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  1. Article ; Online: Use of a novel chyme reinfusion device during damage control surgery to improve nutritional status in a patient with a proximal ileostomy: A video vignette.

    Alemanno, Giovanni / Tirloni, Luca / Morabito, Antonino / Coletta, Riccardo / Prosperi, Paolo

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2022  Volume 24, Issue 10, Page(s) 1255–1256

    MeSH term(s) Humans ; Ileostomy ; Nutritional Status ; Gastrointestinal Contents
    Language English
    Publishing date 2022-06-03
    Publishing country England
    Document type Video-Audio Media ; Letter
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16166
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    Zs.A 5799: Show issues Location:
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  2. Article ; Online: Laparoscopic splenectomy after failure of nonoperative management - a video vignette.

    Giordano, Alessio / Bruscino, Alessandro / Bergamini, Carlo / Alemanno, Giovanni / Valeri, Andrea / Prosperi, Paolo

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2021  Volume 23, Issue 4, Page(s) 1014–1015

    MeSH term(s) Abdominal Injuries/surgery ; Humans ; Laparoscopy ; Spleen ; Splenectomy
    Language English
    Publishing date 2021-02-08
    Publishing country England
    Document type Letter ; Video-Audio Media
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.15535
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 5799: Show issues Location:
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  3. Article: Laparoscopic adrenalectomy for giant adrenal tumours: Technical considerations and surgical outcome.

    Giordano, Alessio / Alemanno, Giovanni / Bergamini, Carlo / Valeri, Andrea / Prosperi, Paolo

    Journal of minimal access surgery

    2020  Volume 17, Issue 1, Page(s) 76–80

    Abstract: Background: Giant adrenal tumours are tumours with size ≥6 cm. These are rare cancer associated with malignancy in 25% of cases.: Patients and methods: A retrospective review was conducted on the medical records of patients admitted to our high- ... ...

    Abstract Background: Giant adrenal tumours are tumours with size ≥6 cm. These are rare cancer associated with malignancy in 25% of cases.
    Patients and methods: A retrospective review was conducted on the medical records of patients admitted to our high-volume centre of Careggi University Hospital with a giant adrenal tumour and submitted to adrenalectomy between January 2008 and December 2018. The group of patients who underwent to laparoscopic adrenalectomy was compared with a group of patients that was submitted to open adrenalectomy.
    Results: In the past 10 years, we performed about 245 adrenalectomies for benign and malignant adrenal tumours. Fifty (20.4%) of these were giant tumours. The medium size was 9.9 cm (7-22 cm). The mean age was 57 years (21-81 years). Thirty-four (68%) of these cancers were laparoscopically removed and 16 (32%) with an open approach. The surgical outcomes in these patients were optimal if compared to the group of patients submitted to open approach in terms of good pain control, hospital stay, mean operative time and bloodless. No difference was observed about post-operative complications in the two groups. The follow-up after 30 months for malignant tumours did not show local recurrences.
    Conclusion: Our results pinpoint the advantages of performing a laparoscopic adrenalectomy for giant adrenal tumours. The tumour size is only a predictive parameter of possible malignancy, and the laparoscopic approach is a safe and feasible method in terms of surgical and oncological, only if performed by expert surgeons and in high-volume centres.
    Language English
    Publishing date 2020-02-25
    Publishing country India
    Document type Journal Article
    ZDB-ID 2186884-0
    ISSN 1998-3921 ; 0972-9941
    ISSN (online) 1998-3921
    ISSN 0972-9941
    DOI 10.4103/jmas.JMAS_266_19
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  4. Article ; Online: Erratum to: Adrenalectomy: indications and options for treatment.

    Alemanno, Giovanni / Bergamini, Carlo / Prosperi, Paolo / Valeri, Andrea

    Updates in surgery

    2017  Volume 69, Issue 4, Page(s) 555

    Language English
    Publishing date 2017
    Publishing country Italy
    Document type Journal Article ; Published Erratum
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-017-0472-6
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    Zs.B 101: Show issues Location:
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  5. Article ; Online: Does a Multidisciplinary Approach Have a "Compensatory Effect" on Surgeon Experience in Pacreaticoduodenectomy?

