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2. Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.

Author

Sermonesi, Giacomo, Tian, Brian, Vallicelli, Carlo, Abu-Zidan, Fikri, Damaskos, Dimitris, Kelly, Michael, Leppäniemi, Ari, Galante, Joseph, Tan, Edward, Kirkpatrick, Andrew, Khokha, Vladimir, Romeo, Oreste, Chirica, Mircea, Pikoulis, Manos, Litvin, Andrey, Shelat, Vishal, Sakakushev, Boris, Wani, Imtiaz, Sall, Ibrahima, Fugazzola, Paola, Cicuttin, Enrico, Toro, Adriana, Amico, Francesco, Mas, Francesca, De Simone, Belinda, Sugrue, Michael, Bonavina, Luigi, Campanelli, Giampiero, Carcoforo, Paolo, Cobianchi, Lorenzo, Coccolini, Federico, Chiarugi, Massimo, Di Carlo, Isidoro, Di Saverio, Salomone, Podda, Mauro, Pisano, Michele, Sartelli, Massimo, Testini, Mario, Fette, Andreas, Rizoli, Sandro, Picetti, Edoardo, Weber, Dieter, Latifi, Rifat, Kluger, Yoram, Balogh, Zsolt, Biffl, Walter, Jeekel, Hans, Civil, Ian, Hecker, Andreas, Ansaloni, Luca, Bravi, Francesca, Agnoletti, Vanni, Beka, Solomon, Moore, Ernest, and Catena, Fausto

Subjects
Acute appendicitis, Acute care surgery, Acute cholecystitis, Acute diverticulitis, Acute pancreatitis, Acute peritonitis, Adhesive small bowel obstruction, Colo–rectal emergencies, Emergency general surgery, Guidelines, Incarcerated/complicated ventral/inguinal hernia, Laparoscopic approach, Laparoscopy, Mesenteric ischemia, Minimally invasive surgery/approach, Penetrating/blunt abdominal trauma, Perforated peptic ulcer, Recommendations, Trauma surgery hemodynamic stability, Humans, Emergencies, Retrospective Studies, Laparoscopy, Abdomen, Abdominal Injuries, Randomized Controlled Trials as Topic
Abstract

BACKGROUND: Laparoscopy is widely adopted across nearly all surgical subspecialties in the elective setting. Initially finding indication in minor abdominal emergencies, it has gradually become the standard approach in the majority of elective general surgery procedures. Despite many technological advances and increasing acceptance, the laparoscopic approach remains underutilized in emergency general surgery and in abdominal trauma. Emergency laparotomy continues to carry a high morbidity and mortality. In recent years, there has been a growing interest from emergency and trauma surgeons in adopting minimally invasive surgery approaches in the acute surgical setting. The present position paper, supported by the World Society of Emergency Surgery (WSES), aims to provide a review of the literature to reach a consensus on the indications and benefits of a laparoscopic-first approach in patients requiring emergency abdominal surgery for general surgery emergencies or abdominal trauma. METHODS: This position paper was developed according to the WSES methodology. A steering committee performed the literature review and drafted the position paper. An international panel of 54 experts then critically revised the manuscript and discussed it in detail, to develop a consensus on a position statement. RESULTS: A total of 323 studies (systematic review and meta-analysis, randomized clinical trial, retrospective comparative cohort studies, case series) have been selected from an initial pool of 7409 studies. Evidence demonstrates several benefits of the laparoscopic approach in stable patients undergoing emergency abdominal surgery for general surgical emergencies or abdominal trauma. The selection of a stable patient seems to be of paramount importance for a safe adoption of a laparoscopic approach. In hemodynamically stable patients, the laparoscopic approach was found to be safe, feasible and effective as a therapeutic tool or helpful to identify further management steps and needs, resulting in improved outcomes, regardless of conversion. Appropriate patient selection, surgeon experience and rigorous minimally invasive surgical training, remain crucial factors to increase the adoption of laparoscopy in emergency general surgery and abdominal trauma. CONCLUSIONS: The WSES expert panel suggests laparoscopy as the first approach for stable patients undergoing emergency abdominal surgery for general surgery emergencies and abdominal trauma.

