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Farinetti A, Mattioli AV. Energy drinks in healthcare personnel. Br Dent J 2024; 236:147. [PMID: 38332059 DOI: 10.1038/s41415-024-7088-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 01/15/2024] [Indexed: 02/10/2024]
Affiliation(s)
- A Farinetti
- Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
| | - A V Mattioli
- Istituto Nazionale per le ricerche cardiovascolari, Bologna, Italy.
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Roncati L, Manenti A, ZIzzo M, Farinetti A. Comment on: Prognosis of patients with colonic carcinoma before, during and after implementation of complete mesocolic excision. Br J Surg 2020; 107:464. [PMID: 32129485 DOI: 10.1002/bjs.11538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- L Roncati
- Departments of Pathology and Surgery, University of Modena, Policlinico Hospital, Modena, I-41124, Italy
| | - A Manenti
- Departments of Pathology and Surgery, University of Modena, Policlinico Hospital, Modena, I-41124, Italy
| | - M ZIzzo
- Departments of Pathology and Surgery, University of Modena, Policlinico Hospital, Modena, I-41124, Italy
| | - A Farinetti
- Departments of Pathology and Surgery, University of Modena, Policlinico Hospital, Modena, I-41124, Italy
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Manenti A, Roncati L, Manco G, Farinetti A. The intra-hepatic venous network in liver cirrhosis. Br J Surg 2020; 107:e648. [PMID: 32979214 DOI: 10.1002/bjs.11974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 07/14/2020] [Indexed: 11/12/2022]
Affiliation(s)
- A Manenti
- Department of Surgery, University of Modena, Italy
| | - L Roncati
- Department of Pathology, University of Modena, Italy
| | - G Manco
- Department of Surgery, University of Modena, Italy
| | - A Farinetti
- Department of Surgery, University of Modena, Italy
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Serra F, Sergi W, Spatafora F, De Ruvo N, Farinetti A, Mattioli AV, Brugioni L, Gelmini R. Negative pressure wound therapy (NPWT) after cytoreductive surgery (CRS) and intraperitoneal chemotherapy (HIPEC) for peritoneal surface malignancies: preliminary report. G Chir 2019; 40:578-582. [PMID: 32007123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
AIM Surgical site (SSI) infection is a common complication that occurs in the post-operative period because it still has a decisive impact on the morbidity and mortality of patients and the costs associated with therapy and prolongation of hospitalization. In recent years, therefore, several authors have published their experience in the use of negative pressure prevention systems (NPWT) for the management of surgical wounds. Few authors in the literature have discussed the use of NPWT in patients undergoing cytoreductive surgery (CRS) for peritoneal surface malignancies associated with hyperthermic intraperitoneal chemotherapy (HIPEC). PATIENTS AND METHODS Nineteen patients undergoing open surgery, of which 15 underwent CRS+HIPEC operations; in 2 cases the dressing was applied to patients undergoing colon surgery, 1 case after emergency laparotomy for intestinal occlusion in a patient with a BMI of 29 and 1 case after gastric surgery for a tumour. At the and of the surgery, NPWT was placed on the surgical site; the therapy includes a closed and sealed system which maintains a negative pressure between at -125 mmHg on the surgical wound and which remains in place for five days. RESULTS The rationale for using an NPWT is to determine a barrier between the wound and external contamination, reducing wound tension and reducing the formation of seroma and hematoma. Moreover, during the HIPEC, several litres of water are used to wash the patient's abdominal cavity and then the patient is sutured again without the peritoneum, losing the function of protection from external microorganism and also of reabsorbing the intra-abdominal serum. A recent Cochrane collaboration about the application of NPWT demonstrates that it may reduce the rate of SSI compared with SSD, even if there is no sure evidence about the reduction of complications like seromas or dehiscence. CONCLUSION After the analysis of the preliminary data, we confirm the possibility to start with a randomised clinical trial, as suggested by the literature.
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Simon F, Roman S, Truy E, Barone P, Belmin J, Blanchet C, Borel S, Charpiot A, Coez A, Deguine O, Farinetti A, Godey B, Lazard D, Marx M, Mosnier I, Nguyen Y, Teissier N, Virole B, Lescanne E, Loundon N. Guidelines (short version) of the French Society of Otorhinolaryngology (SFORL) on pediatric cochlear implant indications. Eur Ann Otorhinolaryngol Head Neck Dis 2019; 136:385-391. [DOI: 10.1016/j.anorl.2019.05.018] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Affiliation(s)
- A Manenti
- Department of Surgery, University of Modena, Polyclinic Hospital, 41124, Modena, Italy.
| | - G Melegari
- Department of Anesthesiology, University of Modena, Polyclinic Hospital, 41124, Modena, Italy
| | - M Zizzo
- Department of Surgery, University of Modena, Polyclinic Hospital, 41124, Modena, Italy
| | - A Farinetti
- Department of Surgery, University of Modena, Polyclinic Hospital, 41124, Modena, Italy
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Hermann R, Lescanne E, Loundon N, Barone P, Belmin J, Blanchet C, Borel S, Charpiot A, Coez A, Deguine O, Farinetti A, Godey B, Lazard D, Marx M, Mosnier I, Nguyen Y, Teissier N, Virole M, Roman S, Truy E. French Society of ENT (SFORL) guidelines. Indications for cochlear implantation in adults. Eur Ann Otorhinolaryngol Head Neck Dis 2019; 136:193-197. [DOI: 10.1016/j.anorl.2019.04.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Manenti A, Rolncati L, Mattioli A, Anna Rita P, Gallo G, Farinetti A. THE “VENAE CAVAE CHRONIC OVERLOAD” SYNDROME: A LIVER DISEASE REFLECTING A PRIMTIVE CARDIAC PATHOLOGY. Chest 2019. [DOI: 10.1016/j.chest.2019.02.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Manenti A, Melegari G, Zizzo M, Farinetti A. Sub-total duodenectomy for secondary duodenum neoplastic invasion. J Visc Surg 2018; 156:77-78. [PMID: 30472049 DOI: 10.1016/j.jviscsurg.2018.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- A Manenti
- Department of Surgery, University of Modena, Polyclinic hospital, 41124 Modena, Italy.
| | - G Melegari
- Department of Anesthesiology, University of Modena, Polyclinic hospital, 41124 Modena, Italy
| | - M Zizzo
- Department of Surgery, University of Modena, Polyclinic hospital, 41124 Modena, Italy
| | - A Farinetti
- Department of Surgery, University of Modena, Polyclinic hospital, 41124 Modena, Italy
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Manenti A, Melegari G, Zizzo M, Farinetti A. The Roux-en-Y jejunal loop for duodenal repair. J Visc Surg 2018; 155:435-436. [PMID: 30056053 DOI: 10.1016/j.jviscsurg.2018.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- A Manenti
- Department of Surgery, University of Modena, Polyclinic hospital, 41124 Modena, Italy.
