Francesca Rovera

..Thyroid gland is a rare site of clinically detectable tumor metastasis...

..Therefore the principles of surgery accepted during the years must not be forgotten...

..In this review, the authors analyze and discuss the more recent diagnostic techniques for an accurate preoperative staging of rectal cancer, highlighting each method's advantages and limits for their routine use in clinical practice...

..Clinicians must be informed about the efficacy of these technologies and be aware of any cause of mistake in tumor staging in order to reduce the risk of both improper use and inaccurate staging...

..New clinical trials are needed to resolve these key questions such as the efficacy of bowel preparation and how to obtain effective timing of antimicrobial prophylaxis...

..The purpose of this study is to evaluate the results of this breast surgical procedure provided by several published papers...

..They are rare lesions representing about 2-3% of all breast cancers and affecting more frequently elderly patients...

..To evaluate the feasibility and efficacy of outpatient surgery for early breast cancer in an Italian ambulatory setting and to assess its benefits...

..Aim of this study is to analyze the most updated results and open problems reported in literature in the use of sentinel node biopsy in breast surgery...

..It also identifies the factors that contributed to the reduction of the breast tumor size over a 13-year period at a tertiary referral center...

..The aim of this study is to evaluate the diagnostic accuracy and impact of the stereotactic vacuum-assisted aspiration biopsy (VAB) as a surgical treatment for non-palpable breast lesions...

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..Problems related to differential diagnosis and the possible pitfalls that can be encountered in the diagnostic iter of such rare tumor are discussed...

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..Specific criteria in the choice of correct antibiotic prophylaxis have to be respected, on the basis of the microorganisms usually found in the surgical site, and on the specific hospital microbiologic epidemiology...

..This article describes a case of an 84-year-old woman suffering from tubular adenoma of the breast. The authors underline the difficulty in preoperative differentiation between benign and malignant breast lesions...

..2-2 mm) in the SLN is found. However, in absence of level-1 evidence guidelines, each case requires discussion in the context of a multi-disciplinary team...

..Other therapies may need to be considered, although their usage now is not currently recommended owing to the paucity of safety data...

..Searches were last updated in April 2008...

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..The purpose of this study was to investigate the impact of different time intervals of fiber-optic nasolaryngoscopy (FNL) on the diagnosis of RLNP...

..We discuss the special ethical and legal issues that this thyroid surgery raises. Searches were last updated in May 2007...

..The incidence of wound morbidity (WM) after conventional thyroidectomy (CT) is 2 to 7%. This study evaluated the rate of WM after video-assisted thyroidectomy (VAT), with emphasis on surgical-site infections (SSIs)...

..The aim of this study is to evaluate the feasibility of the procedure in day-hospital and discuss prognostic factors, efficacy and complications of percutaneous radiofrequency ablation in the treatment of renal cell carcinoma...

..Finally, one of the most attractive open forums for debate will be discussed: whether or not completion of axillary dissection in the case of positive SLN is always required...

..However further studies are necessary to confirm short- and long-term effectiveness of the methods and to compare it with other ablative techniques, especially RF...

..To investigate the relationship between nodule size and malignancy and the correlation between the dimensional parameter and fine-needle aspiration biopsy (FNAB) in patients with a nodular goiter...

..The principle is to gain information concerning patients that leads to modification of their management, and improves the outcome from surgery...

..We discuss the particular ethical and legal issues that thyroid prophylactic surgery raises. Searches were last updated in February 2007...

..Aggressive resuscitation and surveillance of infection are crucial for successful outcomes, although fewer patients are undergoing surgical debridement...

..Therefore, it is vital not only to apply strict regulations concerning everyday management but also to maintain a high degree of motivation among the personnel...

..Preoperative evaluation is defined as the process of clinical assessment that precedes the induction of anesthesia. The principle is to gain information about the patient that could lead to modify his/her management, and improve outcome...

..Moreover, the combined treatments of ablation and cementoplastic are also useful to stabilize the bone lesion. This review article analyzes techniques and effectiveness of percutaneous treatments of skeletal metastases...

..We feel that there is a considerable learning curve with this technique and future studies will have to prove the feasibility of this procedure...

..The aim of the current study was to evaluate the time interval (TI) required for the diagnosis of symptomatic papillary thyroid carcinoma (PTC)...

..The aim of this study was to evaluate the use of the electrothermal bipolar vessel sealing system on the performance of minimally invasive video-assisted thyroidectomy (MIVAT)...

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..In this chapter, we present relevant medical literature and personal experience on thyroid surgery with IONM. Technical, medical, and legal aspects of monitoring are discussed...

..We compare the incidence of postoperative infections after the most common laparoscopic surgical procedures with that after the corresponding open operation, and review the possible mechanisms behind these results...

..Searches were last updated in April 2008...

..The patient synchronously underwent surgical treatment of breast and ovarian tumors...

..3 ± 0.9 days. Single incision laparoscopic cholecystectomy with conventional surgical instruments is a feasible and safe procedure, but additional studies in larger series are needed to confirm our results...

..This study looks to explore ways in which senior tutors in Day Surgery can contribute to teach. Infact the School of postgraduate Surgery obliges postgraduate surgeons to carry out a number of minor and medium size operations...

..The patient is placed in right lateral decubitus, and 4 trocars are used...

..Data collection of complication Data collection for infections Quality rating questionnaire Follow up Information leaflet for day surgery Meetings with nursing staff...

..The aim of this article is to review some of these advances and the impact they are having on the managements of different surgical problems...

..Papillary thyroid carcinoma (PTC) and medullary thyroid carcinoma (MTC) have always been considered different from each other; in their incidence, their cell origin and their histopathological features...

