Search results for "Perioperative"

showing 10 items of 332 documents

Morbidity after pelvic exenteration for gynecological malignancies: a retrospective multicentric study of 230 patients.

2013

ObjectiveOur study purpose was to evaluate morbidity and postoperative mortality in patients who underwent pelvic exenteration (PE) for primary or recurrent gynecological malignancies.MethodsWe identified 230 patients who underwent PE, referred to the gynecological oncology units of 4 institutions: Charitè University in Berlin, Friedrich-Schiller University in Jena, S. Orsola-Malpighi University in Bologna, and Catholic University in Rome and in Campobasso.ResultsThe median age was 55 years. The tumor site was the cervix in 177 patients, the endometrium in 28 patients, the vulva in 16 patients, and the vagina in 9 patients. Sixty-eight anterior, 31 posterior, and 131 total PEs were performe…

Adultmedicine.medical_specialtyGenital Neoplasms Femalemedicine.medical_treatmentYoung AdultRetrospective StudieGermanymedicineHumansPostoperative PeriodMortalityAgedRetrospective StudiesAged 80 and overCervical cancerVaginal cancerHysterectomyGynecological malignanciePelvic exenterationbusiness.industryEndometrial cancerMortality rateGynecological malignanciesObstetrics and GynecologyPerioperativeMiddle AgedVulvar cancermedicine.diseaseSurvival AnalysisPelvic ExenterationSurgerySettore MED/40 - GINECOLOGIA E OSTETRICIAItalyOncologyFemaleSurvival AnalysiMorbidityMorbidity pelvic exenteration gynecological malignanciesbusinessHuman
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Diltiazem for Prevention of Acoustical Trauma during Otologic Surgery

1995

100 patients were tested in a prospective, randomized, double-blinded study to assess the perioperative efficacy of a calcium channel blocker (diltiazem) in preventing acoustical trauma during otologic surgery. The patients were randomly divided into a therapy group (diltiazem) and a control group (placebo). Bone conduction hearing thresholds were examined preoperatively and again 1 day and 3 months postoperatively. Frequency-dependent changes in postoperative bone conduction and the number of patients with various degrees of postoperative hearing loss in both groups were statistically analyzed. The results indicated only a small postoperative hearing loss after ear surgery in both groups. …

Adultmedicine.medical_specialtyHearing lossmedicine.drug_classEar diseaseCalcium channel blockerPlaceboDiltiazemPostoperative ComplicationsBone conductionDouble-Blind Methodotorhinolaryngologic diseasesmedicineHumansProspective StudiesDiltiazemAgedbusiness.industryEarPerioperativeMiddle AgedCalcium Channel Blockersmedicine.diseaseSurgeryHearing Loss Noise-InducedOtorhinolaryngologyAnesthesiamedicine.symptomComplicationbusinessBone Conductionmedicine.drugORL
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Robotic Total Mesometrial Resection versus Laparoscopic Total Mesometrial Resection in Early Cervical Cancer: A Case-Control Study

2016

Abstract Study Objective To report our experience with robotic total mesometrial resection (R-TMMR) comparing perioperative results with a series of laparoscopic total mesometrial resections (L-TMMRs). Design Multicenter retrospective case-control study (Canadian Task Force classification II-2). Setting Catholic University of the Sacred Heart of Rome (Italy) and Campobasso (Italy). Patients From July 2013 to August 2015 all cervical cancer patients with preoperative FIGO stage IA2 to IB1 were assessed at preoperative magnetic resonance imaging scan and clinically confirmed by investigation under anesthesia, complying strictly with the FIGO criteria. Surgical and postsurgical data of the TMM…

