Publications by authors named "P C Panzera"

In patients with advanced sepsis from abdominal disease, the open abdomen (OA) technique as part of a damage control surgery (DCS) approach enables relook surgery to control infection, defer intestinal anastomosis, and prevent intra-abdominal hypertension. Limited evidence is available on key outcomes, such as mortality and rate of definitive fascial closure (DFC), which are needed for surgeons to select patients and adequate therapeutic strategies. Abdominal closure with negative pressure wound therapy (NPWT) has shown rates of DFC around 90%.

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Duodenal perforation is a life-threatening condition and ideal approaches for the management of duodenal perforations are nowadays unclear, so numerous variables must be considered. Peptic ulcer disease is the most common disease determining a duodenal perforation, however, there may be other less common causes. We retrospectively analyzed all the patients who presented at our Division of General Surgery for a Duodenal Perforation, from September 2018 to December 2019.

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Article Synopsis
  • Indocyanine green (ICG) fluorescence is used to assess stomach blood flow in real time during laparoscopic sleeve gastrectomy (LSG) to potentially reduce the risk of complications like leaks.
  • The study examined 82 patients who received ICG during their LSG procedure, with all but one showing adequate blood supply to the stomach.
  • The leakage rate among patients who had ICG testing was only 1.2%, indicating a lower risk compared to those who didn't have the test, but other factors also influence the development of gastric fistulas.
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