0000000000672546

AUTHOR

Giuseppe Livio Angelo

showing 4 related works from this author

Advancement flap in the management of chronic anal fissure: A prospective study

2012

Lateral internal sphincterotomy is the surgical treatment of choice of chronic anal fissure after failure of conservative measures. Several randomized trials identified an overall risk of incontinence of 10 % mostly for flatus. Fissurectomy is the most commonly used procedure to preserve the integrity of the anal sphincters. However, a possible complication is keyhole defect that may lead to faecal soiling. In this study, chronic anal fissure (CAF) was treated by fissurectomy and anal advancement flap to preserve the anatomo-functional integrity of sphincters and to reduce healing time and the risk of anal stenosis. In patients with hypertonia, surgical treatment was combined with chemical …

AdultMalemedicine.medical_specialtyAdolescentmedicine.medical_treatmentInjections IntramuscularSurgical FlapsFissurectomyFollow-Up StudieInternal anal sphincterAnal stenosismedicineDeformityHumansReconstructive Surgical ProcedureProspective StudiesKeyhole defectBotulinum Toxins Type ADigestive System Surgical ProceduresAdvancement flapAgedNeuromuscular Agentbusiness.industryUrinary retentionDigestive System Surgical ProcedureRecovery of FunctionPlastic Surgery ProceduresMiddle AgedSurgerySurgical FlapProspective StudieSettore MED/18 - Chirurgia GeneraleTreatment OutcomeNeuromuscular AgentsAnesthesiaChronic DiseaseDefecationHypertoniaFemaleSurgeryFissure in AnoAdvancement flap; Chronic anal fissure; Fissurectomy; Adolescent; Adult; Aged; Botulinum Toxins Type A; Chronic Disease; Digestive System Surgical Procedures; Female; Fissure in Ano; Follow-Up Studies; Humans; Injections Intramuscular; Male; Middle Aged; Neuromuscular Agents; Prospective Studies; Reconstructive Surgical Procedures; Recovery of Function; Treatment Outcome; Surgical Flaps; Surgerymedicine.symptombusinessLateral internal sphincterotomyChronic anal fissureFollow-Up StudiesHuman
researchProduct

Acute inflammatory response in the subcutaneous versus periprosthethic space after incisional hernia repair: an original article.

2014

BACKGROUND: The acute inflammatory response following mesh implantation has been often evaluated in vitro and in animal models. The aim of this study was to evaluate the acute inflammatory response near the prosthesis in human by analysing some inflammatory indicators.METHODS: We used a cohort of twelve male patients affected by midline incisional hernia, who were admitted for surgical mesh repair. A suction drain was placed between the mesh and rectal muscles whereas, the other one was placed between the subcutaneous tissue and the oblique external sheath. The acute inflammatory response was analyzed by measuring the production of interleukin [IL]-1, IL-10, IL-1ra, C-Reactive Protein (CRP)…

AdultMalemedicine.medical_specialtyIncisional herniamedicine.medical_treatmentAcute Disease; Adult; Biomarkers; C-Reactive Protein; Cytokines; Follow-Up Studies; Hernia Ventral; Herniorrhaphy; Humans; Inflammation; Male; Middle Aged; Surgical Mesh; Postoperative Complications; Medicine (all)InflammationProsthesisProsthesisFollow-Up StudiePostoperative ComplicationsDrain fluidmedicineHumansCytokineHerniorrhaphyInflammationbiologybusiness.industryMedicine (all)C-reactive proteinAlbuminInflammatory responseGeneral MedicineBiomarkerMiddle AgedSurgical Meshmedicine.diseaseHernia repairHernia VentralSurgerySettore MED/18 - Chirurgia GeneraleSurgical meshmedicine.anatomical_structureC-Reactive ProteinAcute Diseasebiology.proteinCytokinesHernia repairSurgeryPostoperative Complicationmedicine.symptombusinessBiomarkersSubcutaneous tissueHumanFollow-Up StudiesResearch ArticleBMC surgery
researchProduct

Double localization and multiple recurrences of dermatofibrosarcoma protuberans of the female breast: a rare clinical case.

2015

Not available

medicine.medical_specialtySkin NeoplasmsMEDLINEBreast NeoplasmsNeoplasm RecurrenceInternal MedicinemedicineDermatofibrosarcoma protuberansBreast Neoplasms; Dermatofibrosarcoma; Female; Humans; Middle Aged; Neoplasm Recurrence Local; Skin Neoplasms; Internal Medicine; Oncology; Surgery; Medicine (all)HumansSkin NeoplasmUltrasonographybusiness.industryMedicine (all)DermatofibrosarcomaMiddle Agedmedicine.diseaseSurgeryOncologySurgeryFemaleRadiologyClinical caseUltrasonographyNeoplasm Recurrence LocalbusinessBreast NeoplasmDermatofibrosarcomaHumanThe breast journal
researchProduct

Manometric Evaluation of Internal Anal Sphincter after Fissurectomy and Anoplasty for Chronic Anal Fissure: A Prospective Study

2012

Chronic anal fissure (CAF) is a common painful clinical disease and its pathogenesis remains poorly understood. After failure of pharmacological therapy, that is the first-line treatment, surgical sphincterotomy remains the treatment of choice although it is followed by a high rate of anal incontinence resulting from the sphincter damage; therefore, the research of a sphincter-saving surgical option has become an important goal. The aim of this study was to evaluate the manometric modifications and the incidence of anal incontinence after fissurectomy and anoplasty with advancement skin flap in patients affected by CAF with hypertonia of the internal anal sphincter (IAS). Fifteen patients …

AdultMalemedicine.medical_specialtyManometryChronic anal fissureSkin flapAnal CanalInternal anal sphincterPressuremedicineHumansProspective StudiesDefecationProspective cohort studyDigestive System Surgical ProceduresWound Healingbusiness.industryIncidence (epidemiology)Anorectal manometryGeneral MedicinePrognosisSurgerySettore MED/18 - Chirurgia GeneraleTreatment Outcomemedicine.anatomical_structureChronic DiseaseSphincterHypertoniaFissure in AnoManometric evaluation Fissurectomy Anoplasty Chronic Anal Fissuremedicine.symptombusinessFollow-Up StudiesThe American Surgeon
researchProduct