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  1. Book: Laparoscopic surgery

    Pignata, Giusto / Bracale, Umberto / Lazzara, Fabrizio

    key points, operating room setup and equipment

    2016  

    Author's details Giusto Pignata ; Umberto Bracale ; Fabrizio Lazzara ed
    Keywords Colorectal Surgery ; Gynecology ; Laparoscopy ; Liver Surgery ; Pancreatic Surgery ; Urology
    Language English
    Size VII, 97 S. : zahlr. Ill., 235 mm x 155 mm, 0 g
    Publisher Springer
    Publishing place Cham u.a.
    Publishing country Switzerland
    Document type Book
    HBZ-ID HT018870076
    ISBN 978-3-319-24425-9 ; 978-3-319-24427-3 ; 3-319-24425-6 ; 3-319-24427-2
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2016 A 281 available for loan (reading room) Lesesaal EG

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  2. Book: Single access laparoscopic surgery

    Pignata, Giusto / Bracale, Umberto / Corcione, Francesco

    current applications and controversies

    2014  

    Title variant Single-access laparoscopic surgery
    Author's details Giusto Pignata ; Francesco Corcione ; Umberto Bracale ed
    Keywords Laparoscopic surgery
    Subject code 617.55059
    Language English
    Size XIV. 192 S. : Ill., graph. Darst., 24 cm
    Publisher Springer
    Publishing place Cham u.a.
    Publishing country Switzerland
    Document type Book
    Note Includes bibliographical references
    HBZ-ID HT018380133
    ISBN 978-3-319-06928-9 ; 9783319069296 ; 3-319-06928-4 ; 3319069292
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2014 A 3438 available for loan (reading room) Lesesaal EG

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  3. Article ; Online: Thyroid disease and autoimmunity in obese patients: a narrative review.

    Bambini, Francesca / Gatta, Elisa / D'Alessio, Rossella / Dondi, Francesco / Pignata, Giusto / Pirola, Ilenia / Bertagna, Francesco / Cappelli, Carlo

    Endokrynologia Polska

    2023  Volume 74, Issue 6

    Abstract: Introduction: The high prevalence of obesity and thyroid diseases worldwide justifies di per se their simultaneous coexistence. In recent decades, there has been a parallel and significant rise in obesity and thyroid diseases in industrialised countries, ...

    Abstract Introduction: The high prevalence of obesity and thyroid diseases worldwide justifies di per se their simultaneous coexistence. In recent decades, there has been a parallel and significant rise in obesity and thyroid diseases in industrialised countries, although the underlying mechanisms are complex and not well known.
    Material and methods: The authors accomplished a comprehensive literature search of original articles concerning obesity and thyroid status. Original papers exploring the association between these two morbidities in children and adults were included.
    Results: A total of 79 articles were included in the present analysis. A total of 12% of obese children (mean age 10.9 ± 1.4 years) showed a thyroid disease, and they were younger than healthy obese children (10.9 ± 1.2 vs. 11.0 ± 0.4 years, p < 0.001). Isolated hyperthyrotropinaemia was the most frequent finding in children (10.1%). Autoimmune thyroid disease was more frequent in puberal age. Thyroid antibodies and subclinical hypothyroidism were more frequent in obese that in non-obese patients (7% vs. 3%, p < 0.001; 10% vs. 6%, p < 0.001). Among obese adults, 62.2% displayed a thyroid disease; those affected were younger (35.3 ± 6.8 vs. 41.0 ± 1.9 years, p < 0.001), heavier [body mass index (BMI): 39.4 ± 6.3 vs. 36.1 ± 2.3 kg/m², p < 0.001], and more frequently female (13% vs. 8%, p < 0.001). The most frequent disease was overt hypothyroidism (29.9%). BMI appears to be correlated with TSH levels in obese adults. Overt hypothyroidism was significantly more frequent in obese patients (7% vs. 3%, p < 0.005), but no difference was found in thyroid antibodies (15% vs. 14%, p = 0.178).
    Conclusions: An undeniable relationship between obesity and thyroid impairments exists. Isolated hyperthyrotropinaemia is frequently seen in obese children, often followed by spontaneous resolution. Subclinical hypothyroidism should never be treated in children or adults with the aim of reducing body weight.
    MeSH term(s) Adult ; Humans ; Child ; Female ; Autoimmunity ; Pediatric Obesity/complications ; Pediatric Obesity/epidemiology ; Thyrotropin ; Thyroid Diseases/complications ; Thyroid Diseases/epidemiology ; Hypothyroidism/epidemiology ; Hypothyroidism/complications
    Chemical Substances Thyrotropin (9002-71-5)
    Language English
    Publishing date 2023-11-23
    Publishing country Poland
    Document type Review ; Journal Article
    ZDB-ID 419270-9
    ISSN 2299-8306 ; 0423-104X
    ISSN (online) 2299-8306
    ISSN 0423-104X
    DOI 10.5603/ep.96255
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 204: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article: Shifting paradigms: a pivotal study on laparoscopic resection for colovesical fistulas in diverticular disease.