Published
2023

4. ECLAPTE: Effective Closure of LAParoTomy in Emergency-2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings.

Author

Frassini, Simone, Cobianchi, Lorenzo, Fugazzola, Paola, Biffl, Walter, Coccolini, Federico, Damaskos, Dimitrios, Moore, Ernest, Kluger, Yoram, Ceresoli, Marco, Coimbra, Raul, Davies, Justin, Kirkpatrick, Andrew, Di Carlo, Isidoro, Hardcastle, Timothy, Isik, Arda, Chiarugi, Massimo, Gurusamy, Kurinchi, Maier, Ronald, Segovia Lohse, Helmut, Jeekel, Hans, Boermeester, Marja, Abu-Zidan, Fikri, Inaba, Kenji, Weber, Dieter, Augustin, Goran, Bonavina, Luigi, Velmahos, George, Sartelli, Massimo, Di Saverio, Salomone, Ten Broek, Richard, Granieri, Stefano, Dal Mas, Francesca, Farè, Camilla, Peverada, Jacopo, Zanghì, Simone, Viganò, Jacopo, Tomasoni, Matteo, Dominioni, Tommaso, Cicuttin, Enrico, Hecker, Andreas, Tebala, Giovanni, Galante, Joseph, Wani, Imtiaz, Khokha, Vladimir, Sugrue, Michael, Scalea, Thomas, Tan, Edward, Malangoni, Mark, Pararas, Nikolaos, Podda, Mauro, De Simone, Belinda, Ivatury, Rao, Cui, Yunfeng, Kashuk, Jeffry, Peitzman, Andrew, Kim, Fernando, Pikoulis, Emmanouil, Sganga, Gabriele, Chiara, Osvaldo, Kelly, Michael, Marzi, Ingo, Picetti, Edoardo, Agnoletti, Vanni, DeAngelis, Nicola, Campanelli, Giampiero, de Moya, Marc, Litvin, Andrey, Martínez-Pérez, Aleix, Sall, Ibrahima, Rizoli, Sandro, Tomadze, Gia, Sakakushev, Boris, Stahel, Philip, Civil, Ian, Shelat, Vishal, Costa, David, Chichom-Mefire, Alain, Latifi, Rifat, Chirica, Mircea, Amico, Francesco, Pardhan, Amyn, Seenarain, Vidya, Boyapati, Nikitha, Hatz, Basil, Ackermann, Travis, Abeyasundara, Sandun, Fenton, Linda, Plani, Frank, Sarvepalli, Rohit, Rouhbakhshfar, Omid, Caleo, Pamela, Ho-Ching Yau, Victor, Clement, Kristenne, Christou, Erasmia, Castillo, Ana, Gosal, Preet, Balasubramaniam, Sunder, Hsu, Jeremy, Banphawatanarak, Kamon, and Pisano, Michele

Subjects
Abdominal wall incision, Closure technique, Emergency, Incisional hernia, Laparotomy closure, Midline incision, Wound complications, Wound dehiscence, Humans, Laparotomy, Abdominal Wound Closure Techniques, Suture Techniques, Incisional Hernia, Reoperation
Abstract

Laparotomy incisions provide easy and rapid access to the peritoneal cavity in case of emergency surgery. Incisional hernia (IH) is a late manifestation of the failure of abdominal wall closure and represents frequent complication of any abdominal incision: IHs can cause pain and discomfort to the patients but also clinical serious sequelae like bowel obstruction, incarceration, strangulation, and necessity of reoperation. Previous guidelines and indications in the literature consider elective settings and evidence about laparotomy closure in emergency settings is lacking. This paper aims to present the World Society of Emergency Surgery (WSES) project called ECLAPTE (Effective Closure of LAParoTomy in Emergency): the final manuscript includes guidelines on the closure of emergency laparotomy.

