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Article ; Online: Resuming elective surgical activity after the COVID-19 wave: what the patients need to know.

Bellini, M I / Tortorici, F / Capogni, M

2020 Volume 107, Issue 9, Page(s) e345–e346

Abstract: As COVID-19 outbreak enters its second phase of lockdown ease, healthcare plans involve elective surgery re-establishment to provide essential life-saving care. Patients are increasingly requesting information about their facility's readiness for safely ... ...

Abstract	As COVID-19 outbreak enters its second phase of lockdown ease, healthcare plans involve elective surgery re-establishment to provide essential life-saving care. Patients are increasingly requesting information about their facility's readiness for safely performing surgery. This information should be open and transparent including patient's education with objective data regarding the state of the pandemic in the country and the control measures undertaken by the facility.
MeSH term(s)	Access to Information ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Cross Infection/prevention & control ; Elective Surgical Procedures/methods ; Humans ; Italy/epidemiology ; Pandemics/prevention & control ; Patient Education as Topic ; Patient Safety ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control
Keywords	covid19
Language	English
Publishing date	2020-07-13
Publishing country	England
Document type	Letter
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1002/bjs.11802
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Article ; Online: COVID-19 and surgical life: cross-sectional survey.

Bellini, M I / Lewis, C / Welch, N / Anderson, I / Papalois, V

The British journal of surgery

2021 Volume 108, Issue 4, Page(s) e177–e178

MeSH term(s)	COVID-19/epidemiology ; Cross-Sectional Studies ; Humans ; Pandemics ; Quality of Life ; SARS-CoV-2 ; Surgical Procedures, Operative ; Surveys and Questionnaires
Language	English
Publishing date	2021-04-30
Publishing country	England
Document type	Editorial
ZDB-ID	2985-3
ISSN	1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
ISSN (online)	1365-2168
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1093/bjs/znab034
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Article: Resuming elective surgical activity after the COVID-19 wave: what the patients need to know

Bellini, M I / Tortorici, F / Capogni, M

Br J Surg

Abstract	As COVID-19 outbreak enters its second phase of lockdown ease, healthcare plans involve elective surgery re-establishment to provide essential life-saving care. Patients are increasingly requesting information about their facility's readiness for safely performing surgery. This information should be open and transparent including patient's education with objective data regarding the state of the pandemic in the country and the control measures undertaken by the facility.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #641209
Database	COVID19

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Article ; Online: Resuming elective surgical activity after the COVID-19 wave

Bellini, M. I. / Tortorici, F. / Capogni, M.

British Journal of Surgery

what the patients need to know ; COVID-19, surgical activity and patients anxiety

2020 Volume 107, Issue 9, Page(s) e345–e346

Keywords	Surgery ; covid19
Language	English
Publisher	Wiley
Publishing country	us
Document type	Article ; Online
ZDB-ID	2985-3
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
ISSN	0263-1202 ; 0007-1323 ; 1355-7688
DOI	10.1002/bjs.11802
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Article ; Online: Equity, Diversity and Inclusion (EDI) in Organ Transplantation: An ESOT Survey About EDI Within ESOT as an Organization and its Educational Activities, and Transplantation Research and Science.

Pengel, L H M / Kaisar, M / Benjamens, S / Ibrahim, M / Ricci, V / Bellini, M I / Breithaupt-Faloppa, A C / Falk, C / Maple, H / Marson, L / Ortiz, F / Papalois, V / Paredes, D / Forsberg, A

Transplant international : official journal of the European Society for Organ Transplantation

2023 Volume 36, Page(s) 11331

Abstract: The European Society of Organ Transplantation (ESOT) strives to promote equity, diversity, and inclusion (EDI) across all its activities. We surveyed the transplant community's experiences and perspectives regarding EDI within ESOT as an organization and ...

Abstract	The European Society of Organ Transplantation (ESOT) strives to promote equity, diversity, and inclusion (EDI) across all its activities. We surveyed the transplant community's experiences and perspectives regarding EDI within ESOT as an organization and its educational activities, and research in general. A total of 299 respondents completed the questionnaire. About half agreed that ESOT's Executive Committee, Council, and Sections/Committees are diverse and inclusive (51%) and that ESOT promotes EDI in its live and digital educational activities (54%). Forty percent of respondents agreed that scientific and clinical trials in the field of transplantation are diverse and inclusive. Despite the wide distribution of the survey, most of the respondents self-identified as White and were either physician or surgeon. However, the results contribute a unique insight into the experiences and perspectives of the transplantation community regarding EDI. Whilst ESOT is committed to the principles of EDI, perceptions and the high number of proposals show the apparent need to prioritize efforts to embed EDI across ESOT and transplantation science. These data should constitute a starting point for change and provide guidance for future efforts to promote EDI within the transplantation community.
MeSH term(s)	Humans ; Diversity, Equity, Inclusion ; Organ Transplantation ; Transplants ; Surgeons
Language	English
Publishing date	2023-08-23
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	639435-8
ISSN	1432-2277 ; 0934-0874
ISSN (online)	1432-2277
ISSN	0934-0874
DOI	10.3389/ti.2023.11331
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Article ; Online: Serial transverse enteroplasty (STEP) in case of short bowel syndrome: did we achieve our goal? A systematic review.

