28 results on '"Arganini M"'
Search Results
2. [Primary hyperaldosteronism: our experience with 34 patients]
- Author
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Arganini, M, Pascucci, G, Cecchini, Gm, Spinelli, Claudio, and Miccoli, Paolo
- Subjects
Adenoma ,Diagnosis, Differential ,Male ,Hyperplasia ,Adrenal Glands ,Hyperaldosteronism ,Hypertension ,Adrenal Gland Neoplasms ,Humans ,Adrenalectomy ,Female ,Middle Aged - Abstract
Primary aldosteronism (PA) is a relative new endocrine disease that account for almost 1-2% of the hypertensive population. In spite of the large number of reports there is still disagreement around the preoperative diagnosis and surgical treatment. In a nineteen year period from 1970 to 1989, 34 patients came to our Department with a diagnosis of Primary Aldosteronism. 18 patients were female. Mean age at time of diagnosis was 45.5 yrs. (range 27-67 yrs.). Mean follow-up was 71 months (range 1-227 months). Follow-up was achieved in all patient. Hypertension and hypokalemia were discovered in all patients. Three patients had extremely low values of potassium and presented severe metabolic, cardiac and neurologic troubles. Localization procedure techniques improved during this period of time and at this moment CAT scan appears to be the most accurate method. Flank incision was the approach of choice in all but four patients. No postoperative complications were recorded. Histology demonstrated an incidence of adenomas according to the literature. One patient had an adrenal carcinoma with functioning metastases. He was operated on several times in order to remove the functioning node metastases but finally died with widespread disease four years after the first surgical treatment. Another patient in this series died three years after the operation for an unrelated event. In 29 patients hypertension and hypokalemia disappeared while in two patient, one with an adrenal carcinoma hypertension increased. Primary aldosteronism is a rare endocrine disorder whose incidence is increased in the last years because of the improvement in diagnostic procedures.(ABSTRACT TRUNCATED AT 250 WORDS)
- Published
- 1990
3. Therapeutic value of antrectomy for multiple non astral gastric carcinoid tumours
- Author
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Arganini, M, Spinelli, Claudio, Iacconi, Pietro, and Miccoli, Paolo
- Published
- 1990
4. Il carcinoma della mammella localmente avanzato: studio anatomo clinico su 102 casi
- Author
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Spinelli, Claudio, Ricci, E, Aldi, E, Arganini, M, Parlato, G, and Miccoli, Paolo
- Published
- 1988
5. Long term treatment with tamoxifen for metastatic carcinoid tumor
- Author
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Arganini, M, Spinelli, Claudio, Cecchini, Gm, and Miccoli, Paolo
- Subjects
Tamoxifen ,Jejunal Neoplasms ,Liver Neoplasms ,Humans ,Female ,Carcinoid Tumor ,Middle Aged ,Intestinal Obstruction - Abstract
Carcinoid tumor associated with carcinoid syndrome is a very difficult condition to treat. Many different drugs have been used in order to control symptoms and different antineoplastic agents were experimentated to reduce the often large neoplastic lesions. Recently the description of the existence of estrogen receptors in carcinoid tumor tissue arose great enthusiasm on the possibility of using the antiestrogen tamoxifen as a direct antitumor agent. Few experiences appeared in the international literature and contrastant results were reported. In this paper we describe one case of long term treatment with tamoxifen for a metastatic carcinoid tumor. The patient experienced the regression of carcinoid syndrome symptoms with tamoxifen therapy. Unfortunately after one year symptoms reappeared in spite of tamoxifen therapy. We conclude that tamoxifen is at the moment the best therapy in patient affected by carcinoid tumor associated with carcinoid syndrome. Data on other drugs as the oral analogues of Somatostatin or Calcitonin need to be confirmed by additional studies.
