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  1. Article: Abdominal wall endometriosis misdiagnosed as a desmoid tumor: A case report.

    Girardi, Martina / Marano, Alessandra / Fortunato, Mirella / Gelarda, Enrico / Giuffrida, Maria Carmela

    International journal of surgery case reports

    2022  Volume 93, Page(s) 106979

    Abstract: Introduction: Abdominal wall masses have different aetiologies. Diagnosis includes desmoid tumors (DTs) and other benign and malignant lesions, among which abdominal wall endometriosis (AWE). Diagnosis is challenging if symptoms are aspecific, and the ... ...

    Abstract Introduction: Abdominal wall masses have different aetiologies. Diagnosis includes desmoid tumors (DTs) and other benign and malignant lesions, among which abdominal wall endometriosis (AWE). Diagnosis is challenging if symptoms are aspecific, and the contribution of imaging may be weak. We present a case of AWE that according to clinical history and imaging was misdiagnosed as DT.
    Presentation of case: A healthy 35-year-old female presented, 4 years after a cesarean delivery, a rapidly growing painless subumbilical mass within the right rectus abdominis muscle. Ultrasound and magnetic resonance imaging suspected a DT. The patient underwent complete resection of the mass and pathological examination revealed foci of endometriosis in the muscle. Patient's post-operative course was uneventful and at 18-month follow-up, no recurrence has been detected.
    Discussion: The current case highlights differences in clinical presentation and imaging in case of AWE and DTs, underlining possible pitfalls in diagnosis. In young women with previous gynaecological abdominal surgery, AWE is the most likely disease when a mass in the region of the scar appears. Differential diagnosis is complex and rare entities like DTs should nevertheless be taken into consideration. A complete surgical resection with negative margins is considered the primary treatment for AWE and for selected DTs. Final pathology of the tumor can state the precise diagnosis.
    Conclusion: Since AWE and DTs share similar clinical signs and aspecific imaging exams, both diseases should be considered in case of abdominal wall mass in female patients of childbearing age and history of uterine-related surgery.
    Language English
    Publishing date 2022-03-29
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2022.106979
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  2. Article: Appendicectomia videolaparoscopica. Nostra esperienza.

    Siragusa, G / Geraci, G / Albanese, L / Epifanio, E / Gelarda, E

    Minerva chirurgica

    1999  Volume 54, Issue 1-2, Page(s) 1–5

    Abstract: Objective: Personal experience with the use of VL in the treatment of acute appendicitis (AA) is reported. The main advantage of this method is its high diagnostic reliability.: Setting: Chirurgia Generale I. Dipartimento di Discipline Chirurgiche e ... ...

    Title translation Video laparoscopic appendectomy. Our experience.
    Abstract Objective: Personal experience with the use of VL in the treatment of acute appendicitis (AA) is reported. The main advantage of this method is its high diagnostic reliability.
    Setting: Chirurgia Generale I. Dipartimento di Discipline Chirurgiche e Anatomiche. Policlinico Università Palermo.
    Subjects: The VL method has been used in 36 patients with diagnosis of suspect acute appendicitis.
    Interventions: In the cases in which the diagnosis has been confirmed, a VL appendectomy with endoabdominal technique according to Semm has been performed in 23 cases, and an assisted VL appendectomy, trough a minimal and guided laparotomy, in 8 cases. In order to avoid vascular and visceral injuries, an "open" laparoscopy technique is always used.
    Results: The diagnosis has been confirmed in 31 cases, 21 women and 10 men. The diagnosis has not been confirmed in 5 cases, a man of 74 years with sigmoidal diverticulitis and 4 women with terminal ileitis in a case, torsion of right ovarian cyst in another and, finally, pelvic inflammatory disease in 2.
    Conclusions: From this brief experience it is evident the diagnostic advantage of VL particularly in the female and in elderly patients. Other advantages of this method are the excellent aesthetic result, light postoperative pain, the rapid functional resumption, the small impact of adherences, wound infection, and incisional hernia, and the lower cost, when staplers are not used. The disadvantages are the extension of the operative time, using the "open" laparoscopy technique, and the difficulty to find Meckel diverticulum.
    MeSH term(s) Acute Disease ; Adolescent ; Adult ; Appendectomy/methods ; Appendicitis/diagnosis ; Appendicitis/surgery ; Child ; Evaluation Studies as Topic ; Female ; Humans ; Italy ; Laparoscopy/methods ; Male ; Middle Aged ; Video Recording
    Language Italian
    Publishing date 1999-01
    Publishing country Italy
    Document type English Abstract ; Journal Article
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
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  3. Article: La videolaparoscopia nelle urgenze addominali.

