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169 results on '"Zanardo, M."'

15. Pain distraction during awake low anterior resection and Cuddle Delivery initiative for inpatient: frugal procedural options to support surgery in the COVID-19 era.

Author

ROMANZI, A., GABAGLIO, M., MILANESI, M., PUTORTÌ, A., ROSSI, F., SCOLARO, R., VIGNATI, B., ZACCARELLI, A., ZANARDO, M., and VANNELLI, A.

Abstract

OBJECTIVE: Since minimally invasive surgery and general anesthesia are both aerosol-generating procedures, their use became controversial during the outbreak of coronavirus disease 2019 (COVID-19). Moreover, social distancing resulted in serious psychological consequences for inpatients. This case report investigates pain distraction during awake laparotomy, as well as new possibilities for emotional postoperative support to inpatients. PATIENTS AND METHODS: A 72-year-old man affected by middle rectal adenocarcinoma underwent lower anterior resection plus total mesorectal excision under combined spinal-epidural anesthesia. A 3D mobile theatre (3DMT) was intraoperatively used for pain distraction. A postoperative "Cuddle delivery" service was instituted: video-messages from relatives and close friends were delivered daily to the patient through the 3DMT. Emotional correlations were investigated through a clinical interview by the psychologist of our Hospital. RESULTS: Intraoperative, as well as postoperative pain, resulted well-controlled: visual analogue scale (VAS) ≤3. Conversion to general anesthesia and postoperative intensive support/monitoring were unnecessary. The "Cuddle delivery" initiative positively fed our patient's mood and attitude, strengthening his bond to life. CONCLUSIONS: During pandemic, awake laparotomy under loco-regional anesthesia may be a crucial option in delivering acute care surgery to selected patients when intensive care beds are unavailable. Our procedure introduces potential ways to optimize this approach. [ABSTRACT FROM AUTHOR]

Published
2021

16. Primo Levi

Author

Alfano, G, Tricomi, A, Botti, FP, Zanardo, M, Zublena, P, Mattioda, E, Innocenti, O, Barenghi, M, Donati, R, Di Gesù, M, Bello Minciacchi, C, Scaffai, N, Zinato, E, Fichera, G, Loreto, A, Micheletti, G, Policastro, G, Baldi, V, Traina, G, Turchetta, G, Benvenuti, G, Zago, N, Menetti, E, Tomasi, F, Donnarumma, R, Mengozzi, C, De Cristofaro, F, Alfano, G, Tricomi, A, Botti, FP, Zanardo, M, Zublena, P, Mattioda, E, Innocenti, O, Barenghi, M, Donati, R, Di Gesù, M, Bello Minciacchi, C, Scaffai, N, Zinato, E, Fichera, G, Loreto, A, Micheletti, G, Policastro, G, Baldi, V, Traina, G, Turchetta, G, Benvenuti, G, Zago, N, Menetti, E, Tomasi, F, Donnarumma, R, Mengozzi, C, and De Cristofaro, F

Abstract

Presentazione di Primo Levi narratore, focalizzata sulle opere di maggiore organicità e respiro: le due narrazioni testimoniali Se questo è un uomo e La tregua, il romanzo storico Se non ora, quando? e il lungo saggio sul fenomeno del Lager I sommersi e i salvati, cui va aggiunta l’autobiografia (rispetto ai canoni del genere, intenzionalmente frammentaria e reticente) Il sistema periodico. A differenza di quanto accade nelle narrazioni brevi, incentrate spesso (come ha scritto Federico Pianzola) sui temi della genesi e della metamorfosi, in queste opere Levi mostra di prediligere la forma della storia di salvazione, dove però l’esito appare sempre provvisorio, e insidiato da nuove minacce.

Published
2018

46. Pelvic lymphedema in rectal cancer: a magnetic resonance feasibility study: a preliminary report.

Author

VANNELLI, A., BASILICO, V., ZANARDO, M., CAIZZONE, A., ROSSI, F., BATTAGLIA, L., and SCARAMUZZA, D.

Abstract

BACKGROUND: Functional pelvic disorders in patients undergoing conservative surgical approach for rectal cancer are considered a major public health issue and represent one third of cost of colorectal cancer. We investigated the hypothesis that lymphadenectomy, involves the pelvic floor results in a localized hides or silent pelvic lymphedema characterized by symptoms without signs. PATIENTS AND METHODS: We examined 13 colo-rectal cancer patients: five intra-peritoneal adenocarcinoma: 1 sigmoid and 4 upper third rectal cancer (1 male and 3 female) and 9 extra-peritoneal adenocarcinoma: 3 middle and 5 lower third rectal cancer (4 male and 5 female) using 1.5-T magnetic resonance, one week before and twelve months after discharged from hospital. RESULTS: Lymphedema was discovered on post-operative magnetic resonance imaging of all 9 patients with extra-pertitoneal cancer, whereas preoperative magnetic resonance imaging as well as a post-operative examination of 4 intra-peritoneal adenocarcinoma, revealed no evidence of lymphedema. Unlike the common clinical skin signs that typify all other sites of lymphedema, pelvic lymphedema is hides or silent, with no skin changes or any single symptom manifested. Magnetic resonance imaging showed that pelvic illness alone is accompanied by lymphedema related exclusively to venous congestion, and accumulation of liquid in adipose tissue or lipedema. CONCLUSIONS: Alteration of the pelvic lymphatic network during pelvic surgery can lead to lymphedema and, pelvic floor disease. Patients should be routinely examined for the possibility of developing this post-surgical syndrome and further studies are needed to establish diagnosis and to evaluate treatment preferences. [ABSTRACT FROM AUTHOR]

Published
2013

50. Primo Levi

Author

Barenghi, M, Alfano, G, Tricomi, A, Botti, FP, Zanardo, M, Zublena, P, Mattioda, E, Innocenti, O, Barenghi, M, Donati, R, Di Gesù, M, Bello Minciacchi, C, Scaffai, N, Zinato, E, Fichera, G, Loreto, A, Micheletti, G, Policastro, G, Baldi, V, Traina, G, Turchetta, G, Benvenuti, G, Zago, N, Menetti, E, Tomasi, F, Donnarumma, R, Mengozzi, C, and De Cristofaro, F

Subjects
Levi, Primo, testimonianza, romanzo, L-FIL-LET/11 - LETTERATURA ITALIANA CONTEMPORANEA, autobiografia
Abstract

Presentazione di Primo Levi narratore, focalizzata sulle opere di maggiore organicità e respiro: le due narrazioni testimoniali Se questo è un uomo e La tregua, il romanzo storico Se non ora, quando? e il lungo saggio sul fenomeno del Lager I sommersi e i salvati, cui va aggiunta l’autobiografia (rispetto ai canoni del genere, intenzionalmente frammentaria e reticente) Il sistema periodico. A differenza di quanto accade nelle narrazioni brevi, incentrate spesso (come ha scritto Federico Pianzola) sui temi della genesi e della metamorfosi, in queste opere Levi mostra di prediligere la forma della storia di salvazione, dove però l’esito appare sempre provvisorio, e insidiato da nuove minacce.

Published
2018

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