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Article ; Online: Two-meshes approach in posterior component separation with transversus abdominis release: the IMPACT study (Italian Multicentric Posterior-separation Abdominal Complex hernia Transversus-release).

Pizza, F / Maida, P / Bertoglio, C / Antinori, A / Mongardini, F M / Cerbara, L / Sordelli, I / Alampi, B D / Marte, G / Morini, L / Grimaldi, S / Gili, S / Docimo, L / Gambardella, C

Hernia : the journal of hernias and abdominal wall surgery

2024

Abstract: Background: Surgical management of large ventral hernias (VH) has remained a challenge. Various techniques like anterior component separation and posterior component separation (PCS) with transversus abdominis release (TAR) have been employed. Despite ... ...

Abstract	Background: Surgical management of large ventral hernias (VH) has remained a challenge. Various techniques like anterior component separation and posterior component separation (PCS) with transversus abdominis release (TAR) have been employed. Despite the initial success, the long-term efficacy of TAR is not yet comprehensively studied. Authors aimed to investigate the early-, medium-, and long-term outcomes and health-related quality of life (QoL) in patients treated with PCS and TAR. Methods: This multicenter retrospective study analyzed data of 308 patients who underwent open PCS with TAR for primary or recurrent complex abdominal hernias between 2015 and 2020. The primary endpoint was the rate of hernia recurrence (HR) and mesh bulging (MB) at 3, 6, 12, 24, and 36 months. Secondary outcomes included surgical site events and QoL, assessed using EuraHS-QoL score. Results: The average follow-up was 38.3 ± 12.7 months. The overall HR rate was 3.5% and the MB rate was 4.7%. Most of the recurrences were detected by clinical and ultrasound examination. QoL metrics showed improvement post-surgery. Conclusions: This study supports the long-term efficacy of PCS with TAR in the treatment of large and complex VH, with a low recurrence rate and an improvement in QoL. Further research is needed for a more in-depth understanding of these outcomes and the factors affecting them.
Language	English
Publishing date	2024-04-03
Publishing country	France
Document type	Journal Article
ZDB-ID	1388125-5
ISSN	1248-9204 ; 1265-4906
ISSN (online)	1248-9204
ISSN	1265-4906
DOI	10.1007/s10029-024-03001-3
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Article ; Online: Posterior component separation with TAR: lessons learned from our first consecutive 52 cases.

Marte, Gianpaolo / Tufo, A / Ferronetti, A / Di Maio, V / Russo, R / Sordelli, I F / De Stefano, G / Maida, P

Updates in surgery

2022 Volume 75, Issue 3, Page(s) 723–733

Abstract: Patients with complex incisional hernia (IH) is a growing and challenging category that surgeons are facing in daily practice and represent indeed a technical challenge for most of them. The posterior component separation with TAR (PCS-TAR) has become ... ...

Abstract	Patients with complex incisional hernia (IH) is a growing and challenging category that surgeons are facing in daily practice and represent indeed a technical challenge for most of them. The posterior component separation with TAR (PCS-TAR) has become the procedure of choice to repair most complex abdominal wall defects, including those with loss of domain, subxiphoid, subcostal, parastomal or after trauma and sepsis treated initially with "open abdomen" and in those scenarios in which the fascia closure was not performed to avoid an abdominal compartment syndrome. Most recent studies showed that the PCS-TAR represents a valid procedure in recurrent IH. The purpose of our study is to evaluate the reproducibility of the PCS-TAR, describing our experience, our surgical technique and the rate of postoperative complications and recurrences in a cohort of consecutive patients. 52 consecutive patients with complex IH, who underwent PCS-TAR at "Betania Hospital and Ospedale del Mare Hospital" in Naples between May 2014 and November 2019 were identified from a prospectively maintained database and reviewed retrospectively. There were 36 males (69%) and 16 females (31%) with a mean age of 57.88 (range 39-76) and Body mass index (BMI kg/m
MeSH term(s)	Male ; Humans ; Female ; Animals ; Horses ; Middle Aged ; Abdominal Muscles ; Hernia, Ventral/surgery ; Hernia, Ventral/etiology ; Retrospective Studies ; Reproducibility of Results ; Treatment Outcome ; Incisional Hernia/surgery ; Herniorrhaphy/methods ; Surgical Mesh ; Recurrence ; Abdominal Wall/surgery
Language	English
Publishing date	2022-11-10
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-022-01418-y
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Zs.B 101: Show issues

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Article ; Online: Hepatobiliary and pancreatic surgery in the elderly: Current status.