Published
2023

5. Assessing and managing frailty in emergency laparotomy: a WSES position paper.

Author

Tian, Brian, Stahel, Philip, Picetti, Edoardo, Campanelli, Giampiero, Di Saverio, Salomone, Moore, Ernest, Bensard, Denis, Sakakushev, Boris, Galante, Joseph, Fraga, Gustavo, Koike, Kaoru, Di Carlo, Isidoro, Tebala, Giovanni, Leppaniemi, Ari, Tan, Edward, Damaskos, Dimitris, DeAngelis, Nicola, Hecker, Andreas, Pisano, Michele, Maier, Ron, De Simone, Belinda, Amico, Francesco, Ceresoli, Marco, Pikoulis, Manos, Weber, Dieter, Biffl, Walt, Beka, Solomon, Abu-Zidan, Fikri, Valentino, Massimo, Coccolini, Federico, Kluger, Yoram, Sartelli, Massimo, Agnoletti, Vanni, Chirica, Mircea, Bravi, Francesca, Sall, Ibrahima, and Catena, Fausto

Subjects
Elderly, Emergency surgery, Frail, Frailty, Laparotomy, Humans, Aged, Aged, 80 and over, Frailty, Laparotomy, Frail Elderly, Consensus, Comorbidity
Abstract

Many countries are facing an aging population. As people live longer, surgeons face the prospect of operating on increasingly older patients. Traditional teaching is that with older age, these patients face an increased risk of mortality and morbidity, even to a level deemed too prohibitive for surgery. However, this is not always true. An active 90-year-old patient can be much fitter than an overweight, sedentary 65-year-old patient with comorbidities. Recent literature shows that frailty-an age-related cumulative decline in multiple physiological systems, is therefore a better predictor of mortality and morbidity than chronological age alone. Despite recognition of frailty as an important tool in identifying vulnerable surgical patients, many surgeons still shun objective tools. The aim of this position paper was to perform a review of the existing literature and to provide recommendations on emergency laparotomy and in frail patients. This position paper was reviewed by an international expert panel composed of 37 experts who were asked to critically revise the manuscript and position statements. The position paper was conducted according to the WSES methodology. We shall present the derived statements upon which a consensus was reached, specifying the quality of the supporting evidence and suggesting future research directions.

Published
2023

10. The LIFE TRIAD of emergency general surgery.

Author

Coccolini, Federico, Sartelli, Massimo, Kluger, Yoram, Osipov, Aleksei, Cui, Yunfeng, Beka, Solomon, Kirkpatrick, Andrew, Sall, Ibrahima, Moore, Ernest, Biffl, Walter, Litvin, Andrey, Pisano, Michele, Magnone, Stefano, Picetti, Edoardo, de Angelis, Nicola, Stahel, Philip, Ansaloni, Luca, Tan, Edward, Abu-Zidan, Fikri, Ceresoli, Marco, Hecker, Andreas, Chiara, Osvaldo, Sganga, Gabriele, Khokha, Vladimir, di Saverio, Salomone, Sakakushev, Boris, Campanelli, Giampiero, Fraga, Gustavo, Wani, Imtiaz, Broek, Richard, Cicuttin, Enrico, Cremonini, Camilla, Tartaglia, Dario, Soreide, Kjetil, de Moya, Marc, Koike, Kaoru, De Simone, Belinda, Balogh, Zsolt, Amico, Francesco, Shelat, Vishal, Pikoulis, Emmanouil, Di Carlo, Isidoro, Bonavina, Luigi, Leppaniemi, Ari, Marzi, Ingo, Ivatury, Rao, Khan, Jim, Maier, Ronald, Hardcastle, Timothy, Isik, Arda, Podda, Mauro, Tolonen, Matti, Rasa, Kemal, Navsaria, Pradeep, Demetrashvili, Zaza, Tarasconi, Antonio, Carcoforo, Paolo, Sibilla, Maria, Baiocchi, Gian, Pararas, Nikolaos, Weber, Dieter, Chiarugi, Massimo, Catena, Fausto, and Galante, Joseph

