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  1. Artikel ; Online: Acalcolous Hemorrhagic Cholecystitis and SARS-CoV-2 Infection.

    Cirillo, Bruno / Brachini, Gioia / Crocetti, Daniele / Sapienza, Paolo / Mingoli, Andrea

    The British journal of surgery

    2020  Band 107, Heft 11, Seite(n) e524

    Mesh-Begriff(e) Aged ; COVID-19/epidemiology ; Cholecystectomy/methods ; Cholecystitis/diagnosis ; Cholecystitis/epidemiology ; Cholecystitis/surgery ; Comorbidity ; Humans ; Male ; SARS-CoV-2 ; Tomography, X-Ray Computed
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-08-21
    Erscheinungsland England
    Dokumenttyp Case Reports ; 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.11992
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Uk I Zs.66: Hefte anzeigen Standort:
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  2. Artikel ; Online: Severe blunt renal injury after motorcycle accident: failure of the conservative management.

    Brachini, Gioia / Cirillo, Bruno / Sapienza, Paolo / Lapolla, Pierfrancesco / Meneghini, Simona / Simonelli, Luigi / Mingoli, Andrea

    Annali italiani di chirurgia

    2021  Band 92, Seite(n) 518–520

    Abstract: We report the case of a patient who presented after a motorcycle accident a grade IV kidney lesion primarily treated with a NOM, which failed. We discuss the possibility at admission to select a subgroup of patients with a high grade (IV and V) kidney ... ...

    Abstract We report the case of a patient who presented after a motorcycle accident a grade IV kidney lesion primarily treated with a NOM, which failed. We discuss the possibility at admission to select a subgroup of patients with a high grade (IV and V) kidney trauma in whom NOM might fail. KEY WORDS: Kidney Trauma, High grade renal trauma, Non operative management.
    Mesh-Begriff(e) Accidents ; Conservative Treatment ; Humans ; Injury Severity Score ; Kidney/injuries ; Motorcycles ; Retrospective Studies ; Wounds, Nonpenetrating/complications ; Wounds, Nonpenetrating/therapy
    Sprache Englisch
    Erscheinungsdatum 2021-11-18
    Erscheinungsland Italy
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 418927-9
    ISSN 2239-253X ; 0003-469X
    ISSN (online) 2239-253X
    ISSN 0003-469X
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Risk of Seven-Day Worsening and Death: A New Clinically Derived COVID-19 Score.

    Cruciata, Alessia / Volpicelli, Lorenzo / Di Bari, Silvia / Iaiani, Giancarlo / Cirillo, Bruno / Pugliese, Francesco / Pellegrino, Daniela / Galardo, Gioacchino / Taliani, Gloria

    Viruses

    2022  Band 14, Heft 3

    Abstract: This monocentric, retrospective, two-stage observational study aimed to recognize the risk factors for a poor outcome in patients hospitalized with SARS-CoV-2 infection, and to develop and validate a risk score that identifies subjects at risk of ... ...

    Abstract This monocentric, retrospective, two-stage observational study aimed to recognize the risk factors for a poor outcome in patients hospitalized with SARS-CoV-2 infection, and to develop and validate a risk score that identifies subjects at risk of worsening, death, or both. The data of patients with SARS-CoV-2 infection during the first wave of the pandemic were collected and analyzed as a derivation cohort. Variables with predictive properties were used to construct a prognostic score, which was tried out on a validation cohort enrolled during the second wave. The derivation cohort included 494 patients; the median age was 62 and the overall fatality rate was 22.3%. In a multivariable analysis, age, oxygen saturation, neutrophil-to-lymphocyte ratio, C-reactive protein and lactate dehydrogenase were independent predictors of death and composed the score. A cutoff value of 3 demonstrated a sensitivity (Se), specificity (Sp), positive predictive value (PPV) and negative predictive value (NPV) of 93.5%, 68.5%, 47.4% and 97.2% for death, and 84.9%, 84.5%, 79.6% and 87.9% for worsening, respectively. The validation cohort included 415 subjects. The score application showed a Se, Sp, PPV and NPV of 93.4%, 61.6%, 29.5% and 98.1% for death, and 81%, 76.3%, 72.1% and 84.1% for worsening, respectively. We propose a new clinical, easy and reliable score to predict the outcome in hospitalized SARS-CoV-2 patients.
    Mesh-Begriff(e) COVID-19/diagnosis ; Humans ; Middle Aged ; Predictive Value of Tests ; Retrospective Studies ; Risk Factors ; SARS-CoV-2
    Sprache Englisch
    Erscheinungsdatum 2022-03-20
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Observational Study
    ZDB-ID 2516098-9
    ISSN 1999-4915 ; 1999-4915
    ISSN (online) 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v14030642
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Role of lung ultrasound in patients requiring emergency surgery during COVID-19 Pandemic.

