12 results on '"Bresadola, V"'
Search Results
2. Second degree haemorrhoids: patient's satisfaction, immediate and long-term results of rubber band ligation treatment.
- Author
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Benzoni E, Milan E, Cerato F, Narisetti P, Bresadola V, and Terrosu G
- Subjects
- Adult, Aged, Female, Follow-Up Studies, Hemorrhoids classification, Humans, Ligation, Male, Middle Aged, Prospective Studies, Time Factors, Hemorrhoids surgery, Patient Satisfaction
- Abstract
Aim: Rubber band ligation (RBL) is a widely performed and well established treatment for second degree haemorrhoids. The aim of our prospective study was to assess the satisfaction of patients treated by rubber band ligation, as well as the immediate and long-term results of this technique., Methods: From January 2001 to December 2004, 73 consecutive outpatients with second degree haemorrhoids underwent RBL. From 1 to 3 years from the initial treatment, 73 patients were contacted by phone call to have some news about their health condition and to collect their opinion about the satisfaction of RBL technique., Results: We didn't identify any major complication in our series, sometimes a temporary anal discomfort that could be controlled by low dose of NSAIDs. We report an excellent immediate benefit in 13.7% of cases, a good one in 58.9%. From 1 to 3 years after the initial procedure 82.2% of patients are either symptom free or improved and don't need any medical therapy., Conclusions: Immediate results are very good in particular for bleeding, anal pain and mucosal prolapse. Immediate and long-term results are invalidated by the concomitance of more symptoms and different results are recorded between sexes. We consider RBL a good ambulatory practice that could either get better or resolve haemorrhoidal disease or delay the invasive surgical treatment for second degree haemorrhoids.
- Published
- 2006
3. Surgical therapy for patients with extraesophageal symptoms of gastroesophageal reflux disease.
- Author
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Bresadola V, Dado G, Favero A, Terrosu G, Barriga Sainz M, and Bresadola F
- Subjects
- Female, Gastroesophageal Reflux complications, Gastroesophageal Reflux physiopathology, Humans, Male, Middle Aged, Fundoplication methods, Gastroesophageal Reflux surgery, Laparoscopy
- Abstract
Aim: The last 20 years have seen a systematic reappraisal of the physiopathology and diagnosis of gastroesophageal reflux disease (GERD) and its associated typical symptoms, while less attention has been paid to correlating GERD with certain extraesophageal symptoms and the value of surgery for their treatment. The aim of this study was to determine the clinical and physiopathological features and the outcome of surgery, in a group of patients who underwent laparoscopic fundoplication for GERD with atypical symptoms, and to compare the results with another group of patients operated for GERD with typical symptoms., Methods: Two hundred and forty-one patients were evaluated for GERD at our Digestive Physiopathology outpatients surgery from January 2001 to January 2003. Of the 36 patients who underwent laparoscopic fundoplication, 23 had the typical symptoms of GERD and 13 had atypical symptoms. Twelve months after surgery, these patients were compared in terms of 24-h pH monitoring, esophageal manometry, regression of symptoms and degree of satisfaction., Results: Postoperatively, patients with atypical symptoms had a smaller increase in effective peristalsis (P = 0.06) and a more limited improvement in symptoms (54% vs 91%, P = 0.001), and they expressed less satisfaction with the surgical treatment (5.9 vs 8.2, P = 0.003)., Conclusions: The results of surgery in GERD patients with atypical symptoms are worse than in those with typical symptoms. A careful preoperative work-up, based on 24-h pH monitoring, is fundamental for patients with atypical symptoms, who also need to be informed of the high likelihood of surgery proving clinically unsuccessful.
- Published
- 2006
4. [Sliding hiatal hernia in patients with gastroesophageal reflux: physiopathology and surgical treatment].
