Publications by authors named "Giorgia Gaia"

Article Synopsis
  • Lateral suspension is a surgical procedure designed to fix apical prolapse by placing T-shaped mesh in the abdomen, but there’s no consensus on its safety or indications.
  • A Delphi process involved 21 international expert surgeons discussing and reaching agreement on various aspects of laparoscopic lateral suspension (LLS) through rounds of statements and discussions.
  • The consensus highlighted LLS as a safe and effective method for treating pelvic organ prolapse, along with key technical details and indications for the procedure.
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Article Synopsis
  • The HUGO™ robotic-assisted surgery system was introduced in 2021 and serves as an innovative option for robotic procedures, particularly in gynecology.
  • A study was conducted on its initial year of use at two hospitals, examining 32 gynecological surgeries performed using this system, including hysterectomies, adnexal surgeries, and pelvic floor reconstructions.
  • Results indicated the system's feasibility, with no intraoperative complications and an increase in procedure volume over time, suggesting the need for further research to standardize its use in gynecological surgery.
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Remote surgery provides opportunity for enhanced surgical capabilities, wider healthcare reach, and potentially improved patient outcomes. The network reliability is the foundation of successful implementation of telesurgery. It relies on a robust, high-speed communication network, with ultra-low latency.

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Introduction: Despite various studies on the impact of incontinence on patients' lives, the existing literature has not investigated the contribution of nursing care during rehabilitation in terms of quality of life. Fewer data, therefore, exist on the characteristics and perceived impact of the therapeutic relationship as part of the rehabilitation program.

Aims: To investigate the characteristics of the nurse-patient therapeutic relationship and its impact throughout the rehabilitation program; to describe the levels of patient burden on everyday activities.

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Introduction: Versius CMR is a novel robotic system characterized by an open surgical console and independent bedside units. The system has potentials of flexibility and versatility, and has been used in urological, gynecological, and general surgical procedure. The aim is to depict a comprehensive analysis of the Versius system for pelvic surgery.

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Background: We aimed to compare the outcomes of Robot-assisted sacrocolpopexy (RASC) performed using the novel HUGO Robot-Assisted Surgery (RAS) System with the Da Vinci Xi surgical system.

Methods: Data from 38 women undergoing RASC for a ≥ 2-grade pelvic organ prolapse were collected (2021-2023).

Results: Overall, 23 (60.

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Article Synopsis
  • The Hugo RAS and Versius are new types of robots used in surgery that have special features for moving around the patient.
  • These robots offer great flexibility and can work in different areas of the body, but need careful organization to keep everything running smoothly.
  • The article gives advice and tips on how assistants can help with these robots during surgery and shares what they think about using them.
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Endometriosis is a benign gynecological disease characterized by the presence of endometrial tissue outside the uterus. The eradication of non-gynecological localizations represents the real surgical challenge. A 29-year-old woman underwent robotic surgery with the Da Vinci system (Intuitive Surgical Inc.

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Background: Robot-assisted surgery ensures minimal invasiveness; since the expiry of the Da Vinci patent, new robotic systems have entered the market. Recently, the Hugo RAS received CE approval for several surgical procedures. However, more is needed to know about skill acquisition at the new simulator.

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Robotic assisted radical cystectomy (RARC) is a standard option for the treatment of bladder cancer. Currently, novel platforms are entering the market and the Hugo RAS (Medtronic, Minneapolis, MN, USA) is a new system consisting of an open console with 3D-HD screen and a multi-modular fashion. Even if several series are already available for radical prostatectomy, to now a full description of RARC performed with Hugo RAS is still lacking.

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Radical cystectomy represents one of the most challenging surgical procedures, exhibiting a high morbidity rate. The transition to minimally invasive surgery in the field has been steep, due to either the technical complexity and prior concerns of atypical recurrences and/or peritoneal spread. More recently, a larger series of RCTs has proven the oncological safety of robot-assisted radical cystectomy (RARC).

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The scenario of robotic surgery is rapidly evolving with the introduction of new robotic systems. A structured learning program in robotic surgery during academic education is often lacking, especially for undergraduates; as a result, many students may be unaware of indications to robotic surgery and technological progress. The aim of the study is to evaluate the knowledge and interest toward robotic surgery of medical and nurse students, and to analyze how the attractiveness may change after a hand-on training course with new simulators of Hugo RAS and Versius System.

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Background: Neuromodulation (NM) is a family of therapies based on electrical stimulation to target specific nerves that control LUTS (Lower Urinary Tract Symptoms) and pain. The aim is to modulate what is happening within the nervous system to achieve therapeutic effects. A particular type of neuromodulation, called TENS (Transcutaneous Electrical Nerve Stimulation), has proven effective for treating pelvic pain.

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Objective: Robotic intracorporeal neobladder reconstruction is a complex procedure in which the approximation of the reservoir to the urethral stump can be a demanding step. The aim of the study is to evaluate the reproducibility of a modified posterior reconstruction (PR) during the reconfiguration of intracorporeal neobladder after robot assisted radical cystectomy (RARC).

Materials And Methods: From July 2021 to July 2022, 35 RARC were performed, and 17 patients underwent intracorporeal neobladder reconstruction.

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Background: Constipation is a common condition. Although numerous articles emphasise the importance of conservative interventions, none have set out a complete educational programme.

Aims: To describe the results of an evidence-based, nurse-led educational intervention for functional constipation in adults.

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Prostate cancer and bladder cancer accounts for approximately 13.5% and 3% of all male cancers and all newly diagnosed cancers (regardless sex), respectively. Thus, these cancers represent a major health and economic burden globally.

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Article Synopsis
  • Pelvic pain has various impacts on patients, necessitating nurses in pelvic floor rehabilitation to be well-informed about suitable referrals and treatment options, which may include conservative methods in some countries.
  • A scoping review was conducted to investigate the role of nurses in multidisciplinary teams managing chronic pelvic pain (CPP) and chronic pelvic pain syndrome (CPPS), analyzing literature from multiple health databases.
  • Findings highlighted the importance of nurses in collecting patient information, referring to services, utilizing evidence-based interventions (like breathing retraining and biofeedback), and ensuring thorough documentation throughout treatment.
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Unlabelled: Rectal perforations during pelvic surgery are rare but serious complications. The occurrence of rectal involvement is generally lower than that of the involvement of other portions of the bowel. The urologic field is responsible for the majority of iatrogenic rectal injuries from pelvic surgery; general and gynecologic surgeries are prone to the occurrence as well, the latter especially in the case of rectal shaving for deep infiltrating endometriosis.

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Context: Erectile dysfunction (ED) following radical prostatectomy is a concern for patients and their partners. Low-intensity extracorporeal shockwave therapy (LI-ESWT) can potentially enhance tissue repair and regeneration. The aim of the current study was to systematically review the literature to assess the role of LI-ESWT in the management of patients with postprostatectomy ED.

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