58 research outputs found
Mucopexy-Recto Anal Lifting (MuRAL) in managing obstructed defecation syndrome associated with prolapsed hemorrhoids and rectocele : preliminary results
Purpose: Treatment of rectocele associated with prolapsed hemorrhoids is a debated topic. Transanal stapling achieved
good midterm results in patients with symptoms of obstructed defecation, nevertheless a number of severe complications
have been reported. The aim of this study was to evaluate the safety and efficacy of a new endorectal manual technique in
patients with obstructed defecation due to the combination of muco-hemorrhoidal prolapse and rectocele.
Methods: Patients enrolled after preoperative obstructed defecation syndrome (ODS) score, defecography and anoscopy
were submitted to the novel Mucopexy-Recto Anal Lifting (MuRAL) combined with a modified Block procedure, and
followed up by independent observers with digital exploration 3 weeks postoperatively, and digital exploration plus
anoscopy at 3, 6, and 12 months. Operative time, hospital stay, numerating rating scale (NRS), ODS, satisfaction scores,
and recurrence rate were recorded.
Results: Mean operative time was 35.7 minutes. Fifty-six patients completed 1-year follow-up: 7.1% had acute urinary
retention, NRS score was < 3 from the third postoperative day, mean time of daily activity resumption was 12 days, none
had persistent fecal urgency, 82% declared excellent/good satisfaction score, significant improvement of 6- and 12-month
ODS score, no recurrence of rectocele, and 7.1% recurrence of prolapsed hemorrhoids were observed.
Conclusion: MuRAL associated with modified Block technique gave no severe complications and resulted in a safe and
effective approach to symptomatic rectocele associated with muco-rectal prolapse. Further randomized studies, larger
series, and longer follow-up are needed.
[Ann Surg Treat Res 2020;98(5):277-282
Xenotrapianto di fegato in primati non umani
Dottorato di ricerca in chirurgia sperimentale e dei trapianti. 7. ciclo. A.a. 1993-94. Coordinatore D. GalmariniConsiglio Nazionale delle Ricerche - Biblioteca Centrale - P.le Aldo Moro, 7, Rome; Biblioteca Nazionale Centrale - P.za Cavalleggeri, 1, Florence / CNR - Consiglio Nazionale delle RichercheSIGLEITItal
Ischemia time and liver transplantation, today
The aim of our study was to retrospectively evaluate the impact of ischemia time and other clinical factors on the development of liver allograft primary nonfunction (PNF). We enrolled 531 consecutive liver transplantations from 1998 to 2013, identifying 10 PNF (1.9%). PNF was found to be statistically related to 4 different variables: donor age >60 years (P =.01), female donor gender (P =.01), total ischemia time >10 hours (P =.03) and infusion of more than 30 fresh frozen plasma units during surgery (P =.02). The study focused on the clinical impact of total ischemia time. We grouped total ischemia time into 4 groups (Group 1: 647.5 hours; Group 2: between 7.5 and 10 hours; Group 3: between 10 and 12 hours; Group 4: >12 hours) and 2 groups (assigning a cut-off value of 10 hours): both these grouping systems significantly influenced the development of PNF and 1-year graft survival, with limited impact on long-term survival. We split total ischemia time in a "technical time," "hepatectomy time," and "warm ischemia time." Only the first 2 components were found to be statistically related to PNF development with P =.02 and P =.003, respectively. Further studies should focus on these aspects of PNF
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