M F Armellino

Cardarelli Hospital, Napoli, Campania, Italy

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Publications (6)15.61 Total impact

  • G. Rispoli, M. Armellino, C. Esposito
    Surgical Endoscopy 07/2003; 17(7). · 3.43 Impact Factor
  • Source
    G Rispoli, M F Armellino, C Esposito
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    ABSTRACT: Laparoscopic appendectomy is a feasible and a safe alternative to open appendectomy. Several laparoscopic procedures have been described that use one or more trocars. We report our experience with the treatment of acute appendicitis using a laparoscopy-assisted technique by means of only one transumbilical trocar. From February 1996 to February 1999 we performed 65 laparoscopic appendectomies. In the procedures, a 10-mm operative telescope was used, with a 450-mm atraumatic grasper introduced through the operative channel. After the intraabdominal laparoscopic dissection, the appendix was exteriorized through the umbilical trocar. The appendectomy was performed outside the abdomen as in the open procedure. The procedure was completed using only one trocar in 55 patients (84.6%). Regarding the other 10 cases (15.3%), in 5 we used more than one trocar and in 5 conversion to open surgery was needed. The average operating time in our series was 25 min and the median time to discharge was 2 days. There were six (11%) postoperative complications (three serous umbilical secretion and three umbilical hematomas). Our results suggest that this technique, which combines the advantages of both the open and the laparoscopic procedures, is a valid alternative for the treatment of acute appendicitis. However, this procedure cannot always be completed using only one trocar, as happened in 10 cases in our series.
    Surgical Endoscopy 06/2002; 16(5):833-5. · 3.43 Impact Factor
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    ABSTRACT: We describe the case of a of 53-year-old homosexual male, from whom a cigar container (22 cm in length and 3.5 cm in diameter), which was introduced into the rectum and migrated upwards to the distal colon, was successfully extracted by combining laparoscopic and anal approaches. The foreign body was mobilized laparoscopically, pushed down the rectum, and then extracted transanally with the aid of a dilator anoscope. Combining the laparoscopic and anal approaches in selected cases of colorectal foreign bodies is useful.
    Diseases of the Colon & Rectum 12/2000; 43(11):1632-4. · 3.34 Impact Factor
  • G. Rispoli, C. Serarcangeli, M. F. Armellino
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    ABSTRACT: Over the centuries hernia surgery has represented a challenge for every surgeon. Hemostasis, castration, complications, sometimes lethal, and frequent recurrences were the problems that surgeons had to face until the development of anesthesia and modern surgery. For this reason, in the past, surgeons only dared treat complications such as strangulated hernias, and the patients were obliged to wear a truss permanently. With time and owing to the growing knowledge of anatomy, techniques were developed to secure hemostasis and the reduction of the herniated viscera so as to avoid castration. From the Romans to the Middle Ages, the scalpel and the cautery were the main instruments, together with the surgeon's hands and the patient's posture, for performing hernia surgery. In the following centuries, in particular in the eighteenth century, surgical techniques flourished due to the production of several surgical instruments designed by skilful craftsmen, whose refined manufacture reveals the extent to which surgery had evolved. Some of these instruments were still in use at the beginning of this century. This paper describes the evolution of surgical instrumentation employed in hernia surgery
    Hernia 08/2000; 4(3):171-174. · 1.69 Impact Factor
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    ABSTRACT: PURPOSE: We describe the case of a of 53-year-old homosexual male, from whom a cigar container (22 cm in length and 3.5 cm in diameter), which was introduced into the rectum and migrated upwards to the distal colon, was successfully extracted by combining laparoscopic and anal approaches. METHODS: The foreign body was mobilized laparoscopically, pushed down the rectum, and then extracted transanally with the aid of a dilator anoscope. CONCLUSIONS: Combining the laparoscopic and anal approaches in selected cases of colorectal foreign bodies is useful.
    Diseases of the Colon & Rectum 01/2000; 43(11):1632-1634. · 3.34 Impact Factor
  • M F Armellino, G Romano, L Imperato, G Rispoli
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    ABSTRACT: There are several therapeutic proposals for idiopathic varicocele treatment, but all of them present a certain number of relapses. The technique proposed consists, through an inguinal approach, in a systematic ligation and section of all veins potentially responsible of a venous reflux. During a period from 1990-1995 a total of 73 patients were surgically treated for idiopathic varicocele with this technique. All patients underwent preoperative spermiogram, hormonal assay and Doppler velocimetry. Through an inguinal approach, under selective spinal anaesthesia, a ligature and section of the internal spermatic vein at the internal inguinal ring is performed, followed by searching, ligature and section, of other veins responsible of venous reflux (external spermatic vein, anastomosis with sapheno-femoral veins, arteriovenous micro-anastomosis, pubic veins). The patient is discharged within twenty-four hours. An external dilated spermatic vein was discovered in 30.1%, pubic veins in 49.3%, anastomosis with safeno-femoral veins in 10.9% and arteriovenous micro-anastomosis in 43.8%. There were no mortality or serious postoperative morbidity; only in five cases there were complications consistent in two orchitis and three hydrocele. No relapse at follow-up (12-36 months), performed with palpation and a Doppler study, was found, while there was a spermiogram improvement in 61.6% of cases. This surgical approach is a safe and radical treatment without any relapse, of all types of varicocele.
    Minerva chirurgica 06/1999; 54(5):367-71. · 0.39 Impact Factor

Publication Stats

83 Citations
15.61 Total Impact Points

Institutions

  • 2002–2003
    • Cardarelli Hospital
      Napoli, Campania, Italy
  • 2000
    • Sapienza University of Rome
      • Department of Experimental Medicine
      Roma, Latium, Italy