6 results on '"Capone O."'
Search Results
2. The weekend effect on the provision of Emergency Surgery before and during the COVID-19 pandemic: case-control analysis of a retrospective multicentre database
- Author
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Tebala G. D., Milani M. S., Cirocchi R., Bignell M., Bond-Smith G., Lewis C., Agnoletti V., Catarci M., Di Saverio S., Luridiana G., Catena F., Scatizzi M., Marini P., Lo Dico R., Stracqualursi A., Russo G., D'Errico S., Cianci P., Restini E., Scialandrone G., Guercioni G., Martinez G., Pezzolla A., Altomare D. F., Picciariello A., Trigiante G., Dibra R., Papagni V., Righetti C., Polastri R., Andreuccetti J., Pignata G., D'Alessio R., Arici E., Canfora I., Cillara N., Deserra A., Sechi R., Bianco F., Gili S., Cappiello A., Incollingo P., Biloslavo A., Bellio G., Germani P., De Manzini N., Buiatti M., Paladino F. P., Sasia D., Borghi F., Testa V., Giraudo G., Allisiardi F., Giuffrida M. C., Gerosa M., Fogliati A., Maggioni D., Fabbri N., Feo C. V., Bianchini E., Panzini I., Lizzi V., Tricarico F. G., Di Gioia G., Melino R., Tartaglia N., Ambrosi A., Pavone G., Pacilli M., Vovola F., Belli F., Barberis A., Azzinnaro A., Coratti A., Benigni R., Berti S., Saracco M., Gennai A., Dova L., Farfaglia R., Pata G., Arizzi V., Pandolfo G., Frontali A., Danelli P., Ferrario L., Guerci C., Mariani N. M., Pisani Ceretti A., Nicastro V., Opocher E., Gozzo D., Casoni Pattacini G., Castriconi M., Amendola A., Gaudiello M., Palomba G., Petracca G. L., Perrone G., Giuffrida M., Moretto G., Impellizzeri H., Casaril A., Filosa M., Caizzone A., Agrusti S., Cattaneo G. M., Capelli P., Muratore A., Calabro M., Pipitore Federico N., Cuzzola B., Danna R., Murgese A., Coccolini F., Pieroni E., Chiarugi M., Tartaglia D., Giannessi S., Somigli R., Trafeli M., Fedi M., De Vincenti R., Guariniello A., Grande M., Bagaglini G., Pirozzi B., Guida A. M., Ingallinella S., Don C. P., Siragusa L., Capone O., Cerbo D., Santoro E., Pende V., Fassari A., Mingoli A., Brachini G., Cirillo B., Zambon M., Cicerchia P., Meneghini S., Sapienza P., Puzzovio A., La Torre F., Fransvea P., Di Grezia M., Sganga G., Armellino M. F., Ioia G., Rampone B., Della Corte M., Fleres F., Clarizia G., Bordoni P., Spolini A., Franzini M., Grechi A., Suppo M., Bono D., Scaglione D., Cotsoglou C., Paleini S., Chierici A. P., Uccelli M., Olmi S., Cesana G., Tenreiro N., Marcal A., Martins D., Leal C., Vieira B., Ugarte-Sierra B., Vincene-Rodriguez I., Duran-Ballesteros M., Sanz-Larrainzar A., Ibanez-Aguirre F. J., Yanez-Benites C., Talal I., Blas J. L., Garau R., Clark-Stuart S., Wallace A., Di Carlo A., Wisnia E., Ehsan K., Beck-Sanders K., Godson E., Campbell P., Ahmad R., Ali R., Aswani S. S., Barza A., Carrillo C., Dawani A., Dey A., Elserafy A., Gaspar D., Lazzareschi L., Patel M., Shabana A., Shams M., Shams