| | - G Melegari
- Department of Anesthesiology, University of Modena, Polyclinic hospital, 41124 Modena, Italy
| | - M Zizzo
- Department of Surgery, University of Modena, Polyclinic hospital, 41124 Modena, Italy
| | - A Farinetti
- Department of Surgery, University of Modena, Polyclinic hospital, 41124 Modena, Italy
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Farinetti A, Raji A, Wu H, Wanna B, Vincent C. International consensus (ICON) on audiological assessment of hearing loss in children. Eur Ann Otorhinolaryngol Head Neck Dis 2018; 135:S41-S48. [PMID: 29366866 DOI: 10.1016/j.anorl.2017.12.008] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2017] [Revised: 12/13/2017] [Accepted: 12/14/2017] [Indexed: 11/24/2022]
Abstract
The prevalence of hearing loss in newborns and infants is estimated between 1 to 3.47 cases per 1000 live births. Early diagnosis and rehabilitation of congenital hearing loss are mandatory in order to achieve a satisfactory linguistic and cognitive development. Without appropriate opportunities to learn language, these children will fall behind their normal hearing peers in communication, cognition, reading and socio-emotional development. After promising results, neonatal screening for hearing loss and audiological evaluation are becoming more extensively carried out. In planning universal neonatal hearing screening programs, transient evoked otoacoustic emissions and auditory brainstem responses are the gold standard for the screening and diagnosis program. However, there is no consensus regarding the use of audiometry and other electrophysiological tests (such as auditory steady-state responses) in current practices. Several screening and audiological assessment procedures have been described and advocated all around the world. But, a systematic scheme of performing diagnosis in the pediatric audiology population is lacking. A consensus conference was held at the International Federation of Oto-rhino-laryngological Societies Congress, in June 2017, to discuss the different current practices and to identify the best neonatal hearing screening and audiological assessment management. This article is intended to provide professionals with recommendations about the "best practice" based on consensus opinion of the session's speakers, and a review of the literature on the efficacy of various assessment options for children with hearing loss.
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Affiliation(s)
- A Farinetti
- Department of Pediatric Otolaryngology, Hôpital La Timone Enfants, AP-HM, 264, avenue Saint-Pierre, 13005 Marseille, France.
| | - A Raji
- Department of Otolaryngology, Mohammed VI Hospital, avenue Ibn Sina Amerchich, BP2360 Marrakech-principal, Morocco
| | - H Wu
- Department of Otolaryngology Head and Neck Surgery, Shanghai Ninth People's Hospital & Shanghai Jiaotong University School of Medicine, 639, Zhizaoju Road, 200011 Shanghai, China
| | - B Wanna
- Department of Otolaryngology Head and Neck, Middle East Institute of Health-University Hospital, Bsalim main road, Mezher street, 60387 Bsalim-Metn, Lebanon
| | - C Vincent
- Department of Otolaryngology, Hôpital Roger-Salengro, Centre Hospitalier Régional de Lille, rue du Professeur-Emile-Laine, 59000 Lille, France
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Monnier J, Morand JJ, Lota-Zunino I, Retornaz K, Richard MA, Rojat-Habib MC, Macagno N, Ranque S, Farinetti A, Hesse S, Monestier S, Gaudy-Marqueste C, Grob JJ, Mallet S. Maladie de Wegener chez une enfant mimant une teigne du cuir chevelu. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Mattioli AV, Coppi F, Migaldi M, Scicchitano P, Ciccone MM, Farinetti A. Relationship between Mediterranean diet and asymptomatic peripheral arterial disease in a population of pre-menopausal women. Nutr Metab Cardiovasc Dis 2017; 27:985-990. [PMID: 29074382 DOI: 10.1016/j.numecd.2017.09.011] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Revised: 09/23/2017] [Accepted: 09/25/2017] [Indexed: 01/14/2023]
Abstract
BACKGROUND AND AIMS The Mediterranean Diet (MedD) is considered a very healthy diet useful in the prevention of cardiovascular disease. The present study aims to evaluate adherence to MedD in unselected premenopausal women and its relation with ankle-brachial index (ABI), an index of preclinical atherosclerosis. METHODS AND RESULTS A group of 425 patients (age range 45-54 years) was investigated. They were enrolled only if they were asymptomatic for cardiovascular disease. Nutritional parameters were assessed by a self-administered food frequency validated questionnaire (116 items) completed by an interviewer administered 24 h diet recall. They all underwent ABI measurement. The mean MedD Score was 32.2 ± 6.1 (Q1-Q3 range 26-37) comparing with data from Italian population (46 ± 8.3) was significantly lower. Intake of food categories sources of antioxidants was higher in patients with a greater adherence to Med D and was mainly related to fruit and vegetables. Patients were categorized in quartile according to MedD Score and we evaluate the distribution of ABI index within quartile. 31.4% of women in Q1 (lower adherence to MedD) had an ABI lower than 0.9 compared to 18.3% of women in Q4 (higher adherence to MedD): p < 0.01. Obesity was more frequent in Q1 compared to Q4 and in women with lower ABI. CONCLUSIONS Women with a low MedD Score were more obese and showed instrumental sign of preclinical peripheral atherosclerosis. MedD rich in antioxidants from fruit, vegetables and nuts influenced the development of atherosclerosis and was associated with a lower incidence of asymptomatic atherosclerosis.
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Affiliation(s)
- A V Mattioli
- Department of Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.
| | - F Coppi
- Cardiology Division, Azienda Ospedaliera Universitaria, Modena, Italy
| | - M Migaldi
- Department of Diagnostics, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Italy
| | - P Scicchitano
- Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, Italy
| | - M M Ciccone
- Section of Cardiovascular Diseases, Department of Emergency and Organ Transplantation, University of Bari, Italy
| | - A Farinetti
- Department of Surgical, Medical and Dental Department of Morphological Sciences related to Transplant, Oncology and Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy
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Mosca D, Farinetti A, Manenti A. For a pre-operative assessment of the colon vascular supply. J Visc Surg 2017; 154:141. [PMID: 28427789 DOI: 10.1016/j.jviscsurg.2017.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- D Mosca
- Department of Surgery, University of Modena, Policlinic Hospital, v.Pozzo, 41121 Modena, Italy
| | - A Farinetti
- Department of Surgery, University of Modena, Policlinic Hospital, v.Pozzo, 41121 Modena, Italy
| | - A Manenti
- Department of Surgery, University of Modena, Policlinic Hospital, v.Pozzo, 41121 Modena, Italy.