    Siragusa, G / Gelarda, E / Epifanio, E / Geraci, F / Geraci, G

    Minerva chirurgica

    1999  Volume 54, Issue 4, Page(s) 199–204

    Title translation Video laparoscopy in abdominal emergencies.
    MeSH term(s) Abdomen, Acute/diagnosis ; Abdomen, Acute/etiology ; Abdomen, Acute/surgery ; Emergencies ; Female ; Humans ; Laparoscopy ; Male ; Video Recording
    Language Italian
    Publishing date 1999-04
    Publishing country Italy
    Document type English Abstract ; Journal Article
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
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  4. Article: Emobilia. Considerazioni eziopatogenetiche, cliniche e terapeutiche.

    Siragusa, G / Gelarda, E / Mezzatesta, P / Giuffrida, M C

    Minerva chirurgica

    1996  Volume 51, Issue 10, Page(s) 861–866

    Abstract: The authors present a case report of hemobilia resulting from the rupture of a cystic artery pseudoaneurysm into the biliary tract. They analyse the international literature and stress aethiology, pathogenesis, clinical presentation, diagnosis and ... ...

    Title translation Hemobilia. Etiopathogenic, clinical, and therapeutic considerations.
    Abstract The authors present a case report of hemobilia resulting from the rupture of a cystic artery pseudoaneurysm into the biliary tract. They analyse the international literature and stress aethiology, pathogenesis, clinical presentation, diagnosis and therapeutic aspects.
    MeSH term(s) Aged ; Female ; Hemobilia/etiology ; Hemobilia/therapy ; Humans
    Language Italian
    Publishing date 1996-10
    Publishing country Italy
    Document type Case Reports ; English Abstract ; Journal Article ; Review
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
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  5. Article: Gozzo cervico-mediastinico. Nostra esperienza.

    Siragusa, G / Gelarda, E / Geraci, G / Albanese, L / Di Pace, G

    Minerva chirurgica

    1999  Volume 54, Issue 4, Page(s) 225–229

    Title translation Cervico-mediastinal goiter. Our experience.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Female ; Goiter, Substernal/complications ; Goiter, Substernal/diagnosis ; Goiter, Substernal/surgery ; Humans ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Retrospective Studies ; Thyroidectomy
    Language Italian
    Publishing date 1999-04
    Publishing country Italy
    Document type English Abstract ; Journal Article
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
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  6. Article: Accesso venoso centrale a lungo termine. Nostra esperienza.

    Siragusa, G / Gelarda, E / De Simone, M / Epifanio, E / Macaluso, A

    Minerva chirurgica

    1998  Volume 53, Issue 3, Page(s) 179–182

    Abstract: Prolonged venous access devices (PVAD) represent a useful tool for many patients with chronic diseases. In the last 3 years 50 PVAD have been placed. Polyurethane catheters with a subcutaneous tunnel > 6 cm, have been used. There were no complications ... ...

    Title translation Long-term central venous access. Our experience.
    Abstract Prolonged venous access devices (PVAD) represent a useful tool for many patients with chronic diseases. In the last 3 years 50 PVAD have been placed. Polyurethane catheters with a subcutaneous tunnel > 6 cm, have been used. There were no complications related to catheter insertion. The average life of PVAD was 95 days (range 7-425).
    MeSH term(s) Aged ; Aged, 80 and over ; Catheterization, Central Venous/instrumentation ; Female ; Humans ; Male ; Middle Aged ; Polyurethanes ; Time Factors
    Chemical Substances Polyurethanes
    Language Italian
    Publishing date 1998-03
    Publishing country Italy
    Document type Comparative Study ; English Abstract ; Journal Article
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
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  7. Article: Diverticoli del colon destro. Diagnosi e trattamento delle complicanze.

