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Medicina
Special Issues
Updates on the Management of Abdominal Surgery Complications
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Updates on the Management of Abdominal Surgery Complications

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: closed (31 December 2023) | Viewed by 5678

Special Issue Editors

Dr. Mauro Podda

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Guest Editor
Department of Surgical Science, University of Cagliari, Cagliari, Italy
Interests: abdominal surgery; emergency surgery; acute care and trauma surgery
Dr. Monica Ortenzi

E-Mail
Guest Editor
Department of General and Emergency Surgery, Università Politecnica delle Marche, Ancona, Italy
Interests: abdominal surgery; emergency surgery; colorectal surgery; minimally invasive surgery
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Adolfo Pisanu

E-Mail Website
Guest Editor
Department of Surgical Science, University of Cagliari, Cagliari, Italy
Interests: abdominal surgery; emergency surgery; colorectal surgery; upper GI surgery; minimally invasive surgery

Special Issue Information

Dear Colleagues,

Over the past 30 years, abdominal surgery has experienced a significant transition from open methods to minimally invasive techniques. The vast majority of abdominal pathologies of surgical interest can at present be approached with laparoscopic or robotic techniques. Subsequently, nowadays, the majority of surgical operations are performed with these techniques. Even the approach to surgical complications after abdominal surgery is currently increasingly characterized by the use of minimally invasive, endoscopic, and interventional radiology techniques. These techniques have a minor impact on the patient's physiology, with often optimal results.

The scope of this Special Issue encompasses the different management pathways for the treatment of complications after abdominal surgery that have currently been implemented in the laparoscopic era.

This volume will examine the techniques, technologies, and results of cutting-edge clinical, diagnostic, and therapeutic processes in the field of complication management after abdominal surgery.

Editors invite contributions from recognized members of the surgical scientific community, such as editorials, systematic reviews with or without meta-analysis, and observational or interventional original studies.

Dr. Mauro Podda
Dr. Monica Ortenzi
Prof. Dr. Adolfo Pisanu
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • abdominal surgery
  • minimally invasive surgery
  • emergency surgery
  • surgical complications
  • cutting-edge research
  • special issue

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Published Papers (3 papers)