    Rizzuto, Antonia / Andreuccetti, Jacopo / Bracale, Umberto / Silvestri, Vania / Pontecorvi, Emanuele / Reggio, Stefano / Sagnelli, Carlo / Peltrini, Roberto / Amaddeo, Angela / Bozzarello, Cristina / Pignata, Giusto / Cuccurullo, Diego / Corcione, Francesco

    Frontiers in surgery

    2024  Volume 11, Page(s) 1370370

    Abstract: Background: Colovesical fistulas (CVFs) pose a challenge in diverticulitis, affecting 4% to 20% of sigmoid colon cases. Complicated diverticular disease contributes significantly, accounting for 60%-70% of all CVFs. Existing studies on laparoscopic CVF ... ...

    Abstract Background: Colovesical fistulas (CVFs) pose a challenge in diverticulitis, affecting 4% to 20% of sigmoid colon cases. Complicated diverticular disease contributes significantly, accounting for 60%-70% of all CVFs. Existing studies on laparoscopic CVF management lack clarity on its effectiveness in diverticular cases compared to open surgery. This study redefines paradigms by assessing the potentiality, adequacy, and utility of laparoscopy in treating CVFs due to complicated diverticular disease, marking a paradigm shift in surgical approaches.
    Methods: Conducting a retrospective analysis at Ospedale Monaldi A.O.R.N dei Colli and University Federico II, Naples, Italy, patients undergoing surgery for CVF secondary to diverticular disease between 2010 and 2020 were examined. Comprehensive data, including demographics, clinical parameters, preoperative diagnoses, operative and postoperative details, and histopathological examination, were meticulously recorded. Patients were classified into open surgery (Group A) and laparoscopy (Group B). Statistical analysis used IBM SPSS Statistic 19.0.
    Results: From January 2010 to December 2020, 76 patients underwent surgery for colovesical fistula secondary to diverticular disease. Laparoscopic surgery (Group B,
    Conclusion: This pivotal study marks a paradigm shift by emphasizing laparoscopic resection and primary anastomosis as a safe and feasible option for managing CVF secondary to diverticular disease. Comparable conversion, morbidity, and mortality rates to the open approach underscore the transformative potential of these findings. The study's emphasis on patient selection and surgeon experience challenges existing paradigms, offering a progressive shift toward minimally invasive solutions.
    Language English
    Publishing date 2024-03-01
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2024.1370370
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Transumbilical laparoscopy for pneumoperitoneum establishment: a comprehensive multicentre evaluation affirming safety, feasibility, and a range of clinical benefits.

    Rizzuto, Antonia / Bozzarello, Cristina / Andreuccetti, Jacopo / Amaddeo, Angela / Iannello, Antonio Maria / Sagnelli, Carlo / Cirocchi, Roberto / Cuccurullo, Diego / Pignata, Giusto / Corcione, Francesco

    Frontiers in surgery

    2024  Volume 11, Page(s) 1390038

    Abstract: Introduction: Transumbilical laparoscopy (TUL) has emerged as a promising technique for establishing pneumoperitoneum in laparoscopic cholecystectomy, offering potential safety, feasibility, and clinical benefits. This retrospective multicentre study ... ...

