51 results match your criteria: "Isola Tiberina-Gemelli Isola Hospital[Affiliation]"

Objective: The objective of this study is to provide a retrospective review of the 40-year experience of three oncology referral centers in the field of reconstructive laryngeal surgery.

Materials And Methods: A multi-institutional retrospective analysis included adult patients who underwent reconstructive laryngeal surgery for cT2-T4a laryngeal cancer (LC) between 1 June 1987 and 1 July 2019. Patients were stratified according to the European Laryngological Society classification for open partial horizontal laryngectomy (OPHL).

View Article and Find Full Text PDF

Retinal neurodegeneration (RN), an early marker of diabetic retinopathy (DR), is closely associated with Müller glia cells (MGs) in diabetic subjects. MGs play a pivotal role in maintaining retinal homeostasis, integrity, and metabolic support and respond to diabetic stress. In lower vertebrates, MGs have a strong regenerative response and can completely repair the retina after injuries.

View Article and Find Full Text PDF

Purpose: To evaluate the effect on outer retina integrity of foveal sparing internal limiting membrane (ILM) peeling compared to standard ILM peeling on proliferative diabetic retinopathy (PDR) eyes affected by diabetic macular edema (DME) and epiretinal membrane (ERM).

Materials And Methods: Eyes diagnosed with PDR, DME and ERM eligible for vitrectomy were prospectively recruited and randomly assigned to either foveal sparing (FS) group and no foveal sparing (nFS) group. Ellipsoid zone (EZ) lesion size, EZ reflectivity and external limiting membrane (ELM) integrity and angular sign of Henle Fiber Layer Hyperreflectivity (ASHH) were assessed preoperatively and 1 year postoperatively.

View Article and Find Full Text PDF

Background: Adherence to optimal practices in the preparation and issuance of pediatric blood components can significantly influence patient care outcomes. This study aims to examine the blood banking procedures across prominent Italian children's hospitals, with the goal of identifying both consistent and potentially divergent standards within this field.

Materials And Methods: A survey was conducted among the blood banks affiliated with the Italian Association of Pediatric Hospitals.

View Article and Find Full Text PDF

Purpose: The purpose of this work is to evaluate whether EFAST can also play a role in the hemodynamically stable polytrauma patient, without delaying his arrival in the CT-scan room.

Methods: In a period of seven month, 748 polytrauma patients were retrospective valued; we analyzed the findings of the CT exams of 485 haemodynamically stable patients for whom the EFAST investigation was not requested, highlighting the possible presence of findings that, if reported during the EFAST, could have changed the patient management.

Results: 52 hemodynamically stable patients with CT examination findings potentially detectable by ultrasound examination directly in the shock room, which represent a percentage of about 11% of all the hemodynamically stable patients analyzed; about 54% of CT findings are represented by the presence of pneumothorax.

View Article and Find Full Text PDF

Introduction: Benign prostatic hyperplasia (BPH) is a prevalent urological condition leading to lower urinary tract symptoms. Minimal invasive surgical treatment (MISTs) such as Rezūm System are emerging aiming to relieve symptoms. We present results from a single centre prospective study.

View Article and Find Full Text PDF

Objective: The aim of this study was to investigate the correlation among inflammatory biomarkers, such as the systemic immune-inflammation index (SII), the neutrophil-to-lymphocyte ratio (NLR) and the platelet-to-lymphocyte ratio (PLR), and the recurrence of pleomorphic adenomas (PAs).

Study Design: This was a retrospective multicenter study. Six hundred eight patients diagnosed with PA and treated by tumor enucleation were included in the analyses.

View Article and Find Full Text PDF

Background: Stereotactic arrhythmia radioablation (STAR) was introduced to treat ventricular tachycardia (VT) refractory to catheter ablation. No data are now available in the septal VT substrate setting, representing a challenge when using conventional techniques.

Objectives: This study sought to evaluate the arrhythmic burden in patients with septal VT treated with magnetic resonance-guided STAR (MRgSTAR).