..Italy is regarded as a middle to high risk country with over 1,000 cases requiring surgery each year. Liver (45-75%) and lung (10-50%) are the most frequent locations of this parasitosis...

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..This paper reviews relevant medical literature published in the English language on surgery of lymph nodes in differentiated thyroid cancer with well-controlled trials. Searches were last updated in June 2006...

..Even with a need for repeated laparotomy and multiple surgical procedures, the abdominal wall capacity as well as long-term quality of life remain excellent...

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..However, loco-regional recurrence and systemic tumor progression are partially independent events, since some prognostic factors differ...

..2%, with most of the deaths caused by pneumonia. After VATS LR procedures, the incidence of SSI was lower at 5.5%. Finally, SSI correlated with the duration of surgery, serum albumin, concurrent comorbidity, age, and FEV1...

..Subsequent testing should be based on the clinical findings. Perhaps more money is wasted in the evaluation of early postoperative fever than on any other aspect of postoperative care...

..The ongoing phase-III trials may provide answers that will be valid for the coming decades, and which may bring definitive answers for the currently unresolved questions...

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..Many risk factors for postoperative infections have been identified that can be used individually or in combination as scoring indices...

..Management of sclerosing encapsulating peritonitis is controversial, but the surgical treatment should be as conservative as possible. Guidelines for the treatment of sclerosing encapsulating peritonitis are needed...

..This chapter reviews relevant medical literature published in the English language since 1990 on thyroid surgery techniques with well-controlled trials on haemostasis and dissection. Searches were last updated October 2005...

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..Our results suggest that patients with COPD who undergo VATS for lung wedge resections and for pleural/mediastinal biopsy should receive antibiotic prophylaxis to prevent surgical site infection...

..An issue that has been overlooked in medical literature concerns the prevalence and topographic relationships of the middle thyroid vein (MTV), which have been studied, with a prospective approach, in patients with various thyroid diseases...

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..Recent studies report that Otx1 is overexpressed in breast cancer. Otx1 is expressed during embryogenesis, and it is expressed again during carcinogenesis, implying its possible function in differentiation of neoplastic cells...

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..Enteric fistulas are defined by their sites of origin, communication and flow. We evaluate the treatment of complex patients with entero-cutaneous fistulae with large abdominal wall defects...

..As underscored in a recent commentary in The Lancet, the existing public health policy discouraging the screening for lung cancer is in urgent need of reconsideration...

..Colorectal stenting can be considered a safe and effective procedure with a low mortality and morbidity for both preoperative and palliative decompression of colonic obstruction...

..This study aimed to assess the feasibility and short-term results for percutaneous radiofrequency ablation in the treatment of primary and secondary lung tumors...

..The survival of lung cancer patients in the UK is lower than in other similar European countries. The reasons for this are unclear...

..Many studies confirm there is a comparatively long learning curve in laparoscopic surgery, with demonstrable decrease in conversion and complication rates with increasing experience...

..MSI caused by deficient DNA mismatch-repair functions is a hallmark of cancers associated with the hereditary non-polyposis colorectal cancer syndrome but is also found in about 15% of all sporadic tumours...

..This may help the medical professionals especially internists, gastroenterologists, and oncologists to update their knowledge in this field...

..Different studies underline the importance of hospital stay on the development of infectious complications. We performed an audit of surgical site infections (SSI) after thyroidectomy was performed in a one-day surgery setting...

..The study describes the initial experience and learning curve of intraoperative neuromonitoring (IONM) during thyroidectomy. We describe the prevalence and patterns of IONM technical problems...

..Several studies have demonstrated that endoscopic thyroidectomy is a safe technique. Aim of the study is to evaluate the feasibility of video-assisted thyroidectomy (VAT) performed by a junior surgeon...

..Colorectal cancer is still one of the many factors of death both in males and in females. To date, the most important prognostic factors are mainly related to the pathological stage of the disease...

..Primary colon lymphoma. Journal of Surgical Oncology 2000;74:257-62] University of Texas Southwestern Medical School, Dallas, Texas...

..The purpose of this study is to evaluate the sensitivity and specificity of free circulating DNA (CFDNA) as a potential tumour marker in patients suffering from colorectal cancer (CRC)...

..Transvaginal approach, used for several years to remove large specimens, can be an interesting approach also in case of colorectal resections...

..This paper reviews relevant medical literature published on the influence of these new technologies on quality of thyroid surgery as well as prevention of postoperative morbidity and mortality. Searches were last updated April 2008...

..The purpose of this review is to examine the relevant updated published results on selection criteria measures that can be used to assess patients referred to short-stay surgery for thyroid disease...

..Sentinel node mapping is currently being investigated for treatment of colorectal cancers. Recent studies show promise for incorporating the sentinel node mapping technique for treatment of several gastrointestinal malignancies...

..Aim of this study was to evaluate the performance of VAT in an ambulatory setting (i.e. one-day surgery, <24-h stay)...

..Searches were last update August 2007...

..Patients' selection and hospital organization seem to be mandatory in order to obtain successful results...

..Furthermore, the epidemiologic data on wound infections recorded in 4,002 patients undergoing general surgical procedures (mostly gastrointestinal operations), are presented and discussed...

..To review the current indications, to establish predictive factors of success and the safety of LC as a day-surgery procedure...

..This is probably due to the effect of the immune-enhancing diet on the immune and inflammatory responses...

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..In the province of Varese it was possible to establish early diagnosis of lung carcinoma with annual chest x-ray screening of asymptomatic high risk smokers. 52% stage I diagnosis was achieved at the incidence screening...