Lauro, A / Santoro, A / Cirocchi, R / Michelini, M / Zorzetti, N / Cianci, M C / Bellini, M I / Casadei, C / Ripoli, M C / Coletta, R / Khouzam, S / Marino, I R / D'Andrea, V / Morabito, A

Updates in surgery

2022 Volume 74, Issue 4, Page(s) 1209–1223

Abstract: Surveys on Serial Transverse Enteroplasty (STEP) published in international literature (1 January 2003- 31 May 2021) were searched. Articles were included from 17 countries: 1/23 comparative and 22/23 cohort studies. STEP was performed on 308 patients: ... ...

Abstract	Surveys on Serial Transverse Enteroplasty (STEP) published in international literature (1 January 2003- 31 May 2021) were searched. Articles were included from 17 countries: 1/23 comparative and 22/23 cohort studies. STEP was performed on 308 patients: pediatrics, adults, and mixed ages. Pediatric group included 16 studies and the adult 6. Pre-STEP residual small bowell (SB) length for pediatrics and adults ranged from 18 to 26 cm and from 30 to 70 cm, respectively. Post-STEP increased SB length for pediatrics and adults ranged between 42 and 100% and 50% and 176%, respectively. For pediatrics, enteral autonomy was reached in 32.22% of cases, parenteral nutrition (PN) dependence was 36.11%, a repeated STEP procedure (Re-STEP) was needed in 17.22%, and a bowel transplant was performed in 6.11%. In adults, enteral autonomy was achieved in 52.38%, while PN dependence was 37.1%, and no Re-STEP or transplantation were required. For the mixed group, post-STEP bowel length increased from 2 to 50 cm, enteral autonomy was obtained in 43%, PN dependence was 57%, without reported Re-STEP or transplantation. Mortality rates were between 5.55% (pediatric) and 7.14% (adults). Preoperative length with preservation of ileocecal valve represented the main predictive factors to achieve enteral autonomy.
MeSH term(s)	Adult ; Child ; Digestive System Surgical Procedures/methods ; Goals ; Humans ; Parenteral Nutrition ; Retrospective Studies ; Short Bowel Syndrome/surgery ; Treatment Outcome
Language	English
Publishing date	2022-07-08
Publishing country	Italy
Document type	Journal Article ; Systematic Review
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-022-01316-3
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Article ; Online: Destiny for Rendezvous: Is Cholecysto/Choledocholithiasis Better Treated with Dual- or Single-Step Procedures?

Vaccari, S / Minghetti, M / Lauro, A / Bellini, M I / Ussia, A / Khouzam, S / Marino, I R / Cervellera, M / D'Andrea, V / Tonini, V

Digestive diseases and sciences

2022 Volume 67, Issue 4, Page(s) 1116–1127

Abstract: Biliary lithiasis is common worldwide, affecting almost 20% of the general population, though few experience symptoms. The frequency of choledocholithiasis in patients with symptomatic cholelithiasis is estimated to be 10-33%, depending on patients' age. ...