View Article and Find Full Text PDF
Article Synopsis
  • * The study analyzed data from ten studies involving 1,833 eyes, finding no significant differences in success rates between PF and TB, but TB resulted in better IOP outcomes and reductions. However, PF showed less visual field progression and a lower risk of hypotony maculopathy.
  • * The conclusion indicates that while TB is generally more effective for managing uncontrolled glaucoma, PF may be preferable for patients concerned about visual field changes, emphasizing strengths in subgroup analyses and mid-term follow-up
View Article and Find Full Text PDF

Background: to analyze, at one year, the efficacy and safety of treat-and-extend (T&E) intravitreal (IV) Brolucizumab in patients affected by macular neovascularization (MNV). Both naïve and previously treated (i.e.

View Article and Find Full Text PDF

The patient with obesity is at risk of developing cardiovascular disease and risk factors. Obesity negatively impacts prognosis and increases cardiovascular morbidity and mortality. Therefore, a comprehensive risk assessment is needed to define the cardiovascular risk of the patient and, thus, a tailored management and treatment.

View Article and Find Full Text PDF

Choroid Involvement Secondary to Optic Disc Pit Maculopathy: OCT Analysis and Evolution After Surgical Treatment.

Am J Ophthalmol

September 2024

From the Ophthalmology Department (M.M.C., F.B., F.G., E.C., S.R.), "Fondazione Policlinico Universitario A. Gemelli, IRCCS", Rome, Italy; Ophthalmology Department (M.M.C., F.B., F.G., E.C., T.C., S.R.), Catholic University "Sacro Cuore", Rome, Italy; Consiglio Nazionale delle Ricerche (S.R.), Istituto di Neuroscienze, Pisa, Italy.

Purpose: To assess choroidal changes associated to optic disc pit maculopathy (ODP-M) and their evolution after surgical treatment.

Design: Multicentric retrospective case series.

Methods: An analysis of 42 patients affected by unilateral ODP-M undergoing surgical treatment between 2013 and 2023 was conducted.

View Article and Find Full Text PDF
Article Synopsis
  • Nasal tip surgery is complex and considered one of the most challenging aesthetic procedures due to its intricate techniques and significant aesthetic impact.
  • The study reviewed data from nearly 20,000 Caucasian patients to develop a treatment algorithm for nasal tip surgery, focusing on evaluating defects and long-term outcomes.
  • Results showed high patient satisfaction (88.7%) and identified surgical techniques that effectively address different types of nasal tip defects, highlighting the importance of tailored approaches for optimal results.
View Article and Find Full Text PDF

Introduction: Patient engagement is essential to achieve long-term goals in obesity management. It is crucial to identify patients' perspectives, misperceptions and unmet educational needs on obesity etiology and treatments, to establish a correct therapeutic alliance between healthcare providers and patients.

Methods: Objective: This study, promoted by the regional section of the Italian Obesity Society (SIO Lazio), explores attitudes towards obesity, self-awareness, misperceptions of weight loss strategies, experiences of weight stigma and educational needs of patients living with overweight or obesity.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the effectiveness of the alar extension graft in treating external nasal valve collapse by measuring both functional and aesthetic outcomes.
  • Among 51 patients, results showed a 90% satisfaction rate regarding nasal breathing improvements, with significant enhancements in pre- and post-operative questionnaire scores related to nasal function and quality of life.
  • The findings indicate that the alar extension graft is a reliable surgical option that can successfully improve both subjective and objective nasal airflow, achieving favorable outcomes for patients.
View Article and Find Full Text PDF

An 'idiopathic empty pelvis' is frequently observed when pelvic organ prolapses occur.

Br J Surg

July 2024

Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina-Gemelli Isola Hospital, Rome, Italy.

View Article and Find Full Text PDF

Background: The combination of highly localized impedance (LI) and contact force (CF) may improve tissue characterization and lesion prediction during radiofrequency (RF) pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF).

Objective: We report the outcomes of our acute and long-term clinical evaluation of CF-LI-guided PVI in consecutive AF ablation cases from an international multicenter clinical setting.

Methods: Three hundred twenty-four consecutive patients from 20 European centers undergoing RF catheter ablation with the Stablepoint™ catheter were enrolled in the CHARISMA registry.

View Article and Find Full Text PDF

A 1-year follow-up study on checkpoint inhibitor-induced colitis: results from a European consortium.