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Ponti G, Rodriguez-Gomez A, Farinetti A, Marraudino M, Filice F, Foglio B, Sciacca G, Panzica GC, Gotti S. Early postnatal genistein administration permanently affects nitrergic and vasopressinergic systems in a sex-specific way. Neuroscience 2017; 346:203-215. [PMID: 28131623 DOI: 10.1016/j.neuroscience.2017.01.024] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Revised: 01/09/2017] [Accepted: 01/12/2017] [Indexed: 12/01/2022]
Abstract
Genistein (GEN) is a natural xenoestrogen (isoflavonoid) that may interfere with the development of estrogen-sensitive neural circuits. Due to the large and increasing use of soy-based formulas for babies (characterized by a high content of GEN), there are some concerns that this could result in an impairment of some estrogen-sensitive neural circuits and behaviors. In a previous study, we demonstrated that its oral administration to female mice during late pregnancy and early lactation induced a significant decrease of nitric oxide synthase-positive cells in the amygdala of their male offspring. In the present study, we have used a different experimental protocol mimicking, in mice, the direct precocious exposure to GEN. Mice pups of both sexes were fed either with oil, estradiol or GEN from birth to postnatal day 8. Nitric oxide synthase and vasopressin neural systems were analyzed in adult mice. Interestingly, we observed that GEN effect was time specific (when compared to our previous study), sex specific, and not always comparable to the effects of estradiol. This last observation suggests that GEN may act through different intracellular pathways. Present results indicate that the effect of natural xenoestrogens on the development of the brain may be highly variable: a plethora of neuronal circuits may be affected depending on sex, time of exposure, intracellular pathway involved, and target cells. This raises concern on the possible long-term effects of the use of soy-based formulas for babies, which may be currently underestimated.
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Affiliation(s)
- G Ponti
- Department of Veterinary Sciences, Largo Braccini 2, 10095 Grugliasco (TO), University of Torino, Torino, Italy; Neuroscience Institute Cavalieri Ottolenghi (NICO), Regione Gonzole, 10 - 10043 Orbassano (TO), Torino, Italy.
| | - A Rodriguez-Gomez
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Regione Gonzole, 10 - 10043 Orbassano (TO), Torino, Italy; Laboratory of Neuroendocrinology, Department of Neuroscience, Via Cherasco 15, 10126-University of Torino, Torino, Italy
| | - A Farinetti
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Regione Gonzole, 10 - 10043 Orbassano (TO), Torino, Italy; Laboratory of Neuroendocrinology, Department of Neuroscience, Via Cherasco 15, 10126-University of Torino, Torino, Italy
| | - M Marraudino
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Regione Gonzole, 10 - 10043 Orbassano (TO), Torino, Italy; Laboratory of Neuroendocrinology, Department of Neuroscience, Via Cherasco 15, 10126-University of Torino, Torino, Italy
| | - F Filice
- Laboratory of Neuroendocrinology, Department of Neuroscience, Via Cherasco 15, 10126-University of Torino, Torino, Italy
| | - B Foglio
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Regione Gonzole, 10 - 10043 Orbassano (TO), Torino, Italy; Laboratory of Neuroendocrinology, Department of Neuroscience, Via Cherasco 15, 10126-University of Torino, Torino, Italy
| | - G Sciacca
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Regione Gonzole, 10 - 10043 Orbassano (TO), Torino, Italy; Laboratory of Neuroendocrinology, Department of Neuroscience, Via Cherasco 15, 10126-University of Torino, Torino, Italy
| | - G C Panzica
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Regione Gonzole, 10 - 10043 Orbassano (TO), Torino, Italy; Laboratory of Neuroendocrinology, Department of Neuroscience, Via Cherasco 15, 10126-University of Torino, Torino, Italy
| | - S Gotti
- Neuroscience Institute Cavalieri Ottolenghi (NICO), Regione Gonzole, 10 - 10043 Orbassano (TO), Torino, Italy; Laboratory of Neuroendocrinology, Department of Neuroscience, Via Cherasco 15, 10126-University of Torino, Torino, Italy
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Farinetti A, Manenti A, Melegari G. DHEA as marker of good surgical homeostasis. J Visc Surg 2016; 153:481. [PMID: 27810237 DOI: 10.1016/j.jviscsurg.2016.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- A Farinetti
- Department of Surgery, University of Modena, Policlinic Hospital, v.Pozzo, 41121 Modena, Italy
| | - A Manenti
- Department of Surgery, University of Modena, Policlinic Hospital, v.Pozzo, 41121 Modena, Italy.
| | - G Melegari
- Department of Anaesthesia, University of Modena, Policlinic Hospital, v.Pozzo, 41121 Modena, Italy
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Bo E, Farinetti A, Marraudino M, Sterchele D, Eva C, Gotti S, Panzica G. Adult exposure to tributyltin affects hypothalamic neuropeptide Y, Y1 receptor distribution, and circulating leptin in mice. Andrology 2016; 4:723-34. [PMID: 27310180 DOI: 10.1111/andr.12222] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2015] [Revised: 03/29/2016] [Accepted: 04/15/2016] [Indexed: 12/25/2022]
Abstract
Tributyltin (TBT), a pesticide used in antifouling paints, is toxic for aquatic invertebrates. In vertebrates, TBT may act in obesogen- inducing adipogenetic gene transcription for adipocyte differentiation. In a previous study, we demonstrated that acute administration of TBT induces c-fos expression in the arcuate nucleus. Therefore, in this study, we tested the hypothesis that adult exposure to TBT may alter a part of the nervous pathways controlling animal food intake. In particular, we investigated the expression of neuropeptide Y (NPY) immunoreactivity. This neuropeptide forms neural circuits dedicated to food assumption and its action is mediated by Y1 receptors that are widely expressed in the hypothalamic nuclei responsible for the regulation of food intake and energy homeostasis. To this purpose, TBT was orally administered at a dose of 0.025 mg/kg/day/body weight to adult animals [male and female C57BL/6 (Y1-LacZ transgenic mice] for 4 weeks. No differences were found in body weight and fat deposition, but we observed a significant increase in feed efficiency in TBT-treated male mice and a significant decrease in circulating leptin in both sexes. Computerized quantitative analysis of NPY immunoreactivity and Y1-related β-galactosidase activity demonstrated a statistically significant reduction in NPY and Y1 transgene expression in the hypothalamic circuit controlling food intake of treated male mice in comparison with controls. In conclusion, the present results indicate that adult exposure to TBT is profoundly interfering with the nervous circuits involved in the stimulation of food intake.