- Author
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Bresadola V, Noce L, Ventroni MG, Vianello V, Intini S, and Bresadola F
- Subjects
- Adult, Aged, Data Interpretation, Statistical, Endoscopy, Esophagogastric Junction physiopathology, Fundoplication, Gastroesophageal Reflux complications, Gastroesophageal Reflux physiopathology, Hernia, Hiatal complications, Hernia, Hiatal physiopathology, Humans, Hydrogen-Ion Concentration, Manometry, Middle Aged, Monitoring, Physiologic, Gastroesophageal Reflux surgery, Hernia, Hiatal surgery
- Abstract
Background: The aims of the study were to evaluate how the sliding hiatal hernia, in patients with gastroesophageal reflux disease (GERD), acts on the lower esophageal sphincter (LES) and esophageal clearance, and how surgical therapy corrects the physiopathological parameters., Methods: Records of 25 patients with only GERD and of 15 with GERD associated to hiatal hernia (> 3.5 cm) were reviewed. Ten subjects without symptoms and/or endoscopic and functional signs of GERD were considered as control group. The selection of the patients was done by reviewing radiographic examination, endoscopy and functional tests (esophageal manometry, pH-monitoring)., Results: Manometry showed a greater LES incompetence (pressure and length) and a worse peristalsis (distal amplitude) in the group with reflux and hiatal hernia against patients with reflux only. Also, patients with hiatal hernia had more acid exposure (total time pH < 4 in the distal esophagus) and a longer time of esophageal clearance, at pH-monitoring. The functional tests in 8 patients, before and after laparoscopic Toupet fundoplication with posterior closing of the crura, showed a normalised LES, esophageal clearance and acid exposure. Esophageal peristalsis did not show any statistically significance., Conclusions: The presence of hiatal hernia, in patients with GERD, causes worse LES, peristalsis and clearance with a greater acid exposure of the esophagus. Fundoplication, by reconstructing the sphincter-diaphragm unit, normalises the preoperative physiopathology situation but without an effective peristalsis improvement.
- Published
- 2000
5. [Videolaparoscopic treatment of biliary lithiasis. Evolution of our experience].
- Author
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Bresadola V, Pinna R, Loi V, Occhioni G, Padula G, De Anna D, and Trignano M
- Subjects
- Adult, Aged, Aged, 80 and over, Cholecystitis complications, Cholelithiasis complications, Female, Gallstones surgery, Humans, Male, Middle Aged, Postoperative Complications, Video Recording, Cholecystectomy, Laparoscopic, Cholelithiasis surgery
- Abstract
Videolaparoscopic cholecystectomy is considered the treatment of choice for simple cholelithiasis. Now many surgeons consider the laparscopic procedure usable also in the complicated biliary lithiasis like acute cholecystitis and choledocholithiasis. The authors report their recent experience of the laparoscopic treatment of biliary lithiasis, regarding 221 non-selected patients (69% symptomatic cholelithiasis, 20% chronic cholecystitis, 4.5% acute cholecystitis, 4.5% coledocolithiasis, 2% hydrops). The diagnostic-therapeutic protocol and the results are described and compared with the beginning of their experience, when they treated only symptomatic gallbladder stone disease, and with the reports of the literature. The authors concluded that the laparoscopic procedure is a good chance for the surgeon in the treatment of all cases of benign biliary disease. But, in particular for patients with choledocholithiasis, he has be able to know all the diagnostic and therapeutic possibilities, to choose the best in every single case.
- Published
- 1998
6. [Surgical treatment of cervical fistula after esophagogastroplasty (EGP)].
- Author
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De Anna D, Carcoforo P, Bresadola V, Navarra G, Gasbarro V, Marcello D, Pollinzi V, and Pozza E
- Subjects
- Anastomosis, Surgical adverse effects, Cutaneous Fistula etiology, Humans, Neck, Cutaneous Fistula surgery, Esophagoplasty adverse effects, Gastroplasty adverse effects
- Abstract
The authors report their experience on cervical anastomosis dehiscence in patients who had total esophagectomy and esophagogastroplasty for esophageal neoplasms. They describe, accurately and step by step, the plastic reconstructive technique (by using a vascularized transposed cutaneous flap), used to treat a symptomatic cervical fistula which occurred in 3 of the 24 patients who had esophagectomy and cervical-esophagogastroplasty. This kind of treatment led to complete healing of the fistulas, without clinical and radiological signs of fistula recurrence in all the patients treated.
- Published
- 1996
7. [The role of surgery in the management of diffuse (N3) lung cancer].
- Author
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Politi L, Bresadola V, Ferrandu T, and De Anna D
- Subjects
- Adenocarcinoma mortality, Adenocarcinoma pathology, Carcinoma, Squamous Cell mortality, Carcinoma, Squamous Cell pathology, Combined Modality Therapy, Female, Humans, Lung Neoplasms mortality, Lung Neoplasms pathology, Lung Neoplasms radiotherapy, Lymph Nodes pathology, Lymphatic Metastasis, Male, Mediastinum pathology, Postoperative Care, Survival Rate, Adenocarcinoma surgery, Carcinoma, Squamous Cell surgery, Lung Neoplasms surgery, Lymph Node Excision methods, Mediastinum surgery, Pneumonectomy methods
- Abstract
The aim of the paper is to give a contribution to the understanding of the role of surgery in patients with N3 lung cancer. The A. describe their results on 32 patients with N3 lung cancer operated on mediastinectomy; histological examination of the specimens showed 27 squamous cell carcinomas and 5 adenocarcinomas. The operation was performed through a median sternotomy to gain access to the left and right paratracheal nodes, pretracheal, precarinal and subcarinal nodes, subaortic and left and right hilar nodes that were removed together with the fat of the mediastinum. Left pneumonectomy was performed in 5 patients. There was no operative mortality; 12 patients were irradiated in the postoperative period with 5,000 Rads (50 Gy), while 18 or the 27 patients with squamous cell carcinoma are still alive.
