Search

Your search keyword '"Bruni, Piero Giovanni"' showing total 28 results
Start Over Author "Bruni, Piero Giovanni"
28 results on '"Bruni, Piero Giovanni"'

4. Long-Term Impact of Severe Postoperative Complications after Esophagectomy for Cancer: Individual Patient Data Meta-Analysis

Author

Bona, Davide, primary, Manara, Michele, additional, Bonitta, Gianluca, additional, Guerrazzi, Guglielmo, additional, Guraj, Juxhin, additional, Lombardo, Francesca, additional, Biondi, Antonio, additional, Cavalli, Marta, additional, Bruni, Piero Giovanni, additional, Campanelli, Giampiero, additional, Bonavina, Luigi, additional, and Aiolfi, Alberto, additional

Published
2024
Full Text
View/download PDF

8. Flank Hernia

Author

Campanelli, Giampiero, Bruni, Piero Giovanni, Morlacchi, Andrea, Lombardo, Francesca, Cavalli, Marta, and Campanelli, Giampiero, editor

Published
2018
Full Text
View/download PDF

15. Logistics and Specialised Hernia Units

Author

Campanelli, Giampiero, Bruni, Piero Giovanni, Lombardo, Francesca, Morlacchi, Andrea, Cavalli, Marta, LeBlanc, Karl A., editor, Kingsnorth, Andrew, editor, and Sanders, David L., editor

Published
2018
Full Text
View/download PDF

28. A Complete Sutureless, Hernia Repair for Primary Inguinal Hernia The Trabucco Repair: A Tribute to Ermanno Trabucco.

Author

Campanelli G, Bruni PG, Cavalli M, and Morlacchi A

Subjects
Equipment Design, Equipment Failure Analysis, Evidence-Based Medicine, Hernia, Inguinal diagnosis, Herniorrhaphy adverse effects, Italy, Minimally Invasive Surgical Procedures instrumentation, Minimally Invasive Surgical Procedures methods, Postoperative Complications etiology, Postoperative Complications prevention & control, Treatment Outcome, Hernia, Inguinal surgery, Herniorrhaphy instrumentation, Herniorrhaphy methods, Surgical Mesh, Sutureless Surgical Procedures instrumentation, Sutureless Surgical Procedures methods
Abstract

Since 1989, the authors have been using the Trabucco tension-free and sutureless technique for the repair of primary groin hernia with a pre-shaped mesh in more than 8,000 surgical procedures for complex and "simple" abdominal and inguinal hernias; over 4,000 cases have been considered in this study. The great majority of these procedures were performed under local anaesthesia and with a complete and careful nerve sparing. Compared to the Lichtenstein's technique, which is currently the golden standard treatment worldwide, there are no significant differences in the observed recurrence rate (below 2%). For the Law of Pascal, the pre-shaped prosthesis developed by Trabucco remains stretched uniformly in the inguinal canal, without the need to be secured with sutures and without forming dead space, which is a cause of infections, pain, and recurrence. The main advantage of a tension-free and sutureless repair is given by the relevant reduction in postoperative chronic neuralgia, which is not an uncommon complication and, depending on its intensity, can also potentially jeopardize a patient's work and social activities. The identification and the sparing of the three nerves of the inguinal region is of crucial importance to reduce the rate of neuralgia in the short and long term. Furthermore, the use of a local anaesthesia imposes the surgeon to properly recognize those nerves and to respect them during the repair. It goes without saying that the complete exposition of the right anatomy of inguinal canal is mandatory. The intentional section of one or more nerves, when it is not technically possible to achieve a satisfactory nerve sparing, or special tricks to create proper fenestrations (small window) on the edge of the prosthesis to prevent the scar tissue to involve the spared nerves, ensures a further reduction of the rate of neuralgia and excellent patient outcomes.

Published
2016

Catalog

Books, media, physical & digital resources
See catalog results