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Affiliation(s)
- E Bo
- Department Neuroscience "Rita Levi Montalcini", University of Torino, Torino, Italy.,Neuroscience Institute Cavalieri-Ottolenghi (NICO), Torino, Italy
| | - A Farinetti
- Department Neuroscience "Rita Levi Montalcini", University of Torino, Torino, Italy.,Neuroscience Institute Cavalieri-Ottolenghi (NICO), Torino, Italy
| | - M Marraudino
- Department Neuroscience "Rita Levi Montalcini", University of Torino, Torino, Italy.,Neuroscience Institute Cavalieri-Ottolenghi (NICO), Torino, Italy
| | - D Sterchele
- Department Neuroscience "Rita Levi Montalcini", University of Torino, Torino, Italy.,Neuroscience Institute Cavalieri-Ottolenghi (NICO), Torino, Italy
| | - C Eva
- Department Neuroscience "Rita Levi Montalcini", University of Torino, Torino, Italy.,National Institute of Neuroscience (INN), Torino, Italy.,Neuroscience Institute Cavalieri-Ottolenghi (NICO), Torino, Italy
| | - S Gotti
- Department Neuroscience "Rita Levi Montalcini", University of Torino, Torino, Italy.,Neuroscience Institute Cavalieri-Ottolenghi (NICO), Torino, Italy
| | - G Panzica
- Department Neuroscience "Rita Levi Montalcini", University of Torino, Torino, Italy.,National Institute of Neuroscience (INN), Torino, Italy.,Neuroscience Institute Cavalieri-Ottolenghi (NICO), Torino, Italy
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Razafimahefa-Raoelina T, Farinetti A, Nicollas R, Triglia JM, Roman S, Anderson L. Self- and parental assessment of quality of life in child cochlear implant bearers. Eur Ann Otorhinolaryngol Head Neck Dis 2016; 133:31-5. [DOI: 10.1016/j.anorl.2015.10.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Manenti A, Farinetti A, Colasanto D. The portal venous system in cirrhotic patients: value of the computed tomography. J Visc Surg 2015; 152:205. [PMID: 26027892 DOI: 10.1016/j.jviscsurg.2015.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A Manenti
- Department of Surgery, University of Modena, Modena, Italy.
| | - A Farinetti
- Department of Surgery, University of Modena, Modena, Italy
| | - D Colasanto
- Department of Radiology, University of Modena, Modena, Italy
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Farinetti A, Tomasi S, Foglio B, Ferraris A, Ponti G, Gotti S, Peretto P, Panzica GC. Testosterone and estradiol differentially affect cell proliferation in the subventricular zone of young adult gonadectomized male and female rats. Neuroscience 2014; 286:162-70. [PMID: 25481234 DOI: 10.1016/j.neuroscience.2014.11.050] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Revised: 11/19/2014] [Accepted: 11/23/2014] [Indexed: 11/17/2022]
Abstract
Steroid hormones are important players to regulate adult neurogenesis in the dentate gyrus of the hippocampus, but their involvement in the regulation of the same phenomenon in the subventricular zone (SVZ) of the lateral ventricles is not completely understood. Here, in male rats, we tested the existence of activational effects of testosterone (T) on cell proliferation in the adult SVZ. To this aim, three groups of male rats: castrated, castrated and treated with T, and controls were treated with 5-bromo-2'-deoxyuridine (BrdU) and killed after 24h. The density of BrdU-labeled cells was significantly lower in castrated animals in comparison to the other two groups, thus supporting a direct correlation between SVZ proliferation and levels of circulating T. To clarify whether this effect is purely androgen-dependent, or mediated by the T metabolites, estradiol (E2) and dihydrotestosterone (DHT), we evaluated SVZ proliferation in castrated males treated with E2, DHT and E2+DHT, in comparison to T- and vehicle-treated animals, and sham-operated controls. The stereological analysis demonstrated that E2 and T, but not DHT, increase proliferation in the SVZ of adult male rats. Quantitative evaluation of cells expressing the endogenous marker of cell proliferation phosphorylated form of Histone H3 (PHH3), or the marker of highly dividing SVZ progenitors Mash1, indicated the effect of T/E2 is mostly restricted to SVZ proliferating progenitors. The same experimental protocol was repeated on ovariectomized female rats treated with E2 or T. In this case, no statistically significant difference was found among groups. Overall, our results clearly show that the gonadal hormones T and E2 represent important mediators of cell proliferation in the adult SVZ. Moreover, we show that such an effect is restricted to males, supporting adult neurogenesis in rats is a process differentially modulated in the two sexes.
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Affiliation(s)
- A Farinetti
- Department of Neuroscience, University of Turin, 10126 Turin, Italy; NICO - Neuroscience Institute Cavalieri Ottolenghi, 10143 Orbassano, Italy.
| | - S Tomasi
- Department of Neuroscience, University of Turin, 10126 Turin, Italy; NICO - Neuroscience Institute Cavalieri Ottolenghi, 10143 Orbassano, Italy
| | - B Foglio
- Department of Neuroscience, University of Turin, 10126 Turin, Italy; NICO - Neuroscience Institute Cavalieri Ottolenghi, 10143 Orbassano, Italy
| | - A Ferraris
- Department of Neuroscience, University of Turin, 10126 Turin, Italy; NICO - Neuroscience Institute Cavalieri Ottolenghi, 10143 Orbassano, Italy
| | - G Ponti
- Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy; NICO - Neuroscience Institute Cavalieri Ottolenghi, 10143 Orbassano, Italy
| | - S Gotti
- Department of Neuroscience, University of Turin, 10126 Turin, Italy; NICO - Neuroscience Institute Cavalieri Ottolenghi, 10143 Orbassano, Italy
| | - P Peretto
- Department of Life Sciences and Systems Biology, University of Turin, 10123 Turin, Italy; NICO - Neuroscience Institute Cavalieri Ottolenghi, 10143 Orbassano, Italy
| | - G C Panzica
- Department of Neuroscience, University of Turin, 10126 Turin, Italy; NICO - Neuroscience Institute Cavalieri Ottolenghi, 10143 Orbassano, Italy.
