Search results for "Opera"

showing 10 items of 8665 documents

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…

Adultmedicine.medical_specialtySurvivalGenital Neoplasms FemaleSurgical complicationsmedicine.medical_treatmentTumor resectionLaparoscopic pelvic exenteration; Minimally invasive pelvic exenteration; Robotic pelvic exenteration; Surgical complications; Survival03 medical and health sciences0302 clinical medicineSurgical complicationmedicineRecurrent diseaseLaparoscopic pelvic exenterationHumansMinimally Invasive Surgical ProceduresLaparoscopyAgedRetrospective Studies030219 obstetrics & reproductive medicinePelvic exenterationmedicine.diagnostic_testbusiness.industryGeneral surgeryRobotic pelvic exenterationObstetrics and GynecologyRetrospective cohort studyPerioperativeCytoreduction Surgical ProceduresMiddle AgedPelvic ExenterationLaparoscopic pelvic exenteration Minimally invasive pelvic exenteration Robotic pelvic exenteration Surgical complications Survival Obstetrics and GynecologySettore MED/40 - GINECOLOGIA E OSTETRICIAMinimally invasive pelvic exenteration030220 oncology & carcinogenesisOperative timeFemaleElectronic databasebusinessJournal of minimally invasive gynecology
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Chimney and periscope grafts to facilitate endovascular treatment of aortic transection in a patient with aberrant right subclavian artery

2014

Purpose: To report the use of parallel grafts to extend the proximal landing zone for stentgraft repair of aortic transection involving an aberrant right subclavian artery (ARSA). Case Report: A 28-year-old patient was referred for treatment of traumatic aortic transection with contained rupture at the level of an ARSA. Immediate thoracic endovascular aortic repair (TEVAR) was planned because of hemodynamic instability. To achieve rapid sealing and maintain perfusion to both subclavian arteries, a chimney stent to the left subclavian artery (LSA) and a periscope stent-graft to the ARSA were deployed successfully. After surgical repair of all fractures, the patient was discharged 1 month aft…

Adultmedicine.medical_specialtyTime FactorsAortic RuptureCardiovascular AbnormalitiesSubclavian ArteryHemodynamics610 Medicine & healthProsthesis DesignAortographySettore MED/22 - Chirurgia Vascolare2705 Cardiology and Cardiovascular MedicineBlood Vessel Prosthesis ImplantationBlood vessel prosthesisX ray computedmedicine.arterymedicineHumansThoracic aorta2741 Radiology Nuclear Medicine and ImagingRadiology Nuclear Medicine and imagingcardiovascular diseasesEndovascular treatmentAortabusiness.industryEndovascular ProceduresHemodynamicsAberrant right subclavian arteryVascular System InjuriesAneurysmBlood Vessel ProsthesisSurgery10020 Clinic for Cardiac Surgery2746 SurgeryTreatment Outcomesurgical procedures operativeRegional Blood FlowLanding zonecardiovascular systemStentsSurgeryAneurysm surgeryRadiologyDeglutition DisordersTomography X-Ray ComputedCardiology and Cardiovascular Medicinebusinessthoracic aorta aortic transection trauma thoracic endovascular aortic repair aberrant right subclavian artery left subclavian artery stent-graft parallel graft chimney graft periscope graft landing zone
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Assessment of the implantation of day-2 human embryos by morphometric nonsubjective parameters

2014

Objective: To demonstrate the usefulness of image analysis in designing objective embryonic morphometric variables. Design: Retrospective study of 214 top-quality day-2 embryo photographs from 50 double-embryo transfers resulting in no pregnancy (group 0) and 57 resulting in twin pregnancy (group 1). Setting: Human reproduction unit. Patient(s): Study of 107 in vitro fertilization intracytoplasmic sperm injection (IVF ICSI) cycles in women age<36 years with doubleembryo transfer of top-quality embryos. Only the first cycle of IVF ICSI was included. Intervention(s): Standard IVF ICSI protocols. Main Outcome Measure(s): The embryo photographs were analyzed using the ImageJ program. The effect…

Adultmedicine.medical_specialtyTime Factorsanimal structuresESTADISTICA E INVESTIGACION OPERATIVAFertilization in VitroBiologyPRODUCCION ANIMALEmbryo grading systemsPredictive Value of TestsPregnancymedicineOdds RatioHumansSperm Injections Intracytoplasmicreproductive and urinary physiologyRetrospective StudiesGynecologyEmbryo scoreurogenital systemMorphological and morphometric embryo variablesAge FactorsObstetrics and GynecologyEmbryoAnatomyEmbryo TransferEmbryo MammalianLogistic ModelsReproductive Medicineembryonic structuresEmbryo implantationPregnancy TwinFemaleEmbryo selectionImages analysis
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Kinetics of Torque Teno virus DNA in stools may predict occurrence of acute intestinal graft versus host disease early after allogeneic hematopoietic…

