[Use of the Lean methodology in the management of cancer patients in a University Hospital, Italy: First results].

Aim: The aim of this study was to map a patient's journey along all stages of his daily care path in an Oncology outpatient department, to identify and eliminate "bottleneck" situations that interfere with the patient's flow of care. The main key performance indicators used in the study were: waiting times for each stage of the care process, time required for each activity, and resources used.

Methods: The study was conducted from 17-30 January 2018 at the medical oncology clinic of a large university teaching and research hospital in Italy.

Balloon tamponade for prevention and treatment of vaginal hemorrhages in gynecology.

The preliminary experience of balloon tamponade in planned vaginal surgery and in emergency vaginal bleeding using a new device (Vagistop) is reported. The results shows the advantages of the system in comparison with vaginal gauze packing.

Minimally invasive vaginal hysterectomy using bipolar vessel sealing: preliminary experience with 500 cases.

The objective of our study was to evaluate surgical outcome of minimally invasive vaginal hysterectomy (MIVH), using the bipolar vessel sealing system (BVSS; BiClamp®). The design was a retrospective analysis (Canadian Task-force Classification II-3). The setting was a secondary care hospital.

Use of balloon tamponade in management of severe vaginal postpartum hemorrhage and vaginal hematoma: a case series.

Severe vaginal lacerations and hematomas can be serious, life-threatening complications of vaginal delivery. The management is usually limited to suturing and vaginal packing with gauze. After a vaginal delivery vaginal tissues can be edematous, friable and very difficult to suture.

Mature solid teratoma of the fallopian tube mimicking metastasis of endometrial adenocarcinoma: a case report.

We report a mature solid teratoma of the fallopian tube in an elderly woman. This mass was noted on CT scan and considered metastatic in nature since following a bioptical diagnosis of endometrial adenocarcinoma. Hysterectomy and bilateral salpingectomy and ovariectomy were performed and a second minor mature solid teratoma was discovered inside the right ovary.