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Your search keyword '"Bonapasta, A. Amore"' showing total 9 results
Start Over Author "Bonapasta, A. Amore" Publisher elsevier b.v.
9 results on '"Bonapasta, A. Amore"'

3. Indications and results for transduodenal sphincteroplasty in the era of endoscopic sphincterotomy

Author

Miccini, Michelangelo, Bonapasta, Stefano Amore, Gregori, Matteo, Bononi, Marco, Fornasari, Vittorio, and Tocchi, Adriano

Subjects
Health
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjsurg.2009.08.048 Byline: Michelangelo Miccini, Stefano Amore Bonapasta, Matteo Gregori, Marco Bononi, Vittorio Fornasari, Adriano Tocchi Keywords: Oddi's papilla disorders; Sphincteroplasty; Surgical treatment Abstract: Transduodenal sphincterotomy (TS) has fallen into disuse since endoscopists developed techniques to treat sphincter problems nonsurgically. However, some patients experience recurrent sphincter strictures after endoscopic sphincterotomy (ES), with the ampulla endoscopically inaccessible, and pancreas divisum (PD); these patients are referred to a surgeon because they are unsuitable for ES. Author Affiliation: First Department of Surgery, Medical School, University of Rome 'Sapienza,' Viale del Policlinico 155, 00161 Rome, Italy Article History: Received 26 May 2009; Revised 22 July 2009

Published
2010

5. Ghost ileostomy: real and potential advantages

Author

Miccini, Michelangelo, Bonapasta, Stefano Amore, Gregori, Matteo, Barillari, Paolo, and Tocchi, Adriano

Subjects
Ghosts, Health
Abstract

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.amjsurg.2009.12.017 Byline: Michelangelo Miccini, Stefano Amore Bonapasta, Matteo Gregori, Paolo Barillari, Adriano Tocchi Keywords: Ghost ileostomy; Anastomotic leak; Colorectal anastomosis Abstract: Loop ileostomy is created to minimize the clinical impact of colorectal anastomotic leak. However, a lot of complications may be associated with ileostomy presence and with its reversal. Moreover, patients hardly accept the quality of life resulting from ileostomy. We describe a simple technique (ghost ileostomy) to combine all the advantages of a disposable ileostomy without entailing its complications in patients submitted to low rectal resection. In case of uneventful postoperative course, the ghost ileostomy prevents all complications related to defunctioning ileostomy. At the same time, in case of anastomotic leakage, the ghost ileostomy is easily and safely converted into a defunctioning ileostomy. Author Affiliation: Department of Surgery, 'La Sapienza', University Medical School, Rome, Italy Article History: Received 31 August 2009; Revised 11 December 2009

Published
2010

9. Surgical treatment of hydatid disease of the liver: 25 years of experience

Author

Tagliacozzo, Sandro, Miccini, Michelangelo, Bonapasta, Stefano Amore, Gregori, Matteo, and Tocchi, Adriano

Subjects
*ECHINOCOCCOSIS, *LIVER diseases, *MORTALITY, *LENGTH of stay in hospitals, *DISEASE relapse, *CYSTS (Pathology), *SURGICAL excision, *HEALTH outcome assessment, *THERAPEUTICS
Abstract

Abstract: Background: The aim of this study was to evaluate the results of conservative and radical treatment of liver hydatid disease. Methods: Records of patients who underwent surgery for liver hydatid disease between 1980 and 2005 were reviewed. Outcomes measured were operative morbidity and mortality, hospital stay, and recurrence. Results: Two hundred fourteen patients underwent conservative treatment (external drainage, marsupialization, omentoplasty), and 240 had radical surgery (hepatic resection, cystopericystectomy). Operative morbidity was 79.9% and 16.2% for conservative and radical procedures, respectively (P < .001). Operative mortality was 6.5% for conservative procedures and 9.2% for radical procedures (P = .3). The recurrence rate was 30.4% in patients having conservative surgery and 1.2% in patients undergoing radical surgery (P < .001). No recurrences occurred in patients with clear cysts after conservative surgery. Conclusions: Cystopericystectomy was a safe and effective procedure that achieved excellent immediate and long-term results. Hepatic resection should be considered only in exceptional cases, because it involves the unnecessary sacrifice of healthy hepatic parenchyma. Conservative surgery and alternative procedures should be restricted to the treatment of clear cysts and to patients who cannot undergo radical surgery. [Copyright &y& Elsevier]

Published
2011
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