    Alemanno, Giovanni / Bergamini, Carlo / Valeri, Andrea

    Annals of surgery

    2017  Volume 266, Issue 6, Page(s) e68–e69

    Language English
    Publishing date 2017-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000001516
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  6. Article ; Online: Surgical perspectives and patways in an emergency department during the COVID-19 pandemic.

    Alemanno, Giovanni / Tomaiuolo, Matteo / Peris, Adriano / Batacchi, Stefano / Nozzoli, Carlo / Prosperi, Paolo

    American journal of surgery

    2020  Volume 220, Issue 1, Page(s) 50–52

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/diagnosis ; Emergency Service, Hospital/organization & administration ; Emergency Service, Hospital/standards ; Hospitals/standards ; Hospitals, University/organization & administration ; Hospitals, University/standards ; Humans ; Infection Control/organization & administration ; Infection Control/standards ; Italy ; Pandemics ; Pneumonia, Viral/diagnosis ; SARS-CoV-2 ; Surgical Procedures, Operative/standards
    Keywords covid19
    Language English
    Publishing date 2020-05-13
    Publishing country United States
    Document type Editorial
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2020.05.010
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  7. Article ; Online: Survivability of the lichen Xanthoria parietina in simulated Martian environmental conditions.

    Lorenz, Christian / Bianchi, Elisabetta / Poggiali, Giovanni / Alemanno, Giulia / Benesperi, Renato / Brucato, John Robert / Garland, Stephen / Helbert, Jörn / Loppi, Stefano / Lorek, Andreas / Maturilli, Alessandro / Papini, Alessio / de Vera, Jean-Pierre / Baqué, Mickaël

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 4893

    Abstract: Xanthoria parietina (L.) Th. Fr. is a widely spread foliose lichen showing high tolerance against UV-radiation thanks to parietin, a secondary lichen substance. We exposed samples of X. parietina under simulated Martian conditions for 30 days to explore ... ...

    Abstract Xanthoria parietina (L.) Th. Fr. is a widely spread foliose lichen showing high tolerance against UV-radiation thanks to parietin, a secondary lichen substance. We exposed samples of X. parietina under simulated Martian conditions for 30 days to explore its survivability. The lichen's vitality was monitored via chlorophyll a fluorescence that gives an indication for active light reaction of photosynthesis, performing in situ and after-treatment analyses. Raman spectroscopy and TEM were used to evaluate carotenoid preservation and possible variations in the photobiont's ultrastructure respectively. Significant differences in the photo-efficiency between UV irradiated samples and dark-kept samples were observed. Fluorescence values correlated with temperature and humidity day-night cycles. The photo-efficiency recovery showed that UV irradiation caused significant effects on the photosynthetic light reaction. Raman spectroscopy showed that the carotenoid signal from UV exposed samples decreased significantly after the exposure. TEM observations confirmed that UV exposed samples were the most affected by the treatment, showing chloroplastidial disorganization in photobionts' cells. Overall, X. parietina was able to survive the simulated Mars conditions, and for this reason it may be considered as a candidate for space long-term space exposure and evaluations of the parietin photodegradability.
    MeSH term(s) Chlorophyll A ; Lichens ; Extraterrestrial Environment ; Mars ; Carotenoids
    Chemical Substances Chlorophyll A (YF5Q9EJC8Y) ; physcione (H6PT94IV61) ; Carotenoids (36-88-4)
    Language English
    Publishing date 2023-03-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-32008-6
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  8. Article: Open abdomen management for massive intestinal infarction due to acute splanchnic venous thrombosis in a patient with protein S deficiency. A case report.

    Di Bella, Annamaria / Bruscino, Alessandro / Alemanno, Giovanni / Bergamini, Carlo / Prosperi, Paolo

    International journal of surgery case reports

    2020  Volume 72, Page(s) 122–126

    Abstract: Introduction: Acute mesenteric ischemia (AMI) refers to the sudden onset of intestinal hypoperfusion that can also result from splanchnic venous occlusion. The portomesenteric venous system (PMVS) is an unusual site of thrombosis in patients with ... ...