- Published
- 1995
8. [Tracheal sleeve lobectomy in the radical surgery for lung cancer].
- Author
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Politi L, Giacobbe G, Procacci C, Cazzadori A, Bresadola V, and De Anna D
- Subjects
- Anastomosis, Surgical methods, Bronchi surgery, Endoscopy, Female, Humans, Lung Neoplasms diagnosis, Magnetic Resonance Imaging, Male, Trachea surgery, Lung Neoplasms surgery, Pneumonectomy methods
- Abstract
Tracheal sleeve lobectomy is right upper lobectomy extended to include resection of the main bronchus, the carina and a segment of the trachea with end-to-end anastomosi of the trachea and end-to-side anstomosis of the intermediate bronchus on the main left bronchus, or the upper lobe on the trachea. This operation is possible with the aid of high frequency jet ventilation. The surgical indication of this operation is bronchoscopic and functional and guarantees a good oncological radicality in the presence of N0.
- Published
- 1995
9. [Video-assisted mediastinoscopy. A new application of television technology in surgery].
- Author
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Sortini A, Navarra G, Santini M, Occhionorelli S, Sartori A, Bresadola V, and Donini I
- Subjects
- Ergonomics, Humans, Time Factors, Mediastinoscopy methods, Television
- Abstract
Since 1959, when mediastinoscopy was introduced by Carlens, the practice has been technically unchanged. The authors suggest how the new video technologies could be very helpful to this procedure leading to an ergonomic position for the operator and a faster performance. Initial experience is reported.
- Published
- 1994
10. [Chemo-antibiotic prophylaxis in general surgery. A study of 1722 cases].
- Author
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Sortini A, Santini M, Occhionorelli S, Donini A, Navarra G, Pollinzi V, Bresadola V, Romano D, Zamboni P, and Fabbri N
- Subjects
- Anti-Bacterial Agents administration & dosage, Humans, Italy epidemiology, Surgical Wound Infection epidemiology, Time Factors, Anti-Bacterial Agents therapeutic use, Premedication, Surgical Wound Infection prevention & control
- Abstract
Up until now the problem of surgical infections has been one of the most important which surgeons must confront daily. In 1989 our Institute began programs for control and surveillance of surgical infections; these include, among others, the use of chemo-antibiotic prophylaxis protocols applied to all of the patients hospitalized for surgery. The authors report two years application of three protocols of chemo-antibiotic prophylaxis related to 1722 patients, in which we pointed out the passage from 27.6% of infected cases in the control group to 10.2% infected cases in one of the groups subject to prophylaxis. In these cases the antibiotic prophylaxis also acted reducing in a spectacular manner the incidence of clinically not significant infections.
- Published
- 1993
11. [Mechanical and pressure suturing devices: the preliminary results of a comparative endoscopic study].
- Author
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Navarra G, Rubbini M, Bresadola V, Buccoliero F, Donini A, Occhionorelli S, and Mari C
- Subjects
- Anastomosis, Surgical methods, Anastomosis, Surgical statistics & numerical data, Colectomy, Colonoscopy, Evaluation Studies as Topic, Fiber Optic Technology, Follow-Up Studies, Humans, Pressure, Suture Techniques statistics & numerical data, Surgical Staplers statistics & numerical data, Suture Techniques instrumentation
- Published
- 1992
12. [Aplasia of the internal carotid. A clinical case report].
- Author
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Taddia MC, Mascoli F, Vettorello GF, Occhionorelli S, Fiorentini G, Donini A, Anania G, Bresadola V, Navarra G, and Gresta E
- Subjects
- Angiography, Digital Subtraction, Carotid Artery, Internal diagnostic imaging, Humans, Male, Middle Aged, Ultrasonography, Carotid Artery, Internal abnormalities
- Abstract
Among the anomalies of internal carotid artery, agenesis and aplasia recur with a low rate: only about sixty cases are reported in literature. We observed a case of aplasia of the left internal carotid in a 49 year old male suffering from hypertension and showing cerebro-vascular symptoms due to TSA pathology: it was studied with arterial angiography and duplex scanner. The angiographic examination raised a suspicion of left internal carotid thrombosis; on the contrary the duplex scanner revealed a correct diagnosis of carotid aplasia.
- Published
- 1991
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