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4 results on '"Fidanza, Francesco"'

1. Liver Abscess and Pseudotumoral Gastric Lesion Caused by Chicken Bone Perforation: Laparoscopic Management

Author

Ricci, Gabriele, Campisi, Nello, Capuano, Giovanni, De Vido, Luigi, Lazzaro, Luca, Simonatto, Giuliana, Termini, Barbara, Turriziani, Valeria, and Fidanza, Francesco

Subjects
Article Subject, digestive, oral, and skin physiology
Abstract

The accidental ingestion of a foreign body into the gastrointestinal tract is not uncommon, but the vast majority of foreign bodies pass through the gastrointestinal tract uneventfully within a week. Less than 1% of patients with foreign body ingestion develop complications such as perforation of the gastrointestinal tract. The migration of an ingested foreign body may result in chronic inflammation, a silent clinical course, and radiological features suggestive of a neoplasm. The authors report a case of chicken bone perforation of the gastric wall that leads to hepatic abscess formation and thereafter to submucosal pseudotumor of the gastric wall treated with totally laparoscopic management. Usefulness of endoscopic ultrasonography for a correct diagnosis is also stressed.

Published
2012
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3. Corrigendum to “Does needle calibre affect pain and complication rates in patients undergoing transperineal prostate biopsy? A prospective, randomized trial” by Giovanni Saredi et al.

Author

Saredi, Giovanni, primary, Sighinolfi, Maria Chiara, additional, Fidanza, Francesco, additional, De Stefani, Stefano, additional, Micali, Salvatore, additional, Maurizio, Paterlini, additional, D'Amico, Roberto, additional, and Bianchi, Giampaolo, additional

Published
2010
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4. Does needle calibre affect pain and complication rates in patients undergoing transperineal prostate biopsy? A prospective, randomized trial.

Author

Saredi G, Sighinolfi MC, Fidanza F, De Stefani S, Micali S, Maurizio P, D'Amico R, and Bianchi G

Subjects
Aged, Biopsy, Needle methods, Humans, Male, Middle Aged, Needles adverse effects, Pain Measurement methods, Biopsy, Needle adverse effects, Pain etiology, Prostate pathology
Abstract

Transperineal prostate biopsy is a procedure that can be used to obtain histological samples from the prostate. To improve both the quality of the biopsy core samples and prostate cancer detection, we are currently performing a prospective, randomized trial comparing prostate biopsy samples obtained using an 18 G-needle to those obtained using a 16 G needle. The aim of this preliminary study was to evaluate pain and complication rates in both groups in order to assess whether performing a prostate biopsy with a larger calibre needle is a feasible procedure. One hundred and eighty-seven patients undergoing transperineal prostate biopsy were prospectively evaluated and divided into two groups. The first group (94 patients, Group A) received a transperineal prostate biopsy using a 16 G-needle and the second group (93 patients, Group B) underwent transperineal prostate biopsy with an 18 G-needle. Anaesthesia was obtained with a single perineal injection at the prostatic apex in all subjects. A visual analogue scale (VAS) and facial expression scale (FES) were used to assess pain during multiple steps of the procedure in each group. A detailed questionnaire was used to obtain information about drug use because it could potentially influence the pain and complications that patients experienced. Two weeks after the procedure, early and late complications were evaluated. Statistical analysis was carried out using non-parametric tests. Prostate Specific Antigen (PSA) and drug use were similar at baseline between the two groups. Pain during prostate biopsy, which was measured with both the VAS and FES instruments, did not differ significantly between the 18- and 16 G-needle groups, and no significant differences were found in early or late complication rates between the groups. Transperineal prostate biopsy with a 16 G-needle is a feasible procedure in terms of pain and complication rates. Further studies with larger patient populations are required to assess whether or not this procedure can improve prostate cancer detection rates.

Published
2009
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