- Published
- 1989
6. L'iperplasia diffusa della corticale un parametro morfologico linfonodale sfavorevole per la prognosi del cancro della mammella N
- Author
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Spinelli, Claudio, Migliori, E, Arganini, M, Campatelli, A, Parlato, G, Maestrini, B, and Miccoli, Paolo
- Published
- 1985
7. La terapia chirurgica della oftalmopatia basedowiana. Un caso di decompressione retrobulbare per via transpalpebrale
- Author
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Cecchini, Gm, Arganini, M, Iacconi, Pietro, Spinelli, Claudio, Barsotti, F, and Miccoli, Paolo
- Published
- 1989
8. Il carcinoide pancreatico: aspetti chirurgici
- Author
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Spinelli, Claudio, Aldi, R, Ricci, E, Berti, Piero, Arganini, M, Spisni, Roberto, Miccoli, Paolo, and Colizzi, Cesare
- Published
- 1989
9. Ectopia gastrica in duodeno: presentazione di tre casi clinici
- Author
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Spinelli, Claudio, Ricci, E, Berti, Piero, Aldi, R, Arganini, M, and Miccoli, Paolo
- Published
- 1989
10. Ginecomastia nell'adolescente: valutazione diagnostica pre-operatoria
- Author
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Spinelli, Claudio, Cecchini, Gm, Arganini, M, Iacconi, Pietro, Parlato, G, and Miccoli, Paolo
- Published
- 1987
11. Pancreaticoduodenectomy with pylorus preservation
- Author
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Mosca, Franco, Giulianotti, Pc, Arganini, M, Brandi, Ls, and Selli, M.
- Published
- 1984
12. Il carcinoma della tiroide . Due anni di esperienza chirurgica
- Author
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Arganini, M, Menconi, C, Pascucci, S, Spinelli, Claudio, and Miccoli, Paolo
- Published
- 1989
13. Pseudotumori renali : aspetti anatomo-clinici e radiologici
- Author
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Aragona, F, Marconi, A, Arganini, M, Pistolesi, Donatella, Spinelli, Claudio, and Fiorentini, L.
- Published
- 1985
14. Construction of a continent perineal colostomy by using electrostimulated gracilis muscles after abdominoperineal resection: personal technique and experience with 32 cases
- Author
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Cavina, E, Seccia, Massimo, Evangelista, G, Chiarugi, Massimo, Buccianti, P, Chirico, A, Lenzi, M, Bortolotti, P, Bellomini, G, and Arganini, M.
- Published
- 1987
15. Clinical and biological patterns of bone metastases from differentiated thyroid carcinoma
- Author
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Marcocci, Claudio, Pacini, F, Elisei, Rossella, Schipani, E, Arganini, M, Spinelli, Claudio, Miccoli, Paolo, and Pinchera, Aldo
- Published
- 1989
16. Clinical and biologic behavior of bone metastases from differentiated thyroid carcinoma
- Author
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Marcocci, C., Pacini, F., ROSSELLA ELISEI, Schipani, E., Ceccarelli, C., Miccoli, P., Arganini, M., and Pinchera, A.
- Published
- 1989
17. [Cystic cystitis and renal tuberculosis. A clinical case description with 10-year follow-up]
- Author
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Aragona, F, Arganini, M, Mosca, Franco, and Fiorentini, L.
- Published
- 1984
18. Trattamento chirurgico della ginecomastia. Note di tecnica
- Author
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Spinelli, Claudio, Cecchini, Gm, Arganini, M, Iacconi, Pietro, Parlato, G, and Miccoli, Paolo
- Published
- 1987
19. Il carcinoma primitivo della colecisti
- Author
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Spinelli, Claudio, Giulianotti, Pc, D'Elia, F, Arganini, M, Iacconi, Pietro, Miccoli, Paolo, and Mosca, Franco
- Published
- 1984
20. Le complicanze della duodenocefalopancreasectomia
- Author
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Santini, P, Giulianotti, Pf, Arganini, M, Spinelli, Claudio, and Mosca, Franco
- Published
- 1984
21. Queyrat's erythroplasia of the prepuce: a case-report
- Author
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Aragona, F, Serretta, V, Marconi, A, Spinelli, Claudio, and Arganini, M.
- Subjects
Male ,Erythroplasia ,Humans ,Middle Aged ,Penile Neoplasms - Abstract
A case of Queyrat's erythroplasia of the prepuce is reported. The Authors emphasize the precancerous role of the lesion because of its high frequency of malignant transformation. Local excision appears to be the only adequate form of treatment.
- Published
- 1985
22. Seminoma tipico retroperitoneale senza evidenza di tumore testicolare in soggetto con acromegalia
- Author
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Bernini, Giampaolo, Sgro', M, Bartolommei, A, Arganini, M, Miccoli, Paolo, and Franchi, F.