O., Slack Z., Tebala, Giovanni D, Milani, Marika S, Cirocchi, Roberto, Bignell, Mark, Bond-Smith, Gile, Lewis, Christopher, Agnoletti, Vanni, Catarci, Marco, Di Saverio, Salomone, Luridiana, Gianluigi, Catena, Fausto, Scatizzi, Marco, Marini, Pierluigi, de Manzini, Nicolo', Tebala G.D., Milani M.S., Cirocchi R., Bignell M., Bond-Smith G., Lewis C., Agnoletti V., Catarci M., Di Saverio S., Luridiana G., Catena F., Scatizzi M., Marini P., Lo Dico R., Stracqualursi A., Russo G., D'Errico S., Cianci P., Restini E., Scialandrone G., Guercioni G., Martinez G., Pezzolla A., Altomare D.F., Picciariello A., Trigiante G., Dibra R., Papagni V., Righetti C., Polastri R., Andreuccetti J., Pignata G., D'Alessio R., Arici E., Canfora I., Cillara N., Deserra A., Sechi R., Bianco F., Gili S., Cappiello A., Incollingo P., Biloslavo A., Bellio G., Germani P., De Manzini N., Buiatti M., Paladino F.P., Sasia D., Borghi F., Testa V., Giraudo G., Allisiardi F., Giuffrida M.C., Gerosa M., Fogliati A., Maggioni D., Fabbri N., Feo C.V., Bianchini E., Panzini I., Lizzi V., Tricarico F.G., Di Gioia G., Melino R., Tartaglia N., Ambrosi A., Pavone G., Pacilli M., Vovola F., Belli F., Barberis A., Azzinnaro A., Coratti A., Benigni R., Berti S., Saracco M., Gennai A., Dova L., Farfaglia R., Pata G., Arizzi V., Pandolfo G., Frontali A., Danelli P., Ferrario L., Guerci C., Mariani N.M., Pisani Ceretti A., Nicastro V., Opocher E., Gozzo D., Casoni Pattacini G., Castriconi M., Amendola A., Gaudiello M., Palomba G., Petracca G.L., Perrone G., Giuffrida M., Moretto G., Impellizzeri H., Casaril A., Filosa M., Caizzone A., Agrusti S., Cattaneo G.M., Capelli P., Muratore A., Calabro M., Pipitore Federico N., Cuzzola B., Danna R., Murgese A., Coccolini F., Pieroni E., Chiarugi M., Tartaglia D., Giannessi S., Somigli R., Trafeli M., Fedi M., De Vincenti R., Guariniello A., Grande M., Bagaglini G., Pirozzi B., Guida A.M., Ingallinella S., Don C.P., Siragusa L., Capone O., Cerbo D., Santoro E., Pende V., Fassari A., Mingoli A., Brachini G., Cirillo B., Zambon M., Cicerchia P., Meneghini S., Sapienza P., Puzzovio A., La Torre F., Fransvea P., Di Grezia M., Sganga G., Armellino M.F., Ioia G., Rampone B., Della Corte M., Fleres F., Clarizia G., Bordoni P., Spolini A., Franzini M., Grechi A., Suppo M., Bono D., Scaglione D., Cotsoglou C., Paleini S., Chierici A.P., Uccelli M., Olmi S., Cesana G., Tenreiro N., Marcal A., Martins D., Leal C., Vieira B., Ugarte-Sierra B., Vincene-Rodriguez I., Duran-Ballesteros M., Sanz-Larrainzar A., Ibanez-Aguirre F.J., Yanez-Benites C., Talal I., Blas J.L., Garau R., Clark-Stuart S., Wallace A., Di Carlo A., Wisnia E., Ehsan K., Beck-Sanders K., Godson E., Campbell P., Ahmad R., Ali R., Aswani S.S., Barza A., Carrillo C., Dawani A., Dey A., Elserafy A., Gaspar D., Lazzareschi L., Patel M., Shabana A., Shams M., Shams O., and Slack Z.