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Farinetti A, Roman S, Mancini J, Baumstarck-Barrau K, Meller R, Lavieille JP, Triglia JM. Quality of life in bimodal hearing users (unilateral cochlear implants and contralateral hearing aids). Eur Arch Otorhinolaryngol 2014; 272:3209-15. [PMID: 25373837 DOI: 10.1007/s00405-014-3377-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Accepted: 10/24/2014] [Indexed: 11/30/2022]
Abstract
The main objective was to evaluate the bimodal self-rated benefits on auditory performance under real conditions and the quality of life in two groups of cochlear-implanted adults, with or without a contralateral hearing aid. The secondary objective was to investigate correlations between the use of a hearing aid and residual hearing on the non-implanted ear. This retrospective study was realized between 2000 and 2010 in two referral centers. A population of 183 postlingually deaf adults, implanted with a cochlear experience superior to 6 months, was selected. The Speech, Spatial, and other Qualities of Hearing Scale were administered to evaluate the auditory performances, and the Nijmegen Cochlear Implant Questionnaire to evaluate the quality of life. The population was divided into two groups: a group with unilateral cochlear implants (Cochlear Implant-alone, n = 54), and a bimodal group with a cochlear implant and a contralateral hearing aid (n = 62). Both groups were similar in terms of auditory deprivation duration, duration of cochlear implant use, and pure-tone average on the implanted ear. There was a significant difference in terms of pure-tone average on low and low-to-mid frequencies on the non-implanted ear. The scores on both questionnaires showed an improvement in the basic sound perception and quality of social activities for the bimodal group. The results suggest that the bimodal stimulation (cochlear implant and contralateral hearing aid) improved auditory perception in quiet and the quality of life domain of social activities.
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Affiliation(s)
- A Farinetti
- Department of Otolaryngology Head and Neck Surgery, CHU La Timone Hospital, 264, avenue Saint Pierre, 13385, Marseille Cedex 5, France.
| | - S Roman
- Department of Otolaryngology Head and Neck Surgery, CHU La Timone Hospital, 264, avenue Saint Pierre, 13385, Marseille Cedex 5, France.
| | - J Mancini
- Aix-Marseille University, Inserm, IRD, UMR912, SESSTIM, Marseille, 13273, France. .,Public Health Department, APHM, La Timone Hospital, 13385, Marseille, France.
| | - K Baumstarck-Barrau
- Medical Statistics Laboratory, La Timone University, 13385, Marseille Cedex 5, France.
| | - R Meller
- Department of Otolaryngology Head and Neck Surgery, Nord Hospital, 13915, Marseille Cedex 20, France.
| | - J P Lavieille
- Department of Otolaryngology Head and Neck Surgery, Nord Hospital, 13915, Marseille Cedex 20, France.
| | - J M Triglia
- Department of Otolaryngology Head and Neck Surgery, CHU La Timone Hospital, 264, avenue Saint Pierre, 13385, Marseille Cedex 5, France.
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Farinetti A, Ben Gharbia D, Mancini J, Roman S, Nicollas R, Triglia JM. Cochlear implant complications in 403 patients: Comparative study of adults and children and review of the literature. Eur Ann Otorhinolaryngol Head Neck Dis 2014; 131:177-82. [DOI: 10.1016/j.anorl.2013.05.005] [Citation(s) in RCA: 135] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2013] [Revised: 05/13/2013] [Accepted: 05/29/2013] [Indexed: 11/25/2022]
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Mattioli AV, Miloro C, Pennella S, Pedrazzi P, Farinetti A. Adherence to Mediterranean diet and intake of antioxidants influence spontaneous conversion of atrial fibrillation. Nutr Metab Cardiovasc Dis 2013; 23:115-121. [PMID: 21798731 DOI: 10.1016/j.numecd.2011.03.005] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2010] [Revised: 02/15/2011] [Accepted: 03/13/2011] [Indexed: 12/21/2022]
Abstract
BACKGROUND AND AIM The Mediterranean diet (MedD) has long been associated with lower incidence of cardiovascular disease. Little information is available on association between MedD, vitamins intake and arrhythmias. We sought to investigate the relationship between adherence to MedD, antioxidants intake and spontaneous conversion of atrial fibrillation (AF). METHODS AND RESULTS A group of 800 subjects was included in a case-control study; 400 of them had a first detected episode of AF. Nutritional parameters were assessed by a self-administered food frequency validated questionnaire and completed by an interviewer-administered 7 days diet recall. Adherence to MedD was evaluated using the Mediterranean Score and intake of antioxidants from food was calculated. Adherence to the Med Diet was lower in patients that developed AF compared to control (mean Med Score: 22.3 ± 3.1 vs 27.9 ± 5.6; p < 0.001). The median value was 23.5 (Q1-Q3 range 23-30) in patients with AF and 27.4 (Q1-Q3 range 26-33). The estimated intake of total antioxidants was lower in patients with AF (13.5 ± 8.3 vs 18.2 ± 9.4 mmol/d; p < 0.001). Patients in the highest quartile of Mediterranean Score had higher probability of spontaneous conversion of atrial fibrillation (OR1.9; 95%CI 1.58-2.81). High levels of antioxidants intake were also associated with an increasing probability of spontaneous conversion of arrhythmia (O.R. 1.8; 95%CI 1.56-2.99; P < 0.01). CONCLUSIONS Patients with atrial fibrillation had lower adherence to MedD and lower antioxidant intake compared to control population. Moreover patients with arrhythmia showing a higher Med Score had more probability of a spontaneous conversion of atrial fibrillation.
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Affiliation(s)
- A V Mattioli
- Department of Biomedical Science, Sect of Cardiology, University of Modena and Reggio Emilia, Modena, Italy.
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27
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Bolondi M, Farinetti A. [Axillary lymph node dissection in patients with micrometastasis in sentinel lymph node: new predilections]. MINERVA CHIR 2011; 66:385-396. [PMID: 22117206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
AIM Indication for axillary lymph node dissection (ALND) in patients with breast cancer is recommended in presence of metastasis (>2 mm size) in sentinel lymphnode (LS) or for unidentified LS. Our study's intent proposes new predilections for ALND in presence of micrometastasis (size between 0.2 and 2 mm) in LS since they may not give metastatic involvement in other axillary lymphnodes. METHODS In our retrospective study we analyzed 1 119 patients's informations in a period of 7 years (2002/2009): 72 patients resulted positive for micrometastasis in LS. We analyzed cancer histology, size, grading. RESULTS Six patients of 72 positive micrometastasis LS were not subjected to ALND. We considered 66 patients: 13 patients were positive for metastasis in other axillary lymphnode; in 9 cases T1c and in 4 cases T2 (TNM classification); in 2 cases lobular infiltrated, in 11 cases ductal infiltrated (histology); in 7 cases were II stage, in 6 cases III stage (grading). CONCLUSION Nineteen point seven percent of 66 patients with micrometastasis in LS is positive in other axillary lymphnode: this result confirms guide-lines's accuracy, it is not possible to avoid ALND in these patients. It appears that breast cancers responsible for metastasis in other axillary lymphnode have principally a size >1 cm, lobular infiltrated and ductal infiltrated histology and II-III grading.
