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3 results on '"Cesana, G. C."'

1. COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy)

Author

Alberto Oldani, Matteo Uccelli, Francesca Ciccarese, Simone Targa, Giancarlo Cesana, Andrea D'Alessio, Stefano Maria De Carli, Roberta Villa, Adelinda Angela Giulia Zanoni, Stefano Olmi, Ayman Ismail, Lorenzo G. Mantovani, Riccardo Giorgi, Giovanni Cesana, Uccelli, M., Cesana, G. C., De Carli, S. M., Ciccarese, F., Oldani, A., Zanoni, A. A. G., Giorgi, R., Villa, R., Ismail, A., Targa, S., D'Alessio, A., Cesana, G., Mantovani, L., Olmi, S., Uccelli, M, Cesana, G, De Carli, S, Ciccarese, F, Oldani, A, Zanoni, A, Giorgi, R, Villa, R, Ismail, A, Targa, S, D'Alessio, A, Mantovani, L, and Olmi, S

Subjects
Adult, Male, medicine.medical_specialty, Adolescent, Coronavirus disease 2019 (COVID-19), Original Contributions, Endocrinology, Diabetes and Metabolism, 030209 endocrinology & metabolism, Bariatric surgery, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, Surveys and Questionnaires, medicine, Humans, Obesity, Risk factor, Young adult, Laparoscopy, Aged, Retrospective Studies, Nutrition and Dietetics, medicine.diagnostic_test, SARS-CoV-2, business.industry, Incidence (epidemiology), COVID-19, Retrospective cohort study, Middle Aged, medicine.disease, Surgery, Hospitalization, Obesity surgery, Pneumonia, Italy, Female, 030211 gastroenterology & hepatology, Metabolic surgery, business
Abstract

Introduction On February 20, 2020, a severe case of pneumonia due to SARS-CoV-2 was diagnosed in northern Italy (Lombardy). Some studies have identified obesity as a risk factor for severe disease in patients with COVID-19. The purpose of this study was to investigate the incidence of SARS-CoV-2 infection and its severity in patients who have undergone bariatric surgery. Material and Methods During the lockdown period (until May 2020), we contacted operated patients by phone and social networks (e.g., Facebook) to maintain constant contact with them; in addition, we gave the patients a dedicated phone number at which to call us for emergencies. We produced telemedicine and educational videos for obese and bariatric patients, and we submitted a questionnaire to patients who had undergone bariatric surgery in the past. Results A total of 2145 patients (313 male; 1832 female) replied to the questionnaire. Mean presurgical BMI: 44.5 ± 6.8 kg/m2. Mean age: 44.0 ± 10.0 year. Mean BMI after surgery: 29.3 ± 5.5 kg/m2 (p

Published
2021

2. 'COVID-19 and Obesity: Postoperative Risk in Patients Who Have Undergone Bariatric Surgery. Preliminary Report from High Volume Center in Italy (Lombardy)'

Author

Simone Targa, Stefano Olmi, Francesca Ciccarese, Giovanni Cesana, Ayman Ismail, Alberto Oldani, Roberta Villa, Adelinda Angela Giulia Zanoni, Matteo Uccelli, Stefano Maria De Carli, Riccardo Giorgi, Uccelli, M., Cesana, G. C., Ciccarese, F., Oldani, A., Zanoni, A. A. G., De Carli, S. M., Giorgi, R., Villa, R., Ismail, A., Targa, S., and Olmi, S.

Subjects
medicine.medical_specialty, 2019-20 coronavirus outbreak, Nutrition and Dietetics, Coronavirus disease 2019 (COVID-19), business.industry, Endocrinology, Diabetes and Metabolism, General surgery, MEDLINE, medicine.disease, Obesity, Postoperative risk, Preliminary report, High volume center, medicine, Surgery, In patient, business, Letter to the Editor
Published
2020

3. Laparoscopic versus open incisional hernia repair: an open randomized controlled study.

Author

Olmi S, Scaini A, Cesana GC, Erba L, and Croce E

Subjects
Aged, Confidence Intervals, Cost-Benefit Analysis, Female, Follow-Up Studies, Hernia, Ventral diagnosis, Humans, Laparoscopy adverse effects, Laparoscopy economics, Laparotomy adverse effects, Laparotomy economics, Length of Stay, Male, Middle Aged, Pain, Postoperative physiopathology, Patient Satisfaction, Postoperative Complications epidemiology, Probability, Prospective Studies, Reference Values, Risk Assessment, Secondary Prevention, Single-Blind Method, Wound Healing physiology, Hernia, Ventral surgery, Laparoscopy methods, Laparotomy methods
Abstract

Background: Incisional hernia is a common complication of abdominal surgery, and it is often a source of morbidity and high costs for health care. This is a case-control study to compare laparoscopic versus anterior-open incisional hernia repair., Methods: 170 patients with incisional hernia were enrolled in this study between September 2001 and December 2004. Of these, 85 underwent anterior-open repair (open group: OG), and 85 underwent laparoscopic repair (laparoscopic group: LG). The clinical outcome was determined by a median follow-up of 24.0 months for LG and OG., Results: No difference was noticed between the two groups in age, American Society of Anesthesiologists (ASA) score, body mass index (BMI), and incisional hernia diameter. Mean operative time was 61.0 min for LG patients and 150.9 min for OG patients (p < .05). Mean hospitalization was 2.7 days for LG patients and 9.9 days for OG patients (p < .05). Mean return to work was 13 days (range, 6-15 days) in LG patients and 25 days (range, 16-30 days) in OG patients. Complications occurred in 16.4 % of LG patients and 29.4 % of OG patients, with a relapse rate of 2.3% in LG and 1.1% in OG patients., Conclusions: Short-term results indicate that laparoscopic incisional hernia repair is associated with a shorter operative time and hospitalization, a faster return to work, and a lower incidence of wound infections and major complications compared to the anterior-open procedure. Further studies and longer follow-up are required to confirm these findings.

Published
2007
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