Papis, Davide / Vagliasindi, Alessio / Maida, Pietro

Annals of hepato-biliary-pancreatic surgery

2020 Volume 24, Issue 1, Page(s) 1–5

Abstract: Hepato-pancreatico-biliary (HPB) surgery includes major hepatic resection and pancreatic surgery, both procedures are complex and have a potentially high complication rate. The presence of centers of excellence with a high patients volume has lowered the ...

Abstract	Hepato-pancreatico-biliary (HPB) surgery includes major hepatic resection and pancreatic surgery, both procedures are complex and have a potentially high complication rate. The presence of centers of excellence with a high patients volume has lowered the complication and increased the resection rate. Increased life expectancy and improved general health status have increased the number of elderly patients eligible for major surgery. Since old patients have more co-morbidities and decreased life expectancy, the benefit of these procedures need to be critically evaluated in this group. Analysis of the literature related to this argument demonstrated that pancreatoduodenectomy can be performed safely in selected elderly patients (70 years of age or older), with morbidity and mortality rates comparable those observed in younger patients. This aspect was also confirmed by cost analysis studies that reported similar data in both groups. Similar findings are also reported for major hepatic resection in elderly patients with either hepatocellular carcinoma (HCC), Klatskin tumor or gallbladder carcinoma. More studies are needed regarding the subgroup of very elderly patients (80 years or older). Nevertheless, those elderly patients who will benefit from surgery must be adequatelly selected.
Language	English
Publishing date	2020-02-27
Publishing country	Korea (South)
Document type	Journal Article ; Review
ZDB-ID	3012179-6
ISSN	2508-5859 ; 2508-5778
ISSN (online)	2508-5859
ISSN	2508-5778
DOI	10.14701/ahbps.2020.24.1.1
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Article: Scrotal cutaneous metastasis from rectal squamous cell carcinoma: a rare evolution into a rare tumor.

De Giorgi, V / Venturi, F / Portelli, F / Maida, P / Scarfì, F / Trane, L / Gori, A / Silvestri, F / Massi, D

Experimental oncology

2021 Volume 43, Issue 2, Page(s) 177–179

Abstract: The scrotum is a rare site for metastases and represents less than 1% of the body's total surface area. Clinically, metastatic deposits in the scrotum can present in a variety of ways. They may appear as solitary cutaneous nodules, papules, plaques, or ... ...

Abstract	The scrotum is a rare site for metastases and represents less than 1% of the body's total surface area. Clinically, metastatic deposits in the scrotum can present in a variety of ways. They may appear as solitary cutaneous nodules, papules, plaques, or generalized induration or edema. Indeed, scrotum metastasis may be mistaken for other skin lesions since several dermatologic conditions can present with inflammation or dermatitis of the scrotum. Properly diagnosing cutaneous metastasis requires histopathological examination since the clinical appearances are, as described, highly variable and non-specific. We present a 63-year-old man with painless nodules on the scrotal skin. Excisional biopsy of the nodules revealed a metastasis from rectal squamous cell carcinoma. The incidence of this kind of tumors is estimated around 0.1-0.25 per 1000 colorectal neoplasms.
MeSH term(s)	Carcinoma, Squamous Cell/secondary ; Genital Neoplasms, Male/secondary ; Humans ; Male ; Middle Aged ; Rectal Neoplasms/pathology ; Scrotum/pathology ; Skin Neoplasms/secondary
Language	English
Publishing date	2021-06-30
Publishing country	Ukraine
Document type	Case Reports ; Journal Article
ZDB-ID	2176927-8
ISSN	1812-9269 ; 0204-3564
ISSN	1812-9269 ; 0204-3564
DOI	10.32471/exp-oncology.2312-8852.vol-43-no-2.16284
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Article ; Online: Environmental Risks to Children: Prioritizing Health Messages in Pediatric Practice.

