buenos Aires (CEMBA), Italian Hospital of Buenos Aires, Gascón 450, C1181ACH, Buenos Aires, Argentina
| | - D Giunta
- Clinical Research Section, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - J Peroni
- Clinical Research Section, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - J I Rojas
- Centro de Esclerosis Múltiple de Buenos Aires (CEMBA), Italian Hospital of Buenos Aires, Gascón 450, C1181ACH, Buenos Aires, Argentina
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Stella F, Luciano G, Dell'Amore A, Greco D, Ammari C, Giunta D, Bini A. Pulmonary Metastases from NSCLC and MPLC (Multiple Primary Lung Cancers): Management and Outcome in a Single Centre Experience. Heart Lung Circ 2015; 25:191-5. [PMID: 26525847 DOI: 10.1016/j.hlc.2015.07.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2015] [Accepted: 07/22/2015] [Indexed: 12/17/2022]
Abstract
BACKGROUND This is an institutional review of surgical management of second pulmonary tumours in patients with history of Non-small Cell Lung Cancer (NSCLC) resection according to The American College of Chest Physicians' (ACCP) revision to the Martini and Melamed's criteria for the classification of multiple primary lung cancers (MPLC). METHODS All patients who underwent iterative pulmonary resections for pulmonary metastasis (Group A) or MPLC (Group B) between 2006 and 2012 were reviewed and their survivals compared accordingly. The main criteria of insertion in Group B were different histology and the same histology with disease-free interval ≤ 4 years; we excluded loco-regional recurrence in nodes and/or on bronchial stump. RESULTS Group A: Twenty patients; Disease free time (DFT) after first operation was 15.2 months (range 2-44). One, two and three years overall survival after second resection was 74%, 29%, 14% respectively. Group B: Thirty-six patients. One, two and three years overall survival was 94%, 81%, and 69% respectively. No statistical differences on outcome were found between the two groups in spite of the apparent worse survival rate for Group A (p=.197). CONCLUSIONS A further resection for additional nodules, whether designated as intrapulmonary metastases or second primary NSCLC, can be an appropriate curative strategy in selected patients with unimpaired respiratory function and no evidence of distant metastatic disease. The site, the extent of the second resection, the histology and even the stage are unlikely to be related to survival.
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Affiliation(s)
- Franco Stella
- Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy
| | - Giulia Luciano
- Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy.
| | - Andrea Dell'Amore
- Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy
| | - Domenico Greco
- Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy
| | - Chadi Ammari
- Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy
| | - Domenica Giunta
- Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy
| | - Alessandro Bini
- Thoracic Surgery Unit, S.Orsola-Malpighi Hospital, University of Bologna, Italy
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Boretto JG, Pacher N, Giunta D, Gallucci GL, Alfie V, De Carli P. Comparative clinical study of locking screws versus smooth locking pegs in volar plating of distal radius fractures. J Hand Surg Eur Vol 2014; 39:755-60. [PMID: 24401740 DOI: 10.1177/1753193413517806] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The present study was performed to test the null hypothesis on no difference in stability of fixation after volar plating of intra-articular distal radius fractures (AO C2-C3) with either locking smooth pegs or locking screws in a clinical setting. A retrospective evaluation included adult patients with C2-C3 AO fractures treated with a volar plate with locking smooth pegs or locking screws. Radiographic assessment was performed to evaluate extra- and intra-articular parameters in the early postoperative period and after bone union. Twenty-seven consecutive patients were included. Thirteen cases had fixation with locking screws and 14 had fixation with locking smooth pegs. Both groups had bone fragment displacement after fixation. However, there were no significant differences between the groups either in extra- or intra-articular parameters defined by Kreder et al. (1996). Our study shows that, in a clinical setting, there is no difference in stability fixation between locking screws or smooth locking pegs in C2-C3 distal radius fractures.
