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Terzoni S, Mora C, Vahr Lauridssen S, N'Guessan S, Sighinolfi Maria C, Gaia G, Rocco B, Afonina M, Maruccia S, Pinna B, Parozzi M, Ferrara P, Destrebecq A, Marley J. Perceived usefulness of the nurse-patient therapeutic relationship in the rehabilitation journey of people with urinary incontinence: A mixed-method study. Neurourol Urodyn 2024; 43:942-950. [PMID: 38407345 DOI: 10.1002/nau.25432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 01/30/2024] [Accepted: 02/13/2024] [Indexed: 02/27/2024]
Abstract
INTRODUCTION Despite various studies on the impact of incontinence on patients' lives, the existing literature has not investigated the contribution of nursing care during rehabilitation in terms of quality of life. Fewer data, therefore, exist on the characteristics and perceived impact of the therapeutic relationship as part of the rehabilitation program. AIMS To investigate the characteristics of the nurse-patient therapeutic relationship and its impact throughout the rehabilitation program; to describe the levels of patient burden on everyday activities. MATERIALS AND METHODS A monocentric, retrospective, multimethod descriptive study was conducted in the nurse-led continence clinic of a major teaching hospital in Northern Italy. A phenomenological approach with semistructured interviews was adopted after 6 weeks of rehabilitation, following the method of phenomenological enquiry by Giorgi. The short form 12 questionnaire was administered upon admission of patients to the clinic, after 6 weeks, and during the last consultation to investigate the impact of urinary incontinence (UI) on daily activities and physical and psychological quality of life. RESULTS Ninety-one adult patients of both genders presenting for nonneurogenic nonpostpartum UI were consecutively enrolled. Physical scores (PCS-12) and MCS-12 scores significantly increased over time. Psychological scores showed great variability upon admission, which was reduced halfway through the rehabilitation program. The thematic analysis highlighted four categories based on data saturation: the impact of UI on daily activities, strategies to face the problem, feelings, and the role of nurses. CONCLUSIONS This mixed-method investigation suggests the importance of therapeutic nursing relationships, clinical expertise, and rehabilitative skills. Quality of life is arguably related to the positive results of the rehabilitation program but also to the environment, patients perceive in terms of support, honesty, and trust.
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Affiliation(s)
- Stefano Terzoni
- Department of Biomedical Sciences for Health, University of Milan La Statale, Milan, Italy
| | - Cristina Mora
- Pelvic Rehabilitation Clinic, Clinica San Carlo, Paderno Dugnano, Milan, Italy
| | - Susanne Vahr Lauridssen
- Afdeling for Mave-, Tarm- og Leversygdomme, Department of Surgery, Herlev Hospital & WHO-CC Parker Instituttet, Frederiksberg Hospital, Aarhus, Denmark
| | | | | | - Giorgia Gaia
- Department of Urology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Bernardo Rocco
- Department of Urology, ASST Santi Paolo e Carlo, Milan, Italy
| | | | - Serena Maruccia
- Department of Urology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Barbara Pinna
- Department of Urology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Mauro Parozzi
- Department of Urology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Paolo Ferrara
- Department of Urology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Anne Destrebecq
- Department of Biomedical Science for Health, University of Milan, Milan, Italy
| | - Jerome Marley
- School of Nursing and Paramedic Science, Faculty of Life & Health Sciences, Jordanstown Campus, Newtownabbey, UK
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Sighinolfi MC, De Maria M, Meneghetti I, Felline M, Ceretti AP, Mosillo L, Catalano C, Morandi A, Calcagnile T, Panio E, Sangalli M, Turri F, Terzoni S, Assumma S, Sarchi L, Afonina M, Marconi A, Bianchi PP, Micali S, Rocco B, Gaia G. Correction: The use of Versius CMR for pelvic surgery: a multicentric analysis of surgical setup and early outcomes. World J Urol 2024; 42:86. [PMID: 38372831 PMCID: PMC10876755 DOI: 10.1007/s00345-024-04850-4] [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: 02/20/2024] Open
Affiliation(s)
| | | | | | - Mauro Felline
- Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | | | | | | | | | - Enrico Panio
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | - Filippo Turri
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | - Simone Assumma
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | - Luca Sarchi
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | | | | | - Salvatore Micali
- Unit of Urology, Azienda Ospedaliero Universitaria di Modena, Modena, Italy
| | - Bernardo Rocco
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | - Giorgia Gaia
- Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy
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Sighinolfi MC, Rocco B, Terzoni S, Morandi A, Afonina M, Assumma S, Calcagnile T, Turri F, Sangalli M, Panio E, Sarchi L, Grasso A, Dell'orto P, Pozzi E, Ramondo A, Santangelo E, Petix M, Gaia G. New robotic systems: first head-to-head comparison between Hugo RAS and Versius CMR in the pre-clinical setting. Minerva Urol Nephrol 2024; 76:1-4. [PMID: 38426418 DOI: 10.23736/s2724-6051.23.05568-4] [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: 03/02/2024]