Adultmedicine.medical_specialtyOperative TimeUterine Cervical Neoplasms03 medical and health sciences0302 clinical medicineRobotic Surgical ProceduresObstetrics and gynaecologymedicineHumansRobotic surgeryStage (cooking)LaparoscopyAgedRetrospective StudiesCervical cancerTotal mesometrial resection (TMMR)030219 obstetrics & reproductive medicinemedicine.diagnostic_testbusiness.industryObstetrics and GynecologyRobotic Surgical ProceduresRobotic surgeryRetrospective cohort studyPerioperativeMiddle Agedmedicine.diseaseSurgerySettore MED/40 - GINECOLOGIA E OSTETRICIAItalyCase-Control Studies030220 oncology & carcinogenesisCervical cancerFemaleLaparoscopyCervical cancer; Laparoscopy; Robotic surgery; Total mesometrial resection (TMMR)businessCervical cancer; Laparoscopy; Robotic surgery; Total mesometrial resection (TMMR); Obstetrics and GynecologyJournal of Minimally Invasive Gynecology
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Self-Reported Long-Term Autonomic Function After Laparoscopic Total Mesometrial Resection for Early-Stage Cervical Cancer: A Multicentric Study.

2017

ObjectivesThis multicentric retrospective study investigates the early and long-term self-reported urinary, bowel, and sexual dysfunctions in early-stage cervical cancer patients who submitted to laparoscopic total mesometrial resection (L-TMMR), total laparoscopic radical hysterectomy, vaginal-assisted laparoscopic radical hysterectomy, and laparoscopic-assisted radical vaginal hysterectomy.MethodsCervical cancer patients, FIGO (International Federation of Gynecology and Obstetrics) stage IA2–IB1/IIA1 who submitted to nerve-sparing radical hysterectomy were recruited. Pelvic functions were assessed within 30 days (early outcome) and 12 months after surgery (long-term outcome).ResultsTwo hu…

Adultmedicine.medical_specialtyStress incontinenceConstipationSexual Dysfunctionmedia_common.quotation_subjectUrinary systemPhysiologicalUrinationUterine Cervical NeoplasmsAutonomic Nervous SystemHysterectomyUrination03 medical and health sciencesYoung Adult0302 clinical medicinemedicineHumansMesenteryRadical Hysterectomymedia_commonAgedNeoplasm StagingRetrospective StudiesCervical cancerAdult; Aged; Autonomic Nervous System; Female; Humans; Hysterectomy; Intestinal Diseases; Laparoscopy; Mesentery; Middle Aged; Neoplasm Staging; Retrospective Studies; Self Report; Sexual Dysfunction Physiological; Urination; Uterine Cervical Neoplasms; Young Adult; Oncology; Obstetrics and Gynecology030219 obstetrics & reproductive medicinebusiness.industryObstetrics and GynecologyRetrospective cohort studyPerioperativeMiddle Agedmedicine.diseaseSurgerycervical cancer total mesomeria resection early stageIntestinal DiseasesSexual Dysfunction PhysiologicalSettore MED/40 - GINECOLOGIA E OSTETRICIAOncology030220 oncology & carcinogenesisFemaleLaparoscopySelf Reportmedicine.symptombusinessInternational journal of gynecological cancer : official journal of the International Gynecological Cancer Society
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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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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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Laparoscopic Neuronavigation for Deep Lateral Pelvic Endometriosis: Clinical and Surgical Implications

2018

Abstract Study Objective To evaluate the clinical presentation and surgical outcome in patients with deep lateral pelvic endometriosis (dLPE). Design A retrospective multicentric study (Canadian Task Force classification II-2). Setting University tertiary referral centers. Patients One hundred forty-eight women with deep infiltrating endometriosis (DIE). Interventions Laparoscopic excision of DIE. Disease distribution was classified as follows: central pelvic endometriosis (CPE) when DIE involved 1 of the following anatomic sites: cervix, vagina, uterosacral ligaments, rectum, bladder, or pelvic peritoneum; superficial lateral pelvic endometriosis when parametria, ureters, or hypogastric pl…

