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Chisci E, Lazzarotto T, Masciello F, Turini F, Guidotti A, Sanna V, Pigozzi C, Mele M, Caneva PD, Lo sapio P, Lombardi R, Michelagnoli S. Open Repair of an Infrarenal Aortic Aneurysm Is Superior to Endovascular Repair Even in Case of Sac Shrinkage at Fifteen-Year Follow-up. J Vasc Surg 2022. [DOI: 10.1016/j.jvs.2022.03.034] [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: 10/18/2022]
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Poillucci G, Podda M, Pisanu A, Mortola L, Dalla Caneva P, Massa G, Costa G, Savastano R, Cillara N. Risk factors for postoperative morbidity following appendectomy in the elderly: a nationwide prospective cohort study. Eur J Trauma Emerg Surg 2021; 47:1729-1737. [PMID: 31309237 DOI: 10.1007/s00068-019-01186-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [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: 03/28/2019] [Accepted: 07/08/2019] [Indexed: 02/07/2023]
Abstract
BACKGROUND A limited number of studies investigating perioperative risk factors associated with emergency appendectomy in elderly patients have been published to date. Whether older age may be associated with poorer outcomes following appendectomy is still a matter of debate. The primary aim of this study was to determine the predictors of postoperative morbidity following appendectomy in patients aged ≥ 65 years. METHODS Data regarding all elderly patients who underwent emergency appendectomy from January 2017 to June 2018 admitted 36 Italian surgical departments were prospectively collected and analyzed. Baseline demographics and perioperative variables were evaluated. Uni- and multivariate analyses adjusted for differences between groups were carried out to determine possible predictors of adverse outcomes after appendectomy. RESULTS Between January 2017 and June 2018, 135 patients aged ≥ 65 years with a diagnosis of AA met the study inclusion criteria. Twenty-six patients (19.3%) were diagnosed with some type of postoperative complication. Decreasing the preoperative hemoglobin level showed a statistically significant association with postoperative complications (OR 0.77, CI 0.61-0.97, P = 0.03). Preoperative creatinine level (P = 0.02, OR 2.04, CI 1.12-3.72), and open appendectomy (P = 0.03, OR 2.67, CI 1.11-6.38) were significantly associated with postoperative morbidity. After adjustment, the only independent predictor of postoperative morbidity was preoperative creatinine level (P = 0.04, OR 2.01, CI 1.05-3.89). CONCLUSIONS In elderly patients with AA, perioperative risk assessment in the emergency setting must be as accurate as possible to identify modifiable risk factors that can be addressed before surgery, such as preoperative hemoglobin and creatinine levels.
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Affiliation(s)
- Gaetano Poillucci
- Department of General Surgery "Paride Stefanini", Policlinico Universitario Umberto I, Sapienza University, Rome, Italy
| | - Mauro Podda
- Department of General, Emergency and Minimally Invasive Surgery, Policlinico Universitario "D. Casula", University of Cagliari, SS 554, Km 4,500, 09042, Monserrato, Italy.
| | - Adolfo Pisanu
- Department of General, Emergency and Minimally Invasive Surgery, Policlinico Universitario "D. Casula", University of Cagliari, SS 554, Km 4,500, 09042, Monserrato, Italy
| | - Lorenzo Mortola
- Department of Surgery, Policlinico Universitario "D. Casula", University of Cagliari, Monserrato, Italy
| | - Patrizia Dalla Caneva
- Department of Surgery, Policlinico Universitario "D. Casula", University of Cagliari, Monserrato, Italy
| | - Giulia Massa
- Surgical and Medical Department of Translational Medicine, Sant'Andrea Teaching Hospital, Sapienza University, Rome, Italy
| | - Gianluca Costa
- Surgical and Medical Department of Translational Medicine, Sant'Andrea Teaching Hospital, Sapienza University, Rome, Italy
| | | | - Nicola Cillara
- Department of Surgery, Santissima Trinità Hospital, Cagliari, Italy
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Chisci E, Dalla Caneva P, Michelagnoli S. The "Dog Bone" Technique to Occlude a Branch Intentionally. Eur J Vasc Endovasc Surg 2021; 61:1035. [PMID: 33840578 DOI: 10.1016/j.ejvs.2021.02.032] [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] [Received: 10/22/2020] [Revised: 02/10/2021] [Accepted: 02/20/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Emiliano Chisci
- Department of Surgery, Vascular and Endovascular Surgery Unit, "San Giovanni di Dio" Hospital, Florence, Italy.