2020

Torque Teno virus (TTV) DNA load in blood may act as a marker of immune competence after allogeneic hematopoietic stem cell transplant recipients (allo-HSCT). Conflicting data have been reported as to the value of this biomarker for anticipating acute Graft-versus-host disease (aGvHD) occurrence. Here, we hypothesized that quantitation of TTV DNA load in stool specimens early after allo-HSCT could be used to identify patients at high risk of acute intestinal graft-versus-host disease (aIGvHD). In this prospective two-center study we recruited a total of 83 non-consecutive adult patients undergoing allo-HSCT. The study period comprised the first 120 days after allo-HSCT. TTV DNA was quantita…

Adultmedicine.medical_specialtyTorque teno virusmedicine.medical_treatmentGraft vs Host DiseaseHematopoietic stem cell transplantationDisease030230 surgeryGastroenterology03 medical and health sciences0302 clinical medicineImmune systemInternal medicinemedicineHumansIn patientProspective StudiesTorque teno virusTransplantationbusiness.industryHematopoietic Stem Cell TransplantationViral LoadDNA Virus InfectionsTorque teno virus DNAKineticssurgical procedures operativeInfectious DiseasesDNA ViralBiomarker (medicine)030211 gastroenterology & hepatologyIntestinal Graft Versus Host DiseasebusinessTransplant Infectious Disease
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Intravenous recombinant erythropoietin does not lead to an increase in cerebrospinal fluid erythropoietin concentration

2000

No abstract

Adultmedicine.medical_specialtyUltrasonography Doppler Transcranialmedicine.medical_treatmentSkull NeoplasmsElectrolytesIntraoperative PeriodCerebrospinal fluidPharmacokineticsInternal medicinemedicineHumansPulseRecombinant erythropoietinErythropoietinTransplantationChemotherapybusiness.industrySettore MED/27 - NeurochirurgiaErythropoietin transcranial dopplerRecombinant ProteinsEndocrinologyCytokineBlood-Brain BarrierNephrologyErythropoietinCerebrovascular CirculationInjections IntravenousIntravenous recombinant erythropoietin; cerebrospinal fluid; erythropoietin concentration.Femalebusinessmedicine.drug
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Use of the Martius advancement flap for low rectovaginal fistulas

2019

Aim: The percentage recurrence after any surgical treatment for low rectovaginal fistula (LRVF) is unacceptably high. The aim of this study was to evaluate the short- and long-term results of the Martius procedure in a carefully selected series of patients with a LRVF of at least 1 cm diameter who had had at least two previous surgeries or in the presence of chronically inflamed local tissues. Method: Between January 2009 and April 2017, 24 patients with the abovementioned features were prospectively included in this study. Success was defined both as the absence of any subjective symptoms and the fistula, as confirmed by evaluation under anaesthesia. Postoperative complications were assess…

Adultmedicine.medical_specialtyUnder anaesthesiaFistulaOperative Timequality of sexual lifeSurgical Flaps03 medical and health sciencesPostoperative Complications0302 clinical medicineQuality of lifeRecurrencemartius flapmedicineHumansdiversion stomaMajor complicationSurgical treatmentdiversion stoma; low rectovaginal fistulas; martius flap; quality of life; quality of sexual life; recurrent rectovaginal fistulasLow rectovaginal fistulabusiness.industryrecurrent rectovaginal fistulasRectovaginal FistulaGastroenterologyLength of StayMiddle Agedmedicine.diseaseSurgerySexual Dysfunction PhysiologicalTreatment OutcomeUrinary Incontinencequality of lifeRectovaginal fistula030220 oncology & carcinogenesisFemale sexual functionSexual lifeFemale030211 gastroenterology & hepatologylow rectovaginal fistulasbusiness
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Long-Term Results of Ileocecal Continent Urinary Diversion in Patients Treated With and Without Previous Pelvic Irradiation

2002

Patients who receive pelvic irradiation may require urinary diversion to manage complications resulting from progressive malignancy or radiotherapy. The choice of urinary diversion is an important issue and remains controversial. We characterized the long-term outcome of urinary diversion with a continent ileocecal reservoir in patients who received pelvic irradiation versus those who underwent urinary diversion without previous irradiation.Continent urinary diversion with an ileocecal reservoir (Mainz pouch 1) was performed in 36 irradiated patients in a 9-year period. Morbidity, mortality, the reoperative rate and parameters associated with the surgical procedure were determined at a medi…