- Published
- 1989
23. Il carcinoma lobulare invasivo della mammella . Studio anatomoclinico su 94 casi
- Author
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Spinelli, Claudio, Miglori, E, Cecchini, Gm, Arganini, M, Guajana, G, and Miccoli, Paolo
- Published
- 1987
24. Radioguided occult lesion localization of cervical recurrences from differentiated thyroid cancer: technical feasibility and clinical results
- Author
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Borsò, E., Grosso, M., Boni, G., Manca, G., Bianchi, P., Marco Puccini, Arganini, M., Cabria, M., Piccardo, A., Arlandini, A., Orlandini, C., and Mariani, G.
25. Parathyroid carcinoma. Report of a case
- Author
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Arganini M, FULVIO BASOLO, Iacconi P, Mosca F, and Miccoli P
- Subjects
Male ,Parathyroid Neoplasms ,Postoperative Complications ,Hypocalcemia ,Humans ,Hyperparathyroidism, Secondary ,Middle Aged - Abstract
Parathyroid carcinoma is a rare cause of hyperparathyroidism. Its prognosis is mainly related to an en-bloc resection of the tumor and of the involved structures. However because of the small number of cases reported in the international literature, biological behaviour of the disease is not well known. In this report we describe one case of parathyroid carcinoma seen in our Institution. Preoperative presumption of parathyroid carcinoma thanks to clinical features and ultrasound imaging helped us in deciding an adequate surgical resection.
26. Anestesia loco regionale nella chirurgia ambulatoriale delle varici degli arti inferiori
- Author
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MAURO FERRARI, RAFFAELLA NICE BERCHIOLLI, Scotto, S., Giulianotti, P. C., Oleggini, M., Arganini, M., and Mosca, Franco
27. A national survey on the current status of minimally invasive gastric practice on behalf of GIRCG
- Author
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Marco Milone, Anna D’Amore, Sergio Alfieri, Maria Raffaella Ambrosio, Jacopo Andreuccetti, Luca Ansaloni, Adelmo Antonucci, Marco Arganini, Gianluca Baiocchi, Mirko Barone, Lapo Bencini, Maria Bencivenga, Luigi Boccia, Luigi Boni, Marco Braga, Fabio Cianchi, Chiara Cipollari, Alessandro Contine, Christian Cotsoglou, Simone D’Imporzano, Giovanni De Manzoni, Stefano De Pascale, Nicola De Ruvo, Maurizio Degiuli, Annibale Donini, Ugo Elmore, Giorgio Ercolani, Giovanni Ferrari, Romario Uberto Fumagalli, Gianluca Garulli, Roberta Gelmini, Luigina Graziosi, Monica Gualtierotti, Alfredo Guglielmi, Marco Inama, Federica Maffeis, Francesco Maione, Michele Manigrasso, Federico Marchesi, Daniele Marrelli, Andrea Massobrio, Gianluigi Moretto, Aballah Moukachar, Giuseppe Navarra, Giuseppe Nigri, Stefano Olmi, Raffaele Palaia, Davide Papis, Paolo Parise, Corrado Pedrazzani, Roberto Petri, Giusto Pignata, Michele Pisano, Stefano Rausei, Rossella Reddavid, Giuseppe Rocco, Fausto Rosa, Riccardo Rosati, Luca Rossit, Matteo Rottoli, Franco Roviello, Stefano Santi, Stefano Scabini, Stefano Scaringi, Leonardo Solaini, Fabio Staderini, Lucio Taglietti, Beatrice Torre, Paolo Ubiali, Matteo Uccelli, Fabio Uggeri, Sara Vertaldi, Jacopo Viganò, Giovanni Domenico De Palma, Simone Giacopuzzi, Milone, Marco, D'Amore, Anna, Alfieri, Sergio, Ambrosio, Maria Raffaella, Andreuccetti, Jacopo, Ansaloni, Luca, Antonucci, Adelmo, Arganini, Marco, Baiocchi, Gianluca, Barone, Mirko, Bencini, Lapo, Bencivenga, Maria, Boccia, Luigi, Boni, Luigi, Braga, Marco, Cianchi, Fabio, Cipollari, Chiara, Contine, Alessandro, Cotsoglou, Christian, D'Imporzano, Simone, De Manzoni, Giovanni, De Pascale, Stefano, De Ruvo, Nicola, Degiuli, Maurizio, Donini, Annibale, Elmore, Ugo, Ercolani, Giorgio, Ferrari, Giovanni, Fumagalli, Romario