Subjects
Data, Effectiveness, Emergency General Surgery, Formation, Learning, Outcomes, Planning, Hospitals, Humans, Registries, Surgeons
Abstract

Emergency General Surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions during the same admission in the hospital by general emergency surgeons and other specialists. It is the most diffused surgical discipline in the world. To live and grow strong EGS necessitates three fundamental parts: emergency and elective continuous surgical practice, evidence generation through clinical registries and data accrual, and indications and guidelines production: the LIFE TRIAD.

Published
2022

11. Correction: ECLAPTE: Effective Closure of LAParoTomy in Emergency—2023 World Society of Emergency Surgery guidelines for the closure of laparotomy in emergency settings

Author

Frassini, Simone, Cobianchi, Lorenzo, Fugazzola, Paola, Biffl, Walter L., Coccolini, Federico, Damaskos, Dimitrios, Moore, Ernest E., Kluger, Yoram, Ceresoli, Marco, Coimbra, Raul, Davies, Justin, Kirkpatrick, Andrew, Di Carlo, Isidoro, Hardcastle, Timothy C., Isik, Arda, Chiarugi, Massimo, Gurusamy, Kurinchi, Maier, Ronald V., Segovia Lohse, Helmut A., Jeekel, Hans, Boermeester, Marja A., Abu-Zidan, Fikri, Inaba, Kenji, Weber, Dieter G., Augustin, Goran, Bonavina, Luigi, Velmahos, George, Sartelli, Massimo, Di Saverio, Salomone, Ten Broek, Richard P. G., Granieri, Stefano, Dal Mas, Francesca, Farè, Camilla Nikita, Peverada, Jacopo, Zanghì, Simone, Viganò, Jacopo, Tomasoni, Matteo, Dominioni, Tommaso, Cicuttin, Enrico, Hecker, Andreas, Tebala, Giovanni D., Galante, Joseph M., Wani, Imtiaz, Khokha, Vladimir, Sugrue, Michael, Scalea, Thomas M., Tan, Edward, Malangoni, Mark A., Pararas, Nikolaos, Podda, Mauro, De Simone, Belinda, Ivatury, Rao, Cui, Yunfeng, Kashuk, Jeffry, Peitzman, Andrew, Kim, Fernando, Pikoulis, Emmanouil, Sganga, Gabriele, Chiara, Osvaldo, Kelly, Michael D., Marzi, Ingo, Picetti, Edoardo, Agnoletti, Vanni, De’Angelis, Nicola, Campanelli, Giampiero, de Moya, Marc, Litvin, Andrey, Martínez-Pérez, Aleix, Sall, Ibrahima, Rizoli, Sandro, Tomadze, Gia, Sakakushev, Boris, Stahel, Philip F., Civil, Ian, Shelat, Vishal, Costa, David, Chichom-Mefire, Alain, Latifi, Rifat, Chirica, Mircea, Amico, Francesco, Pardhan, Amyn, Seenarain, Vidya, Boyapati, Nikitha, Hatz, Basil, Ackermann, Travis, Abeyasundara, Sandun, Fenton, Linda, Plani, Frank, Sarvepalli, Rohit, Rouhbakhshfar, Omid, Caleo, Pamela, Ho-Ching Yau, Victor, Clement, Kristenne, Christou, Erasmia, Castillo, Ana María González, Gosal, Preet K. S., Balasubramaniam, Sunder, Hsu, Jeremy, Banphawatanarak, Kamon, Pisano, Michele, Toro, Adriana, Michele, Altomare, Cioffi, Stefano P. B., Spota, Andrea, Catena, Fausto, and Ansaloni, Luca

Published
2023
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19. WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment

