311 research outputs found
"Non è facile avere 18 anni". Rita Pavone, icona intermediale nell'industria culturale italiana degli anni Sessanta
No full textLa costruzione del personaggio di Rita Pavone, cantante, presentatrice e atrice degli anni Sessanta, icona intermediale capace di muoversi su più media e trova senso solo nel richiamo continuo tra le sue diverse "maschere
"Non è facile avere 18 anni". Rita Pavone, icona intermediale nell'industria culturale italiana degli anni Sessanta
No full textLa costruzione del personaggio di Rita Pavone, cantante, presentatrice e atrice degli anni Sessanta, icona intermediale capace di muoversi su più media e trova senso solo nel richiamo continuo tra le sue diverse "maschere
Current status of robotic abdominopelvic surgery
No full textRobotically assisted laparoscopic surgery was introduced more than 20 years ago, with the robotic endoscope control system AESOP and the robotic surgery system ZEUS, which had several separate arms for the laparoscope and instruments. These were even set up for remote connection, so that long-distance telesurgery could be performed as early as 2001. Subsequent technical developments include rigid and flexible multi-port and single-port systems, so that today's market offers a variety of choices in various price ranges and is expected to continue its growth. Robotic surgical systems can not only facilitate established operative approaches, but also expand the range of procedures, such as intra- and transluminal interventions. As part of the digital surgery ecosystem, robotic systems support the increasing integration and adoption of advanced technologies such as Artificial Intelligence - based data analysis and support systems
Tele-image-guided robotic surgery with multiple-console configuration: a vision towards remote precision surgical oncology
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Uterus Didelphys with Hematocervix in the Unilateral Obstructed Hemivagina and Ipsilateral Renal Agenesis: A Case Report of Herlyn–Werner–Wunderlich Syndrome
No full textBackground: Mullerian duct anomalies include a broad spectrum of genital tract defects that arise from developmental abnormalities of the genital tract. Herlyn–Werner–Wunderlich syndrome (HWWS) refers to the combination of uterus didelphys, blind hemivagina and ipsilateral renal agenesis. In the literature, the syndrome often appears as a few sporadic case reports. Case: We report a case of symptomatic Herlyn–Werner–Wunderlich syndrome diagnosed by transavaginal scan and MRI and successfully treated with a laparoscopic-assisted hysteroscopic vaginal septum resection. The postoperative course was without complications, and clinical symptoms completely resolved the surgery. Summary and Conclusions: Combination of laparoscopy and hysteroscopy was found to be an easy, safe, effective and appropriate approach for patients with HWWS
ASO Author Reflections: Image-Guided Intraoperative Tissue Assessment for Guidance in Oncologic Surgery: From Frozen Section to Digital Surgery
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Wound Infiltration With Local Anesthetics Versus Transversus Abdominis Plane Block for Postoperative Pain Management in Gynecological Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
No full textObjective: Postoperative pain management significantly influences recovery speed, hospital stay duration, and healthcare costs. In light of inconsistencies in clinical trial outcomes, we conducted a systematic review and meta-analysis to assess the efficacy of the Transversus Abdominis Plane (TAP) block compared to local anesthetic wound infiltration (WI) for postoperative pain management in gynecological surgery. Data Sources: Systematic searches were conducted across PubMed/MEDLINE, ScienceDirect, the Cochrane Library, and Web of Science databases to identify all randomized controlled trials comparing TAP block and WI in adult patients undergoing gynecological surgical procedures. Additionally, the reference lists of the identified studies were manually reviewed. Only studies published in English were eligible for inclusion in the analysis. Methods of Study Selection: The Population, Intervention, Comparison, and Outcome framework for the review included: (1) adult patients who underwent gynecological surgical procedures; (2) postoperative TAP block as the intervention; (3) comparison with local anesthetic WI; (4) primary outcome: postoperative pain at 1, 4, 12, and 24 hours; secondary outcomes: postoperative opioid consumption, opioid-related side effects, and patient satisfaction. STATA software, version 18 (Stata Corp, College Station, TX, USA), was used for the analysis. Tabulation, Integration, and Results: A total of 213 papers were initially identified. Of these, 10 randomized controlled trials encompassing a total of 604 patients met the inclusion criteria. The meta-analysis studying minimally invasive surgery showed that TAP block was associated with lower pain scores at rest and 1, 4, 12, and 24 hours compared to the WI group. Furthermore, the TAP block resulted in a reduction in opioid consumption at 24 hours, although there was no significant difference in opioid-related adverse effects. Two studies presented data on patient-reported satisfaction, and a pooled analysis was not feasible due to heterogeneity. Conclusion: TAP block seems to provide better postoperative pain control after laparoscopic gynecologic procedures and reduces opioid use compared to WI in gynecologic surgery
Exact and approximate analytical solutions for nonlocal nanoplates of arbitrary shapes in bending using the line element-less method
No full textIn this study, an innovative procedure is presented for the analysis of the static behavior of plates at the micro and nano scale, with arbitrary shape and various boundary conditions. In this regard, the well-known Eringen’s nonlocal elasticity theory is used to appropriately model small length scale effects. The proposed mesh-free procedure, namely the Line Element-Less Method (LEM), only requires the evaluation of simple line integrals along the plate boundary parametric equation. Further, variations of appropriately introduced functionals eventually lead to a linear system of algebraic equations in terms of the expansion coefficients of the deflection function. Notably, the proposed procedure yields approximate analytical solutions for general shapes and boundary conditions, and even exact solutions for some plate geometries. In addition, several applications are discussed to show the simplicity and applicability of the procedure, and comparison with pertinent data in the literature assesses the accuracy of the proposed approach
Is vaginal hysterectomy outdated? A systematic overview of reviews with future perspectives
No full textBackground: Hysterectomy is the second most common surgical procedure in women. Vaginal hysterectomy (VH) historically represents the preferred approach for benign conditions due to its minimally invasive nature. However, with advances in endoscopic techniques, the role of VH has been questioned. This review aims to systematically summarize existing evidence coming from currently available systematic reviews and meta-analyses which compare VH with other techniques such as laparotomy, laparoscopy and robotics. Methods: We systematically searched Pubmed, Scopus, EMBASE and Cochrane library from 1st January 1996 to 31st July 2024. We conducted a systematic overview of reviews to compare VH with abdominal, laparoscopic, and robotic hysterectomy, focusing on procedural parameters, complications and patient outcomes. The quality of evidence and certainty of findings were critically assessed. Results: Our findings suggest that VH has shorter operative time compared to all the other approaches. Compared to laparotomy, VH is associated with reduced time from hospital admission to recovery. No differences were found concerning intra- and post-operative complications demonstrating VH as a safe superimposable technique. The quality of the evidence ranged from critical to moderate, with high heterogeneity among the studies, requiring cautious interpretation. Conclusion: VH offers reduced operating times and faster recovery in comparison to alternative techniques, with comparable complication rates. These data support the clinical relevance of VH as a valuable option for benign gynecological conditions. However, a nuanced comparison with alternative and innovative techniques are essential for personalized surgical decisions and a potential renaissance of this approach
Matteo Ricci e la strategia di evangelizzazione gesuita
No full textNella figura e nell'opera di missionario del gesuita Matteo Ricci vengono a confronto tre differenti strategie imperiali: quella della Spagna, di aggressione, quella della Cina, di chiusura, quella della Compagnia di Gesù, di evangelizzazione, che qui viene analizzata in particolare
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