Publications by authors named "B D'Andrea Pigossi"
Abdominal perineal resection (APR) remains the gold standard for lower rectal cancer involving the anal sphincter. However, the optimal patient position remains unclear. While lithotomy or Lloyd-Davies are commonly used, APR and extra-levator abdominal perineal excision (ELAPE) in a prone jackknife position have been linked to better oncological outcomes.
View Article and Find Full Text PDFBackground: The Lichtenstein technique is the gold standard for adult open inguinal hernia repair with mesh. The Desarda technique emerged in 2001 as a novel, promising non-mesh technique that has demonstrated low recurrence and postoperative complications.
Methods: We searched MEDLINE, the Cochrane Central Register of Clinical Trials, and Embase for randomized controlled trials (RCT) published until April 2024.
Article Synopsis
- The Lichtenstein technique is the standard method for repairing adult open inguinal hernias but has a risk of chronic groin pain, leading to a growing interest in the Shouldice method, which shows comparable outcomes but higher recurrence rates in certain cases.
- A meta-analysis of 14 randomized controlled trials involving 2,784 patients revealed that Shouldice resulted in a higher recurrence rate (4.2%) compared to Lichtenstein (0.9%), with a statistical significance (p < 0.001).
- Despite this higher recurrence rate, the overall low recurrence with Shouldice suggests it could still be a suitable option for specific patients.
Turnbull-Cutait pull-through coloanal anastomosis versus standard coloanal anastomosis plus diverting ileostomy for low anterior resection: a meta-analysis and systematic review.
Langenbecks Arch Surg
June 2024
Purpose: Coloanal anastomosis with loop diverting ileostomy (CAA) is an option for low anterior resection of the rectum, and Turnbull-Cutait coloanal anastomosis (TCA) regained popularity in the effort to offer patients a reconstructive option. In this context, we aimed to compare both techniques.
Methods: PubMed, Cochrane, and Scopus were searched for studies published until January 2024.
To evaluate the results obtained from the surgical treatment of malleolar ankle fractures associated with distal tibiofibular syndesmosis (DTFS) injury submitted to conventional surgical procedure for fracture fixation and DTFS fixation by suture button (SB). Forty-nine patients were retrospectively evaluated, with a mean age of 45 years old and a mean follow-up of 34.1 months.
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