    Abstract Introduction: Acute mesenteric ischemia (AMI) refers to the sudden onset of intestinal hypoperfusion that can also result from splanchnic venous occlusion. The portomesenteric venous system (PMVS) is an unusual site of thrombosis in patients with protein S deficiency and its obstruction is a rare cause of AMI. Aim of this report is to illustrate a successful strategy in a case of massive small bowel infarction managed with an open abdomen (OA) approach.
    Case presentation: A 64 year-old woman presented to the emergency department with acute abdominal pain, rectal bleeding, diarrhea and vomiting. Contrast-enhanced computed tomography (CECT) showed small bowel ischemia and the complete occlusion of all the PMVS branches. Surgery was performed with an OA approach and anticoagulation was immediately begun. Further workup revealed isolated protein S deficiency and history of atrophic gastritis. Thromboprophylaxis with warfarin was started on discharge and no recurrence of thrombotic events was recorded during the one-year follow-up.
    Discussion: PMVS thrombosis related to protein S deficiency is a rare condition that can rapidly lead to an acute abdomen. CECT is the gold standard, because it detects splanchnic thrombosis and its possible complications, like bowel ischemia. In case of surgery, a planned second-look operation is the best strategy to assess bowel viability and possible ischemic progression.
    Conclusions: OA management plays a fundamental role in case of resection for bowel ischemia. Patients with thrombosis at an uncommon site should be further investigated for prothrombotic states.
    Language English
    Publishing date 2020-06-06
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2020.05.076
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  9. Article ; Online: Adrenalectomy: indications and options for treatment.

    Alemanno, Giovanni / Bergamini, Carlo / Prosperi, Paolo / Valeri, Andrea

    Updates in surgery

    2017  Volume 69, Issue 2, Page(s) 119–125

    Abstract: The history of adrenal surgery is longstanding. Firstly described in 1889 by Thornton, the open adrenalectomy has been for decades the only surgical approach to adrenal diseases. Nowadays, instead, several approaches to adrenal glands have been described ...

    Abstract The history of adrenal surgery is longstanding. Firstly described in 1889 by Thornton, the open adrenalectomy has been for decades the only surgical approach to adrenal diseases. Nowadays, instead, several approaches to adrenal glands have been described in the literature, such as laparoscopic adrenalectomy, robotic-assisted procedure and single-incision technique. Actually, laparoscopic adrenalectomy is considered as the gold standard treatment for adrenal lesions. In fact, all functional tumors, including pheochromocytoma, are candidates for a laparoscopic approach in the absence of other contraindications. In the adrenal gland surgery, it is important to consider that a multidisciplinary approach which comprises surgeons, anesthesiologists, endocrinologists, and oncologists plays an important role in the management of patients and that the success of the procedure is related also to surgeon experience and hospital volume. This review aims to discuss the indications for adrenalectomy and to describe the different techniques options for the adrenal gland surgery.
    Language English
    Publishing date 2017-06
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-017-0441-0
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  10. Article: Laparoscopic assisted balloon enteroscopy to detect obscure gastrointestinal bleeding sources missed by capsule endoscopy.

    Bisogni, Damiano / Alemanno, Giovanni / Galli, Andrea / Di Bella, Annamaria / Novelli, Luca / Innocenti, Tommaso / Prosperi, Paolo

    Journal of minimal access surgery

    2021  Volume 17, Issue 1, Page(s) 104–107

    Abstract: Jejunoileal neuroendocrine tumours (NETs) are frequently multifocal and represent a consistent source of obscure gastrointestinal bleeding (OGIB). We report the real-life case of a female presenting to our attention for severe episodes of haematochezia ... ...

    Abstract Jejunoileal neuroendocrine tumours (NETs) are frequently multifocal and represent a consistent source of obscure gastrointestinal bleeding (OGIB). We report the real-life case of a female presenting to our attention for severe episodes of haematochezia caused by multiple localisation of jejunoileal NETs. A discrepancy between pre-operative total body contrast-enhancement computed tomography scan and capsule endoscopy (CE) emerged, in terms of numbers of lesions, so that, as completeness, an intraoperative balloon-assisted enteroscopy (BAE) was carried out, leading to the detection of the multiple lesions missed during CE. In case of obscure gastrointestinal bleeding sources missed by capsule endoscopy, laparoscopic-assisted balloon enteroscopy plays an essential role, allowing both to assess a precise diagnosis and to resect the intestinal bleeding tract.
    Language English
    Publishing date 2021-01-19
    Publishing country India
    Document type Case Reports
    ZDB-ID 2186884-0
    ISSN 1998-3921 ; 0972-9941
    ISSN (online) 1998-3921
    ISSN 0972-9941
    DOI 10.4103/jmas.JMAS_6_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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