Publications by authors named "M Motter"
Impact of COVID-19 pandemic waves on changes in surgical urgency volumes and severity in the regional hospital network of Trento (Northern Italy): a descriptive epidemiological analysis.
Epidemiol Prev
January 2022
Article Synopsis
- This study analyzes the effects of the two COVID-19 pandemic waves on surgical admissions and severity of clinical cases in Trento, Italy, by comparing data from 2020 with data from the same periods in 2019.
- It examines patient loads related to urgent and emergency surgeries during different phases of the pandemic, specifically looking at three distinct time frames: the initial lockdown, the summer break, and the second wave with ongoing restrictions.
- The primary outcomes focus on the number of admissions and surgical rates for key diagnoses like diverticulitis and appendicitis, along with assessing the severity of patient conditions based on factors such as age and hospital stay duration.
Background and aim This study analyses the impact of the first two pandemic waves on surgical urgencies/emergencies and their consequences on an entire provincial hospital network's surgical activities. Methods Clinical and epidemiological data of urgent/emergent surgical admissions and interventions in the Autonomous Province of Trento's hospital network were collected from the internal common electronic database. The investigation periods were March-May 2019 (reference period), March-May 2020 (phase-I), June - August 2020 (phase-II), and October - December 2020 (phase-III).
View Article and Find Full Text PDFBackground: the purpose of this study was to identify which clinicopathological features of early-stage rectal cancer (ESRC) are significantly correlated with the risk of local-regional lymph node metastases (LNM) and to quantify the strength of this association through a novel scoring system. According to several case studies, about 20% of operated ESRC are found with occult lymph nodal metastases at the histological examination. The low frequency of local recurrence in these tumors treated with total mesorectal excision (TME) compared to transanal approaches highlights the role of mesorectal lymph nodes as a site of metastatic location.
View Article and Find Full Text PDFBackground: Fluorescence-guided visualization is a recently proposed technology in colorectal surgery. Possible uses include evaluating perfusion, navigating lymph nodes and searching for hepatic metastases and peritoneal spread. Despite the absence of high-level evidence, this technique has gained considerable popularity among colorectal surgeons due to its significant reliability, safety, ease of use and relatively low cost.
View Article and Find Full Text PDFManagement and 1-year outcomes of anastomotic leakage after elective colorectal surgery.
Int J Colorectal Dis
May 2021
Purpose: To analyze different types of management and one-year outcomes of anastomotic leakage (AL) after elective colorectal resection.
Methods: All patients with anastomotic leakage after elective colorectal surgery with anastomosis (76/1,546; 4.9%), with the exclusion of cases with proximal diverting stoma, were followed-up for at least one year.