    Brachini, Gioia / Sapienza, Paolo / Cirillo, Bruno / Fonsi, Giovanni Battista / Crocetti, Daniele / Mingoli, Andrea

    The British journal of surgery

    2020  Band 107, Heft 13, Seite(n) e669

    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-10-19
    Erscheinungsland England
    Dokumenttyp Journal Article
    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.12052
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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    Verfügbar in ZB MED Köln/Königswinter

    Uk I Zs.66: Hefte anzeigen Standort:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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  5. Artikel: Guidelines for the Treatment of Abdominal Abscesses in Acute Diverticulitis: An Umbrella Review.

    Cirocchi, Roberto / Duro, Francesca / Avenia, Stefano / Capitoli, Matteo / Tebala, Giovanni Domenico / Allegritti, Massimiliano / Cirillo, Bruno / Brachini, Gioia / Sapienza, Paolo / Binda, Gian Andrea / Mingoli, Andrea / Fedeli, Piergiorgio / Nascimbeni, Riccardo

    Journal of clinical medicine

    2023  Band 12, Heft 17

    Abstract: Background: This systematic umbrella review aims to investigate and provide an analysis of guidelines regarding the treatment of diverticular abscesses.: Material and methods: A systematic literature search was performed using the Cochrane Overviews ... ...

    Abstract Background: This systematic umbrella review aims to investigate and provide an analysis of guidelines regarding the treatment of diverticular abscesses.
    Material and methods: A systematic literature search was performed using the Cochrane Overviews of Reviews model and the 'Clinical Practice Guidelines'; at the end of initial search, only 12 guidelines were included in this analysis. The quality of the guidelines was assessed by adopting the "Appraisal of Guidelines for Research and Evaluation II" (AGREE II). The comparative analysis of these guidelines has highlighted the presence of some differences regarding the recommendations on the treatment of diverticular abscesses. In particular, there are some controversies about the diameter of abscess to be used in order to decide between medical treatment and percutaneous drainage. Different guidelines propose different abscess diameter cutoffs, such as 3 cm, 4-5 cm, or 4 cm, for distinguishing between small and large abscesses.
    Conclusions: Currently, different scientific societies recommend that diverticular abscesses with diameters larger than 3 cm should be considered for percutaneous drainage whereas abscesses with diameters smaller than 3 cm could be appropriately treated by medical therapy with antibiotics; only a few guidelines suggest the use of percutaneous drainage for abscesses with a diameter greater than 4 cm. The differences among guidelines are the consequence of the different selection of scientific evidence. In conclusion, our evaluation has revealed the importance of seeking new scientific evidence with higher quality to either confirm, reinforce or potentially weaken the existing recommendations from different societies.
    Sprache Englisch
    Erscheinungsdatum 2023-08-25
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12175522
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel: A Systematic Review of Varying Definitions and the Clinical Significance of Fredet's Fascia in the Era of Complete Mesocolic Excision.

    Brachini, Gioia / Cirillo, Bruno / Matteucci, Matteo / Cirocchi, Roberto / Tebala, Giovanni Domenico / Cavaliere, Davide / Giacobbi, Lorenza / Papa, Veronica / Solaini, Leonardo / Avenia, Stefano / D'Andrea, Vito / Davies, Justin / Fedeli, Piergiorgio / De Santis, Elena

    Journal of clinical medicine

    2023  Band 12, Heft 19

    Abstract: Background: Fredet's fascia represents a crucial landmark for vascular surgical anatomy, especially in minimally invasive complete mesocolic excision (CME) for right-sided colon adenocarcinoma. Fredet's fascia allows access to the gastrocolic trunk of ... ...

    Abstract Background: Fredet's fascia represents a crucial landmark for vascular surgical anatomy, especially in minimally invasive complete mesocolic excision (CME) for right-sided colon adenocarcinoma. Fredet's fascia allows access to the gastrocolic trunk of Henle (GCTH), the most critical step in both open and minimally invasive right-sided CME techniques. Despite this, a recent workshop of expert surgeons on the standardization of the laparoscopic right hemicolectomy with CME did not recognize or include the term of Fredet's fascia or area. Hence, we undertook a systematic review of articles that include the terms "Fredet's fascia or area", or synonyms thereof, with special emphasis on the types of articles published, the nationality, and the relevance of this area to surgical treatments.
    Methods: We conducted a systematic review up to 15 July 2022 on PubMed, WOS, SCOPUS, and Google Scholar.
    Results: The results of the study revealed that the term "Fredet's fascia" is poorly used in the English language medical literature. In addition, the study found controversial and conflicting data among authors regarding the definition of "Fredet's fascia" and its topographical limits.
    Conclusions: Knowledge of Fredet's fascia's surgical relevance is essential for colorectal surgeons to avoid accidental injuries to the superior mesenteric vascular pedicle during minimally invasive right hemicolectomies with CME. In order to avoid confusion and clarify this fascia for future use, we suggest moving beyond the use of the eponymous term by using a "descriptive term" instead, based on the fascia's anatomic structure. Fredet's fascia could, therefore, be more appropriately renamed "sub-mesocolic pre-duodenopancreatic fascia".
    Sprache Englisch
    Erscheinungsdatum 2023-09-27
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12196233
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel: Management of Acute Cholecystitis in High-Risk Patients: Percutaneous Gallbladder Drainage as a Definitive Treatment vs. Emergency Cholecystectomy-Systematic Review and Meta-Analysis.

