Hard times for catadromous fish: the case of the European eel (Anguilla anguilla, L. 1758)

Catadromous fish species can be defined important organisms for their ecological, economical, and cultural value. Because of a complex life cycle, catadromous fish species are exhibited to the cumulative effect of multiple anthropogenic threats that resulted in worldwide decline since the beginning of the 20th century. Among the most iconic catadromous species, the European eel Anguilla anguilla has aroused considerable interest, and to date, many aspects of its life cycle remain relatively unknown. Although conspicuous efforts by the research to ensure the perpetuation of the species were conducted, the identification of the best tools to reduce the threats that affect eels remains challenging. In this narrative review, the state of the knowledge and main threats about the life cycle, the habitat occupancy, the recruitment, and migration patterns of the European eel have been reported

Exploring Less Invasive Visual Surveys to Assess the Spatial Distribution of Endangered Mediterranean Trout Population in a Small Intermittent Stream

Simple Summary This study explores the use of alternative and non-harmful methods for monitoring endangered Mediterranean trout in small intermittent streams. Specifically, two visual survey techniques were compared: a visual survey from streambanks and an underwater visual survey using underwater cameras. The main objective was to assess the effectiveness of detecting patterns in fish occupancy in relation to a set of environmental factors. The comparison revealed that underwater camera surveys performed similarity to visual surveys from streambanks during low-flow regimes. However, visual surveys from streambanks were less effective during the highest flow regimes. The volume of pools and the percentage cover of submerged macrophytes were found to be significant environmental variables affecting fish detection probability using underwater cameras. On the other hand, the analysis of data from visual observations from streambanks indicated a clear impact of high turbulence rates on pool occupancy. In conclusion, these findings demonstrate the utility of visual methods in describing the occupancy patterns of Mediterranean trout in small streams. Monitoring the conservation status of endangered freshwater fish using less invasive methods poses challenges for ecologists and conservationists. Visual surveys have been proposed as an alternative to electrofishing, which is a standard methodology that can cause injuries, physiological stress and post-release mortality in organisms. To test the efficacy of visual methods, a study was conducted in an intermittent stream of Sardinia (Italy). Two visual methods were employed: a visual survey from streambanks (VSS) and an underwater visual survey (UVS) using cameras. The aims of this study were (1) to compare the effectiveness of these methods in detecting patch occupancy patterns and (2) to investigate the effect of environmental variables on the detection probability of Mediterranean native trout. Environmental variables characterizing pool habitats were recorded, and generalized linear models (GLMs) were employed to assess the correlation between these variables and trout presence/absence. GLM analysis revealed that UVS had higher detection probability with larger pool volume, whereas submerged macrophytes negatively affected detection probability. Detection from streambanks (VVS) was negatively affected by a high turbulence rate. In conclusion, our study suggests the utility of visual methods to describe patterns of patch occupancy of Mediterranean trout. However, methods can be differently affected by environmental variables. Therefore, monitoring programs using these methods should consider these factors to ensure a reliable description of within-stream trout distribution in intermittent streams

Salvage of Exposed Breast Implant Using Capsular Flaps

Objective: Extrusion represents potential complications associated with the use of breast implants. Attempts to salvage the exposed implants are rarely successful when poor tissue coverage or radiotherpy is present and therefore removal of implant and wound healing are mandatory. In these refractory complicated cases the use of capsular flaps can represent a useful tool to save the implant and achieve definitive healing. Methods: Capsular flaps have been performed on 6 patients with implant extrusion and 11 patients with breast contour deformities over the last 6 years. The authors describe an innovative technique using capsular flaps which are harvested from thicker viable tissues and inset in multiple layers into the fistula tract to reinforce the breast envelope and prevent recurrence of implant extrusion. Results: Complete healing and implant salvage were achieved in all patients treated. No major complications occurred and only minor contour deformities, that regressed spontaneously after surgery, were observed for 2 weeks. Conclusions: Although capsular flaps have been previously described to correct breast shape deformities, no previous report has yet suggested its utility in breast implant salvage in case of extrusion. The authors advocate the use of capsular flap to save the exposed breast implant especially when poor tissue coverage is present and other surgical options to save the implant have already failed