    Giuffrida, M C / Gelarda, E / Mezzatesta, P / Macaluso, A / Siragusa, G

    Minerva chirurgica

    1997  Volume 52, Issue 12, Page(s) 1503–1512

    Abstract: Background: Diverticula are localized in the right colon with a rate of 6.7-14% in Western countries. Two types of diverticula have been described in the right colon, on the basis of etiologic and pathological features: multiple diverticula and solitary ...

    Title translation Diverticula of the right colon. The diagnosis and treatment of complications.
    Abstract Background: Diverticula are localized in the right colon with a rate of 6.7-14% in Western countries. Two types of diverticula have been described in the right colon, on the basis of etiologic and pathological features: multiple diverticula and solitary diverticulum of the caecum. The most common clinical presentation of the right-sided colonic diverticula is an acute inflammatory complication, which is difficult to distinguish from other causes of right iliac fossa pain.
    Methods: A survey of the literature is presented and personal experience relative to 4 cases of acute diverticulitis of the right colon observed over a 10-year period is described.
    Results: In all the patients the preoperative diagnosis was acute appendicitis. In two cases the poor clinical conditions of the patients were associated with the free perforation of a solitary caecal diverticulum and diffuse faecal peritonitis. A temporary caecostomy was therefore required. In two cases a localized inflammatory mass was found around a perforated solitary diverticulum of the caecum. An ileocaecal resection was performed.
    Conclusions: The purpose of this study is to emphasize the epidemiological, etiologic and clinical features of right-sided colonic diverticula, and the diagnostic and therapeutic management of their complications.
    MeSH term(s) Acute Disease ; Adult ; Aged ; Diverticulitis, Colonic/diagnosis ; Diverticulitis, Colonic/etiology ; Diverticulitis, Colonic/surgery ; Diverticulum, Colon/complications ; Diverticulum, Colon/diagnosis ; Diverticulum, Colon/surgery ; Female ; Humans ; Male
    Language Italian
    Publishing date 1997-12
    Publishing country Italy
    Document type Case Reports ; English Abstract ; Journal Article ; Review
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
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  8. Article: La sindrome di Mirizzi.

    Siragusa, G / Giuffrida, M C / Mezzatesta, P / De Simone, M / Gelarda, E

    Minerva chirurgica

    1997  Volume 52, Issue 1-2, Page(s) 97–102

    Abstract: Two cases of Mirizzi's syndrome are reported. The syndrome consists of: external compression of the common bile duct due to a benign lesion (Type I)--presence of a cholecystobiliary fistula with impacted stones and partial or total obstruction of the ... ...

    Title translation Mirizzi's syndrome.
    Abstract Two cases of Mirizzi's syndrome are reported. The syndrome consists of: external compression of the common bile duct due to a benign lesion (Type I)--presence of a cholecystobiliary fistula with impacted stones and partial or total obstruction of the hepatic duct (Type II). Clinical signs are non-specific and suggest at first sight an obstructive jaundice. Ultrasonography shows dilatation of the upper biliary tract with narrowing of the biliary tract below the dilatation. ERCP often proves mandatory for diagnosis. Therapeutical procedures are reported.
    MeSH term(s) Aged ; Biliary Fistula ; Cholelithiasis ; Common Bile Duct/pathology ; Constriction, Pathologic ; Fistula ; Gallbladder Diseases ; Hepatic Duct, Common/pathology ; Humans ; Male ; Syndrome
    Language Italian
    Publishing date 1997-01
    Publishing country Italy
    Document type Case Reports ; English Abstract ; Journal Article ; Review
    ZDB-ID 123603-9
    ISSN 1827-1626 ; 0026-4733
    ISSN (online) 1827-1626
    ISSN 0026-4733
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  9. Article ; Online: Laparoscopic management of non-midline incisional hernia: A multicentric study.