    Cirocchi, Roberto / Amato, Lavinia / Ungania, Serena / Buononato, Massimo / Tebala, Giovanni Domenico / Cirillo, Bruno / Avenia, Stefano / Cozza, Valerio / Costa, Gianluca / Davies, Richard Justin / Sapienza, Paolo / Coccolini, Federico / Mingoli, Andrea / Chiarugi, Massimo / Brachini, Gioia

    Journal of clinical medicine

    2023  Band 12, Heft 15

    Abstract: Background: This systematic review aims to investigate whether percutaneous transhepatic gallbladder biliary drainage (PTGBD) is superior to emergency cholecystectomy (EC) as a definitive treatment in high-risk patients with acute cholecystitis (AC).: ...

    Abstract Background: This systematic review aims to investigate whether percutaneous transhepatic gallbladder biliary drainage (PTGBD) is superior to emergency cholecystectomy (EC) as a definitive treatment in high-risk patients with acute cholecystitis (AC).
    Material and methods: A systematic literature search was performed until December 2022 using the Scopus, Medline/PubMed and Web of Science databases.
    Results: Seventeen studies have been included with a total of 783,672 patients (32,634 treated with PTGBD vs. 4663 who underwent laparoscopic cholecystectomy, 343 who had open cholecystectomy and 746,032 who had some form of cholecystectomy, but without laparoscopic or open approach being specified). An analysis of the results shows that PTGBD, despite being less invasive, is not associated with lower morbidity with respect to EC (RR 0.77 95% CI [0.44 to 1.34]; I
    Conclusions: In our systematic review, the majority of studies have very low-quality evidence and more RCTs are needed; furthermore, PTGBD is inferior in the treatment of AC in high-risk patients. The definition of high-risk patients is important in interpreting the results, but the methods of assessment and definitions differ between studies. The results of our systematic review and meta-analysis failed to demonstrate any advantage of using PTGBD over ER as a definitive treatment of AC in critically ill patients, which suggests that EC should be considered as the treatment of choice even in very high-risk patients. Most likely, the inferiority of PTGBD versus early LC for high-risk patients is related to an association of various patient-side factor conditions and the severity of acute cholecystitis.
    Sprache Englisch
    Erscheinungsdatum 2023-07-26
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12154903
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel: Systematic Review and Meta-Analysis of the Variants of the Obturatory Artery.

    Brachini, Gioia / Matteucci, Matteo / Sapienza, Paolo / Cirocchi, Roberto / Favilli, Alessandro / Avenia, Stefano / Cheruiyot, Isaac / Tebala, Giovanni / Fedeli, Piergiorgio / Davies, Justin / Randolph, Justus / Cirillo, Bruno

    Journal of clinical medicine

    2023  Band 12, Heft 15

    Abstract: Background: Knowledge of vascular anatomy and its possible variations is essential for performing embolization or revascularization procedures and complex surgery in the pelvis. The obturator artery (OA) is a branch of the anterior division of the ... ...

    Abstract Background: Knowledge of vascular anatomy and its possible variations is essential for performing embolization or revascularization procedures and complex surgery in the pelvis. The obturator artery (OA) is a branch of the anterior division of the internal iliac artery (IIA), and it has the highest frequency of variation among branches of the internal iliac artery. Possible anomalies of the origin of the obturator artery (OA) should be known when performing pelvic and groin surgery, where its control or ligation may be required. The purpose of this systematic review and meta-analysis, based on Sanudo's classification, is to analyze the origin of the obturator artery (OA) and its variants.
    Methods: Thirteen articles published between 1952 and 2020 were included.
    Results: The obturator artery (OA) was present in almost all cases (99.8%): the pooled prevalence estimate for the origin from the IIA axis was 77.7% (95% CI 71.8-83.1%) vs. 22.3% (95% CI 16.9-28.2%) for the origin from EIA axis. In most cases, the obturator artery (OA) originated from the anterior division trunk of the internal iliac artery (IIA) (61.6%).
    Conclusions: Performing preoperative radiological examination to determine the pelvic vascular pattern and having the awareness to evaluate possible changes in the obturator artery can reduce the risk of iatrogenic injury and complications.
    Sprache Englisch
    Erscheinungsdatum 2023-07-27
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12154932
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel ; Online: Acalcolous Hemorrhagic Cholecystitis and SARS-CoV-2 Infection ; Not applicable

    Cirillo, Bruno / Brachini, Gioia / Crocetti, Daniele / Sapienza, Paolo / Mingoli, Andrea

    British Journal of Surgery ; ISSN 0007-1323

    2020  

    Schlagwörter Surgery ; covid19
    Sprache Englisch
    Verlag Wiley
    Erscheinungsland us
    Dokumenttyp Artikel ; Online
    DOI 10.1002/bjs.11992
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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