Uberto, Garulli, Gianluca, Gelmini, Roberta, Graziosi, Luigina, Gualtierotti, Monica, Guglielmi, Alfredo, Inama, Marco, Maffeis, Federica, Maione, Francesco, Manigrasso, Michele, Marchesi, Federico, Marrelli, Daniele, Massobrio, Andrea, Moretto, Gianluigi, Moukachar, Aballah, Navarra, Giuseppe, Nigri, Giuseppe, Olmi, Stefano, Palaia, Raffaele, Papis, Davide, Parise, Paolo, Pedrazzani, Corrado, Petri, Roberto, Pignata, Giusto, Pisano, Michele, Rausei, Stefano, Reddavid, Rossella, Rocco, Giuseppe, Rosa, Fausto, Rosati, Riccardo, Rossit, Luca, Rottoli, Matteo, Roviello, Franco, Santi, Stefano, Scabini, Stefano, Scaringi, Stefano, Solaini, Leonardo, Staderini, Fabio, Taglietti, Lucio, Torre, Beatrice, Ubiali, Paolo, Uccelli, Matteo, Uggeri, Fabio, Vertaldi, Sara, Viganò, Jacopo, De Palma, Giovanni Domenico, Giacopuzzi, Simone, Milone, M, D'Amore, A, Alfieri, S, Ambrosio, M, Andreuccetti, J, Ansaloni, L, Antonucci, A, Arganini, M, Baiocchi, G, Barone, M, Bencini, L, Bencivenga, M, Boccia, L, Boni, L, Braga, M, Cianchi, F, Cipollari, C, Contine, A, Cotsoglou, C, D'Imporzano, S, De Manzoni, G, De Pascale, S, De Ruvo, N, Degiuli, M, Donini, A, Elmore, U, Ercolani, G, Ferrari, G, Fumagalli, R, Garulli, G, Gelmini, R, Graziosi, L, Gualtierotti, M, Guglielmi, A, Inama, M, Maffeis, F, Maione, F, Manigrasso, M, Marchesi, F, Marrelli, D, Massobrio, A, Moretto, G, Moukachar, A, Navarra, G, Nigri, G, Olmi, S, Palaia, R, Papis, D, Parise, P, Pedrazzani, C, Petri, R, Pignata, G, Pisano, M, Rausei, S, Reddavid, R, Rocco, G, Rosa, F, Rosati, R, Rossit, L, Rottoli, M, Roviello, F, Santi, S, Scabini, S, Scaringi, S, Solaini, L, Staderini, F, Taglietti, L, Torre, B, Ubiali, P, Uccelli, M, Uggeri, F, Vertaldi, S, Viganò, J, De Palma, G, and Giacopuzzi, S
- Subjects
GIRCG ,Gastric cancer ,Minimally invasive surgery ,Upper GI surgery ,Settore MED/18 - CHIRURGIA GENERALE ,Surgery - Abstract
Italian Research Group for Gastric Cancer (GIRCG), during the 2013 annual Consensus Conference to gastric cancer, stated that laparoscopic or robotic approach should be limited only to early gastric cancer (EGC) and no further guidelines were currently available. However, accumulated evidences, mainly from eastern experiences, have supported the application of minimally invasive surgery also for locally advanced gastric cancer (AGC). The aim of our study is to give a snapshot of current surgical propensity of expert Italian upper gastrointestinal surgeons in performing minimally invasive techniques for the treatment of gastric cancer in order to answer to the question if clinical practice overcome the recommendation. Experts in the field among the Italian Research Group for Gastric Cancer (GIRCG) were invited to join a web 30-item survey through a formal e-mail from January 1st, 2020, to June 31st, 2020. Responses were collected from 46 participants out of 100 upper gastrointestinal surgeons. Percentage of surgeons choosing a minimally invasive approach to treat early and advanced gastric cancer was similar. Additionally analyzing data from the centers involved, we obtained that the percentage of minimally invasive total and partial gastrectomies in advanced cases augmented with the increase of surgical procedures performed per year (p = 0.02 and p = 0.04 respectively). It is reasonable to assume that there is a widening of indications given by the current national guideline into clinical practice. Propensity of expert Italian upper gastrointestinal surgeons was to perform minimally invasive surgery not only for early but also for advanced gastric cancer. Of interest volume activity correlated with the propensity of surgeons to select a minimally invasive approach.