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Affiliation(s)
- J G Boretto
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - N Pacher
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - D Giunta
- Internal Medicine Research Unit, Internal Medicine Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - G L Gallucci
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - V Alfie
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - P De Carli
- Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi Institute, Orthopedics and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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Asadi N, Dolci G, Dell'Amore A, Greco D, Caroli G, Ammari C, Giunta D, Bini A, Stella F. V-046 * SURGICAL SIMULATION GUIDED NAVIGATION: A NEW APPROACH IN THORACIC SURGERY. Interact Cardiovasc Thorac Surg 2014. [DOI: 10.1093/icvts/ivu167.46] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Posadas Martinez M, Laura Martin M, González Bernaldo de Quirós F, Giunta D, Vazquez F. C0255: Immediate and Long Term Mortality in Patients with Suspected Pulmonary Embolism: Prospective Cohort in Argentina. Thromb Res 2014. [DOI: 10.1016/s0049-3848(14)50119-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Posadas Martínez M, Giunta D, Sevilla S, Bernaldo de Quiros F, Gandara E, Cubilla V, Vazquez F. C0259: Prevalence of Deep Venous Thrombosis Using Bilateral Leg Ultrasound in Hospitalized Patients Evaluated for Pulmonary Embolism? A Preliminary Report. Thromb Res 2014. [DOI: 10.1016/s0049-3848(14)50120-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Videla G, Toral A, Bisonni A, Giunta D, Vicens J, Rojas JI, Norscini J, Cristiano E. First Incidence Study of Meniere's Disease (MD) in South America (P02.256). Neurology 2012. [DOI: 10.1212/wnl.78.1_meetingabstracts.p02.256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Cristiano E, Patrucco L, Giunta D, Videla G, Soriano ER, Rojas JI. Incidence of multiple sclerosis in Buenos Aires: a 16-year health maintenance organization-based study. Eur J Neurol 2009; 17:479-82. [DOI: 10.1111/j.1468-1331.2009.02846.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Alessandri Bonetti G, Giunta D. Molar intrusion with a removable appliance. J Clin Orthod 1996; 30:434-7. [PMID: 10356510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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29
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Giunta D, Keller J, Nielsen FF, Melsen B. Influence of indomethacin on bone turnover related to orthodontic tooth movement in miniature pigs. Am J Orthod Dentofacial Orthop 1995; 108:361-6. [PMID: 7572847 DOI: 10.1016/s0889-5406(95)70033-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The purpose was to evaluate the influence of a prostaglandin inhibitor, indomethacin, on the tissue reaction related to orthodontic tooth movement. Sixteen miniature pigs were chosen for the study, eight of which received indomethacin perorally every day of the 39-day observation period. Sentalloy expansion springs (GAC, Central Islip, N.Y.) delivering 100 cN were inserted on a segmented arch between the central lower incisors. Intravital labeling with tetracycline was used for the evaluation of the rate of bone formation. After the pigs were killed, the bone turnover was evaluated on undecalcified methacrylate embedded sections and on microradiographs. The histomorphometric analysis of bone turnover revealed that the relative extent of resorption surfaces was decreased significantly in the indomethacin treated animals. Formation surfaces were also decreased although not significantly. The bone turnover, but not the mineralization rate, was influenced. The results corroborate the recommendation that prostaglandin inhibitors should be avoided during orthodontic treatments.
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Affiliation(s)
- D Giunta
- Orthodontic Department, Dentistry School, University of Naples, Italy
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30
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Melsen B, Bonetti G, Giunta D. Statically determinate transpalatal arches. J Clin Orthod 1994; 28:602-6. [PMID: 8617820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- B Melsen
- Faculty of Health Sciences, Royal Dental College, Aarhus, Denmark
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Giunta D, Keller J, Nielsen FF, Melsen B. Dentin formation in miniature pigs with special reference to indomethacin and orthodontic treatment. Scand J Dent Res 1993; 101:261-4. [PMID: 8248725 DOI: 10.1111/j.1600-0722.1993.tb01116.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The rate of dentin mineralization and the influence of indomethacin on the dentin mineralization rate during orthodontic treatment was determined in miniature pigs by intravital labeling with tetracycline. The results demonstrated that the dentin mineralization rate in the control animals was 3.8 microns/day, a rate corresponding to that of human teeth. Both indomethacin and orthodontics had an effect on the dentin mineralization rate, indomethacin reducing and orthodontic forces increasing it. In combination, the two factors neutralized each other.
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Affiliation(s)
- D Giunta
- Orthodontic Department, II Dentistry School, University of Naples, Italy
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Alessandri Bonetti G, Giunta D. [Molar uprighting: biomechanical considerations]. Mondo Ortod 1991; 16:299-304. [PMID: 1870589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Various biomechanical systems for the molar uprighting have been described. The Authors analyze the force system delivered on the molar and on the anchorage unit. The biomechanical considerations are emphasized in each single case.
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