Search results for "Invasive"
showing 10 items of 1141 documents
The clinical value of PSA increase during intravesical adjuvant therapy for nonmuscle-invasive bladder cancer.
2016
Introduction Prostatic Specific Antigen (PSA), Bacillus Calmette-Guerin (BCG) increase after intravesical BCG has been reported. The need of prostate biopsy in these patients is object of debate. The aim of our study was to evaluate the effect of intravesical therapy on PSA after transurethral resection (TUR) of nonmuscle-invasive bladder cancer (NMIBC). Materials and methods Patients undergoing intravesical chemotherapy or immunotherapy for NMIBC were entered. PSA was measured before TUR, before the first and after the sixth instillation, 30 and 90 days after the last instillation. Patients with PSA ≥4 ng/ml or palpable prostate nodule were excluded. Results Out of 130 patients, 105 were e…
Minimally Invasive Pelvic Exenteration for Gynecologic Malignancies: A Multi-Institutional Case Series and Review of the Literature.
2019
ABSTRACT Study Objective To assess the feasibility and efficacy of minimally invasive pelvic exenteration (MIPE) in a multi-institutional Italian case series of women with gynecologic cancer and a review of the literature. Design Retrospective cohort study (Canadian Task Force classification II-2). Setting Three Italian university/teaching hospitals: “Agostino Gemelli” Foundation University Hospital in Rome, "ARNAS Civico Di Cristina Benfratelli” Hospital in Palermo, and “Maggiore della Carita” Hospital in Novara. Patients We reviewed all consecutive cases with gynecologic malignancies in this multi-institutional setting recorded between March 2014 and June 2017. Women with primary or centr…
Feasibility and safety of two different surgical routes for the eradication of recto-vaginal endometriosis with vaginal mucosa infiltration (Endo-Vag…
2020
Introduction: Recto-vaginal endometriosis surgical management needing partial colpectomy is a surgically challenging condition and has been associated with a notable risk of major postoperative complications. In the present study we sought to compare feasibility and safety of total laparoscopic (TL) and vaginal-assisted (VA) routes in women affected by symptomatic recto-vaginal endometriosis with vaginal mucosa infiltration scheduled for minimally invasive surgery. Material and methods: Multi-centric, retrospective cohort study on medical records of consecutive reproductive age women submitted to complete macroscopic eradication of symptomatic recto-vaginal endometriosis with vaginal mucosa…
Laparoscopic Management of Ovarian Cancer Patients With Localized Carcinomatosis and Lymph Node Metastases: Results of a Retrospective Multi-institut…
2016
Abstract Study Objective To investigate the feasibility and safety of laparoscopic cytoreduction in ovarian cancer patients with localized carcinomatosis or lymph node involvement. Design Retrospective cohort study (Canadian Task Force classification II-2). Setting Multi-institutional study performed in 6 referral gynecologic oncology units. Patients Between June 2005 and December 2014, preoperatively presumed early-stage ovarian cancer patients, who accidentally revealed localized carcinomatosis or lymph node involvement at laparoscopic evaluation or at postoperative pathological examination managed by the laparoscopic approach. Interventions All patients with limited carcinomatosis and/or…
Prospective randomized comparison of conventional instruments and the Harmonic Focus(®) device in breast-conserving therapy for primary breast cancer.
2011
Abstract Background In recent years, surgeons have utilized Harmonic instruments to perform breast cancer resection. Retrospective and prospective studies have demonstrated that the use of this surgical device for mastectomy and axillary dissection can reduce perioperative blood loss, seroma formation, and duration and total amount of drainage. No study has analyzed the feasibility of Harmonic instruments in breast-conserving surgery. We conducted a prospective, randomized clinical trial comparing Harmonic instrument and conventional surgery in the performance of breast-conserving surgery and axillary procedures to determine differences in surgical procedures, postoperative outcome, and com…
Can the Multidimensional Prognostic Index Improve the Identification of Older Hospitalized Patients with COVID-19 Likely to Benefit from Mechanical V…
2022
Objective: Data on prognostic tools for indicating mechanical ventilation in older people with COVID-19 are still limited. The aim of this research was to evaluate if the Multidimensional Prognostic Index (MPI), based on the Comprehensive Geriatric Assessment (CGA), may help physicians in identifying older hospitalized patients affected by COVID-19 who might benefit from mechanical ventilation.Design: Longitudinal, multicenter study.Settings and Participants: 502 older people hospitalized for COVID-19 in 10 European hospitals.Methods: MPI was calculated using 8 different domains typical of the CGA. A propensity score, Cox's regression analysis was used for assessing the impact of mechanical…
Open mini-invasive cholecystectomy in high risk elderly. A review of 121 consecutive procedures.
2011
INTRODUCTION: the report describes the features of a low cost, open mini-invasive procedure for cholecystectomy in a sample of 121 consecutive high risk elderly (ASA score 3 to 5). PATIENTS AND METHODS: the surgery is performed through a 3 - 4 cm right subcostal skin incision. An optimal exposition of the operating field was achieved thanks to an innovative three valve retractor. RESULTS: a mean hospital stay of 3,02 days, low complication rate and 2,4% mortality are the results of the described procedure. CONCLUSIONS: in high risk elderly the results are extremely encouraging, particularly in comparison with both laparoscopic and traditional open cholecystectomy. The open minisurgical chol…
Researches Regarding the Species Diabrotica Virgifera Virgifera Le Conte in Sibiu County
2010
From the very beginning of the recording of its appearance in Europe as well as in
 our country the published material emphasized the harmful potential of the pest Diabrotica virgifera
 virgifera also drawing the attention to the scientific world and to the farmers as well upon this factor
 of reduction of the production of corn.
 In Sibiu County this species was first recorded in 2001, coming from West, at the border with
 Alba County. The first gatherings were done in Miercurea Sibiului. The investigation was done during
 2001–2009 concerning in: monitoring the adults and the larvae, the identification of the attacked
 plants, the way of harming both for…
Arbuscular mycorrhizal fungi positively affect growth of Ailanthus altissima (Mill.) Swingle seedlings and show a strong association with this invasi…
2015
Arbuscular mycorrhizal fungi (AMF) may promote plant invasion by enhancing plant performance and competitiveness. However, only a small number of studies have considered the interactions between local soil microbial communities and invasive plants, and even fewer have focused on alien trees. Ailanthus altissima is a serious problem in the Mediterranean Basin, where it has invaded many habitats. We investigated the symbiosis between A. altissima and indigenous AMF in two invaded, ecologically different Mediterranean woodlands. Mycorrhizal infection was high at both sites (> 60% of the root fragments were mycorrhizal), indicating that A. altissima roots may be infected by AMF under different …
AILANTHUS ALTISSIMA (MILL.) SWINGLE (Simaroubaceae) IN SICILIA E CENNI STORICI SULLA SUA INTRODUZIONE IN ITALIA
2012
Nonostante la diffusa presenza dell’ailanto in Sicilia, mancavano sino ad oggi studi specifici a carattere regionale su questa specie arborea esotica invasiva. Allo scopo di colmare alcune di queste lacune, il presente lavoro si è posto cinque obiettivi: 1) ripercorrere la storia della diffusione globale dell’ailanto, prestando particolare attenzione all’Italia ed alla Sicilia; 2) analizzare le cause (antropiche e biologiche) della sua spiccata invasività a livello globale e locale; 3) fornire un primo quadro della sua distribuzione e della sua auto- e sinecologia sul territorio regionale; 4) stabilire i metodi più idonei ed efficaci per contenerne la diffusione e ridurne l’impatto ecologic…