- Subjects
Hot gallbladder ,education ,Weekend effect ,COVID-19 ,Settore MED/18 - Chirurgia Generale ,Retrospective Studie ,Case-Control Studies ,Emergency surgery ,Hospital Mortality ,Humans ,Retrospective Studies ,Pandemics ,Emergency Medicine ,Surgery ,Case-Control Studie ,Human - Abstract
Introduction The concept of “weekend effect”, that is, substandard healthcare during weekends, has never been fully demonstrated, and the different outcomes of emergency surgical patients admitted during weekends may be due to different conditions at admission and/or different therapeutic approaches. Aim of this international audit was to identify any change of pattern of emergency surgical admissions and treatments during weekends. Furthermore, we aimed at investigating the impact of the COVID-19 pandemic on the alleged “weekend effect”. Methods The database of the CovidICE-International Study was interrogated, and 6263 patients were selected for analysis. Non-trauma, 18+ yo patients admitted to 45 emergency surgery units in Europe in the months of March–April 2019 and March–April 2020 were included. Demographic and clinical data were anonymised by the referring centre and centrally collected and analysed with a statistical package. This study was endorsed by the Association of Italian Hospital Surgeons (ACOI) and the World Society of Emergency Surgery (WSES). Results Three-quarters of patients have been admitted during workdays and only 25.7% during weekends. There was no difference in the distribution of gender, age, ASA class and diagnosis during weekends with respect to workdays. The first wave of the COVID pandemic caused a one-third reduction of emergency surgical admission both during workdays and weekends but did not change the relation between workdays and weekends. The treatment was more often surgical for patients admitted during weekends, with no difference between 2019 and 2020, and procedures were more often performed by open surgery. However, patients admitted during weekends had a threefold increased risk of laparoscopy-to-laparotomy conversion (1% vs. 3.4%). Hospital stay was longer in patients admitted during weekends, but those patients had a lower risk of readmission. There was no difference of the rate of rescue surgery between weekends and workdays. Subgroup analysis revealed that interventional procedures for hot gallbladder were less frequently performed on patients admitted during weekends. Conclusions Our analysis revealed that demographic and clinical profiles of patients admitted during weekends do not differ significantly from workdays, but the therapeutic strategy may be different probably due to lack of availability of services and skillsets during weekends. The first wave of the COVID-19 pandemic did not impact on this difference.
- Published
- 2022
3. Benign pneumatosis intestinalis with massive portomesenteric venous gas in a very old man. A case report
- Author
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Capone, O, D'Alò, Gl, Aniballi, M, Pletto, S, Villa, M, De Majo, A, Venditti, D, and Grande, M
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Aged, 80 and over ,Male ,Laparotomy ,pneumatosis intestinalis ,Portal Vein ,Settore MED/18 ,Diagnosis, Differential ,Settore MED/18 - Chirurgia Generale ,Mesenteric Veins ,Infarction ,Intestine, Small ,Humans ,Gases ,Tomography, X-Ray Computed ,Pneumatosis Cystoides Intestinalis - Abstract
Pneumatosis intestinalis (PI) is described as the presence of air within bowel wall. PI aetiology is various: it can be associated with non-urgent or life-threatening conditions. Clinical management is based on physical examination, blood tests and radiology, in particular abdominal CT. The cause of PI suggests the correct therapy. When PI is linked to gas in portal and mesenteric venae (PMVG), bowel ischemia or infarction is possible, and surgery needed.A 91 years-old man was admitted to Emergency Department reporting abdominal pain and vomit. Acute abdominal symptoms, radiological finding of small bowel PI with massive PMVG, severe neutrophilia, and high serum lactate forced us to perform exploratory laparotomy, from which it was observed a diffuse band-like pneumatosis of all the small bowel and mesentery without ischemic or peritonitis signs. The patient was imposed to fast and treated with oxygen, intravenous fluid and antibiotic therapy, without performing further surgery, and was discharged to a rehabilitation facility after symptomatology resolution.Scientific literature underlines the importance of PMVG to consider as critic a patient with PI, but it is always essential to assess also physical examination, vital parameters, and blood exams. In our case, several signs were suggestive for bowel infarction: its absence and the swift recovery of the patient were unexpected.Although non-surgical treatment is recommended for primary PI of unknown aetiology, in case physical examination and radiological signs aren't decisive surgery is necessary to rule out bowel infarction. This case stresses the difficulty of PI management.
