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Your search keyword '"Rizzardi, Giovanna"' showing total 12 results
Start Over Author "Rizzardi, Giovanna" Journal interactive cardiovascular and thoracic surgery
12 results on '"Rizzardi, Giovanna"'

4. Single-staged laryngotracheal resection and reconstruction for benign strictures in adults.

Author

Marulli, Giuseppe, Rizzardi, Giovanna, Bortolotti, Luigi, Loy, Monica, Breda, Cristiano, Hamad, Abdel-Mohsen, Sartori, Francesco, and Rea, Federico

Abstract

Laryngotracheal stenosis (LTS) is a challenging problem, and its management is complex. This study evaluated both short- and long-term outcomes following laryngotracheal resection and anastomosis. Between 1994 and 2006, 37 patients underwent surgery for LTS. The cause of stenosis was post-intubation or post-tracheostomy injury in 28 cases and idiopathic in nine. Pearson's technique was used for anterolateral cricotracheal resection (n=23), and Grillo's technique of providing a posterior membranous tracheal flap was used in cases of circumferential stenosis (n=14). Since 1998, we have modified the techniques in 21 cases, using a continuous 4/0 polydioxanone suture for the posterior part of the anastomosis. No peri-operative mortality was recorded. Three (8.1%) patients developed major complications (two fistulae and one early stenosis) that required a second surgical look. We had 16 minor complications in 14 (37.8%) patients. The long-term results were excellent to satisfactory in 36 patients (97.3%) and unsatisfactory in one (2.7%). Single-staged laryngotracheal resection is a demanding operation, but can be performed successfully with acceptable morbidity in specialized centers. The continuous suture in the posterior part of the anastomosis simplifies the procedure without causing technique-related complications. In our experience, this procedure guaranteed excellent to satisfactory results in more than 90% of patients.

Published
2008
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5. Paraneoplastic extra limbic encephalitis associated with thymoma.

Author

Rizzardi, Giovanna, Campione, Andrea, Scanagatta, Paolo, and Terzi, Alberto

Abstract

We report the case of a 55-year-old woman with thymoma diagnosed after finding of extra limbic encephalitis. She presented neurologic symptoms as seizure and aphasia; magnetic resonance imaging (MRI) of the brain showed multiple lesions located in insular, parietal and temporal lobes (in cortical and sub-cortical area). Brain biopsies confirmed the diagnosis of encephalitis and CT-scan of the thorax showed an anterior mediastinal mass suspected for thymoma. The patient was submitted to thymectomy through a median sternotomy and we assisted to secondary reduction of cerebral lesions and total remission of symptoms.

Published
2009
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11. Risk is not our business: safety of thoracic surgery in patients using antiplatelet therapy.

Author

Bertolaccini L, Terzi A, Rizzardi G, Gorla A, Viti A, Palmisano S, and Coletta G

Subjects
Aged, Aged, 80 and over, Blood Loss, Surgical prevention & control, Blood Transfusion, Case-Control Studies, Chi-Square Distribution, Drainage, Female, Humans, Italy, Length of Stay, Logistic Models, Male, Middle Aged, Patient Safety, Platelet Aggregation Inhibitors adverse effects, Postoperative Hemorrhage etiology, Postoperative Hemorrhage prevention & control, Practice Guidelines as Topic, Propensity Score, Prospective Studies, Risk Assessment, Risk Factors, Time Factors, Treatment Outcome, Platelet Aggregation Inhibitors therapeutic use, Thoracic Surgical Procedures adverse effects, Thoracic Surgical Procedures standards
Abstract

American Heart Association recommendations have changed preoperative management of patients with antiplatelet therapy (APT). We assessed safety and outcomes of surgery in patients who were receiving APT. A prospective study of patients operated on while receiving APT was matched with those with no APT (ratio 1:4), using the propensity score method. Logistic regression analysis was used to identify covariates among imbalanced baseline patient variables. Both χ(2) test and Fisher's test were used to calculate the probability value for the comparison of dichotomous variables. Between January 2008 and December 2010, 38 patients who received APT at the time of surgery were matched with 141 patients who had not received APT. APT indications were a history of myocardial infarction, coronary artery by-pass graft and/or valve replacement (19), coronary artery stent (11) and severe peripheral vascular disease (8). None of the patients required re-operation for bleeding. Two patients received blood transfusions. The amount of chest tube drainage was not statistically significantly different. There were no statistically significant differences between the outcomes for the operative time, length of hospital stay, estimated blood loss or morbidity. The results show that thoracic surgical procedures can safely be performed in patients receiving APT at the time of surgery, with no increased risk of bleeding or morbidity and no differences in the operative time and the length of hospital stay.

Published
2012
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12. The standardize uptake value: light and shade of positron emission tomography.

Author

Bertolaccini L, Rizzardi G, Terzi A, and Bianchi A

Subjects
Carcinoma, Non-Small-Cell Lung secondary, Equipment Design, Humans, Lung Neoplasms pathology, Lymph Nodes pathology, Lymphatic Metastasis, Neoplasm Staging, Observer Variation, Positron-Emission Tomography instrumentation, Predictive Value of Tests, Reproducibility of Results, Carcinoma, Non-Small-Cell Lung diagnostic imaging, Fluorodeoxyglucose F18, Lung Neoplasms diagnostic imaging, Lymph Nodes diagnostic imaging, Positron-Emission Tomography standards, Quality of Health Care standards, Radiopharmaceuticals
Published
2011
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