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6 results on '"GIROLAMO MATTIOLI"'

1. Congenital Lung Malformations: Shifting from Open to Thoracoscopic Surgery

Author

Girolamo Mattioli, Luca Pio, Nicola Massimo Disma, Michele Torre, Oliviero Sacco, Angela Pistorio, Clelia Zanaboni, Giovanni Montobbio, Fabio Barra, and Luca Antonio Ramenghi

Subjects
congenital lung malformations, CPAM, thoracoscopy, Pediatrics, RJ1-570
Abstract

Over the years the need for surgical treatment, timing of intervention, and the type of surgical approach have been discussed, but the treatment of congenital lung malformations remains controversial. The aim of this study was to compare the thoracotomy approach with the thoracoscopic technique by evaluating different surgical outcomes (duration of surgery, postoperative hospital stay, and complications). Methods: All patients operated from January 2011 to March 2015 for suspected congenital cystic lung were included in the study. Patients treated for congenital lobar emphysema and tracheobronchial neoplasms were excluded from the study. Results: In the analyzed period, 31 asymptomatic patients were treated: 18 lung resections were performed with thoracotomy (Group A) and 13 with the thoracoscopic approach (Group B). No significant differences were observed between the age and weight at surgery, length of the procedures, complications, and the need for postoperative intensive care between the two groups. The postoperative hospital stay in Group A was twice that for Group 2 (p = 0.0009). Conclusion: Comparing thoracoscopic surgery with the traditional open approach, we confirmed the superiority of minimally invasive treatment in terms of postoperative hospital stay. Common technical recommendations can help pediatric centers to develop the thoracoscopic approach for the treatment of congenital pulmonary malformations.

Published
2016
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2. Successful treatment of Neuroblastoma in an adolescent with intra-arterial embolization before surgery

Author

Luca Pio, MD, Stefano Avanzini, Carlo Gandolfo, Giuseppe Martucciello, Claudio Granata, Alessandro Boscarelli, Alberto Garaventa, and Girolamo Mattioli

Subjects
Embolization, Neuroblastoma, Pediatric surgical oncology, IDRFs, Adolescent, Pediatrics, RJ1-570, Surgery, RD1-811
Abstract

Introduction: Neuroblastoma in the adolescent is characterized by indolent growth and poor outcome. Surgical resection of the tumor is an essential part of the multimodality treatment. Surgical complications depend on the presence of Image Defined Risk Factors (IDRFs). Methods: We present an adolescent with pelvic neuroblastoma and epidural compression. To facilitate tumor resection, the patient underwent preoperative selective embolization. Results: After selective embolization a subsequent complete resection etraspinal localisation was performed without complication with complete remission after 2 years. Conclusions: Preoperative embolization is a safe and feasible technique that can help pediatric surgical oncologist to reduce complications IDRFs-related.

Published
2017
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3. Cone-like resection, fistulectomy and mucosal rectal sleeve partial endorectal pull-through in paediatric Crohn's disease with perianal complex fistula

Author

Nicola Disma, Alessio Pini Prato, Serena Arrigo, Giovanni Montobbio, Arrigo Barabino, Luca Pio, and Girolamo Mattioli

Subjects
Male, Reoperation, medicine.medical_specialty, Adolescent, Fistula, Cutaneous Fistula, Fistulectomy, Anal Canal, Complex fistula, Cone-like resection, Paediatric, Perianal Crohn's, Abscess, Child, Child, Preschool, Crohn Disease, Female, Humans, Intestinal Mucosa, Magnetic Resonance Imaging, Rectal Fistula, Rectum, Recurrence, Retrospective Studies, Young Adult, Gastroenterology, Hepatology, Medicine (all), Resection, medicine, Preschool, Crohn's disease, Temporary colostomy, Medical treatment, business.industry, Incidence (epidemiology), medicine.disease, Surgery, medicine.anatomical_structure, Sphincter, business
Abstract

Background Perianal abscesses and fistulae have been reported in approximately 15% of patients with paediatric Crohn's disease and they are associated with poor quality of life. Several surgical techniques were proposed for the treatment of perianal Crohn's disease, characterized by an elevated incidence of failure, incontinence, and relapse. Aim of our study was to present the technical details and results of our surgical technique in case of recurrent, persistent, complex perianal ano-rectal destroying Crohn's disease not responding to medical treatment. Methods Data of patients who underwent surgical treatment (cone-like resection, fistulectomy, sphincter reconstruction, endorectal advancement sleeve flaps like in Soave endorectal pull-through) for complicated high-level trans, inter or suprasphincteric fistulae between January 2009 and June 2014 were retrospectively reviewed. Results 20 surgical procedures were performed in 11 patients (males 72.7%) with transsphincteric (n = 5), intersphincteric (n = 4) and suprasphincteric (n = 2) fistulae. Three patients needed a second treatment. Two patients needed more than 2 surgeries and one temporary colostomy. No patient presented anal incontinence at 15 months’ median follow-up. Conclusions Although several procedures may be required to obtain a complete remission of perianal lesions, in our series the proposed surgical technique seemed effective and safe, preserving anal continence in all treated cases and reducing the need of faecal diversion.