Adultmedicine.medical_specialtyUrinary systemmedicine.medical_treatmentUrologyPelvisCystectomyPostoperative ComplicationsRisk FactorsmedicineHumansDerivationRadiation InjuriesAgedUrinary bladderbusiness.industryUrinary diversionUrinary Reservoirs Continentrespiratory systemMiddle AgedCombined Modality TherapySurgerymedicine.anatomical_structureUrinary Bladder NeoplasmsFemaleRadiotherapy AdjuvantPouchbusinessComplicationhuman activitiesContinent Urinary DiversionFollow-Up StudiesThe Journal of Urology
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Sexual Function and Fertility of Women with Classic Bladder Exstrophy and Continent Urinary Diversion

2015

We evaluated the outcome in female patients with classic bladder exstrophy and continent urinary diversion for sexual function and fertility.We reviewed the medical records of female exstrophy patients who underwent continent urinary diversion in our department between 1969 and 2014. Patients were invited for followup examination and asked to complete questionnaires relating to sexual function, social integration and maternity.Of 38 eligible patients 29 (response rate 76%) with a followup of 22.3 years were included in study. Primary continent urinary diversion was done in 62% of patients and 38% underwent secondary continent urinary diversion after failed reconstruction of the exstrophic b…

Adultmedicine.medical_specialtyUrologymedicine.medical_treatmentmedia_common.quotation_subject030232 urology & nephrologyFertilityHuman sexualityUrinary DiversionPelvic Organ Prolapse03 medical and health sciencesPostoperative Complications0302 clinical medicineRisk FactorsmedicineHumansRetrospective Studiesmedia_common030219 obstetrics & reproductive medicinebusiness.industryIncidenceGeneral surgeryBladder ExstrophyUrinary Reservoirs ContinentUrinary diversionRetrospective cohort studyMiddle Agedmedicine.diseaseSurgeryBladder exstrophySexual Dysfunction PhysiologicalTreatment OutcomeSexual dysfunctionFemalemedicine.symptomSexual functionbusinessInfertility Femalehuman activitiesContinent Urinary DiversionFollow-Up StudiesJournal of Urology
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Radical vaginal trachelectomy (RVT) combined with laparoscopic lymphadenectomy: Prospective study of 225 patients with early-stage cervical cancer

2011

Objective: The aim of the study was to prove the surgical and oncological safety of radical vaginal trachelectomy (RVT) and laparoscopic lymphadenectomy for patients with early-stage cervical cancer who are seeking parenthood. Methods: A database of 225 patients with early-stage cervical cancer and intention to treat by RVT after laparoscopic lymphadenectomy was prospectively maintained. A total of 212 patients were treated according to the protocol. The procedure was preformed in a standardized manner, and life table analysis was applied. Results: In the cohort of patients treated according to protocol, 8 recurrences occurred and 4 patients died from recurrence. The median follow-up time w…

Adultmedicine.medical_specialtyUterine Cervical NeoplasmUrologyUterine Cervical NeoplasmsRadical vaginal trachelectomyAdenocarcinomaYoung AdultGynecologic Surgical ProceduresGynecologic Surgical ProcedureVaginal TrachelectomyEarly-stage cervical cancer; Fertility-preserving surgery; Radical vaginal trachelectomyMedicineHumansProspective StudiesStage (cooking)Prospective cohort studyLaparoscopic lymphadenectomyCervical cancerLaparoscopic lymphadenectomyIntention-to-treat analysisbusiness.industryMedicine (all)Fertility-preserving surgeryObstetrics and GynecologyPerioperativeMiddle Agedmedicine.diseaseSettore MED/40 - Ginecologia E OstetriciaSurgeryProspective StudieOncologyEarly-stage cervical cancerCohortVaginaCarcinoma Squamous CellLymph Node ExcisionFemaleLaparoscopybusinessHuman
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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…

Adultmedicine.medical_specialtyVaginal Diseasesrectovaginal endometriosiEndometriosisEndometriosisvaginal-assisted routeDehiscenceAnastomosislaparoscopic route03 medical and health sciences0302 clinical medicinePostoperative ComplicationsmedicineHumansMinimally Invasive Surgical Procedures030212 general & internal medicineendometriosis surgical treatmentDigestive System Surgical Proceduresminimally invasive surgeryRetrospective Studies030219 obstetrics & reproductive medicinebusiness.industryMedical recordrectovaginal endometriosisObstetrics and GynecologyRetrospective cohort studyGeneral MedicinePerioperativeMiddle Agedmedicine.diseaseSettore MED/40 - Ginecologia E OstetriciaSurgeryusabilityRectal DiseasesItalyFeasibility StudiesFemalePatient SafetySegmental resectionbusinessInfiltration (medical)
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