Abstract	Biliary lithiasis is common worldwide, affecting almost 20% of the general population, though few experience symptoms. The frequency of choledocholithiasis in patients with symptomatic cholelithiasis is estimated to be 10-33%, depending on patients' age. Unlike gallbladder lithiasis, the medical and surgical treatment of common bile duct stones is uncertain, having changed over the last few years. The prior gold standard treatment for cholelithiasis and choledocholithiasis was open cholecystectomy with bile duct clearance, choledochotomy, and/or surgical sphincterotomy. In the last 10-15 years, new treatment approaches to the complex pathology of choledocholithiasis have emerged with the advent of endoscopic retrograde cholangiopancreatography (ERCP), laparoscopic surgery, and advanced diagnostic procedures. Although ERCP followed by laparoscopic cholecystectomy is the preferred mode of management, a single-step strategy (laparo-endoscopic rendezvous) has gained acceptance due to lesser morbidity and a lower risk of iatrogenic damage. Given the above, a tailored approach relying on careful evaluation of the disease is necessary in order to minimize complication risks and overall costs. Yet, the debate remains open, with no consensus on the superiority of laparo-endoscopic rendezvous to more conventional approaches.
MeSH term(s)	Cholangiopancreatography, Endoscopic Retrograde ; Cholecystectomy, Laparoscopic/adverse effects ; Cholecystectomy, Laparoscopic/methods ; Choledocholithiasis/diagnostic imaging ; Choledocholithiasis/surgery ; Gallstones/complications ; Humans
Language	English
Publishing date	2022-03-22
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	304250-9
ISSN	1573-2568 ; 0163-2116
ISSN (online)	1573-2568
ISSN	0163-2116
DOI	10.1007/s10620-022-07450-7
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Article ; Online: Improving the quality of operative notes for laparoscopic cholecystectomy: Assessing the impact of a standardized operation note proforma.

Thomson, D R / Baldwin, M J / Bellini, M I / Silva, M A

International journal of surgery (London, England)

2016 Volume 27, Page(s) 17–20

Abstract: Introduction: Operative notes are the recognized standard for documenting the details of an operation yet key procedural details are frequently missing. With the aim of improving standards, based on the Royal College of Surgeons (RCS) and Dutch Society ... ...

Abstract	Introduction: Operative notes are the recognized standard for documenting the details of an operation yet key procedural details are frequently missing. With the aim of improving standards, based on the Royal College of Surgeons (RCS) and Dutch Society of Surgery (DSS) Guidelines, we introduced an operation note proforma for use following laparoscopic cholecystectomy in a tertiary centre in the UK. Methods: This study audited 130 consecutive laparoscopic cholecystectomy operation notes against accepted guidelines across three hospital sites within the same NHS Trust. Following analysis of these operation notes a standardized operation note proforma was designed and introduced across the Trust, which included all items from the DSS and RCS guidelines in the form of keyword prompts or simple yes/no responses. A further 128 operation notes were analysed. Guideline compliance was compared pre- and post-introduction of the proforma. Non-parametric data were analysed using Fisher's exact and Mann-Whitney U tests. Statistical significance was set at p < 0.05. Results: On a global assessment of operation note completeness against all guideline items, introduction of an operation note proforma significantly improved documentation rates for both DSS guidelines (p < 0.001) and RCS guidelines (p < 0.001). Discussion: We have demonstrated that the introduction of a procedure-specific proforma to assist with writing the post-operative note following laparoscopic cholecystectomy can result in significant improvements in documentation of generic and procedure-specific items that should be recorded for every operation. Procedure-specific proformas, based on established guidelines can help to produce more complete and medico-legally robust operation notes.
MeSH term(s)	Cholecystectomy, Laparoscopic/standards ; Documentation/standards ; Guideline Adherence ; Humans ; Medical Audit ; Medical Records/standards ; Practice Guidelines as Topic
Language	English
Publishing date	2016-01-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2212038-5
ISSN	1743-9159 ; 1743-9191
ISSN (online)	1743-9159
ISSN	1743-9191
DOI	10.1016/j.ijsu.2016.01.037
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Article: The role of radiofrequency surgery in the treatment of hemorrhoidal disease.

Filingeri, V / Bellini, M I / Gravante, G

European review for medical and pharmacological sciences

2012 Volume 16, Issue 4, Page(s) 548–553

Abstract: Background: In this article we reported results obtained in our previous studies concerning application of radiofrequency (RF) in proctology and in particular for hemorrhoids treatment.: Methods: We compared radiofrequency submucosal hemorrhoidectomy ...