- Published
- 2022
28. Screening policies, preventive measures and in-hospital infection of COVID-19 in global surgical practices
- Author
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Vittoria, B., Tsuyoshi, K., Gianluca, P., Yongbo, A., Alfonso, P., Bruno, S., Leandro, S., Krishn, K., Brunella Maria Pirozzi, Marzia, F., Michela, C., Sergey, E., Giuseppe, S.S., El-Hussuna, A., Frasson, M., Singh, B., Gallo, G., Pata, F., Negoi, I., Pinkney, T., Zmora, O., Bhangu, A., Battersby, N., Chaudhri, S., Nepogodiev, D., Vennix, S., Glasbey, J., Minaya, A., Basso, L., Pukuotukai, M., E Kelly, M., L Sánchez Guillén, Pellino, G., Buchs, N., Morton, D., Bemelman, W., Christensen, P., D'Hoore, A., Laurberg, S., Rubbini, M., Vaizey, C., Magill, L., Perry, R., Sheward, N., N Mortensen, R., Cillo, M., Estefania, D., J Patron Uriburu, Ruiz, H., Salomon, M., Makhmudov, A., Selnyahina, L., Varabei, A., Vizhynis, Y., Claeys, D., Defoort, B., Muysoms, F., Pletinckx, P., Vergucht, V., Debergh, I., Feryn, T., Reusens, H., Francart, D., Jehaes, C., Markiewicz, S., Monami, B., Weerts, J., Bouckaert, W., Houben, B., Knol, J., Sergeant, G., Vangertruyden, G., Haeck, L., Lange, C., Sommeling, C., Vindevoghel, K., Castro, S., H De Bruyn, Huyghe, M., E De Wolf, Reynders, D., A de Buck van Overstraeten, Wolthuis, A., Delibegovic, S., Christiani, A., M Marchiori Jr, C Rocha de Moraes, V Tercioti Jr, Arabadjieva, E., Bulanov, D., Dardanov, D., Stoyanov, V., Yonkov, A., Angelov, K., Maslyankov, S., Sokolov, M., Todorov, G., Toshev, S., Georgiev, Y., Karashmalakov, A., Zafirov, G., Wang, X., Condic, D., Kraljik, D., Mrkovic, H., Pavkovic, V., Raguž, K., Bencurik, V., Holášková, E., Skrovina, M., Farkašová, M., Grolich, T., Kala, Z., Antos, F., Pruchova, V., Sotona, O., Chobola, M., Dusek, T., Ferko, A., Örhalmi, J., Hoch, J., Kocian, P., Martinek, L., Bernstein, I., K Gotschalck Sunesen, Leunbach, J., Thorlacius-Ussing, O., A Uth Oveson, S Dahl Chirstensen, Gamez, V., Oeting, M., U Schou Loeve, Ugianskis, A., Jessen, M., M Krarup, P., Linde, K., Mirza, Q., J Overgaard Stovring, Erritzøe, L., H Loft Jakobsen, Lykke, J., E Palmgren Colov, A Husted Madsen, T Linde Friis, J Amstrup Funder, Dich, R., Kjær, S., Rasmussen, S., Schlesinger, N., M Dilling Kjaer, Qvist, N., Khalid, A., Ali, G., Hadi, S., L Rosell Walker, Kivelä, A., Lehtonen, T., Lepistö, A., Scheinin, T., Siironen, P., Kössi, J., Kuusanmäki, P., Tomminen, T., Turunen, A., Rautio, T., Vierimaa, M., Huhtinen, H., Karvonen, J., Lavonius, M., Rantala, A., Varpe, P., Cotte, E., Francois, Y., Glehen, O., Kepenekian, V., Passot, G., Maggiori, L., Manceau, G., Panis, Y., Gout, M., Rullier, E., B van Geluwe, Chafai, N., H Lefevre, J., Parc, Y., Tiret, E., Couette, C., Duchalais, E., Agha, A., Hornberger, M., Hungbauer, A., Iesalnieks, I., Weindl, I., Crescenti, F., Keller, M., Kolodziejski, N., Scherer, R., Sterzing, D., Bock, B., Boehm, G., El-Magd, M., Krones, C., Niewiera, M., Buhr, J., Cordesmeyer, S., Hoffmann, M., Krückemeier, K., Vogel, T., Schön, M., Baral, J., Lukoschek, T., Münch, S., Pullig, F., Horisberger, K., Kienle, P., Magdeburg, J., Post, S., Batzalexis, K., Germanos, S., Agalianos, C., Dervenis, C., Gouvas, N., Kanavidis, P., Kottikias, A., E