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Affiliation(s)
- M Bolondi
- Dipartimento di Chirurgia I, Azienda Ospedaliero Universitaria, Policlinico di Modena, Modena, Italia.
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Mattioli AV, Farinetti A, Miloro C, Pedrazzi P, Mattioli G. Influence of coffee and caffeine consumption on atrial fibrillation in hypertensive patients. Nutr Metab Cardiovasc Dis 2011; 21:412-417. [PMID: 20167459 DOI: 10.1016/j.numecd.2009.11.003] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2009] [Revised: 10/22/2009] [Accepted: 11/16/2009] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND AIMS Coffee and caffeine are widely consumed in Western countries. Little information is available on the influence of coffee and caffeine consumption on atrial fibrillation (AF) in hypertensive patients. We sought to investigate the relationship between coffee consumption and atrial fibrillation with regard to spontaneous conversion of arrhythmia. METHODS AND RESULTS A group of 600 patients presenting with a first known episode of AF was investigated, and we identified 247 hypertensive patients. The prevalence of nutritional parameters was assessed with a food frequency questionnaire. Coffee and caffeine intake were specifically estimated. Left ventricular hypertrophy was evaluated by electrocardiogram (ECG) and echocardiogram. Coffee consumption was higher in normotensive patients. High coffee consumers were more frequent in normotensive patients compared with hypertensive patients. On the other hand, the intake of caffeine was similar in hypertensive and normotensive patients, owing to a higher intake in hypertensive patients from sources other than coffee. Within normotensive patients, we report that non-habitual and low coffee consumers showed the highest probability of spontaneous conversion (OR 1.93 95%CI 0.88-3.23; p=0.001), whereas, within hypertensive patients, moderate but not high coffee consumers had the lowest probability of spontaneous conversion (OR 1.13 95%CI 0.67-1.99; p=0.05). CONCLUSION Coffee and caffeine consumption influence spontaneous conversion of atrial fibrillation. Normotensive non-habitual coffee consumers are more likely to convert arrhythmia within 48h from the onset of symptoms. Hypertensive patients showed a U-shaped relationship between coffee consumption and spontaneous conversion of AF, moderate coffee consumers were less likely to show spontaneous conversion of arrhythmia. Patients with left ventricular hypertrophy showed a reduced rate of spontaneous conversion of arrhythmia.
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Affiliation(s)
- A V Mattioli
- Department of Biomedical Science, Section of Cardiology, University of Modena and Reggio Emilia, Via del pozzo, 71, 41100 Modena, Italy.
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29
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Genazzani AD, Chierchia E, Santagni S, Rattighieri E, Farinetti A, Lanzoni C. Hypothalamic amenorrhea: from diagnosis to therapeutical approach. Ann Endocrinol (Paris) 2010; 71:163-9. [PMID: 20362965 DOI: 10.1016/j.ando.2010.02.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2010] [Revised: 02/06/2010] [Accepted: 02/08/2010] [Indexed: 10/19/2022]
Abstract
Among secondary amenorrheas, hypothalamic amenorrhea (HA) is the one with no evidence of endocrine/systemic causal factors. HA is mainly related to various stressors affecting neuroendocrine control of the reproductive axis. In clinical practice, HA is mainly associated with metabolic, physical, or psychological stress. Stress is the adaptive response of our body through all its homeostatic systems, to external and/or internal stimuli that activate specific and nonspecific physiological pathways. HA occurs generally after severe stressed conditions/situations such as dieting, heavy training, or intense emotional events, all situations that can induce amenorrhea with or without body weight loss and HA is a secondary amenorrhea with a diagnosis of exclusion. In fact, the diagnosis is essentially based on a good anamnestic investigation. It has to be investigated using the clinical history of the patient: occurrence of menarche, menstrual cyclicity, time and modality of amenorrhea, and it has to be excluded any endocrine disease or any metabolic (i.e., diabetes) and systemic disorders. It is necessary to identify any stressed situation induced by loss, family or working problems, weight loss or eating disorders, or physical training or agonist activity. Peculiar, though not specific, endocrine investigations might be proposed but no absolute parameter can be proposed since HA is greatly dependent from individual response to stressors and/or the adaptive response to stress. This chapter aims to give insights into diagnosis and putative therapeutic strategies.
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Affiliation(s)
- A D Genazzani
- Department of Obstetrics and Gynecology, Gynecological Endocrinology Center, University of Modena and Reggio Emilia, Via del Pozzo 71, 41100 Modena, Italy.
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Farinetti A, Saviano L, Tazzioli G, Gelomini R, Saviano M. [Four cases of mesenteric cystic neoformations]. MINERVA CHIR 2003; 58:235-42. [PMID: 12738933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
Four cases of mesenteric cystic neoformations personally observed in the last years are reported. This pathology should not be underestimated, since not only does it present several problems regarding diagnosis and treatment, but a nosologic classification is also difficult to make. Since such cysts present with aspecific symptoms, a definite diagnosis cannot always be reached by a preliminary X-ray investigation, which may lead to various interpretations, but often requires a subsequent histologic examination of operative specimen.
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Affiliation(s)
- A Farinetti
- Sezione di Clinica Chirurgica, Dipartimento di Chirurgia Generale e Specialità Chirurgiche, Università degli Studi di Modena e Reggio Emilia, Modena, Italy
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31
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Quintini C, Buniva P, Farinetti A, Monni S, Tazzioli G, Saviano L, Campana S, Malagnino F, Saviano M. [Adenocarcinoma of pancreas with situs viscerum inversus totalis]. MINERVA CHIR 2003; 58:243-6. [PMID: 12738934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
A case of adenocarcinoma of the head of the pancreas in a patient with situs viscerum inversus totalis, an association described for the third time in literature, is reported. The possible coexistence of malformations of transposed organs and the specular anatomosurgical situation requires particular attention in the diagnosis and preoperative evaluation as well as a careful reorientation of the surgical perspective and a correct surgical conduct.
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Affiliation(s)
- C Quintini
- Sezione di Clinica Chirurgica, Università degli Studi di Modena e Reggio Emilia, Modena, Italy
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32
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Farinetti A, Buttazzi A, Tazzioli G, Saviano L, Saviano M. [Giant ovarian cyst. A case weighing 23 kg (50.6 lb). Literature review]. MINERVA CHIR 2003; 58:261-5. [PMID: 12738937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
The ovarian cysts are one of the most common affections for females. Besides non-neoplastic functional cysts (follicular or luteal) with relatively small sizes, the neoplastic types, generally benign and that can be ascribed to serous tumors, of 10-15 cm or even bigger should be included. Nowdays, these neoformations are diagnosed relatively early, before they become of big dimensions, even if often they present few symptoms. Then it seems to be interesting to report a case recently observed of an ovarian cyst of 35x45x50 cm and weighing 23 kg in 29-year-old woman.
