Biomedical subjects

Antonio Immè

Publications and source records attributed to Antonio Immè.

4 recordsLinked to original sources

PubMedDate not supplied

[Robotic techniques in laparoscopic surgery].

Robotic technology is being increasingly used in surgery. The authors assess the usefulness, effectiveness and safety of the AESOP 2000 robotic device (Automated Endoscopic System for Optimal Positioning) in videolaparoscopic surgery. Two laparoscopic cholecystectomies were performed with the aid of the AESOP 2000 robot. A short increase in operative time was observed and there were no complications. Voice understanding was accurate and flawless and no inadvertent smearing of the lens occurred. The use of the AESOP 2000 robotic device is safe, improves the quality of vision and reduces the number of surgeons needed in the team. Nevertheless, a learning curve and simultaneous training in the use of the device are required.

Cholecystectomy, Laparoscopic↗

PubMedDate not supplied

[Laparoscopic treatment in a case of torsion of ovarian benign mature teratoma. Clinical case and review of the literature].

Benign mature teratomas account for approximately 10-17% of all ovarian neoplasms and are the type of ovarian neoplasm most likely to occur during a woman's reproductive life. Bilateral localization is observed in some 10-15% of cases and the estimated incidence of malignant degeneration is 0.5-1.8%. The authors report a case of a 35-year-old woman admitted with discontinuous abdominal and pelvic pain. Imaging procedures showed an adnexal mass with the appearance of a dermoid cyst. The patient underwent laparoscopic ovarian cystectomy with preservation of the adnexal gland. After a review of the international literature and a description of the clinical features of the disease the authors go on to stress the advantages of laparoscopic management of benign ovarian teratomas.

Adult↗

PubMedDate not supplied

[Antibiotic prophylaxis in laparotomic and laparoscopic cholecystectomy].

Antibiotic prophylaxis in biliary surgery, when correctly used, has led to the minimisation of postoperative infections. Conventional cholecystectomy, and particularly laparoscopic cholecystectomy give rise to a very complicated issue concerning the use of antimicrobial prophylaxis, especially in relation to low-risk patients. The authors describe their experience with the use of short-term prophylaxis in biliary surgery based on a hundred consecutive laparoscopic cholecystectomies. In addition, the literature on this topic strengthens the authors' conviction that antimicrobial prophylaxis may be indicated in all surgical cholecystectomy procedures, also in view of the difficult management of postoperative infection risk factors.

Adolescent↗

PubMedDate not supplied

[Incisional hernia at the trocar site in laparoscopic surgery].

The main aim of this study was to evaluate the incidence of incisional hernia at the trocar site, as well as to contribute towards defining the etiopathogenetic factors responsible. One hundred and fifty cases of patients undergoing laparoscopic surgery were studied retrospectively from the clinical and ultrasonographical points of view. The laparoscopic gaps examined numbered approximately 600 in all. The incidence of incisional hernia was 2%, exclusively located in the periumbilical area. There were no incisional hernias in extra-umbilical areas, which we usually do not suture. A symptomatic extra-umbilical incisional hernia occurred at a 5 mm site in a patient previously operated on in another hospital. Particular attention needs to be paid to periumbilical gap suture, exposed to the trauma of trocar fixing, especially in obese and diabetic patients. In selected cases the other gaps should be sutured, including the 5 mm ones.

Adult↗