Galvez, Maida P / Balk, Sophie J

Pediatrics in review

2017 Volume 38, Issue 6, Page(s) 263–279

MeSH term(s)	Adolescent ; Child ; Environmental Exposure/adverse effects ; Environmental Exposure/prevention & control ; Environmental Health ; Environmental Pollutants/adverse effects ; Health Promotion/methods ; Health Status Disparities ; Humans ; Pediatrics/methods ; Risk
Chemical Substances	Environmental Pollutants
Language	English
Publishing date	2017-06-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	774515-1
ISSN	1526-3347 ; 0191-9601
ISSN (online)	1526-3347
ISSN	0191-9601
DOI	10.1542/pir.2015-0165
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Zs.B 2595: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.MO 53: Show issues

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Article ; Online: Trauma and foreign bodies may favour the onset of melanoma metastases.

De Giorgi, V / Maida, P / Salvati, L / Scarfì, F / Trane, L / Gori, A / Silvestri, F / Venturi, F / Covarelli, P

Clinical and experimental dermatology

2020 Volume 45, Issue 5, Page(s) 619–621

MeSH term(s)	Aged ; Fatal Outcome ; Finger Injuries/complications ; Finger Injuries/diagnostic imaging ; Fingers/diagnostic imaging ; Foreign Bodies/complications ; Foreign Bodies/diagnostic imaging ; Humans ; Male ; Melanoma/secondary
Language	English
Publishing date	2020-05-02
Publishing country	England
Document type	Case Reports ; Letter
ZDB-ID	195504-4
ISSN	1365-2230 ; 0307-6938
ISSN (online)	1365-2230
ISSN	0307-6938
DOI	10.1111/ced.14202
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Zs.A 1278: Show issues

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Article ; Online: Short-term teledermoscopic monitoring of atypical melanocytic lesions in the early diagnosis of melanoma: utility more apparent than real.

De Giorgi, V / Scarfì, F / Gori, A / Silvestri, F / Trane, L / Maida, P / Venturi, F / Covarelli, P

Journal of the European Academy of Dermatology and Venereology : JEADV

2020 Volume 34, Issue 8, Page(s) e398–e399

MeSH term(s)	Diagnosis, Differential ; Early Diagnosis ; Humans ; Melanoma/diagnosis ; Nevus, Pigmented ; Skin Neoplasms/diagnosis
Language	English
Publishing date	2020-03-10
Publishing country	England
Document type	Letter
ZDB-ID	1128828-0
ISSN	1468-3083 ; 0926-9959
ISSN (online)	1468-3083
ISSN	0926-9959
DOI	10.1111/jdv.16300
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Zs.A 3492: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 413: Show issues

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Article: Efficacy of Surgery for the Treatment of Gastric Cancer Liver Metastases: A Systematic Review of the Literature and Meta-Analysis of Prognostic Factors.

Marte, Gianpaolo / Tufo, Andrea / Steccanella, Francesca / Marra, Ester / Federico, Piera / Petrillo, Angelica / Maida, Pietro

Journal of clinical medicine

2021 Volume 10, Issue 5

Abstract: Background: In the last 10 years, the management of patients with gastric cancer liver metastases (GCLM) has changed from chemotherapy alone, towards a multidisciplinary treatment with liver surgery playing a leading role. The aim of this systematic ... ...

Abstract	Background: In the last 10 years, the management of patients with gastric cancer liver metastases (GCLM) has changed from chemotherapy alone, towards a multidisciplinary treatment with liver surgery playing a leading role. The aim of this systematic review and meta-analysis is to assess the efficacy of hepatectomy for GCLM and to analyze the impact of related prognostic factors on long-term outcomes. Methods: The databases PubMed (Medline), EMBASE, and Google Scholar were searched for relevant articles from January 2010 to September 2020. We included prospective and retrospective studies that reported the outcomes after hepatectomy for GCLM. A systematic review of the literature and meta-analysis of prognostic factors was performed. Results: We included 40 studies, including 1573 participants who underwent hepatic resection for GCLM. Post-operative morbidity and 30-day mortality rates were 24.7% and 1.6%, respectively. One-year, 3-years, and 5-years overall survival (OS) were 72%, 37%, and 26%, respectively. The 1-year, 3-years, and 5-years disease-free survival (DFS) were 44%, 24%, and 22%, respectively. Well-moderately differentiated tumors, pT1-2 and pN0-1 adenocarcinoma, R0 resection, the presence of solitary metastasis, unilobar metastases, metachronous metastasis, and chemotherapy were all strongly positively associated to better OS and DFS. Conclusion: In the present study, we demonstrated that hepatectomy for GCLM is feasible and provides benefits in terms of long-term survival. Identification of patient subgroups that could benefit from surgical treatment is mandatory in a multidisciplinary setting.
Language	English
Publishing date	2021-03-09
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm10051141
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Article ; Online: Recurrent convulsive syncope misdiagnosed as seizures due to a diaphragmatic hernia.