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Affiliation(s)
- A Farinetti
- Sezione di Clinica Chirurgica Policlinico di Modena Dipartimento delle Discipline Chirurgiche e delle Emergenze Università degli Studi - Modena e Reggio Emilia, Modena, Italy
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Farinetti A, Saviano M, Quaranta N, Monni S. [Surgical treatment of hemorrhoidal disease using the circular stapler. Analysis of 60 operated cases]. MINERVA CHIR 2001; 56:125-31. [PMID: 11353344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2023]
Abstract
BACKGROUND The authors describe their experience of the treatment of hemorrhoidal disease using a circular stapler in order to evaluate the effectiveness of this technique. METHODS They describe the surgical technique used in a comparative study carried out at Modena Policlinic. A transversal mucohemorrhoidal transection is performed using a circular stapler above the anorectal joint, enabling radical surgery to be completed in a single stage with a rapid and mini-invasive technique. This technique associates the resection of hemorrhoidal nodules and prolapsed mucosa with fixing the residual mucosa to the anal canal and correcting the hypertension and hematic stasis in the venous spaces by breaking the terminal branches of the superior hemorrhoidal artery. Both male and female patients were enrolled in the study, aged over 18 years old, presenting second, third and fourth degree hemorrhoidal prolapse with indications for surgery. The analysis of the long-term follow-up for possible late complications in the 60 selected cases will be reported in a later work. RESULTS The technique is easy, rapid and causes moderate pain. The postoperative complications are negligible. CONCLUSIONS A hospital stay limited to a few hours, rapid physical recovery and the absence of out-patient treatment required by this surgical technique, which is comparable to an internal closed hemorrhoidectomy, all offer undoubted advantages, also of a psychological and social nature which amply justify the higher economic and management cost linked to the use of a surgical stapler.
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Affiliation(s)
- A Farinetti
- Dipartimento delle Discipline Chirurgiche e delle Emergenze, Sezione di Clinica Chirurgica, Università degli Studi, Modena e Reggio Emilia, Italy.
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Affiliation(s)
- M Saviano
- Department of Surgery, University Hospital of Modena, Italy
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35
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Farinetti A, Saviano M. [Surgical treatment of hemorrhoidal disease using circular mechanical stapler. Analysis of costs]. MINERVA CHIR 2000; 55:401-7. [PMID: 11059233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
BACKGROUND An analysis of surgical treatment costs of haemorrhoid disease with the use of a new circular stapler, is made comparing this operation with Milligan Morgan's technique. The money and management saving due to the reduction of operation time and postoperative stay compensates present costs due to stapler. METHODS 35 uniform patients (number, age, sex, grade of haemorrhoid disease and surgical equipe) are considered and divided into two groups of study to evaluate perspectively the surgical costs. RESULTS The cost of treatment with stapler per patient is like Milligan Morgan's treatment (1.714.681 lire versus 1.681.893), with an important management saving of postoperative days (16 hours versus 42 hours). CONCLUSIONS Moreover there are psychologic and social advantages, not quantifiable but considerable, due to the early physical recovery and to the absence of out-patient dressing cycles peculiar of this surgical technique, with a rapid social and working reinstatement of patients (4-5 days versus 4-5 weeks of conventional intervention).
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Affiliation(s)
- A Farinetti
- Dipartimento di Discipline Chirurgiche e delle Emergenze, Università degli Studi, Modena
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36
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Briccoli A, Farinetti A, Ricchi E, Rizzente AG, Morganti I, Guernelli N. [Cancer of the anus. Analysis of our surgical experience]. MINERVA CHIR 1999; 54:289-93. [PMID: 10443106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/13/2023]
Abstract
BACKGROUND The different histological varieties of anal cancer due to the presence of different histogenesis tissue can be anatomically distinguished from anal canal tumours by their growth in a periorificial or marginal site. The first appearance of symptoms are common to usual non-tumoral pathologies, but can be ascertained at an early stage using biopsy. Anal cancer can be treated with surgery, conservative or radical treatment, radiotherapy alone and radiochemotherapy with possible surgery. METHODS Based on the results obtained by radical surgical exeresis due to the frequent spread of tumours to the pelvis and the possibility of metastases in the cava and portal vein, current therapeutic possibilities were analysed in 101 patients with anal cancer undergoing abdominal-perineal surgery. The priority of radiochemotherapy was underlined, reserving the faculty of surgical treatment for cases of large tumours with insufficient penetration. RESULTS The choice of therapy should be modulated according to its histology, tumour site, increase and grading. Only surgery can ensure long-term results similar to those obtained using surgical treatment of rectal cancer. CONCLUSIONS For the best results the authors recommend a therapeutic approach which involves some methods used for an early diagnosis.
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Affiliation(s)
- A Briccoli
- Dipartimento di Discipline Chirurgiche e delle Emergenze, Università degli Studi, Modena e Reggio Emilia
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37
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Esquivel J, Farinetti A, Sugarbaker PH. [Elective surgery in recurrent colon cancer with peritoneal seeding: when to and when not to proceed]. G Chir 1999; 20:81-6. [PMID: 10217864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
Peritoneal carcinomatosis occurs in about 10% of patients with colon cancer. Patients with progressive disease develop complications, with a median survival of 9 months. Our goal is to present a new quantitative scoring system by which to evaluate patients with peritoneal carcinomatosis. The Peritoneal Cancer Index and Completeness of Cytoreduction Score represent quantitative and prognostic indicators that permit the creation of a clinical pathway. Based on the scores, patients can undergo systemic chemotherapy, exploratory laparotomy or cytoreductive surgery. If there is a complete cytoreduction, perioperative intraperitoneal chemotherapy is given and these patients are considered potential long-term survivors.
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Abstract
The authors present two case reports of mesenteric cystic neoformations which they themselves observed and, with the help of the literature regarding this pathology, discuss the problems of both diagnosis and treatment.
