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Deliu Victor Matei, Vanna Zanagnolo, Mihai Dorin Vartolomei, Nicolae Crisan, Matteo Ferro, Luca Bocciolone, Angelo Maggioni, Ioan Coman, Ottavio de Cobelli
OBJECTIVE: Our first objective was to report our experience on robot-assisted vesico-vaginal fistula (VVF) repair after radical surgery for gynecologic malignancies without omental flap interposition using a da Vinci robotic system. The second objective was to critically review the literature in order to analyze surgical solutions used to avoid repair failure. MATERIALS AND METHODS: Five patients with VVF diagnosed after previous open surgery for gynecologic malignancies referred to our tertiary institutions were selected...
2017: Urologia Internationalis
Francisco Javier Redondo, David Padilla, Pedro Villarejo, Victor Baladron, Patricia Faba, Sergio Sánchez, José Ramón Muñoz-Rodríguez, Natalia Bejarano
BACKGROUND: Closed hyperthermic intraperitoneal chemotherapy (HIPEC) may increase abdominal pressure and effects of hemodynamic changes due to maintenance hyperthermia. Our aim was to analyze the safety and effectiveness of our closed technique with CO2 circulation in management fluid status and hemodynamic parameters by means of cardiac preload control measured by Global End Diastolic Values (GEDV) and a gas exchanger. MATERIAL AND METHODS: A Pilot Clinical Study that included 18 advanced ovarian cancer patients undergoing citoreductive surgery and HIPEC...
May 30, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Roberto Bini, Simone Comelli, Renzo Leli, Giacomo Paolo Vaudano, Daniele Savio, Tiziana Viora, Alfredo Addeo
PURPOSE: Assess the feasibility, safety and efficacy of TACE with irinotecan loaded micro particles (debiri) for the treatment of locally advanced rectal cancer patients. RESULTS: We assessed the Edmonton Symptom Assessment System (ESAS). The tool is designed to assess nine common symptoms in cancer patients: pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, wellbeing and shortness of breath. The ESAS score was 7 in 10/12 (83%) patients before treatment and 6 in 2/12 (16...
July 19, 2016: Oncotarget
M Robella, M Vaira, P Marsanic, A Mellano, A Borsano, A Cinquegrana, A Sottile, M De Simone
AIM: Ovarian cancer may be considered as an "intraperitoneal disease" by itself. When surgical removal associated with systemic chemotherapy fails, usually, the history of the patients is characterized by poor prognosis. Some encouraging results have been reported by the treatment of peritoneal carcinomatosis (PC) from ovarian cancer by complete surgical cytoreduction, peritonectomy and hyperthermic intraperitoneal chemotherapy (HIPEC). The purpose of this article was to evaluate the survival benefit and the morbidity of patients with ovarian cancer treated at our institution by cytoreductive surgery associated with hyperthermic intraperitoneal perioperative chemotherapy (HIPEC)...
February 2014: Minerva Chirurgica
U M Dutchak, T H Fetsych, N A Volod'ko, R R Iarema, B I Solomko
This article analyses results of combined treatment of 40 female patients' age 28-73 (average 55) years with recurrent ovarian cancer who were treated in the Lviv state oncologist regional medically-diagnostic center from 2008 to 2010 year, using citoreductial interferes and introoperational pyrexias introabdominal hyper fusion.
July 2011: Likars'ka Sprava
Alejandro Hernández Monge, Ruth Pacheco Pineda, María del Rocio Estrada Hernandez, Evelyn García Juárez, Julio César Polanco García
The primary fallopian tube invader adenocarcinoma is a preoperative diagnosis rarely reported in the literature, because is the most uncommon of all gynecological tumors, with prevalence from 0.3 to 1.8%. Since its clinical evolution is very unspecific, in general this tumor is diagnosed during a laparothomy for other purpose or by the pathologist in the final histopathological report. The most frequent signs and symptoms are abdominal pain or a pelvic mass in 80% of cases; transvaginal bleeding in 50%, intense transvaginal serohematic discharge (hidrops tubae profluens) in 11...
February 2008: Ginecología y Obstetricia de México
Gian Paolo Spinelli, Federica Tomao, Evelina Miele, Giulia Pasciuti, Michelangelo Russillo, Silverio Tomao
Benefits from hormonal therapy in patients with hormon-sensitive breast cancers are widely and well known. A great challenge for clinicians is represented by the possibility to use citoreductive primary hormonal therapy in patients with locally advanced breast carcinoma. Five-year treatment with tamoxifen has been for long time the gold standard in adjuvant settings. In post-menopausal women affected by breast cancer larger than 3 cm and expressing estrogen receptors (ER+), clinical trials have shown that few months treatment with aromatase inhibitors can downsizing tumors...
January 2008: Recenti Progressi in Medicina
Tomasz Milczek, Dagmara Klasa-Mazurkiewicz, Janusz Emerich, Jarosław Debniak
INTRODUCTION: The established of prognostics factors in ovarian cancer patients can be used to predict the outcome of the disease, and gives possibilities to identified the group of patients who must be treated more aggressive. Some authors believe that (SPF) is prognostic factor in ovarian cancer. AIM OF THE STUDY: Evaluation of prognostic significance of S phase fraction in ovarian cancer patients determined by flow cytometric (FC) analysis. MATERIAL AND METHODS: Percent of S phase fraction by FC was investigated in group of 102 ovarian cancer patients from freshfrozen samples...
November 2006: Ginekologia Polska
V I Solov'ev, E N Semkina
The experience of the treatment of 138 patients with widespread forms of ovarian cancer within the period of 1998 to 2002 is described. The efficacies of the palliative treatment methods in improvement of the life quality and increase of the lifespan of the patients were compared. The results showed that combination of the chemotherapy with the subsequent citoreductive surgical interventions was advantageous. Such a treatment provided not only increase of the average lifespan of the patients from 13 to 23 months but also improvement of the life quality in 77...
2004: Antibiotiki i Khimioterapii︠a︡, Antibiotics and Chemoterapy [sic]
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