    Ferrarese, Alessia / Enrico, Stefano / Solej, Mario / Surace, Alessandra / Nardi, Mario Junior / Millo, Paolo / Allieta, Rosaldo / Feleppa, Cosimo / D'Ambra, Luigi / Berti, Stefano / Gelarda, Enrico / Borghi, Felice / Pozzo, Gabriele / Marino, Bartolomeo / Marchigiano, Emma / Cumbo, Pietro / Bellomo, Maria Paola / Filippa, Claudio / Depaolis, Paolo /
    Nano, Mario / Martino, Valter

    International journal of surgery (London, England)

    2016  Volume 33 Suppl 1, Page(s) S108–13

    Abstract: Background: The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years.: ... ...

    Abstract Background: The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years.
    Methods: A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs: subcostal, suprapubic, lumbar, and epigastric. We also conducted a literature review.
    Results: No difference was found between the four subgroups in terms of demographic data, defect characteristics, admission data, and complications. Subcostal defects required a shorter operating time. Obesity was found to be a risk factor for recurrence.
    Conclusions: In our experience, subcostal defects were easier to perform, with a lower recurrence rate, lesser chronic pain, and faster surgical performance. A more specific prospective randomized trial with a larger sample is awaited. Based on our experience, however, the laparoscopic approach is a safe treatment for NMVHs in specialized centers.
    MeSH term(s) Female ; Hernia, Ventral/surgery ; Humans ; Incisional Hernia/surgery ; Italy/epidemiology ; Laparoscopy/statistics & numerical data ; Male ; Middle Aged ; Obesity/complications ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Prospective Studies ; Recurrence ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2016-09
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2016.06.023
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  10. Article: Carcinoma epatocellulare (HCC) e colangiocarcinoma intraepatico (IHCC): doppio tumore su fegato non cirrotico. Presentazione di un caso.

    Paraluppi, Gianluca / Borgna, Elio / Cavalli, Sebastiano / Adamo, Vincenzo / Gelarda, Enrico / Camera, Salvatore / Dogliani, Natalia / De Giuli, Paolo

    Chirurgia italiana

    2002  Volume 54, Issue 5, Page(s) 717–720

    Abstract: The authors report a case of a large tumour, located in the right hepatic lateral segments, (size: 15 cm), consisting of a hepatocellular carcinoma (size: 10 cm) and an intrahepatic cholangiocarcinoma (size: 5 cm). The mass was detected by ... ...

    Title translation Hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (IHCC): a double cancer in the non-cirrhotic liver.
    Abstract The authors report a case of a large tumour, located in the right hepatic lateral segments, (size: 15 cm), consisting of a hepatocellular carcinoma (size: 10 cm) and an intrahepatic cholangiocarcinoma (size: 5 cm). The mass was detected by ultrasonography during an examination for abdominal pain in an 80-year-old female. After tumour biopsy and histological examination, hepatic resection was performed. The postoperative course was uneventful and the patient was discharged 6 days after surgery. The rarity of this double cancer is stressed.
    MeSH term(s) Aged ; Aged, 80 and over ; Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/pathology ; Carcinoma, Hepatocellular/surgery ; Cholangiocarcinoma/diagnostic imaging ; Cholangiocarcinoma/pathology ; Cholangiocarcinoma/surgery ; Female ; Hepatectomy ; Humans ; Liver/pathology ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/pathology ; Liver Neoplasms/surgery ; Neoplasms, Multiple Primary/diagnostic imaging ; Neoplasms, Multiple Primary/pathology ; Neoplasms, Multiple Primary/surgery ; Tomography, X-Ray Computed ; Ultrasonography
    Language Italian
    Publishing date 2002-09
    Publishing country Italy
    Document type Case Reports ; Journal Article
    ZDB-ID 603591-7
    ISSN 0009-4773
    ISSN 0009-4773
    Database MEDical Literature Analysis and Retrieval System OnLINE

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