ESMO Open

July 2024

Department of Internal Medicine and Medical Therapeutics, University of Pavia, Pavia, Italy; First Department of Internal Medicine, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. Electronic address:

Background: Data regarding the clinical outcome of patients with immune checkpoint inhibitor (ICI)-induced colitis are scant. We aimed to describe the 12-month clinical outcome of patients with ICI-induced colitis.

Materials And Methods: This was a retrospective, European, multicentre study.

View Article and Find Full Text PDF

Prospective, single-arm multicenter, international, observational postmarket study to assess the safety and efficacy of a triangulation platform for treating patients requiring endoscopic gastroplasty.

Gastrointest Endosc

January 2025

Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Roma, Italy; Centre for Endoscopic Research Therapeutics and Training (CERTT), Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Background And Aims: Gastric restriction techniques have recently emerged as minimally invasive bariatric procedures. Endoscopic sutured gastroplasty (ESG) with the Endomina (Endo Tools Therapeutics, Gosselies, Belgium) triangulation platform proved to be safe and effective for the treatment of class I and II obesity in prospective studies. In this registry, we aimed to further assess on a larger scale the safety and efficacy of the procedure in routine practice with a dedicated device.

View Article and Find Full Text PDF

Background: The purpose of this multicenter study was to retrospectively investigate the prognostic significance of the tumor microenvironment, in relation to survival in a large cohort of patients with laryngeal squamous cell carcinoma (LSCC), using the method proposed by the International TILs Working Group in breast cancer.

Methods: All consecutive patients with biopsy-proven LSCC who underwent total laryngectomy (TL) between January 2014 and January 2023 were retrospectively included in the study. A retrospective review of medical records including surgical, pathological and follow-up reports was performed.

View Article and Find Full Text PDF

This study aims to retrospectively investigate the prognostic significance of the tumor microenvironment, with a focus on TILs (tumor-infiltrating lymphocytes), in relation to survival in a large cohort of patients with parotid gland cancer, and it uses the method proposed by the International TILs Working Group in breast cancer. We included a cohort of consecutive patients with biopsy-proven parotid cancer who underwent surgery between January 2010 and September 2023. A retrospective review of medical records, including surgical, pathological and follow-up reports, was performed.

View Article and Find Full Text PDF

Analysis of factors that indicated surgery in 400 patients submitted to a complete diagnostic workup for obstructed defecation syndrome and rectal prolapse using a supervised machine learning algorithm.

Tech Coloproctol

June 2024

Proctology and Pelvic Floor Surgery Unit, Center of Excellence for Gastrointestinal and Endocrine-Metabolic Diseases, Isola Tiberina - Gemelli Isola Hospital, Via di Ponte Quattro Capi, 39, 00186, Rome, Italy.

Article Synopsis
  • The study focused on the importance of patient selection for surgery in obstructed defecation syndrome (ODS) and rectal prolapse (RP) using a machine learning approach.
  • A retrospective analysis was conducted involving 400 female patients with ODS who underwent various diagnostic assessments between 2010 and 2021.
  • The findings revealed that certain symptoms and physical examination features significantly influenced the likelihood of surgery, while machine learning showed high accuracy in predicting surgical indications, emphasizing the potential for improved decision-making in clinical settings.
View Article and Find Full Text PDF

Effects of a human amniotic membrane extract on ARPE-19 cells.

Mol Biol Rep

June 2024

Department of Experimental and Clinical Biomedical Sciences 'Mario Serio', University of Florence, Florence, Italy.

Article Synopsis
  • The study explores the use of Human Amniotic Membrane (hAM) as a potential treatment for various eye conditions, showing promising effects on retinal health, particularly for issues like macular holes and retinal detachments.
  • Researchers developed a hAM extract (hAME) using a non-denaturing sonication technique and tested it on ARPE-19 cells, discovering that hAME enhances cell viability under stress and prevents harmful changes associated with epithelial-mesenchymal transition (EMT).
  • The findings indicate that hAME retains beneficial properties of hAM tissue and could serve as a cost-effective treatment option for retinal diseases in the future.
View Article and Find Full Text PDF