Published
2015

4. A cross-sectional nationwide survey on esophageal atresia and tracheoesophageal fistula

Author

Ernesto Leva, P.L. Lelli Chiesa, S. Caterino, A. Pini Prato, M. Andermarcher, S. Cacciaguerra, F. Bartoli, Vincenzo Jasonni, Bruno Noccioli, Fabio Rossi, Vito Briganti, Mario Lima, Gloria Pelizzo, C. Manzoni, L. Mascia, Mario Messina, Piergiorgio Gamba, P. Andriolo, A. Rizzo, M. Nobili, Daniela Codrich, A. Cacciari, E. De Grazia, V. Di Benedetto, F. Caccia, D. A. Cozzi, G. Perrino, E. Clemente, Francesco Saverio Camoglio, Pietro Bagolan, Juergen Schleef, Ciro Esposito, S. De Pascale, Silvana Federici, D. Salerno, Giovanna Riccipetitoni, Diego Falchetti, Antonino Tramontano, G. Piazza, G. Paradies, A. Franchella, Francesco Vaccarella, S. Licciardi, F. Caravaggi, M. Bernardi, M.G.R. Aceti, L. Liotta, Girolamo Mattioli, Carmelo Romeo, Marcello Carlucci, D. Alberti, Antonino Appignani, F.S. Chiarenza, Ascanio Martino, M. Ubertazzi, Pini Prato, A, Carlucci, M., Bagolan, P., Gamba, P.G., Bernardi, M., Leva, E., Paradies, G., Manzoni, C., Noccioli, B., Tramontano, A., Jasonni, V., Vaccarella, F., De Pascale, S., Alberti, D., Riccipetitoni, G., Falchetti, D., Caccia, F., Pelizzo, G., Schleef, J., Lima, M., Andriolo, P., Franchella, A., Cacciari, A., Caravaggi, F., Federici, S., Andermarcher, M., Perrino, G., Codrich, D., Camoglio, F.S., Chiarenza, F.S., Martino, A., Appignani, A., Briganti, V., Caterino, S., Cozzi, D., Messina, M., Rizzo, A., Liotta, L., Salerno, D., Aceti, M.G.R., Bartoli, F., Romeo, C., Esposito, C., Lelli Chiesa, P.L., Clemente, E., Mascia, L., Cacciaguerra, S., Di Benedetto, V., Licciardi, S., De Grazia, E., Ubertazzi, M., Piazza, G., Mattioli, G., Rossi, F., and Nobili, M.

Subjects
Male, Prenatal Diagnosi, Pediatrics, Cross-sectional, Diagnosis, Esophageal atresia, Management, Mortality, Nationwide survey, Adult, Cross-Sectional Studies, Diagnosis-Related Groups, Esophageal Atresia, Female, Humans, Incidence, Infant, Newborn, Italy, Pregnancy, Tracheoesophageal Fistula, Young Adult, Prenatal Diagnosis, Surveys and Questionnaires, Cross-sectional study, Tracheoesophageal fistula, Pediatric surgery, Epidemiology, Esophageal atresia, Management, Mortality, Nationwide survey, Adult, Cross-Sectional Studies, Surveys and Questionnaire, Incidence (epidemiology), Mortality rate, Medicine (all), Diagnosis-Related Group, General Medicine, Place of birth, Perinatology and Child Health, Diagnosi, Human, medicine.medical_specialty, Key words Esophageal atresia, Pediatrics, Perinatology and Child Health, Surgery, medicine, Cross-Sectional Studie, business.industry, Infant, medicine.disease, Newborn, Atresia, Settore MED/20, business
Abstract

Background Our study aims at disclosing epidemiology and most relevant clinical features of esophageal atresia (EA) pointing to a model of multicentre collaboration. Methods A detailed questionnaire was sent to all Italian Units of pediatric surgery in order to collect data of patients born with EA between January and December 2012. The results were crosschecked by matching date and place of birth of the patients with those of diagnosis-related group provided by the Italian Ministry of Health (MOH). Results A total of 146 questionnaires were returned plus a further 32 patients reported in the MOH database. Basing on a total of 178 patients with EA born in Italy in 2012, the incidence of EA was calculated in 3.33 per 10,000 live births. Antenatal diagnosis was suspected in 29.5% patients. 55.5% showed associated anomalies. The most common type of EA was Gross type C (89%). Postoperative complications occurred in 37% of type C EA and 100% of type A EA. A 9.5% mortality rate was reported. Conclusions This is the first Italian cross-sectional nationwide survey on EA. We can now develop shared guidelines and provide more reliable prognostic expectations for our patients.

Published
2015

5. Contributors

Author

Craig T. Albanese, Maria H. Alonso, Marjorie J. Arca, Klaas (N) M.A. Bax, Mary L. Brandt, Allen F. Browne, Robert A. Cina, Raul A. Cortes, Sanjeev Dutta, James D. Geiger, Keith E. Georgeson, George W. Holcomb, Mark J. Holterman, Thomas H. Inge, Michael S. Irish, Vincenzo Jasonni, Robert E. Kelly, Michael P. La Quaglia, Hanmin Lee, Marc A. Levitt, Danny C. Little, Thom E. Lobe, Marcelo Martinez-Ferro, Girolamo Mattioli, Eugene D. McGahren, John J. Meehan, Christopher R. Moir, Michael J. Morowitz, Donald Nuss, Daniel J. Ostlie, Alberto Peña, Craig A. Peters, Alessio Pini Prato, Igor V. Poddoubnyi, Frederick J. Rescorla, Bradley M. Rodgers, Steven S. Rothenberg, Frederick C. Ryckman, Shawn D. St. Peter, Felix Schier, Greg M. Tiao, Michael V. Tirabassi, Jean-Stephane Valla, David C. van der Zee, and Mark L. Wulkan

Published
2008
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