Publications by authors named "C Saviano"

Currently, groin hernia repair is mostly performed with application of mesh prostheses fixed with or without suture. However, views on safety and efficacy of different surgical approaches are still partly discordant. In this multicentre retrospective study, three sutureless procedures, i.

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Introduction: in hemodialysis (HD) patients, poor health-related quality of life (HR-QoL) is prevalent and associated with adverse outcomes. HR-QoL is strictly linked to nutritional status of HD patients. Hemodiafiltration with endogenous reinfusion (HFR) is an alternative dialysis technique that combines diffusion, convection and absorption.

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Background: This is an incident series of five dialysis patients with late-diagnosed calcific uraemic arteriolophathy (CUA), severe uncontrolled hyperparathyroidism and infected skin ulcerations.

Methods: A multimodal intervention was based on wound care, antibiotics, surgical debridement, sodium thiosulphate and cinacalcet and associated with regression of skin disease in four cases after varying treatment time periods ranging from 4 to 33 months.

Results: Multimodal treatment including sodium thiosulphate and cinacalcet was associated with very favourable local outcomes and survival.

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Article Synopsis
  • Calcific uremic arteriolopathy (CUA) is a serious syndrome common in chronic kidney disease patients on dialysis, marked by skin lesions due to calcification of small arteries, with various risk factors such as obesity, diabetes, and certain medications.
  • Three cases of CUA were studied from 2011 to 2014, with an average patient age of 56, and abnormal biochemical markers indicating severe disease.
  • Treatment included stopping certain medications, introducing new therapies, and close monitoring, leading to significant improvements in biochemical levels and healing of lesions in most patients, highlighting the need for early detection and management of CUA.
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The patients under maintenance haemodialysis (HD) continue to have an unacceptably excess of mortality compared to general population, that may be explained by high prevalence of inflammation that significantly influences the survival of these patients. Indeed, chronic inflammation is very common in HD and it may cause malnutrition and progression of atherosclerotic disease by several pathogenetic mechanisms triggered by pro-inflammatory cytokines. Currently no pharmacological intervention is specifically targeted the idiopathic chronic inflammation.

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