Evolution of Surgical Management of Hemorrhoidal Disease: An Historical Overview

Enfermedad hemorroidal; Terapias quirúrgicasMalaltia hemorroidal; Teràpies quirúrgiquesHemorrhoidal disease; Surgical therapiesHemorrhoidal disease (HD) is the symptomatic enlargement and/or distal displacement of the normal hemorrhoidal cushions and is one of the most frequent diseases in colorectal surgery. Several surgical or office-based therapies are currently available, with the aim of being a more tailored approach. This article aimed to elucidate the historical evolution of surgical therapy for HD from ancient times, highlighting the crucial steps, controversies, and pioneers in the field. In contrast with the previous literature on the topic that is often updated to the 1990s, with the introduction of stapled hemorrhoidopexy and transanal hemorrhoidal dearterialization, this article describes all new surgical and office-based treatments introduced in the first 20 years of the 2000s

Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study

Background In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide

When the Eel Meets Dams: Larger Dams’ Long-Term Impacts on Anguilla anguilla (L., 1758)

Diadromous fish, like the European eel Anguilla anguilla (L., 1758), are highly threatened by dams that disrupt river connectivity, consequently impeding fish movements to reach feeding and spawning habitats. In this study, variation in eel occurrence between a historical period (1940–1970) and recent data (2016–2020) was assessed throughout the Sardinian rivers’ network (more than 450 sites). Using Boosted Regression Trees (BRT) we investigated relationships between eel’s occurrence and a set of spatial and temporal environmental variables including a set of dams’ construction features for each period. An overall decrease by 65% of eel’s occurrence was noticed during the ca. 80-years period under scrutiny. Considering a subset (105 and 88 sites for the historical and the recent period, respectively) characterized by the presence of larger dams (height >15 m), eel’s occurrence dropped by 85%. Conversely, eel’s occurrence dropped only by ca. 44% in dam-free sites. During the historical period, eel’s occurrence was mostly affected by time since the initial habitat fragmentation, flow, distance to dams, connectivity, and dams’ height. In the most recent period, eel’s occurrence is mostly affected by dams’ building year, dam-to-sea distance, and, again, dams’ height. Results pinpoint that dams’ construction features and the time from their construction have significant negative effects on eel’s occurrence. Addition of future effective eel restoration practices, apart any other adverse environmental stressor, must consider dams’ removal, wherever socially sustainable or alternatively, the modification of construction features of dams (like excessive height) and the addition of fish ladders

Evolution of Surgical Management of Hemorrhoidal Disease: An Historical Overview

Hemorrhoidal disease (HD) is the symptomatic enlargement and/or distal displacement of the normal hemorrhoidal cushions and is one of the most frequent diseases in colorectal surgery. Several surgical or office-based therapies are currently available, with the aim of being a more tailored approach. This article aimed to elucidate the historical evolution of surgical therapy for HD from ancient times, highlighting the crucial steps, controversies, and pioneers in the field. In contrast with the previous literature on the topic that is often updated to the 1990s, with the introduction of stapled hemorrhoidopexy and transanal hemorrhoidal dearterialization, this article describes all new surgical and office-based treatments introduced in the first 20 years of the 2000s

Clinical outcomes of non-operative management and clinical observation in non-angioembolised hepatic trauma: A systematic review of the literature

Liver is the most frequently injured organ in abdominal trauma. Today non-operative management (NOM) is considered as the standard of care in hemodynamically stable patients, with or without the adjunct of angioembolisation (AE). This systematic review assesses the incidence of complications in patients who sustained liver injuries and were treated with simple clinical observation. Given the differences in indications of treatment and severity of liver trauma and acknowledging the limitations of this study, an analysis of the results has been done in reference to the complications in patients who were treated with AE