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Research

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9 pages, 2429 KiB  
Article
Management of Abdominal Paraganglioma: A Single Center’s Experience
by Enrico Battistella, Luca Pomba, Marica Mirabella, Riccardo Toniato, Giuseppe Opocher and Antonio Toniato
Medicina 2024, 60(4), 604; https://doi.org/10.3390/medicina60040604 - 6 Apr 2024
Viewed by 1201
Abstract
Background and Objectives: Paragangliomas (PGLs) are rare neuroendocrine extra-adrenal tumors that could be secreting mass. The symptoms are the typical triad of paroxysmal headache, hypertension and sweating, but could also be accompanied by symptoms involving multiple organs. Surgery is the gold standard treatment [...] Read more.
Background and Objectives: Paragangliomas (PGLs) are rare neuroendocrine extra-adrenal tumors that could be secreting mass. The symptoms are the typical triad of paroxysmal headache, hypertension and sweating, but could also be accompanied by symptoms involving multiple organs. Surgery is the gold standard treatment for both PGLs and pheochromocytomas (PHEOs). Material and Methods: We used a computerized endocrine surgery registry to record the demographic and clinical data of 153 patients who underwent surgery for PPGL between 2010 and 2023 at our hospital. Results: Thirteen patients (8.43%) with paragangliomas underwent surgery at our institute. Five patients presented symptomatic syndrome. Preoperative investigations included enhanced abdominal CT (nine patients) and enhanced MRI (seven patients). In cases of suspicious mass, we performed 131I-MIBG scans (two patients) or 68GA-DOTATOC PET-CT scans (11 patients). Laparoscopic approach was used in four cases (30.7%) and abdominal laparotomy in the other nine (69.3%). Biochemical tests were performed on all patients. Conclusions: In this retrospective study, we discuss the multidisciplinary management in our institute of this rare disease, from its challenging diagnosis to the surgical strategy for PGLs. Laparoscopic surgery is the gold standard, but a tailored approach should be adopted for each patient. Full article
(This article belongs to the Special Issue Updates on the Management of Abdominal Surgery Complications)
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13 pages, 1701 KiB  
Article
Tobacco Smoking Is a Strong Predictor of Failure of Conservative Treatment in Hinchey IIa and IIb Acute Diverticulitis—A Retrospective Single-Center Cohort Study
by Valentina Murzi, Eleonora Locci, Alessandro Carta, Tiziana Pilia, Federica Frongia, Emanuela Gessa, Mauro Podda and Adolfo Pisanu
Medicina 2023, 59(7), 1236; https://doi.org/10.3390/medicina59071236 - 2 Jul 2023
Cited by 1 | Viewed by 1674
Abstract
Background and Objectives: Therapeutic management of patients with complicated acute diverticulitis remains debatable. The primary objective of this study is to identify predictive factors for the failure of conservative treatment of Hinchey IIa and IIb diverticular abscesses. Materials and Methods: This is a [...] Read more.
Background and Objectives: Therapeutic management of patients with complicated acute diverticulitis remains debatable. The primary objective of this study is to identify predictive factors for the failure of conservative treatment of Hinchey IIa and IIb diverticular abscesses. Materials and Methods: This is a retrospective cohort study that included patients hospitalized from 1 January 2014 to 31 December 2022 at the Emergency Surgery Department of the Cagliari University Hospital (Italy), diagnosed with acute diverticulitis complicated by Hinchey grade IIa and IIb abscesses. The collected variables included the patient’s baseline characteristics, clinical variables on hospital admission, abscess characteristics at the contrast-enhanced CT scan, clinical outcomes of the conservative therapy, and follow-up results. Univariable and multivariable logistic regression models were used to identify prognostic factors of conservative treatment failure and success. Results: Two hundred and fifty-two patients diagnosed with acute diverticulitis were identified from the database search, and once the selection criteria were applied, 71 patients were considered eligible. Conservative treatment failed in 25 cases (35.2%). Univariable analysis showed that tobacco smoking was the most significant predictor of failure of conservative treatment (p = 0.007, OR 7.33, 95%CI 1.55; 34.70). Age (p = 0.056, MD 6.96, 95%CI −0.18; 0.99), alcohol drinking (p = 0.071, OR 4.770, 95%CI 0.79; 28.70), platelets level (p = 0.087, MD −32.11, 95%CI −0.93; 0.06), Hinchey stage IIa/IIb (p = 0.081, OR 0.376, 95%CI 0.12; 1.11), the presence of retroperitoneal air bubbles (p = 0.025, OR 13.300, 95%CI 1.61; 291.0), and the presence of extraluminal free air at a distance (p = 0.043, OR 4.480, 95%CI 1.96; 20.91) were the other variables possibly associated with the risk of failure. In the multivariable logistic regression analysis, only tobacco smoking was confirmed to be an independent predictor of conservative treatment failure (p = 0.006; adjusted OR 32.693; 95%CI 2.69; 397.27). Conclusion: The role of tobacco smoking as a predictor of failure of conservative therapy of diverticular abscess scenarios highlights the importance of prevention and the necessity to reduce exposure to modifiable risk factors. Full article
(This article belongs to the Special Issue Updates on the Management of Abdominal Surgery Complications)
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Other

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11 pages, 2225 KiB  
Case Report
Female Gonadal Venous Insufficiency in a Clinical Presentation Which Suggested an Acute Abdomen—A Case Report and Literature Review
by Sergiu-Ciprian Matei, Cristina Ștefania Dumitru, Andrei-Ion Oprițoiu, Lucian Marian, Marius-Sorin Murariu and Sorin Olariu
Medicina 2023, 59(5), 884; https://doi.org/10.3390/medicina59050884 - 4 May 2023
Cited by 4 | Viewed by 2070
Abstract
Pelvic venous insufficiency (PVI) is frequently associated with symptoms of abdominal pain or discomfort that is overlooked or under-diagnosed in women. Despite the fact that pelvic venous insufficiency in men is very well documented, its occurrence in women needs to be further studied. [...] Read more.
Pelvic venous insufficiency (PVI) is frequently associated with symptoms of abdominal pain or discomfort that is overlooked or under-diagnosed in women. Despite the fact that pelvic venous insufficiency in men is very well documented, its occurrence in women needs to be further studied. Patients with pelvic varicose veins undergo a long and inconclusive diagnostic work-up before the exact cause of the symptoms is identified. Gonadal venous insufficiency (GVI) is a condition that can present acutely, leading to diagnostic challenges. We present a case report of a 47-year-old female with acute abdominal pain and GVI, where endovascular embolization was used for successful treatment. The patient was diagnosed with GVI based on imaging findings of an enlarged left ovarian vein with retrograde flow and dilated pelvic veins seen on magnetic resonance imaging (MRI) with contrast material. Due to the severity of her symptoms and imaging findings, endovascular embolization was chosen as the treatment modality. The embolization was successful, and the patient’s symptoms resolved completely. This case highlights the challenge of diagnosing GVI with acute clinical expression and the potential benefits of endovascular embolization as a treatment option. Further studies are needed to determine the optimal management strategies for acute GVI, but endovascular embolization should be considered a safe and effective option. At the same time, we present a short review of the recent literature data related to this topic. Full article
(This article belongs to the Special Issue Updates on the Management of Abdominal Surgery Complications)
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