Publications by authors named "B D Alampi"

Background: Surgical management of large ventral hernias (VH) has remained a challenge. Various techniques like anterior component separation and posterior component separation (PCS) with transversus abdominis release (TAR) have been employed. Despite the initial success, the long-term efficacy of TAR is not yet comprehensively studied.

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  • The study aimed to investigate factors related to lateral lymph node (LLN) involvement in patients with locally advanced rectal cancer (LARC) undergoing neoadjuvant chemoradiotherapy (nCRT) and surgery, focusing on their effect on local recurrence rates.
  • The retrospective analysis included 301 LARC patients treated between 2014 and 2019, assessing MRI results for LLN involvement and categorizing patients based on whether they had suspicious nodes.
  • Findings revealed that while 15.9% showed suspicious LLNs on initial MRI, abnormal LLNs did not independently affect local recurrence rates after 3 years, suggesting they may not be a significant risk factor in this context.
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Background: Despite its potential oncologic benefit, complete mesocolic excision (CME) has rarely been offered to elderly patients. The present study evaluated the effect of age on postoperative outcomes among patients undergoing laparoscopic right colectomies with CME for right-sided colon cancer (RCC).

Methods: Data of patients undergoing laparoscopic right colectomies with CME for RCC between 2015 and 2018 were retrospectively analyzed.

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Background: Obesity is a risk factor for ventral hernia development and affects up to 60% of patients undergoing ventral hernia repair. It is also associated with a higher rate of surgical site occurrences and an increased risk of recurrence after ventral hernia repair, but data is lacking on the differences between obesity classes.

Methods: Between 2008 and 2018, 322 patients with obesity underwent laparoscopic ventral hernia repair in our department: class I n = 231 (72%), II n = 55 (17%), III n = 36 (11%).

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  • Prophylactic mesh placement is suggested as a method to reduce the occurrence of parastomal hernias (PSH) after stoma formation in colorectal surgery.
  • An observational study was conducted comparing two groups: one that received mesh prophylaxis and another that did not, with results indicating a significant reduction in PSH development at 12 months for the mesh group (11% vs. 54%).
  • The study concludes that using intraperitoneal mesh is effective in preventing PSH, with no significant differences in long-term complications between the two groups.
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