Common Peroneal Nerve Injuries at the Knee: Outcomes of Nerve Repair

Felici, Nicola; Femmine, Pietro Francesco Delle; Tosi, Daniele; Ornelli, Matteo; Mori, Francesco; Turriziani, Gianmarco; Amadei, Federico

doi:10.57604/prrs-001

Cited by 9 publications

(7 citation statements)

References 25 publications

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“…Nerve block techniques, performed with the use of ultrasound, improve postoperative pain control and reduce opioid administration and relative side effects as vomiting and immunological impairment 14,15 . More over a recent study, demonstrated the correlation between opioid receptor and breast cancer cells migration and thus metastatization or recurrence 16,17 . All these strategies were managed to minimize delays for cancer patients due to COVID-19 by prioritizing selected cases, while non-urgent surgical procedures were postponed and waiting lists for benign diseases grew longer [18][19][20] .…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Awake Oncoplastic Surgery for Breast Cancer

Vanni

Pellicciaro

Materazzo

et al. 2022

PRRS

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Background. In the last two decades oncoplastic breast surgery has emerged as a new technique requiring longer time and more complex breast dissection and remodelling. Advantages of awake surgery have been demonstrated in literature, but oncoplastic surgery, due to its complexity, is usually performed under general anaesthesia. The aim of this study is to evaluate feasibility and safety of awake oncoplastic surgery. Materials and methods. Retrospective observational study on patients who underwent awake oncoplastic surgery from January 2019 to December 2020. Collected data included tumour staging, Estrogen receptor (ER), Progesterone receptor (PR) and Ki67 index, age, BMI, ASA, type of oncoplastic surgery, surgical time, complications, aesthetic outcome evaluated at 6 months by the two breast senior surgeons rated on a five-point scale, patient's satisfaction valuated at 6 months by Breast-Q ® questionnaire. Results. 14 patients were included in the study. Patients' satisfaction was great in term tolerability of awake regimen and satisfaction with the result, as shown using Breast-Q test. Also, surgeon satisfaction was acceptable. No anaesthesiologic compliance were reported in the case series. Conclusions. Oncoplastic awake surgery is feasible and safe also for level II oncoplasty in well selected patients performing local anaesthesia.

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Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Awake Oncoplastic Surgery for Breast Cancer

Vanni

Pellicciaro

Materazzo

et al. 2022

PRRS

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“…Free flaps like ALT or DIEP flap, provide a proper amount of well vascularized tissues and are usually considered a valid alternative 31 . As reported by Tukiainen E., the general conditions of the patient represent a relevant element during the flap selection process, since the advantages of free flaps reconstruction should outweigh the disadvantages like longer operative time and potential thrombotic problems 32,33 . Unfortunately, in our patient a microvascular procedure was not recommended, making this reconstructive option inappropriate.…”

Section: Discussionmentioning

confidence: 99%

T-Inverted Shaped Rectus Abdominis Myocutaneous (Ti-Ram) Flap for Chest Wall Reconstruction

Longo

D’Orsi

Pistoia

et al. 2022

PRRS

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“…The main purpose of the surgical treatment was to achieve a prompt wound closure and the infection solving. Finally, as regards the postraumatic deficit of left foot dorsiflection and sensation, no treatment was started, since the closed nature of trauma, which was responsible of the possible underlying neurapraxya and the spontaneous improvement occurred within 3-4 month 24 . which spontaneously resolved during hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Clostridium Septicum Fasciitis in a Patient With Occult Colon Malignancy: A Case Report and Literature Review

Lovero

Marchica

Romeo

et al. 2022

PRRS

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Introduction and aim. Gas gangrene is usually related to a trauma and can involve different districts of the body. It is a life-threatening condition, and its consequences lead to functional and aesthetical deficit. Atraumatic gas gangrene is a rare event, sometimes related to a Clostridium septicum (C. septicum) bacteremia. Aim of this article is to discuss existing literature about relation between colon adenocarcinoma and Clostridia infections, integrating with a case-report. Patients and methods. A 54-year-old obese female patient developed an atraumatic gas gangrene of the posterior trunk, started from a C. septicum bacteremia. Gas gangrene involved skin, soft tissues and muscles of the back. A multidisciplinary clinical and surgical management involved anesthesiologists, general and plastic surgeons. During hospitalization, an occult colon adenocarcinoma was diagnosed and recognized as the bacteremia trigger, and it was successfully addressed. The gangrene was properly treated with seriate surgical debridement and final soft tissue coverage. After a long hospital stay, the patient was discharged in stable clinical conditions. Results and conclusions. C. septicum gas gangrene remains one of the most fearful infections. An early diagnosis and a prompt antibiotic and surgical treatment, with life supportive care, are mandatory to avoid the necrotizing fasciitis spreading and the death of the patient. However, due to the rarity and variability of this condition, there is no standardized protocol for its treatment. Since a strong relation between C. septicum infection and colon malignancy is reported in literature, in cases of C. septicum bacteremia it should be mandatory to investigate gastrointestinal tract to exclude colon malignancy.

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Common Peroneal Nerve Injuries at the Knee: Outcomes of Nerve Repair

Cited by 9 publications

References 25 publications

Feasibility and Safety of Awake Oncoplastic Surgery for Breast Cancer

Feasibility and Safety of Awake Oncoplastic Surgery for Breast Cancer

T-Inverted Shaped Rectus Abdominis Myocutaneous (Ti-Ram) Flap for Chest Wall Reconstruction

Clostridium Septicum Fasciitis in a Patient With Occult Colon Malignancy: A Case Report and Literature Review

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