Publications by authors named "Margherita Lamaina"
Background: Disparity in surgical care impedes the delivery of uniformly high-quality care. Metrics that quantify disparity in care can help identify areas for needed intervention. A literature-based Disparity-Sensitive Score (DSS) system for surgical care was adapted by the Metrics for Equitable Access and Care in Surgery (MEASUR) group.
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- The study aims to evaluate the outcomes of robot-assisted partial nephrectomy (RAPN) compared to laparoscopic (LPN) and open partial nephrectomy (OPN) for treating small renal cancers.
- RAPN showed less intraoperative blood loss and potential benefits like shorter hospital stays and fewer complications, though long-term kidney function results were inconsistent across studies.
- Overall, RAPN appears to have comparable long-term survival rates but more research is needed to confirm its effectiveness and functional outcomes.
Background: The clinical effectiveness of surgical versus endovascular therapy for chronic limb-threatening ischemia (CLTI) continues to be debated, and the resources required for each therapy are unclear.
Methods: Systematic review of randomized controlled trials (RCTs) and observational studies comparing surgery with endovascular therapy for CLTI, which reported clinical effectiveness and resource utilization. Short-term and long-term clinical outcomes were examined.
Objective/background: The aim was to evaluate early outcomes of carotid endarterectomy (CEA) in asymptomatic patients using a standardised technique based on routine shunting after rapid plaque removal ("delayed").
Methods: A retrospective review of all asymptomatic patients who underwent CEA during a 10 year single centre experience (January 2007-December 2016) was performed. The technique was based on rapid endarterectomy with distal intimal edge visualisation, followed by routine shunt insertion; subsequent time spent on the manoeuvre and closure were completed under shunting.