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- 2018
4. Benign pneumatosis intestinalis with massive portomesenteric venous gas in a very old man. A case report.
- Author
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CAPONE, O., D'ALÒ, G. L., ANIBALLI, M., PLETTO, S., VILLA, M., DE MAJO, A., VENDITTI, D., and GRANDE, M.
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- 2018
5. Laparoscopic mechanical latero-lateral esophagojejunostomy after total gastrectomy for cancer in the elderly: technical notes and results.
- Author
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Evoli LP, Amato L, Renzi C, Valeri M, Capone O, Giuliani N, Cesari M, and Contine A
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- Adult, Aged, Anastomosis, Roux-en-Y methods, Anastomosis, Surgical, Gastrectomy methods, Humans, Laparoscopy methods, Stomach Neoplasms surgery
- Abstract
Background: The realization of an esophagojejunostomy is a critical step in total gastrectomy. Several techniques based on a Roux-En-Y restoration of gastrointestinal continuity were described with similar results. We report our laparoscopic experience in intracorporeal esophagojejunostomy., Methods: Adults who underwent laparoscopic total gastrectomy for cancer with latero-lateral (functional termino-terminal) Roux en Y intracorporeal esophagojejunostomy with linear stapler from January 2014 to December 2018 were included. Demographics, intra- and postoperative outcomes including 30-day readmissions and mortality were considered., Results: Thirty-two patients were included. Nodal dissection D1 was 16. Median operative time was 280'. Median blood loss was 200 mL. Fluid oral intake is usually resumed on the second postoperative day and soft solid diet is started on the third postoperative day. Three patients had minimal anastomotic leakage and they underwent nonoperative management. Median postoperative stay was 8.5 days., Conclusions: This technique may improve the ergonomics of esophagojejunostomy creation. The procedure is suitable for experienced laparoscopic surgeons.
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- 2022
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6. Benign pneumatosis intestinalis with massive portomesenteric venous gas in a very old man. A case report.
- Author
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Capone O, D'Alò GL, Aniballi M, Pletto S, Villa M, De Majo A, Venditti D, and Grande M
- Subjects
- Aged, 80 and over, Diagnosis, Differential, Gases, Humans, Infarction diagnosis, Intestine, Small blood supply, Laparotomy, Male, Mesenteric Veins, Pneumatosis Cystoides Intestinalis physiopathology, Pneumatosis Cystoides Intestinalis surgery, Portal Vein, Pneumatosis Cystoides Intestinalis diagnostic imaging, Tomography, X-Ray Computed
- Abstract
Introduction: Pneumatosis intestinalis (PI) is described as the presence of air within bowel wall. PI aetiology is various: it can be associated with non-urgent or life-threatening conditions. Clinical management is based on physical examination, blood tests and radiology, in particular abdominal CT. The cause of PI suggests the correct therapy. When PI is linked to gas in portal and mesenteric venae (PMVG), bowel ischemia or infarction is possible, and surgery needed., Case Report: A 91 years-old man was admitted to Emergency Department reporting abdominal pain and vomit. Acute abdominal symptoms, radiological finding of small bowel PI with massive PMVG, severe neutrophilia, and high serum lactate forced us to perform exploratory laparotomy, from which it was observed a diffuse band-like pneumatosis of all the small bowel and mesentery without ischemic or peritonitis signs. The patient was imposed to fast and treated with oxygen, intravenous fluid and antibiotic therapy, without performing further surgery, and was discharged to a rehabilitation facility after symptomatology resolution., Discussion: Scientific literature underlines the importance of PMVG to consider as critic a patient with PI, but it is always essential to assess also physical examination, vital parameters, and blood exams. In our case, several signs were suggestive for bowel infarction: its absence and the swift recovery of the patient were unexpected., Conclusion: Although non-surgical treatment is recommended for primary PI of unknown aetiology, in case physical examination and radiological signs aren't decisive surgery is necessary to rule out bowel infarction. This case stresses the difficulty of PI management.
- Published
- 2018
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