Abstract	Background: In this article we reported results obtained in our previous studies concerning application of radiofrequency (RF) in proctology and in particular for hemorrhoids treatment. Methods: We compared radiofrequency submucosal hemorrhoidectomy (RSH) and conventional Parks' hemorrhoidectomy (CPH) (group 1), radiofrequency open hemorrhoidectomy (ROH) and Milligan-Morgan hemorrhoidectomy (MMH) (group 2), radiofrequency closed hemorrhoidectomy (RCH) and Ferguson hemorrhoidectomy (FH) (group 3), combined hemorrhoidal radiocoagulation (CHR) and rubber band ligation (RBL) (group 4). In this work primary endpoints were determined as evaluation of the grade of pain felt immediately after the procedure and at the first evacuation, bleeding, operation time, readmission to work, incidence of failures and patient's satisfaction. Results: Group 1 - In comparison to Parks' technique, use of radiofrequency scalpel reduced mean operation time (61.2 min, range 50-75, vs. 37.4 min, range 30-51; p < 0.05), first postoperative day pain score (5.9, range 3-10, vs. 4.0, range 1-10; p < 0.05), pain score at first evacuation (5.7, range 2-10, vs 4.2, range 1-8; p < 0.05) and pain score on postoperative days (3.6, range 1-9, vs. 2.8, range 1-8; p < 0.05). Group 2 - Results show a substantial similarity between these techniques, however the procedure lasted 7 minutes less with RF scalpel (18.6 min, range 16-21, vs. 25.55 min, range 20-30; p < 0.05). Group 3 - Patients treated with RF showed significant reduction in surgical time (23 min, range 21-31, vs. 33 min, range 24-35; p < 0.01), in pain at 1st post-operative day (VAS score 3.4 +/- 1.3 vs. 4.8 +/- 1.0; p < 0.05) and at the first evacuation (3.4 +/- 1.0 vs. 5.0 +/- 0.8; p < 0.05). Group 4 - The study confirmed validity of both the used techniques, however CHR seems to allow a reduction in incidence of failures. Conclusions: Results obtained from radiofrequency surgery compared with those achieved with classic surgery for hemorrhoidal disease show in the majority of cases that radiosurgery facilitates, accelerates and improves surgical procedures.
MeSH term(s)	Catheter Ablation/adverse effects ; Digestive System Surgical Procedures/adverse effects ; Digestive System Surgical Procedures/methods ; Electrocoagulation/adverse effects ; Female ; Hemorrhoids/diagnosis ; Hemorrhoids/surgery ; Humans ; Ligation ; Male ; Pain Measurement ; Pain, Postoperative/diagnosis ; Pain, Postoperative/etiology ; Patient Satisfaction ; Prospective Studies ; Recovery of Function ; Rome ; Severity of Illness Index ; Time Factors ; Treatment Outcome
Language	English
Publishing date	2012-04
Publishing country	Italy
Document type	Comparative Study ; Journal Article
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
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Article: Ambulatory therapy with combined hemorrhoidal radiocoagulation.

Filingeri, V / Angelico, R / Bellini, M I / Manuelli, M / Sforza, D

European review for medical and pharmacological sciences

2013 Volume 17, Issue 1, Page(s) 130–133

Abstract: Background: This is a prospective randomized study to analyze results obtained in two groups of patients affected of grade II hemorrhoids and treated with Radiofrequency Coagulation (RFC) or Combined Hemorrhoidal Radiocoagulation (CHR).: Patients and ... ...

Abstract	Background: This is a prospective randomized study to analyze results obtained in two groups of patients affected of grade II hemorrhoids and treated with Radiofrequency Coagulation (RFC) or Combined Hemorrhoidal Radiocoagulation (CHR). Patients and methods: The study comprehended 30 patients of which 27 had at least 6 months of follow-up. Two groups of patients were considered: group A, represented by 12 individuals treated with RFC, and group B, consisting of 15 patients treated with CHR. Our purpose was to determine: grade of pain felt immediately after procedure and at first evacuation (score from 1 to 10), bleeding, patient's satisfaction 15 days and 6 months after treatment (score from 1 to 10) and incidence of failures. Results: Mean pain score reported immediately after procedure was 2.08 ± 0.9 for group A and 2.40 ± 1.5 for group B (p = NS). At first evacuation, mean pain score for group A and for group B was 2.16 ± 1.1 vs 2.33 ± 1.17, respectively (p = NS). Satisfaction score during first 15 days was 6.75 ± 2.76 for patients treated with RFC and 6.08 ± 2.20 for patients who received CHR (p = NS), while mean score of overall satisfaction after 6 months was 6.33 ± 1.96 (group A) vs 7.83 ± 2.05 (group B) (p < 0.05). At 6 months of follow-up, we observed 8 patients free from pain in group A (66.7%) and 13 patients in group B (86.7%). Conclusions: Results reported in both groups of patients confirm validity and efficacy of the two techniques used in this study, even if later in time CHR showed better results than RFC.
MeSH term(s)	Adult ; Catheter Ablation ; Female ; Hemorrhoids/surgery ; Humans ; Male ; Middle Aged ; Prospective Studies
Language	English
Publishing date	2013-01
Publishing country	Italy
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	605550-3
ISSN	2284-0729 ; 1128-3602 ; 0392-291X
ISSN (online)	2284-0729
ISSN	1128-3602 ; 0392-291X
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