Affiliation(s)
- Maria C Sighinolfi
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy -
| | - Bernardo Rocco
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Stefano Terzoni
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Alessandro Morandi
- Gynecology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Margarita Afonina
- Gynecology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Simone Assumma
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Tommaso Calcagnile
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Filippo Turri
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Mattia Sangalli
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Enrico Panio
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Luca Sarchi
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Angelica Grasso
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Paolo Dell'orto
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Efrem Pozzi
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Augusto Ramondo
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | | | - Michele Petix
- Urology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
| | - Giorgia Gaia
- Gynecology Unit, ASST Santi Paolo and Carlo, University of Milan, Milan, Italy
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Gaia G, Sighinolfi MC, Terzoni S, Afonina M, Morandi A, Iannuzzi V, Assumma S, LA Marca A, Spinillo A, Marconi AM. Training for da Vinci robotic surgery: the Intuitive experience. Minerva Obstet Gynecol 2024; 76:107-108. [PMID: 37800412 DOI: 10.23736/s2724-606x.23.05309-5] [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: 10/07/2023]
Affiliation(s)
- Giorgia Gaia
- Department of Obstetrics and Gynecology, ASST Santi Paolo e Carlo, Milan, Italy
| | | | - Stefano Terzoni
- San Paolo Bachelor School of Nursing, ASST Santi Paolo e Carlo, Milan, Italy -
| | - Margarita Afonina
- Department of Obstetrics and Gynecology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Alessandro Morandi
- Department of Obstetrics and Gynecology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Veronica Iannuzzi
- Department of Obstetrics and Gynecology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Simone Assumma
- Department of Urology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Antonio LA Marca
- Department of Obstetrics and Gynecology, University of Modena and Reggio Emilia, Polyclinic of Modena, Modena, Italy
| | - Arsenio Spinillo
- Department of Obstetrics and Gynecology, San Matteo Hospital, Pavia, Italy
| | - Anna M Marconi
- Department of Obstetrics and Gynecology, ASST Santi Paolo e Carlo, Milan, Italy
- Department of Health Sciences, University of Milan, Milan, Italy
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Sighinolfi MC, De Maria M, Meneghetti I, Felline M, Ceretti AP, Mosillo L, Catalano C, Morandi A, Calcagnile T, Panio E, Sangalli M, Turri F, Terzoni S, Assumma S, Sarchi L, Afonina M, Marconi A, Bianchi PP, Micali S, Rocco B, Gaia G. The use of Versius CMR for pelvic surgery: a multicentric analysis of surgical setup and early outcomes. World J Urol 2024; 42:31. [PMID: 38217724 PMCID: PMC10787883 DOI: 10.1007/s00345-023-04730-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 10/16/2023] [Indexed: 01/15/2024] Open
Abstract
INTRODUCTION Versius CMR is a novel robotic system characterized by an open surgical console and independent bedside units. The system has potentials of flexibility and versatility, and has been used in urological, gynecological, and general surgical procedure. The aim is to depict a comprehensive analysis of the Versius system for pelvic surgery. METHODS This is a study involving two Institutions, ASST Santi Paolo and Carlo, Milan, and Apuane Hospital, Massa, Italy. All interventions performed in the pelvic area with the Versius were included. Data about indications, intra-, and post-operative course were prospectively collected and analyzed. RESULTS A total of 171 interventions were performed with the Versius. Forty-two of them involved pelvic procedures. Twenty-two had an oncological indication (localized prostate cancer), the remaining had a non-oncological or functional purpose. The mostly performed pelvic procedure was radical prostatectomy (22) followed by annexectomy (9). No intra-operative complication nor conversion to other approaches occurred. A Clavien II complication and one Clavien IIIb were reported. Malfunctioning/alarms requiring a power cycle of the system occurred in 2 different cases. An adjustment in trocar placement according to patients' height was required in 2 patients undergoing prostatectomy, in which the trocar was moved caudally. In two cases, a pelvic prolapse was repaired concomitant with other gynecological procedures. CONCLUSIONS Pelvic surgery with the Versius is feasible without major complications; either dissection and reconstructive steps could be accomplished, provided a proper OR setup and trocar placement are pursued. Versius can be easily adopted by surgeons of different disciplines and backgrounds; a further multi-specialty implementation is presumed and long-term oncological and functional outcomes are awaited.
