Assessment of Hemostatic Powder in Order to Prevent Staple Line Bleeding After Sleeve Gastrectomy in High-Risk Patients: A Multicentric Randomized Controlled Trial.

Introduction: Preventing staple line bleeding (SLB) is still a main issue in bariatric surgery procedures, especially after laparoscopic sleeve gastrectomy (LSG). Staple line reinforcements (SLR), mattress sutures, or titanium clip application did not show any statistical superiority compared to other methods. In this randomized controlled trial, we tested hemostatic powder (HP) in order to assess a possible role in the prevention of active bleeding, hematoma formation, the need for transfusions, and the increased risk for hospitalization.

Chronic Pain and Discomfort in Primary Uncomplicated Groin Hernia: A Prospective Study Comparing Trans-Abdominal Pre-Peritoneal (TAPP) to Open Repair Surgery With a 3-Year Follow-Up.

Background: Chronic pain still occurs in 10-12% of patients who undergo surgical groin hernia repair. Considering the high prevalence of this pathology, we performed a single-center prospective study comparing the laparoscopic trans-abdominal pre-peritoneal (TAPP) approach to the standard surgical open technique for primary uncomplicated hernia repair.

Methods: A prospective cohort of 278 patients was extracted from our dataset: 121 received a laparoscopic TAPP approach, and 157 were treated by the Lichtenstein technique in case of inguinal hernia or by the deployment of a polypropylene plug in case of femoral hernia.

Transanal Hemorrhoidal Dearterialization With Doppler Arterial Identification Versus Classic Hemorrhoidectomy: A Retrospective Analysis of 270 Patients.

Purpose: Despite the minimally invasive nature of transanal hemorrhoidal dearterialization (THD) with Doppler arterial identification procedures, hemorrhoidectomy is still considered the gold standard procedure for hemorrhoidal disease. However, the classical techniques of hemorrhoidectomy have a high rate of postoperative complications. The main purpose of this study is to demonstrate the efficacy and complications of these techniques used for grades II and III hemorrhoids.

ABSI (A Body Shape Index) and ARI (Anthropometric Risk Indicator) in Bariatric Surgery. First Application on a Bariatric Cohort and Possible Clinical Use.

Background: BMI (body mass index) is used to identify candidates for bariatric surgery, with a criterion of BMI ≥ 40. For lesser degrees of obesity, BMI 35-39.9, comorbidities are also considered.

Bariatric Surgery and Infertility: A Prospective Study.

Background: Obesity is a worldwide disease affecting 13% of the world's adult female population. The reasons and the fetal risk are still unclear. The effect of weight loss as a result of bariatric surgery seems to induce an improvement in fertility in obese women.

Surgical Skills Improvement Using a Low-Cost Laparoscopic Simulator for Ventral Incisional Hernia.

Introduction: Ventral incisional hernia is one of the most common procedures in laparoscopic surgery, however, it requires proper training before doing it in the operating room. We propose a low-cost mechanical simulator with a new optical system to learn the basic steps of the procedure and improve surgical laparoscopic skill.

Materials And Methods: From November 3, 2014 to January 4, 2015, five residents and five surgeons with no prior laparoscopic experience, as well as two laparoscopic expert surgeons, participated in our study.

Three-Trocar Sleeve Gastrectomy vs Standard Five-Trocar Technique: a Randomized Controlled Trial.

Purpose: Bariatric surgery is a treatment for morbid obesity. Different surgical procedures have been described in order to obtain excess weight loss (EWL), but currently laparoscopic sleeve gastrectomy is the most commonly performed procedure throughout the world. Reducing abdominal wall trauma and increasing the aesthetic result are important goals for all bariatric surgeons.

Three-Port Laparoscopic Adjustable Gastric Banding (LAGB): Surgical Technique and Three Years Follow-Up.

Background: Adjustable Gastric Banding (AGB) is an effective and reversible bariatric procedure, which is usually performed using a mini-invasive laparoscopic approach. The majority of surgeons use a five-trocar technique, while AGB can be safely carried out with only three trocars. The aim of our study was to compare the outcomes of three-trocar laparoscopic adjustable gastric banding (LAGB) to the results obtained with the conventional technique.

Laparoscopic surgery and corticoadrenalomas.

Background: Nowadays, laparoscopic adrenalectomy is the "gold standard" procedure for the treatment of benign lesions. However, the situation is not so clearcut when the issue is laparoscopic excision of malignant adrenal tumors. We present our results of laparoscopic adrenalectomy for treating malignant tumors over the past decade.

Impaired primary hemostasis with normal platelet function in Duchenne muscular dystrophy during highly-invasive spinal surgery.

A defective, normal or enhanced hemostasis has been reported in Duchenne muscular dystrophy (DMD). A retrospective analysis of intra-and postoperative (up to 36 h) estimated blood losses was performed in 156 patients undergoing spinal surgery for: DMD (n = 31), idiopathic scoliosis (IS) (n = 70), poliomyelitis (n = 10), cerebral palsy (CP) (n = 28), spinal muscular atrophy (SMA) (n = 17). Platelet aggregation and bleeding times were also investigated in DMD patients.

Aneurysmal bone cysts: treatment with direct percutaneous Ethibloc injection: long-term results.

Purpose: To assess the efficacy and long-term results of Ethibloc treatment in aneurysmal bone cysts (ABC).

Methods: Thirteen patients with ABC were treated with direct percutaneous Ethibloc injection. Four patients had only one injection and the other nine patients from two to four injections.

Preliminary results of a dose-finding study of paclitaxel and carboplatin in patients with advanced non-small cell lung cancer.

This ongoing phase I study sought to establish the maximum tolerated dose of the combination of carboplatin and paclitaxel (Taxol; Bristol-Myers Squibb Company, Princeton, NJ) given without routine growth factor support to previously untreated patients with stage IIIB and IV non-small cell lung cancer. Paclitaxel was administered as a 3-hour intravenous infusion. The carboplatin infusion was administered over 30 minutes immediately afterward.

The incidence and early detection of spinal deformities. A study based on the screening of 16,104 schoolchildren.

Screening for spinal curvature (scoliosis and kyphosis) was carried out on children aged six to fourteen at schools in the Lazio region from 1972 to 1976 and this revealed a significant incidence of deformities. Out of 16,104 children examined, 1,163 (7.2 per cent) were affected by scoliotic or kyphotic curves.

Experimental scoliosis induced by prolonged minimal electrical stimulation of the paravertebral muscles.

Experimental scoliosis was produced in the rabbit by unilateral electrical stimulation of the paravertebral muscles. The scoliosis was shown to be structural and progressive even after stimulation was stopped. The biochemical and histochemical changes in the intervertebral discs were studied.