Author

Smyth, Luke, Bendinelli, Cino, Lee, Nicholas, Reeds, Matthew G., Loh, Eu Jhin, Amico, Francesco, Balogh, Zsolt J., Di Saverio, Salomone, Weber, Dieter, ten Broek, Richard Peter, Abu-Zidan, Fikri M., Campanelli, Giampiero, Beka, Solomon Gurmu, Chiarugi, Massimo, Shelat, Vishal G., Tan, Edward, Moore, Ernest, Bonavina, Luigi, Latifi, Rifat, Hecker, Andreas, Khan, Jim, Coimbra, Raul, Tebala, Giovanni D., Søreide, Kjetil, Wani, Imtiaz, Inaba, Kenji, Kirkpatrick, Andrew W., Koike, Kaoru, Sganga, Gabriele, Biffl, Walter L., Chiara, Osvaldo, Scalea, Thomas M., Fraga, Gustavo P., Peitzman, Andrew B., and Catena, Fausto

Published
2022
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21. 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
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25. What defines an incisional hernia as 'complex': results from a Delphi consensus endorsed by the European Hernia Society (EHS)

Author

Giovannini, Sara Capoccia, Podda, Mauro, Ribas, Sonia, Montori, Giulia, Botteri, Emanuele, Agresta, Ferdinando, Sartori, Alberto, Charvátová, Hana, Aiolfi, Alberto, Antoniou, Stavros A., Arvieux, Catherine, Berrevoet, Frederik, Boermeester, Marja A., Campanelli, Giampiero, Chintapatla, Srinivas, Christoffersen, Mette Willaume, Dahlstrand, Ursula, De la Croix, Hanna, Dietz, Ulrich A., Ferreira, Antonio, Fortenly, Rene H., Gaarder, Christine, Urena, Miguel Angel Garcia, Gok, Hakan, Hernandez-Granados, Pilar, Jisova, Barbora, Laver, Orest, Lerchuk, Orest, Lopez-Cano, Manuel, Mega, Manuel, Mitura, Krispin, Muysoms, Filip, Oliva, Andre, Ortenzi, Monica, Petersson, Ulf, Piccoli, Micaela, Radu, Victor G., Renard, Yohann, Rogmark, Peder, Rosin, Danny, Senent-Boza, Ana, Simons, Maarten, Slade, Dominic, Smart, Neil, Smith, Stella R., Stabilini, Cesare, Theodorou, Alexis, Torkington, Jared, Vironen, Jaanna, Woeste, Guido, De Beaux, Andrew, East, Barbora, Giovannini, Sara Capoccia, Podda, Mauro, Ribas, Sonia, Montori, Giulia, Botteri, Emanuele, Agresta, Ferdinando, Sartori, Alberto, Charvátová, Hana, Aiolfi, Alberto, Antoniou, Stavros A., Arvieux, Catherine, Berrevoet, Frederik, Boermeester, Marja A., Campanelli, Giampiero, Chintapatla, Srinivas, Christoffersen, Mette Willaume, Dahlstrand, Ursula, De la Croix, Hanna, Dietz, Ulrich A., Ferreira, Antonio, Fortenly, Rene H., Gaarder, Christine, Urena, Miguel Angel Garcia, Gok, Hakan, Hernandez-Granados, Pilar, Jisova, Barbora, Laver, Orest, Lerchuk, Orest, Lopez-Cano, Manuel, Mega, Manuel, Mitura, Krispin, Muysoms, Filip, Oliva, Andre, Ortenzi, Monica, Petersson, Ulf, Piccoli, Micaela, Radu, Victor G., Renard, Yohann, Rogmark, Peder, Rosin, Danny, Senent-Boza, Ana, Simons, Maarten, Slade, Dominic, Smart, Neil, Smith, Stella R., Stabilini, Cesare, Theodorou, Alexis, Torkington, Jared, Vironen, Jaanna, Woeste, Guido, De Beaux, Andrew, and East, Barbora

Published
2024

27. Flank Hernia

Author

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

Published
2018
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34. Impact of pulmonary complications following esophagectomy on long-term survival: multivariate meta-analysis and restricted mean survival time assessment.