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Affiliation(s)
| | | | | | - Mauro Felline
- Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | | | | | | | | | - Enrico Panio
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | - Filippo Turri
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | - Simone Assumma
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | - Luca Sarchi
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | | | | | - Salvatore Micali
- Unit of Urology, Azienda Ospedaliero Universitaria di Modena, Modena, Italy
| | - Bernardo Rocco
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | - Giorgia Gaia
- Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy
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Sighinolfi MC, Sarchi L, Gaia G, Formisano G, Turri F, Sangalli M, Calcagnile T, Assumma S, Panio E, Darisi R, Afonina M, Grasso A, Dell'Orto P, Piacentini I, Salay A, Barabino M, Pisani A, Terzoni S, Marconi A, Bianchi PP, Rocco B. Multimodular robotic systems (Hugo RAS and Versius CMR) for pelvic surgery: tasks and perspectives from the bed-side assistant. J Robot Surg 2023; 17:3039-3043. [PMID: 37775674 DOI: 10.1007/s11701-023-01718-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 09/03/2023] [Indexed: 10/01/2023]
Abstract
The Hugo RAS and Versius are new robotic systems with a multimodular configuration, requiring a dedicated positioning of units, arms and trocars. While promising flexibility and multiquadrant opportunities-with an enhanced range of motion-the presence of multiple units around the patient should be effectively managed by the assistant and requires a new background of tasks. The article represents a practical guide while providing an overview on assistants' perspectives.
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Affiliation(s)
- Maria Chiara Sighinolfi
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy.
| | - Luca Sarchi
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Giorgia Gaia
- Unit of Gynecology, University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Giampaolo Formisano
- Unit of General Surgery, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Filippo Turri
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Mattia Sangalli
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Tommaso Calcagnile
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Simone Assumma
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Enrico Panio
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Ruggero Darisi
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Margarita Afonina
- Unit of Gynecology, University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Angelica Grasso
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Paolo Dell'Orto
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Igor Piacentini
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Adelona Salay
- Unit of General Surgery, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Matteo Barabino
- Unit of General Surgery, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Andrea Pisani
- Unit of General Surgery, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Stefano Terzoni
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
| | - Annamaria Marconi
- Unit of Gynecology, University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Paolo Pietro Bianchi
- Unit of General Surgery, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Milan, Italy
| | - Bernardo Rocco
- Unit of Urology, Department of Health Science, University of Milan, ASST Santi Paolo and Carlo, Via A. Di Rudini 8, Milan, Italy
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Collà Ruvolo C, Afonina M, Balestrazzi E, Paciotti M, Piro A, Piramide F, Bravi CA, Peraire Lores M, Sorce G, Belmonte M, Rebuffo S, Ticonosco M, Frego N, Gaia G, De Groote R, Mottrie A, De Naeyer G. A comparative analysis of the HUGO TM robot-assisted surgery system and the Da Vinci ® Xi surgical system for robot-assisted sacrocolpopexy for pelvic organ prolapse treatment. Int J Med Robot 2023:e2587. [PMID: 37864367 DOI: 10.1002/rcs.2587] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 07/13/2023] [Revised: 09/18/2023] [Accepted: 10/05/2023] [Indexed: 10/22/2023]
Abstract
BACKGROUND We aimed to compare the outcomes of Robot-assisted sacrocolpopexy (RASC) performed using the novel HUGOTM Robot-Assisted Surgery (RAS) System with the Da Vinci® Xi surgical system. METHODS Data from 38 women undergoing RASC for a ≥ 2-grade pelvic organ prolapse were collected (2021-2023). RESULTS Overall, 23 (60.5%) and 15 (39.5%) procedures were performed using the DaVinci® Xi and the HUGOTM RAS system, respectively. The median total operative time was 123 (IQR:106.5-140.5) minutes for the DaVinci® Xi versus 120 (IQR:120-146) minutes for the HUGOTM RAS cases (p = 0.5). No conversion to open/laparoscopic surgery, perioperative complications, or system failures occurred. No differences were recorded according to day of catheter removal and length of stay. CONCLUSIONS This study represents the first worldwide comparison of RASC executed using the HUGOTM RAS versus the Da Vinci® Xi System. Our data suggest that RASC might be performed with both robotic platforms with similar perioperative outcomes.