| | - Patrizia Dalla Caneva
- Department of Surgery, Vascular and Endovascular Surgery Unit, "San Giovanni di Dio" Hospital, Florence, Italy
| | - Stefano Michelagnoli
- Department of Surgery, Vascular and Endovascular Surgery Unit, "San Giovanni di Dio" Hospital, Florence, Italy
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Podda M, Poillucci G, Pacella D, Mortola L, Canfora A, Aresu S, Pisano M, Erdas E, Pisanu A, Cillara N, Serventi F, Marini S, Sirigu D, Piga M, Coppola M, Balestra F, De Nisco C, Pazzona M, Anania M, Pulighe F, Lai A, Ottonello R, De Angelis R, Piro S, Calò PG, Podda F, Saba L, Bottino V, Dalla Caneva P, Canu L, Piras E, Deserra A, Virdis F, Gerardi C, Gordini L, Sanna S. Correction to: Appendectomy versus conservative treatment with antibiotics for patients with uncomplicated acute appendicitis: a propensity score-matched analysis of patient-centered outcomes (the ACTUAA prospective multicenter trial). Int J Colorectal Dis 2021; 36:599. [PMID: 33507364 DOI: 10.1007/s00384-021-03862-5] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- Mauro Podda
- Department of Emergency Surgery, Cagliari University Hospital "Duilio Casula", Azienda Ospedaliero-Universitaria di Cagliari, Cagliari, Italy. .,Policlinico Universitario di Monserrato "Duilio Casula", University of Cagliari, SS 554, Km 4,500, 09042, Monserrato, Italy.
| | - Gaetano Poillucci
- Department of General and Specialized Surgery "Paride Stefanini", Policlinico Universitario Umberto I, La Sapienza University, Rome, Italy
| | - Daniela Pacella
- Department of Public Health, University of Naples Federico II, Naples, Italy
| | - Lorenzo Mortola
- Department of Surgery, Azienda Ospedaliero-Universitaria Maggiore della Carità, Novara, Italy
| | - Alfonso Canfora
- Department of Surgery, Villa Betania Hospital, Naples, Italy
| | - Simona Aresu
- Department of Surgery, Nostra Signora della Mercede Hospital, Lanusei, Italy
| | - Marcello Pisano
- Department of Surgery, San Marcellino Hospital, ASSL Cagliari, Muravera, Italy
| | - Enrico Erdas
- Department of General and Endocrine Surgery, Cagliari University Hospital "Duilio Casula", Azienda Ospedaliero-Universitaria di Cagliari, Cagliari, Italy
| | - Adolfo Pisanu
- Department of Emergency Surgery, Cagliari University Hospital "Duilio Casula", Azienda Ospedaliero-Universitaria di Cagliari, Cagliari, Italy
| | - Nicola Cillara
- Department of General Surgery, Santissima Trinità Hospital, ASSL Cagliari, Cagliari, Italy
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Zamboni P, Spath P, Tisato V, Tessari M, Dalla Caneva P, Menegatti E, Occhionorelli S, Gianesini S, Secchiero P. Oscillatory flow suppression improves inflammation in chronic venous disease. J Surg Res 2016; 205:238-45. [DOI: 10.1016/j.jss.2016.06.046] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Revised: 05/25/2016] [Accepted: 06/09/2016] [Indexed: 01/06/2023]
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Borghi A, Gianesini S, Pedriali M, Stefanelli A, Mangiola G, Caneva PD, Lanza G, Virgili A, Zamboni P. An apparently untreatable ulcer of the face. Int Wound J 2016; 13:1084-6. [PMID: 26752070 DOI: 10.1111/iwj.12567] [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] [Received: 11/30/2015] [Accepted: 12/02/2015] [Indexed: 11/28/2022] Open
Affiliation(s)
- Alessandro Borghi
- Dipartimento di Scienze Mediche, Sezione di Dermatologia e Malattie Infettive, Università degli Studi di, Ferrara, Italy.
| | | | - Massimo Pedriali
- Section of Anatomy, Histology and Pathological Cytology, University of Ferrara, Ferrara, Italy
| | - Antonio Stefanelli
- Department of Radiation Oncology, University Hospital SS. Anna, Ferrara, Italy
| | | | | | - Giovanni Lanza
- Section of Anatomy, Histology and Pathological Cytology, University of Ferrara, Ferrara, Italy
| | - Annarosa Virgili
- Dipartimento di Scienze Mediche, Sezione di Dermatologia e Malattie Infettive, Università degli Studi di, Ferrara, Italy
| | - Paolo Zamboni
- Vascular Disease Center, University of Ferrara, Ferrara, Italy
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Gianesini S, Cavezzi A, Mosti G, Tessari L, Zini F, Urso S, Campana F, Tessari M, Dalla Caneva P, Espinoza F, Rocha R, Neuhardt D, Mowatt-Larssen E, Zygmunt J, Cortesi S, Morrison T, Morrison N. A phlebo-lymphology humanitarian trip to Matagalpa, Nicaragua. Veins and Lymphatics 2015. [DOI: 10.4081/vl.2015.4851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
<em>Amigos de Salud</em> and <em>Vene e Linfatici</em> <em>Foundation</em> took part in a volunteer medical trip in Nicaragua. A detailed description of the provided healthcare is reported.
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