Acampora, Roberto / Marte, Gianpaolo / Scala, Rossana / Lieto, Maria / Maida, Pietro / Mazzaferro, Maria Pia

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology

2021 Volume 42, Issue 11, Page(s) 4727–4729

Abstract: Differential diagnosis of seizures and convulsive syncope may be challenging in clinical practice. Furthermore, a misleading diagnosis of epilepsy may be detrimental for the patient as it often implies an over-prescription and an over-use of ... ...

Abstract	Differential diagnosis of seizures and convulsive syncope may be challenging in clinical practice. Furthermore, a misleading diagnosis of epilepsy may be detrimental for the patient as it often implies an over-prescription and an over-use of antiepileptic drugs which can cause adverse reactions. Moreover, a wrong diagnosis also causes distress to the patient with the risk of performing plenty of investigations without any benefits on the symptoms. In this case, we present a 57-year-old patient suffering from recurrent convulsive syncope over the last 7 years for which he underwent several cardiological and neurological tests and took plenty of antiepileptic drugs without any benefits on his convulsive episodes with loss of consciousness. During hospitalization, a chest X-ray was performed revealing an unknown diaphragmatic hernia with eventration of the transverse colon in the right hemitorax and mild cardiac compression. The patient underwent laparotomic surgery and diaphragmatic reconstruction with complete recovery. After 6-month follow-up, the patient no longer had episodes of convulsive syncope.
MeSH term(s)	Diagnosis, Differential ; Diagnostic Errors ; Epilepsy/diagnosis ; Hernia, Diaphragmatic ; Humans ; Male ; Middle Aged ; Seizures/diagnosis ; Seizures/etiology ; Syncope/diagnosis ; Syncope/etiology
Language	English
Publishing date	2021-06-21
Publishing country	Italy
Document type	Case Reports ; Journal Article
ZDB-ID	2016546-8
ISSN	1590-3478 ; 1590-1874
ISSN (online)	1590-3478
ISSN	1590-1874
DOI	10.1007/s10072-021-05410-z
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Zs.A 1877: Show issues

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Article: Cutaneous leiomyosarcoma: a clinical, dermoscopic, pathologic case study.

De Giorgi, V / Scarfì, F / Silvestri, F / Maida, P / Gori, A / Trane, L / Massi, D

Experimental oncology

2019 Volume 41, Issue 1, Page(s) 80–81

Abstract: Cutaneous leiomyosarcoma is a rare malignant mesenchymal tumor of smooth muscle origin of unknown etiology. Leiomyosarcomas located on the skin include superficial leiomyosarcomas and metastatic leiomyosarcomas. Superficial leiomyosarcomas represent 7-10% ...

Abstract	Cutaneous leiomyosarcoma is a rare malignant mesenchymal tumor of smooth muscle origin of unknown etiology. Leiomyosarcomas located on the skin include superficial leiomyosarcomas and metastatic leiomyosarcomas. Superficial leiomyosarcomas represent 7-10% of all cases of leiomyosarcoma and are subdivided into cutaneous and subcutaneous lesions based on skin location. We report a case of an 81-year-old woman who presented a slow growing tender single nodule on the left thigh and describe its clinical and dermoscopic features.
MeSH term(s)	Aged, 80 and over ; Biopsy ; Female ; Humans ; Immunohistochemistry ; Leiomyosarcoma/diagnosis ; Leiomyosarcoma/surgery ; Phenotype ; Skin/pathology ; Skin Neoplasms/diagnosis ; Skin Neoplasms/surgery ; Treatment Outcome
Language	English
Publishing date	2019-05-06
Publishing country	Ukraine
Document type	Case Reports ; Journal Article
ZDB-ID	2176927-8
ISSN	1812-9269 ; 0204-3564
ISSN	1812-9269 ; 0204-3564
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