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Affiliation(s)
- Claudia Collà Ruvolo
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples "Federico II", Naples, Italy
| | - Margarita Afonina
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milan, Milan, Italy
- Division of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Eleonora Balestrazzi
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Division of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
| | - Marco Paciotti
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Urology, Humanitas Research Hospital- IRCCS, Rozzano, Italy
| | - Adele Piro
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Urology, Ospedale Policlinico e Nuovo Ospedale Civile S.Agostino Estense Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Federico Piramide
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Oncology, Division of Urology, University of Turin, San Luigi Gonzaga Hospital, Turin, Italy
| | - Carlo Andrea Bravi
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Urology, The Royal Marsden NHS Foundation Trust, London, UK
| | - Maria Peraire Lores
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
| | - Gabriele Sorce
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Unit of Urology, Division of Experimental Oncology, Urological Research Institute, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
| | - Mario Belmonte
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Silvia Rebuffo
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy
| | - Marco Ticonosco
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Urology, Ospedale Policlinico e Nuovo Ospedale Civile S.Agostino Estense Modena, University of Modena and Reggio Emilia, Modena, Italy
| | - Nicola Frego
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
- Department of Urology, Humanitas Research Hospital- IRCCS, Rozzano, Italy
| | - Giorgia Gaia
- Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milan, Milan, Italy
| | - Ruben De Groote
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
| | - Alexandre Mottrie
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
- ORSI Academy, Ghent, Belgium
| | - Geert De Naeyer
- Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium
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Gaia G, Sighinolfi MC, Terzoni S, Afonina M, Morandi A, Iannuzzi V, Assumma S, La Marca A, Spinillo A, Marconi AM. Versius robotic surgery training. Minerva Obstet Gynecol 2023:S2724-606X.23.05317-4. [PMID: 37791904 DOI: 10.23736/s2724-606x.23.05317-4] [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: 10/05/2023]
Affiliation(s)
- Giorgia Gaia
- Department of Gynecology, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy
| | - Maria C Sighinolfi
- Department of Urology, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy
| | - Stefano Terzoni
- Bachelor School of Nursing, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy -
| | - Margarita Afonina
- Department of Gynecology, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy
| | - Alessandro Morandi
- Department of Gynecology, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy
| | - Veronica Iannuzzi
- Department of Gynecology, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy
| | - Simone Assumma
- Department of Urology, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy
| | - Antonio La Marca
- Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy
| | - Arsenio Spinillo
- Unit of Obstetrics and Gynecology, Department of Pediatrics, San Matteo Hospital, Pavia, Italy
| | - Anna Maria Marconi
- Department of Gynecology, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy
- Department of Health Sciences, University of Milan, Milan, Italy
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Gaia G, Afonina M, Sighinolfi MC, Formisano G, Bianchi PP, Marconi AM. Robotic multiple sigmoid and rectal mucosa skinning in a multicentric deep infiltrating bowel endometriotic nodules: a case report. J Minim Invasive Surg 2023; 26:146-150. [PMID: 37712314 PMCID: PMC10505363 DOI: 10.7602/jmis.2023.26.3.146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Revised: 05/18/2023] [Accepted: 05/27/2023] [Indexed: 09/16/2023]
Abstract
Endometriosis is a benign gynecological disease characterized by the presence of endometrial tissue outside the uterus. The eradication of non-gynecological localizations represents the real surgical challenge. A 29-year-old woman underwent robotic surgery with the Da Vinci system (Intuitive Surgical Inc.) for a diagnosis of stage IV deep endometriosis. The patient presented with 5 cm left ovarian endometrioma, an infiltration of the left posterior parametrium, and bilateral ureteral endometriosis. Once inside the pelvic cavity, deep intestinal infiltrating endometriosis implants were confirmed as triple, multicentric, and multifocal lesions, affected distal sigmoid, rectosigmoid junction, and upper rectum. An expert multiple excision, sparing the intestinal mucosa, was performed. To our knowledge, this is the first description of a multiple robotic shaving of multicentric endometriotic intestinal lesions. After the surgery, a normal diet was quickly restored, accelerating the recovery of the physiological peristalsis and the overall recovery time.