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Affiliation(s)
- M S Saviano
- Department of Surgery, University of Modena, Italy
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Ricchi E, Fundarò S, Spallanzani A, Carriero A, Farinetti A, Ferrara F, Pezcoller C. Vertical subcutaneous pedicle flaps for posterior perineal reconstruction. Report of three cases. Dis Colon Rectum 1996; 39:353-7. [PMID: 8603562 DOI: 10.1007/bf02049482] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
PURPOSE Loss of a certain amount of cutaneous tissue of the perineal region may be remedied by first intention with creation of cutaneous flaps, thus preventing second intention healing. METHODS We present three emblematic cases in which the posterior perineal region was reconstructed by means of vertical subcutaneous pedicle flaps, subsequent to cutaneous tissue loss after surgery for extensive condilomas or neoplastic pathologies. RESULTS Tissue loss was repaired by means of a V-Y type vertical subcutaneous pedicle flap, constructed laterally of the extirpation zone and advanced in a median direction. In all cases, no ischemia or infection of flaps occurred; sphincteral continence and long-term aesthetic results have proved to be satisfactory. CONCLUSIONS Vertical pedicle subcutaneous flaps are well vascularized, extremely mobile, and easy to perform and have no serious postoperative complications.
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Affiliation(s)
- E Ricchi
- Department of Surgery, Second Division of General Surgery, University of Modena, Modena, Italy
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40
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Briccoli A, Farinetti A, Rizzente AG, Guernelli N. [Surgery of cancer of the right colon. Analysis of 265 cases]. MINERVA CHIR 1993; 48:837-40. [PMID: 8247295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The analysis of 265 selected cases of right colon cancer treated over a long period of time allows a number of points to be raised. Attention is drawn to the lack of progress made in diagnostic techniques, but this is thought to be due primarily to the vagueness of symptoms and their scarse investigation rather than to limits imposed by instrumental techniques. Moreover, no real benefit would be produced by a more aggressive approach using visceral or lymphatic exeresis. An earlier diagnosis of tumours due to differentiation, slow growth and rare association with adenoma should allow more encouraging results to be achieved.
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Briccoli A, Farinetti A, Del Prete P, Rizzente AG, Saviano MS, Guernelli N. [Pulmonary hamartoma]. MINERVA CHIR 1993; 48:813-9. [PMID: 8247291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Pulmonary hamartoma is a rare benign tumor often found by chance. Only in 10% of cases are some calcifications like "pop corn". Fibrobroncho-scopy is help only in endobronchial forms; they don't reach 10% of cases. Computed Tomography and transparietal biopsy can be diagnostic. In the uncertain cases and in presence of symptoms, thoracotomy with exeresis of tumor is justified.
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Affiliation(s)
- A Briccoli
- Istituto di Patologia Chirurgica, Università degli Studi di Modena
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42
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Saviano MS, Beghi M, Simonazzi R, Guarasci N, Briccoli A, Farinetti A. [Meckel's diverticulum. Case contributions]. MINERVA CHIR 1993; 48:227-30. [PMID: 8506041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Eight cases of Meckel's diverticulum observed by the authors are reported. Different investigative methods, clinical and surgical aspects are discussed. Even asymptomatic Meckel's diverticulum discovered incidentally at surgery should usually be removed.
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Affiliation(s)
- M S Saviano
- Istituto di Patologia Chirurgica, Università degli Studi di Modena
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43
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Arciola CR, Buscaroli S, Rocca M, Farinetti A, Fini M, Manfrini M, Giardino R. [In vitro study of Staphylococcus epidermidis adhesiveness to suture materials]. G Chir 1990; 11:141-3. [PMID: 2223484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
In surgical divisions, where you can find the highest percentage of hospital infections, the surgical wounds are definitively the most frequent localization. The aim of our study was to evaluate whether bacterial-biomaterial interactions could influence the growth of infections in sutured tissues. We prepared a method for in vitro bacterial adhesiveness testing based on turbidimetric analysis. The results obtained show a different grade of bacterial adhesion in relation to physical and chemical characteristics of the material examined.
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Affiliation(s)
- C R Arciola
- Laboratorio di Biocompatibilità dei Materiali da Impianto, Istituto Rizzoli, Bologna
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44
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Buscaroli S, Arciola CR, Mancini I, Farinetti A, Fini M, Rocca M, Giardino R. [Influence of suture materials on cell viability: a comparative experimental study]. G Chir 1990; 11:147-8. [PMID: 2223485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Among the conditions that a material must satisfy to be considered biocompatible, most important is the non negative influence on the cellular viability of the surrounding tissue (cytocompatibility). The aim of our work was to evaluate in vitro, whether different types of materials (usually used in surgery), alter the viability parameters or the morphological characteristics of the cultured cells in contact with them.
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Affiliation(s)
- S Buscaroli
- Laboratorio di Chirurgia Sperimentale, Istituto Rizzoli, Bologna
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45
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Briccoli A, Beghi M, Farinetti A, Guernelli N. [The role of lymphadenectomy in the surgical treatment of cancer of the left colon and rectum]. MINERVA CHIR 1990; 45:141-3. [PMID: 2356026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
The study of 89 cases of left colon and rectum cancer treated with oncology lymphectomy of II and III level, permits to confirm the main role of this surgical practice for a right tumoral stadiation. It's also confirmed the therapeutic role of lymphectomy with a 5 years follow-up, with a rescue of C1 cases, without a significative advantage of the extension to the III level.
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Affiliation(s)
- A Briccoli
- Patologia Chirurgica, Università degli Studi di Modena
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46
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Briccoli A, Beghi M, Capanna R, Picci P, Farinetti A, Campanacci M, Guernelli N. [Iterative pulmonary metastasis. Considerations on 28 surgically treated cases]. MINERVA CHIR 1989; 44:1985-8. [PMID: 2616000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Among 94 cases of pulmonary metastases treated by the exeresis of one or more nodules, 28 cases produced metastasis located in the lung only. Radical metastasectomy was performed on 250. Analysis of survival, also assessed in relation to every prognostic factor reveals the efficacy of surgical therapy even in iterative metastasectomy.
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47
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Briccoli A, Beghi M, Carriero A, Farinetti A, Guernelli N. [Metachronous polyps after the excision of colorectal carcinoma]. Minerva Med 1989; 80:701-2. [PMID: 2779823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- A Briccoli
- Università di Modena, Clinica Chirurgica III
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48
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Briccoli A, Beghi M, Farinetti A, Ricchi E, Guernelli N. [Preoperative staging of rectal cancer with computed tomography]. Minerva Med 1989; 80:703-4. [PMID: 2779824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Affiliation(s)
- A Briccoli
- Università di Modena, Clinica Chirurgica III
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49
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Briccoli A, Beghi M, Farinetti A, Guernelli N. [The surgical therapy of stage-III pulmonary cancer. Comments on 71 cases]. Minerva Med 1989; 80:677-8. [PMID: 2550849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- A Briccoli
- Policlinico di Modena, Clinica Chirurgica III
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50
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Guernelli N, Briccoli A, Farinetti A. [Pelviperineal recurrence after abdominoperineal amputation of the rectum in cancer]. MINERVA CHIR 1989; 44:723-5. [PMID: 2654747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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