Author

Manara, Michele, Bona, Davide, Bonavina, Luigi, Aiolfi, Alberto, Bonitta, Gianluca, Guraj, Juxhin, Guerrazzi, Guglielmo, Campanelli, Giampiero, Cavalli, Marta, Popa, Călin, Schlanger, Diana, Griffiths, Ewen A, and Biondi, Antonio

Abstract

Pulmonary complications (PC) are common after esophagectomy and their impact on long-term survival is not defined yet. The present study aimed to assess the effect of postoperative PCs on long-term survival after esophagectomy for cancer. Systematic review of the literature through February 1, 2023, was performed. The included studies evaluated the effect of PC on long-term survival. Primary outcome was long-term overall survival (OS). Cancer-specific survival (CSS) and disease-free survival (DFS) were secondary outcomes. Restricted mean survival time difference (RMSTD), hazard ratio (HR), and 95% confidence intervals (CI) were used as pooled effect size measures. Eleven studies were included (3423 patients). Overall, 674 (19.7%) patients developed PC. The RMSTD analysis shows that at 60-month follow-up, patients not experiencing PC live an average of 8.5 (95% CI 6.2–10.8; p < 0.001) months longer compared with those with PC. Similarly, patients not experiencing postoperative PC seem to have significantly longer CSS (8 months; 95% CI 3.7–12.3; p < 0.001) and DFS (5.4 months; 95% CI 1.6–9.1; p = 0.005). The time-dependent HRs analysis shows a reduced mortality hazard in patients without PC at 12 (HR 0.6, 95% CI 0.51–0.69), 24 (HR 0.64, 95% CI 0.55–0.73), 36 (HR 0.67, 95% CI 0.55–0.79), and 60 months (HR 0.69, 95% CI 0.51–0.89). This study suggests a moderate clinical impact of PC on long-term OS, CSS, and DFS after esophagectomy. Patients not experiencing PC seem to have a significantly reduced mortality hazard up to 5 years of follow-up. [ABSTRACT FROM AUTHOR]

Published
2024
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38. Long-Term Impact of D2 Lymphadenectomy during Gastrectomy for Cancer: Individual Patient Data Meta-Analysis and Restricted Mean Survival Time Estimation

Author

Aiolfi, Alberto, primary, Bona, Davide, additional, Bonitta, Gianluca, additional, Lombardo, Francesca, additional, Manara, Michele, additional, Sozzi, Andrea, additional, Schlanger, Diana, additional, Popa, Calin, additional, Cavalli, Marta, additional, Campanelli, Giampiero, additional, Biondi, Antonio, additional, and Bonavina, Luigi, additional

Published
2024
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44. Biological Prosthesis for Abdominal Wall Reconstruction

Author

Ceresoli, Marco, Coccolini, Federico, Ansaloni, Luca, Sartelli, Massimo, Campanelli, Giampiero, Catena, Fausto, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ivatury, Rao, editor, Sugrue, Michael, editor, and Ansaloni, Luca, editor

Published
2018
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45. 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
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49. Defining the characteristics of certified hernia centers in Italy: The Italian society of hernia and abdominal wall surgery workgroup consensus on systematic reviews of the best available evidences

Author

Stabilini, Cesare, Cavallaro, Giuseppe, Bocchi, Paolo, Campanelli, Giampiero, Carlucci, Michele, Ceci, Francesca, Crovella, Feliciano, Cuccurullo, Diego, Fei, Landino, Gianetta, Ezio, Gossetti, Francesco, Greco, Dalila Patrizia, Iorio, Olga, Ipponi, Pierluigi, Marioni, Antonio, Merola, Giovanni, Negro, Paolo, Palombo, Denise, and Bracale, Umberto

Published
2018
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