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Affiliation(s)
- Giorgia Gaia
- Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milan, Milan, Italy
| | - Margarita Afonina
- Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milan, Milan, Italy
| | - Maria Chiara Sighinolfi
- Department of Urology, San Paolo Hospital Medical School, University of Milan, Milano, Italy
| | - Giampaolo Formisano
- Department of Surgery, San Paolo Hospital Medical School, University of Milan, Milan, Italy
| | - Paolo Pietro Bianchi
- Department of Surgery, San Paolo Hospital Medical School, University of Milan, Milan, Italy
| | - Anna Maria Marconi
- Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milan, Milan, Italy
- Department of Health Sciences, University of Milan, Milan Italy
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Gaia G, Sighinolfi MC, Afonina M, Assumma S, Terzoni S, Rocco B, Spinillo A, Maruccia S, Triunfo S, Manodoro S, Marconi A. Uro-gynecological surgery with the Versius robotic system: first description of a clinical case. Minerva Urol Nephrol 2023; 75:275-277. [PMID: 37221826 DOI: 10.23736/s2724-6051.23.05301-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2023]
Affiliation(s)
- Giorgia Gaia
- Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy
| | | | | | - Simone Assumma
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
| | - Stefano Terzoni
- Unit of Gynecology, ASST Santi Paolo and Carlo, Milan, Italy
| | - Bernardo Rocco
- Unit of Urology, ASST Santi Paolo and Carlo, Milan, Italy
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Sighinolfi MC, Gaia G, Afonina M, Assumma S, Calcagnile T, Garelli G, Sangalli M, Guarnerio PP, Felline M, Eissa A, Sarchi L, Terzoni S, Micali S, Marconi A, Rocco B. Level 1 Evidence for Robotic Surgery for Urological and Gynecological Pelvic Cancers: Where do We Currently Stand? CLIN EXP OBSTET GYN 2023. [DOI: 10.31083/j.ceog5002044] [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: 02/19/2023]
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Mereu L, Gaia G, Afonina M, Terzoni S, Tateo S, Spinillo A. “Less is More, is R-LESS More?”—The Use of Robotic Laparoendoscopic Single-Site Surgery in Gynaecology: A Scoping Review. CLIN EXP OBSTET GYN 2023. [DOI: 10.31083/j.ceog5001019] [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: 01/19/2023]
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Alfieri N, Gaia G, Terzoni S, Afonina M, Marconi AM. Robotic versus Vaginal Surgery for Treatment of Pelvic Organ Prolapse: A Comprehensive Review. CLIN EXP OBSTET GYN 2022. [DOI: 10.31083/j.ceog4912266] [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: 12/13/2022]
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Gaia G, Afonina M, Marconi AM. Stage IV endometriosis: to treat or not to treat before in-vitro fertilization? Further considerations besides the pregnancy rate: a case of near-miss for spontaneous hemoperitoneum. Minerva Obstet Gynecol 2022; 74:314-317. [PMID: 35642716 DOI: 10.23736/s2724-606x.22.05038-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Endometriosis represents a well-known cause of infertility. Recently, its association with spontaneous hemoperitoneum in pregnancy (SHIP) was reported. Its occurrence seems to be increased in patients with endometriosis who underwent IVF techniques. We present a case of near miss at 15 weeks of pregnancy associated with SHIP in a nulliparous patient of 39 years old with chronic endometriosis. Previously, she underwent several IVF cycles and controlled ovarian hyperstimulation plus embryo transfer (COH-ET). An explorative laparoscopy was performed, then converted in laparotomy. The bleeding endometriotic tissue was removed and an ureteral stent was placed. The patient lost a total of 4 liters of blood and fully recovered. Unfortunately, miscarriage occurred. The potential link between COH-ET, the number of cycles of ovarian stimulation and SHIP in severe endometriosis must take a part in the balanced decision between preventive surgery of direct hormonal stimulation.
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Affiliation(s)
- Giorgia Gaia
- Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milan, Milan, Italy -
| | - Margarita Afonina
- Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milan, Milan, Italy
| | - Anna M Marconi
- Department of Obstetrics and Gynecology, San Paolo Hospital Medical School, University of Milan, Milan, Italy.,Department of Health Sciences, University of Milan, Milan, Italy
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