Publications by authors named "Simona Grimaldi"
Article Synopsis
- Enteroatmospheric fistula (EAF) is a serious complication arising after abdominal surgery, characterized by an abnormal connection between the gastrointestinal tract and the atmosphere, which poses challenges like a high mortality rate and difficulties in managing intestinal content.
- A case study describes a patient who experienced multiple EAFs following Hartmann reversal surgery, leading to several interventions, including resection of affected bowel segments and creation of an ileostomy.
- There is no one-size-fits-all treatment for EAF, though spontaneous closure might occur in specific cases with minimal output and preserved intestinal continuity.
Multidimensional evaluation of the learning curve for laparoscopic complete mesocolic excision for right colon cancer: a risk-adjusted cumulative summation analysis.
Colorectal Dis
May 2022
Aim: Despite the suggested potential benefit of complete mesocolic excision (CME) for right-sided colon cancer (RCC) for patient survival, concerns about its safety and feasibility have contributed to delayed acceptance of the procedure, especially when performed by a minimally invasive approach. Thus, the aim of this work was to evaluate the actual learning curve (LC) of laparoscopic CME for experienced colorectal surgeons.
Method: Prospectively collected data for consecutive patients undergoing laparoscopic CME for RCC between October 2015 and January 2021 at our institution, operated on by experienced surgeons, were analysed.
Background: The treatment of complex wounds often requires multiple surgical debridements and, eventually, reconstruction with skin grafts or flaps. Topical negative pressure therapy with a vacuum-assisted closure device can achieve wound healing with a reduction in healing time and easier management of the wound.
Objective: With a step-by-step closure protocol developed by the authors from July 2017 to the present, this case series highlights the advantages of using negative pressure wound therapy with instillation and dwell time (NPWTi-d).
Aim: Squamous cell carcinoma developed on a chronic pilonidal cyst.
Case Report: Authors describe the case of a squamous cell carcinoma developed on a chronic pilonidal cyst in a 63- years-old patient with a 43 years history of recurrent pilonidal sinus disease.
Results: The patient underwent incisional biopsy, staging with total body CT and, finally, radical surgery.