Adultmedicine.medical_specialtyVisual analogue scaleEndometriosisEndometriosisSacral plexuSciatic nervePelvic PainLaparoscopic-assisted neuronavigationYoung Adult03 medical and health sciences0302 clinical medicineRetrospective StudiemedicineHumansEndometriosiLaparoscopyNeuronavigationRetrospective StudiesPain Measurement030219 obstetrics & reproductive medicinemedicine.diagnostic_testbusiness.industryPelvic painObstetrics and GynecologyHypogastric PlexusPerioperativeMiddle Agedmedicine.diseaseDeep infiltrating endometriosiSurgerySacral plexusmedicine.anatomical_structure030220 oncology & carcinogenesisVaginaFemaleLaparoscopymedicine.symptombusinessHumanJournal of Minimally Invasive Gynecology
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Major ambulatory surgery in breast diseases.

2019

Abstract Introduction The use of ambulatory surgery (AS) for breast pathology (BP) has increased. The objective of this study is to analyse a group of patients treated surgically for breast pathology in order to evaluate its quality and security in a MAS setting in 2017. Methods A retrospective review of all patients undergoing breast surgery was conducted within an AS programme from January to December 2017 in Consorcio Hospital General Universitario of Valencia (CHGUV). The number of patients, exclusion reasons, the type of surgical procedures, the evolution of substitution rate (SI), the rate and the causes of conversion to admission, the post-operatory complications, the motives of not …

Adultmedicine.medical_specialtymedicine.medical_treatmentBreast surgerySentinel lymph nodeBreast Neoplasms030230 surgery03 medical and health sciences0302 clinical medicineBreast cancerBenign pathologyPostoperative ComplicationsBiopsyMedicineHumansMastectomyRetrospective Studiesmedicine.diagnostic_testbusiness.industrySentinel Lymph Node BiopsyGeneral EngineeringPerioperativeMiddle Agedmedicine.diseaseSurgeryHospitalizationAmbulatory Surgical ProceduresPatient SatisfactionAmbulatoryFemalebusinessMastectomyCirugia espanola
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Laparoscopic En Bloc Right Diaphragmatic Peritonectomy for Diaphragmatic Endometriosis According to the Sugarbaker Technique

2016

Abstract Study Objective To evaluate the feasibility of a novel laparoscopic procedure for complete eradication of diaphragmatic endometriosis (DE). Design A retrospective multicenter study (Canadian Task Force Classification II-2). Setting University tertiary referral centre. Patients A consecutive series of 9 women with DE. Interventions Laparoscopic en bloc eradication using Sugarbaker's peritonectomy technique with or without diaphragmatic resection for DE. All surgical procedures were performed by the same surgeon in 2 tertiary referral centers (Charite University, Berlin, Germany, and Catholic University of the Sacred Heart, Foundation John Paul II, Campobasso, Italy). Measurements an…

Adultmedicine.medical_specialtymedicine.medical_treatmentDiaphragmOperative TimeEndometriosisEndometriosisDiaphragmatic breathingDiaphragmatic endometriosi03 medical and health sciencesPostoperative Complications0302 clinical medicineDiaphragmatic endometriosis; Laparoscopy; Peritonectomy; Sugarbaker's technique; Adult; Diaphragm; Endometriosis; Female; Germany; Humans; Italy; Laparotomy; Muscular Diseases; Operative Time; Postoperative Complications; Retrospective Studies; Laparoscopy; Obstetrics and Gynecology; Medicine (all)Muscular DiseasesPeritonectomyGermanyLaparotomymedicineHumansLaparoscopyDiaphragmatic endometriosisRetrospective StudiesLaparotomy030219 obstetrics & reproductive medicineSugarbaker's techniquemedicine.diagnostic_testbusiness.industryMedicine (all)Obstetrics and GynecologyRetrospective cohort studyPerioperativemedicine.diseaseSymptomatic reliefSurgeryPeritonectomySettore MED/40 - GINECOLOGIA E OSTETRICIAItaly030220 oncology & carcinogenesisFemaleLaparoscopybusinessJournal of Minimally Invasive Gynecology
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