Katsoulis, I., Korkolis, D., Plataniotis, G., Sakorafas, G., Akrida, I., Argentou, M., Kollatos, C., Lampropoulos, C., Tsochatzis, S., Besznyák, I., Bursics, A., Egyed, T., Papp, G., Svastics, I., Atladottir, J., Möller, P., Sigurdsson, H., Stefánsson, T., Valsdottir, E., Andrews, E., Foley, N., Hechtl, D., Majeed, M., Mccourt, M., Hanly, A., Hyland, J., Martin, S., R O'Connell, P., Winter, D., Connelly, T., Joyce, W., Wrafter, P., Berkovitz, R., Avital, S., I Haj Yahia, Hermann, N., Shpitz, B., White, I., Lishtzinsky, Y., Tsherniak, A., Wasserberg, N., Horesh, N., Keler, U., Pery, R., Shapiro, R., Tulchinsky, H., Badran, B., Dayan, K., Iskhakov, A., Lecaros, J., Nabih, N., Angrima, I., Bardini, R., Pizzolato, E., Tonello, M., Arces, F., Balestri, R., Ceccarelli, C., Prosperi, V., Rossi, E., Giannini, I., Vincenti, L., F Di Candido, M Di Iena, Guglielmi, A., Caputi-Iambrenghi, O., Marsanic, P., Mellano, A., Muratore, A., Annecchiarico, M., Bencini, L., S Amore Bonapasta, Coratti, A., Guerra, F., R Asteria, C., Boccia, L., Gerard, L., Pascariello, A., Manca, G., Marino, F., Casaril, A., Inama, M., Moretto, G., Bacchelli, C., Carvello, M., Mariani, N., Montorsi, M., Spinelli, A., Romairone, E., Scabini, S., Belli, A., Bianco, F., S De Franciscis, G Maria Romano, Delrio, P., Pace, U., Rega, D., Sassaroli, C., Scala, D., R De Luca, Ruggieri, E., Elbetti, C., Garzi, A., Romoli, L., Scatizzi, M., Vannucchi, A., Curletti, G., Durante, V., Galleano, R., Mariani, F., Reggiani, L., Bellomo, R., Infantino, A., Franceschilli, L., Sileri, P., Clementi, I., Coletta, D., F La Torre, Mingoli, A., Velluti, F., A Di Giacomo, Fiorot, A., Massani, M., Padoan, L., Ruffolo, C., Caruso, S., Franceschini, F., Laessig, R., Monaci, I., Rontini, M., P De Nardi, Elmore, U., Lemma, M., Rosati, R., Tamburini, A., M De Luca, Sartori, A., Benevento, A., Bottini, C., C Ferrari, C., Tessera, G., Selvaggi, F., Lanzani, A., Romano, F., Sgroi, G., Steccanella, F., Turati, L., Yamamoto, T., Ancans, G., Gerkis, S., Leja, M., Pcolkins, A., Sivins, A., Latkauskas, T., Lizdenis, P., Saladžinskas, Ž., Švagždys, S., Tamelis, A., Razbadauskas, A., Sokolovas, M., Dulskas, A., Samalavicius, N., Jotautas, V., Mikalauskas, S., Poskus, E., Poskus, T., Strupas, K., Camenzuli, C., Cini, C., Predrag, A., Psaila, J., Spiteri, N., Buskens, C., J de Groof, E., Gooszen, J., Tanis, P., Belgers, E., Davids, P., Furnee, E., Postma, E., Pronk, A., Smakman, N., Clermonts, S., Zimmerman, D., Omloo, J., E van der Zaag, P van Duijvendijk, Wassenaar, E., Bruijninckx, M., E de Graff, Doornebosch, P., Tetteroo, G., Vermaas, M., Iordens, G., Knops, S., Toorenvliet, B., L van Westereenen, H., Boerma, E., Coene, P., E van der Harst, A Van Der Pool, Raber, M., Melenhorst, J., S de Castro, Gerhards, M., Arron, M., Bremers, A., H de Wilt, Ferenschild, F., Yauw, S., Cense, H., Demirkiran, A., Hunfeld, M., Mulder, I., Nonner, J., Swank, H., B van 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Pereira, Souto, R., Carneiro, C., Marinho, R., Nunes, V., Rocha, R., Sousa, M., Leite, J., Melo, F., Pimentel, J., Ventura, L., C Vila