    Abstract Introduction: Transumbilical laparoscopy (TUL) has emerged as a promising technique for establishing pneumoperitoneum in laparoscopic cholecystectomy, offering potential safety, feasibility, and clinical benefits. This retrospective multicentre study aims to evaluate the efficacy and outcomes of TUL in the management of gallbladder diseases.
    Methods: A retrospective analysis was conducted on a cohort of 2,543 patients who underwent TUL between 2011 and 2021 across various medical institutions in Italy. Data collection included demographic, clinical, intraoperative, and postoperative parameters. Standardized protocols were followed for preoperative and postoperative management. The TUL technique involved precise anatomical incision and trocar placement.
    Results: The study demonstrated favorable outcomes associated with TUL, including a low conversion rate to open surgery (0.55%), minimal intraoperative complications (0.16%), and short hospital stays (average 2.4 days). The incidence of incisional hernias was notably low (0.4%). Comparison with existing literature revealed consistent findings and provided unique insights into the advantages of TUL.
    Discussion: Despite limitations, such as the absence of a control group and the retrospective nature of the study, the findings contribute valuable insights to the literature. They inform surgical decision-making and advance patient care in laparoscopic cholecystectomy for gallbladder diseases.
    Conclusion: Transumbilical laparoscopy shows promise as a safe and feasible technique for establishing pneumoperitoneum in laparoscopic cholecystectomy. The study's findings support its clinical benefits, including low conversion rates, minimal complications, and short hospital stays. Further research, including prospective studies with control groups, is warranted to validate these results and optimize patient outcomes.
    Language English
    Publishing date 2024-04-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2024.1390038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Laparoscopic treatment for acute diverticular disease

    Pignata Giusto

    Acta Chirurgica Iugoslavica, Vol 53, Iss 3, Pp 19-

    2006  Volume 22

    Abstract: Diverticular disease of the sigmoid colon involves more than 50% of population over 60 years, and much more in people older than 80 years. Most patients remain asymptomatic, but, about 10-20% develop complications requiring surgery. Colonic ... ...

    Abstract Diverticular disease of the sigmoid colon involves more than 50% of population over 60 years, and much more in people older than 80 years. Most patients remain asymptomatic, but, about 10-20% develop complications requiring surgery. Colonic diverticulitis represents an acute bowel inflammation, in many cases, confined only to the sigmoid and descending colon. Recurrent attacks and complications of diverticulitis require surgical procedure, although most cases can be managed medically. The cause of acute diverticulitis remains obscure. It has been speculated that obstruction at the mouth of the diverticulum results in diverticulitis, similar to appendicitis, but this is no longer the accepted theory, and some feel that chronic inflammation precedes clinical diverticulitis. .
    Keywords diverticular disease ; sigmoid colon ; Surgery ; RD1-811 ; Medicine ; R ; DOAJ:Surgery ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language Serbian
    Publishing date 2006-01-01T00:00:00Z
    Publisher Klinički centar Srbije, Institut za bolesti digestivnog sistema
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  7. Article: Laparoscopic treatment for acute diverticular disease.

    Pignata, Giusto

    Acta chirurgica Iugoslavica

    2007  Volume 53, Issue 3, Page(s) 19–22

    Abstract: Diverticular disease of the sigmoid colon involves more than 50% of population over 60 years, and much more in people older than 80 years. Most patients remain asymptomatic, but, about 10-20% develop complications requiring surgery. Colonic ... ...

    Abstract Diverticular disease of the sigmoid colon involves more than 50% of population over 60 years, and much more in people older than 80 years. Most patients remain asymptomatic, but, about 10-20% develop complications requiring surgery. Colonic diverticulitis represents an acute bowel inflammation, in many cases, confined only to the sigmoid and descending colon. Recurrent attacks and complications of diverticulitis require surgical procedure, although most cases can be managed medically. The cause of acute diverticulitis remains obscure. It has been speculated that obstruction at the mouth of the diverticulum results in diverticulitis, similar to appendicitis, but this is no longer the accepted theory, and some feel that chronic inflammation precedes clinical diverticulitis.
    MeSH term(s) Acute Disease ; Adult ; Aged ; Aged, 80 and over ; Digestive System Surgical Procedures/methods ; Diverticulitis, Colonic/surgery ; Female ; Humans ; Laparoscopy ; Male ; Middle Aged ; Sigmoid Diseases/surgery
    Language English
    Publishing date 2007-03-02
    Publishing country Serbia
    Document type Journal Article
    ZDB-ID 428721-6
    ISSN 0354-950X ; 0001-5474
    ISSN 0354-950X ; 0001-5474
    DOI 10.2298/aci0603019p
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 1188: 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)

