Ricerc@Sapienza

Purpose: To investigate the safety and outcomes of laparoscopic control of intraperitoneal mesh positioning in open umbilical hernia repair.Methods: This study is a retrospective review of a series of adult patients with uncomplicated umbilical hernia who underwent elective open repair with a self-expanding patch with laparoscopic control from March 2011 to December 2018. The adequacy of mesh positioning was inspected with a 5-mm 30 degrees scope in the left flank. The primary endpoint was recurrence.

Laparoscopic resections for rectal cancer are routinely performed in high-volume centres. Despite short-term advantages have been demonstrated, the oncological outcomes are still debated. The aim of this study was to compare the oncological adequateness of the surgical specimen and the long-term outcomes between open (ORR) and laparoscopic (LRR) rectal resections.

Colovesical fistula (CVF) is pathological communication between the bladder and the large intestine, usually the sigmoid colon. CT is the preferred diagnostic imaging modality owing to its high sensitivity (over 90%). The surgical management of DD has evolved but still remains governed by clinical classification, namely, recurrent uncomplicated disease versus complicated disease In conclusion CT was the most sensitive and accurate exam to diagnose CVF in the cases. Then, we suggest CT as a first line investigation in all patients with suspected CVF

Background: The FIGO Working Group (FWG) in Pelvic Floor Medicine and Reconstructive Surgery (2012–2015) established a consensus among international opinion leaders in evaluating current evidence and providing practice recommendations. Objectives: To provide an update of the previous clinical opinion report on conservative and surgical treatment of posterior compartment prolapse. Search strategy: Search of evidence was performed using Pubmed, Embase, and Cochrane Library databases up to August 2018.

Introduction. Intersigmoid hernia is a hernia of the small bowel into the intersigmoid fossa. It is well known to be a rare
condition. Recent reports reveal that the preoperative differentiation of intersigmoid hernias is difficult and the diagnosis is
often confirmed during the laparotomic exploration. Due to the vague clinical manifestation in most cases, the surgical
treatment is frequently delayed. Materials and Methods. In this study, we systematically reviewed the literature up to 2019

Introduction
The aetiology of pain after laparoscopic donor nephrectomy remains unclear. Given the
proximity of the left kidney to the tail of the pancreas, we aimed to assess whether mobilisation
and retrieval of the left kidney might inflame the pancreas, leading to pain and
hyperamylasaemia in the post-operative period.
Patient and methods
In the present study, 16 consecutive live kidney donors were analysed in the same three months
period. Amylase levels were measured on days 1 and 2. For each 24-hour period postoperatively

Background:
The incidence of perforated peptic ulcers has decreased during the last decades but
the optimal treatment for these patients remains controversial. At the same time, a
laparoscopic approach to this condition has been adopted by an increased number of
surgeons.
Therefore, this study wants to evaluate the postoperative results of the laparoscopic
treatment of perforated peptic ulcer performed in one Italian center with extensive
experience in laparoscopic surgery.
Methods:

Background: Hiatal hernia repair (HHR) is still controversial during bariatric procedures, especially in case of laparoscopic sleeve gastrectomy (LSG).
Aims: to report the long-term results of concomitant HHR, evaluating the safety and efficacy of posterior cruroplasty (PC), simple or reinforced with biosynthetic, absorbable Bio-A® mesh (Gore, USA). Primary endpoint: PC's failure, defined as symptomatic HH recurrence, nonresponding to medical treatment and requiring revisional surgery.

Despite gaining wide consensus in the management of hepatocellular carcinoma (HCC), minimally invasive liver surgery (MILS) has been poorly investigated for its role in the setting of salvage liver transplantation (SLT). A multicenter retrospective analysis was carried out in 6 Italian centers on 211 patients with HCC who were initially resected with open (n = 167) versus MILS (n = 44) and eventually wait-listed for SLT. The secondary endpoint was identification of risk factors for posttransplant death and tumor recurrence.

Background: Morgagni hernias present technical challenges. The laparoscopic approach for repair was first described in 1992; however, as these hernias are uncommon in adult life, few data exist on the optimal method for surgical management. The purpose of this study was to analyze a method for laparoscopic repair of Morgagni giant hernias using laparoscopic primary closure with V lock (Medtronic, Covidien).