General Surgery

Policlinico San Donato

key figures 

CLINICAL SERVICES:

  • General Surgery
  • Proctology
  • Emergency Surgery
  • Breast Surgery
  • Endocrine Surgery

The clinical cases of the General Surgery Unit 1°, are mainly addressed to the treatment of neoplasms of the entire gastro-intestinal tract together with the hepato-biliary-pancreatic and breast district, with the use of localization methods by the means of radioisotopes for sentinel lymph node biopsy. Traditional and minimally invasive general surgery operations are performed for diseases of the digestive system, abdominal wall and endocrine system. 

treatmentS

General Surgery

Main Pathologies Treated:

  • Benign and malignant pathology of the stomach and duodenum
  • Benign and malignant diseases of the colon and rectum
  • Advanced and recurrent diseases
  • Pancreatic diseases
  • Gallbladder and biliary tract diseases
  • Abdominal Wall defects
  • Hernias
  • Spleen and lymphatic disorders      

Top Procedures:

  • Gastroesophageal surgery: treatment of the benign and malignant pathology of the stomach and duodenum
  • Rectal surgery: treatment of benign and malignant diseases of the colon and rectum with traditional and minimally invasive technique.
  • Extended lymphadenectomies and multivisceral exenteration for advanced/recurrent diseases
  • Hepatobiliary and pancreatic surgery
  • Surgery of the gallbladder and biliary tract with laparoscopic CBD ultrasonography and cholangiography
  • Singleport laparoscopy (SILS)
  • Ultrasoundguided resections for liver metastases and echo-guided ablation (RF/MW)
  • DCP / pancreatic resections
  • Abdominal wall defects
  • Traditional techniques, laparoscopic trans and pre-peritoneal (TAPP/TEP) procedures
  • Reconstructive tissue matrix in wide incisional hernias or infected sites
  • Surgery of the spleen and lymphatic disorders
  • Laparoscopic splenectomy
  • Lymph node biopsies, colorant/radioguided sentinel node excision

Proctology

Main Pathologies Treated:

  • Haemorrhoidal disease
  • Pelvic floor diseases

Top Procedures:

  • Advanced treatment of haemorrhoidal disease (classical technique, radiofrequency excision and with circular stapler sec. Longo)
  • Surgery for pelvic floor diseases
  • Anal fistula repair with biological matrix

Emergency Surgery

Main Pathologies Treated:

  • Polytrauma
  • Weapons injuries
  • Abdominal peritonitis
  • Bowel occlusion
  • Perforation and mesenteric ischemia
  • Hemoperitoneum
  • Severe peritonitis/necrotizing pancreatitis

Top Procedures:

  • Emergency procedures in polytrauma, weapons injuries, abdominal peritonitis, bowel occlusion, perforation and mesenteric ischemia, hemoperitoneum,
  • Intraperitoneal vacuum therapy for severe peritonitis/necrotizing pancreatitis

Breast Surgery

Main Pathologies treated: 

  • Breast benign and malignant pathology
  • Breast reconstruction

Top Procedures: 

  • Conventional breast surgery for benign and malignant diseases 
  • Use of radiofrequency or ultrasound dissector in lymphadenectomies
  • Colorant/radioguided sentinel node excision
  • Oncoplastic reconstructive surgery (with cooperation with Plastic Surgeon)
  • Total breast reconstruction with sub pectoral implant or LD flap
  • Initial experience with Reconstructive Tissue Matrix

Endocrine Surgery 

Main Pathologies Treated: 

  • Thyroid, parathyroid and adrenal glands for benign and malignant diseases

Top Procedures: 

  • Surgery of the thyroid, parathyroid and adrenal glands for benign and malignant diseases 

NOTABLE ADVANCED TECHNOLOGICAL EQUIPMENT

  • Gammafinder probe for sentinel node procedure;
  • Echoguided Microwave Ablation Device for liver tumors