Nova, Copăescu, C., Bintintan, V., Ciuce, C., Dindelegan, G., Scurtu, R., Seicean, R., Domansky, N., Karachun, A., Moiseenko, A., Pelipas, Y., Petrov, A., Pravosudov, I., Aiupov, R., Akmalov, Y., Parfenov, A., Suleymanov, N., Tarasov, N., Jumabaev, H., Mamedli, Z., Rasulov, A., Aliev, I., Chernikovskiy, I., Kochnev, V., Komyak, K., Smirnov, A., Achkasov, S., Bolikhov, K., Shelygin, Y., Sushkov, O., Zapolskiy, A., Gvozdenovic, M., Jovanovic, D., Lausevic, Z., Cvetković, D., Maravić, M., Milovanovic, B., Stojakovic, N., Tripković, I., Mihajlovic, D., Nestorovic, M., Pecic, V., Petrovic, D., Stanojevic, G., Barisic, G., Dimitrijevic, I., Krivokapic, Z., Markovic, V., Popovic, M., Aleksic, A., Dabic, D., Kostic, I., Milojkovic, A., Perunicic, V., Lukic, D., Petrovic, T., Radovanovic, D., Radovanovic, Z., M Cuk, V., V Cuk, V., Kenic, M., Kovacevic, B., 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M., Kiyomatsu, T., Katayama, T., Akagi, T., Mizushima, T., Kazuhito, U., Elmore, U., Grossi, U., Trucha, V. A., Rodriguez, V. S., Testa, V., Tonini, V., Celentano, V., Nekoval, V. M., Bettencourt, V., Mammadov, V., Leyva, V. A. G., Mariscal, V. G. O., Seid, V. E., Klemann, V., Turrado-Rodriguez, V., Papagni, V., Vento, V., Frering, V., Vigorita, V., Petrove, V. V., Lyadov, V., Fu, W., Mi, W., Jeong, W. K., Leclercq, W. K. G., de Sousa, X., Zhao, X., Li, X., Wang, X., Yang, X., Zhang, X., Zhen, Y., Dong, Y., Erushevich, Y., Takii, Y., Sumi, Y., Loli, Y. T., Yifat, Y. L., Shimada, Y., Nabeya, Y., Ide, Y., Wu, Y., Tsukada, Y., Miyamoto, Y., Toiyama, Y., Fujie, Y., Kaneko, Y., Mokutani, Y., Fujii, Y., Kanemitsu, Y., Medkova, Y., Chen, Y., Ruiz, Y. G., Kinugasa, Y., Sow, Z., Razzaq, Z., Wang, Z., Liu, Z., Han, Z., Tai, Z., Lai, Z., Ng, Z. Q., Dambrauskas, Z., Bellato, V, Konishi, T, Pellino, G, An, Y, Piciocchi, A, Sensi, B, Siragusa, L, Khanna, K, P, Bm, Franceschilli, M, Campanelli, M, Efetov, S, S Sica, G, Uggeri, F, Bellato V., Konishi T., Pellino G., An Y., Piciocchi A., Sensi B., Siragusa L., Khanna K., Pirozzi B.M., Franceschilli M., Rottoli M., Campanelli M., Efetov S., Sica G.S., on behalf of S-COVID Collaborative Group [ .., Tonini V., ], Bellato, Vittoria, Konishi, Tsuyoshi, Pellino, Gianluca, An, Yongbo, Piciocchi, Alfonso, Sensi, Bruno, Siragusa, Leandro, Khanna, Krishn, Pirozzi, Brunella Maria, Franceschilli, Marzia, Campanelli, Michela, Efetov, Sergey, Sica, Giuseppe S, Center of Experimental and Molecular Medicine, Graduate School, ACS - Pulmonary hypertension & thrombosis, AII - Infectious diseases, Surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Paediatric Surgery, Amsterdam Reproduction & Development (AR&D), and Robotics and image-guided minimally-invasive surgery (ROBOTICS)
- Subjects
Cross Infection/prevention & control ,Cross-sectional study ,Settore MED/18 - CHIRURGIA GENERALE ,Coronavirus Infections/prevention & control ,Practice Patterns ,0302 clinical medicine ,Betacoronavirus ,COVID-19 ,Coronavirus Infections ,Cross Infection ,Cross-Sectional Studies ,Hospitals ,Humans ,Infection Control ,Mass Screening ,Pandemics ,Pneumonia, Viral ,Policy ,Practice Patterns, Physicians ,SARS-CoV-2 ,Surgical Procedures, Operative ,Surveys and Questionnaires ,Pandemic ,Hospitals/standards ,Infection control ,030212 general & internal medicine ,Viral ,Pandemics/prevention & control ,Practice Patterns, Physicians' ,Research Theme 1: COVID-19 Pandemic ,Pneumonia, Viral/prevention & control ,Mass Screening/standards ,Health Policy ,Operative/adverse effects ,Operative ,screening policies ,preventive measures ,Human ,Surgical Procedures, Operative/adverse effects ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,030231 tropical medicine ,MEDLINE ,NO ,Physicians'/standards ,Hospital ,03 medical and health sciences ,Physicians ,medicine ,Practice Patterns, Physicians'/standards ,Mass screening ,Cross-Sectional Studie ,Physicians' ,Surgical Procedures ,Betacoronaviru ,Coronavirus Infection ,business.industry ,Preoperative screening ,Public Health, Environmental and Occupational Health ,Viral/prevention & control ,Perioperative ,Pneumonia ,Settore MED/18 ,COVID-19, Coronavirus Infections, Cross Infection, Cross-Sectional Studies, Hospitals, Humans, Infection Control, Mass Screening, Pandemics, Pneumonia, Viral, Policy, Practice Patterns, Physicians', SARS-CoV-2, Surgical Procedures, Operative, Surveys and Questionnaires ,coronavirus Infections ,cross infection ,cross-sectional studies ,hospitals ,humans ,infection control ,mass screening ,pandemics ,pneumonia, viral ,policy ,practice patterns, physicians' ,surgical procedures ,operative ,surveys and questionnaires ,Family medicine ,Infection Control/standards ,business - Abstract
Background: In a surgical setting, COVID-19 patients may trigger in-hospital outbreaks and have worse postoperative outcomes. Despite these risks, there have been no consistent statements on surgical guidelines regarding the perioperative screening or management of COVID-19 patients, and we do not have objective global data that describe the current conditions surrounding this issue. This study aimed to clarify the current global surgical practice including COVID-19 screening, preventive measures and in-hospital infection under the COVID-19 pandemic, and to clarify the international gaps on infection control policies among countries worldwide.Methods: During April 2-8, 2020, a cross-sectional online survey on surgical practice was distributed to surgeons worldwide through international surgical societies, social media and personal contacts. Main outcome and measures included preventive measures and screening policies of COVID-19 in surgical practice and centers' experiences of in-hospital COVID-19 infection. Data were analyzed by country's cumulative deaths number by April 8, 2020 (high risk, >5000; intermediate risk, 100-5000; low risk, Results: A total of 936 centers in 71 countries responded to the survey (high risk, 330 centers; intermediate risk, 242 centers; low risk, 364 centers). In the majority (71.9%) of the centers, local guidelines recommended preoperative testing based on symptoms or suspicious radiologic findings. Universal testing for every surgical patient was recommended in only 18.4% of the centers. In-hospital COVID-19 infection was reported from 31.5% of the centers, with higher rates in higher risk countries (high risk, 53.6%; intermediate risk, 26.4%; low risk, 14.8%; P Conclusions: This large international survey captured the global surgical practice under the COVID-19 pandemic and highlighted the insufficient preoperative screening of COVID-19 in the current surgical practice. More intensive screening programs will be necessary particularly in severely affected countries/institutions.Study registration: Registered in ClinicalTrials.gov: NCT04344197.
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