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  8. Book: Laparoscopic surgery

    Pignata, Giusto / Bracale, Umberto / Lazzara, Fabrizio

    key points, operation room setup, and equipment

    2016  

    Author's details Giusto Pignata, Umberto Bracale, Fabrizio Lazzara, editors
    MeSH term(s) Laparoscopy/methods ; Laparoscopes ; Operating Rooms
    Language English
    Size vii, 97 pages :, illustrations ;, 24 cm
    Document type Book
    ISBN 9783319244259 ; 3319244256 ; 9783319244273 ; 3319244272
    Database Catalogue of the US National Library of Medicine (NLM)

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  9. Article ; Online: Lack of advantages of slit mesh placement during laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP): a single centre, case matched study.

    Bracale, Umberto / Andreuccetti, Jacopo / Sodo, Maurizio / Merola, Giovanni / Pignata, Giusto

    BMC surgery

    2018  Volume 18, Issue 1, Page(s) 75

    Abstract: Background: During laparoscopic trans-abdominal pre-peritoneal hernia repair (TAPP) the positioning of the mesh around the spermatic cord could provide an additional anchoring point and ensure better defect closure, thereby preventing mesh movement and ... ...

    Abstract Background: During laparoscopic trans-abdominal pre-peritoneal hernia repair (TAPP) the positioning of the mesh around the spermatic cord could provide an additional anchoring point and ensure better defect closure, thereby preventing mesh movement and recurrence. The primary aim of our retrospective study was to determine if, during a TAPP procedure, an advantageous difference for mesh placement exists between the slit and the non-slit techniques in terms of recurrence rate. Secondary aims were intra and post-operative complications and the time required to return to normal activity.
    Methods: From January 2010 to December 2015, data from patients who had undergone TAPPs at our Institution were prospectively collected. We performed a retrospective case control matched study of two homogenous (BMI, Age, type of hernia) groups of 100 patients who underwent respectively TAPP with no slit mesh placement (Group NS) and slit mesh placement (Group S). Statistical analysis was carried out using a SPSS 20. To compare continuous variables, an independent sample T-test was performed. A Chi-square test was employed for categorical data.
    Results: No differences were found between the slit and non-slit groups in terms of biometric features and intra and post-operative outcomes were found to be similar in both groups as well. In particular, at mean follow-up of 57.34 ± 10.56 months for Group NS and 55.66 ± 8.61 months for Group S months only one recurrence per group was found.
    Conclusion: Our study failed to prove a superiority of the slit mesh technique over the no-slit mesh technique during TAPP. However, in light of its not being a randomized study, a subsequent, well-designed RCT would be desirable in order to better determine if the Slit mesh technique could prove to be advantageous enough to justify its routine use during the TAPP procedure.
    MeSH term(s) Adult ; Aged ; Hernia, Inguinal/surgery ; Herniorrhaphy/adverse effects ; Herniorrhaphy/instrumentation ; Herniorrhaphy/methods ; Humans ; Intraoperative Complications/epidemiology ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Male ; Middle Aged ; Peritoneum/surgery ; Postoperative Complications/epidemiology ; Recurrence ; Retrospective Studies ; Surgical Mesh
    Language English
    Publishing date 2018-09-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050442-1
    ISSN 1471-2482 ; 1471-2482
    ISSN (online) 1471-2482
    ISSN 1471-2482
    DOI 10.1186/s12893-018-0409-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book: Single-access laparoscopic surgery

    Pignata, Giusto / Corcione, Francesco / Bracale, Umberto

    current applications and controversies

    2014  

    Author's details Giusto Pignata, Francesco Corcione, Umberto Bracale, editors
    MeSH term(s) Laparoscopy/methods
    Language English
    Size xiv, 192 pages :, illustrations
    Document type Book
    ISBN 9783319069289 ; 9783319069296 ; 3319069284 ; 3319069292
    Database Catalogue of the US National Library of Medicine (NLM)

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