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waiting times in the NHS
Waiting times in the NHS: why wait?

waiting times in the NHSI waiting times in the NHS, in recent years, unfortunately, have expanded enormously. The continuous spending cuts, Interest focused on only a few pathologies - undoubtedly important, but not the only ones, and perhaps nealso the most frequent - the failure, for economic reasons, to renew operating room equipment and principals, and the limited opportunities for physicians to keep up to date, often crushed by very heavy shifts due to the blocking of turnover - again for economic reasons - of health personnel in public hospitals, mean that many patients have to wait many months if not years to undergo surgery - for example, for diseases that are undoubtedly benign but often seriously interfere with the daily life of the sufferer.
I am talking especially about the proctological pathologies, as hemorrhoids, anal fissures, anal fistulas, and of the abdominal wall pathologies - inguinal hernias, umbilicals, epigastric, diastasis of the rectus abdominis muscles. Conditions that often afflict young, busy patients, interfering with their well-being, their daily commitments, and their serenity.
Today many people, in order to obviate the intolerable increase in the waiting times in the NHS of our country, resort to the integrative health care, taking out insurance that allows them to deal with their health problems without worry and in the right timeframe. For those who may not yet have access to these forms of insurance, which are actually The future for health protection in our country, our group has agreed, with primary clinics in Turin, of the surgical benefit packages, which allow the intervention to be approached for hemorrhoids, anal fissure, perianal fistula, inguinal hernia and umbilical at a low cost and by installment, if desired.
NHS waiting times, hemorpex system, HPS, hemorrhoids, dearterization, hemorrhoid dearterization, THDAll using the most modern and minimally invasive techniques: for example, for the treatment of hemorrhoids up to grade III, the HPS (HemorPex System) technique, which makes it possible to greatly contain postoperative pain and to Discharge the patient on the same day as the surgery, with a quick return to his life and normal activities
To get more information or request a quote, email us at. info@cuccomarinomd.com o contact us through our social od the contact form below.


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Cuccomarino, MD
Dr. Salvatore Cuccomarino's surgical team, for the future of Surgery. Turin.
Turin, TO
Phone 0110438161
ernie, Panama
Ernie panameñe: chronicle of a success story

And so, I was in Panama. I caught up with old friends, met new ones, but above all I had the joy of operating with them, explaining my techniques, demonstrating and teaching them, and helping a few patients solve their wall problems.
In four days I performed about 20 surgeries, half of them minimally invasive laparoscopic; I was fortunate to have access to ultramodern and super-accessorized operating rooms, and to use very high quality prostheses, such as the Herniamesh Relimesh or the brand new Hybridmesh, a mesh that within two years resorbs 75%, ultimately leaving very little foreign material in the patient. A fantastic mesh for wall repairs, for example, in athletes or adolescents. Nothing to do with the now very scarce resources of the Italian National Health System, destined, moreover, to become even thinner in the coming years.
I have operated on patients with inguinal hernias, crural hernias, epigastric hernias, laparoceles following, above all, gynecological operations or cesarean sections. Operations in some cases very complex, but always completed with excellent results. In short, it was really exhilarating, a complete success. And here is the photo chronicle of those days!

hernias, inguinal hernia, laparocele, Panamá
The operating room staff. I'm the one in the second row, with the colorful beret: local beauties first!


Rather complex case: large abdominal hernia on Pfannestiel incision, the cut normally used by gynecologists for hysterectomies and cesarean deliveries. Here I am drawing the shape of the prosthesis on the patient's abdomen, a prosthesis that will be placed laparoscopically


With my great friend Miguel Aguirre. I am cutting out the mesh, a Relimesh, to be placed minimally invasively laparoscopically


Still with Miguel, as we design the Relimesh net shape for another patient.


Group photo of the surgical team


The magic of lights in laparoscopic surgery!


what is a hernia
I have a hernia-but what is a hernia!!!?

Often, when we talk to our patients, we forget that medical language is a kind of "initiatory" language, little understood by those outside the environment. Therefore, the patient knows he has something but does not always know what.

This is especially true for conditions that are considered "minor" (which they are not): if the person in front of me has a tumor, I spend a lot of time explaining his situation well; but if he has an inguinal hernia, or hemorrhoids, I take it for granted that he already knows what it is, and I don't waste too much time in explanations.
But is it really a matter of wasting time? How many people really know what a hernia is-and, consequently, are able to understand whether and how dangerous it is?

Let's try to get some clarity.

What is a hernia

"A hernia is defined as the exit of a viscera from the cavity that normally contains it, through an orifice, an anatomical channel, or otherwise a continuous solution."

This is the classic definition of hernia, of any hernia, from inguinal hernia to herniated disc; but it is not so readily understood unless one has at least some basic knowledge of anatomy.

So let's try to reason by similarity. If you are of my generation, the generation of kids who when they punctured a bicycle tire did not change it but patched the inner tube, it will come easy to you.

Think precisely of a tire; and imagine that the tire tears, and out of the tear comes the inner tube, as in the photograph below: that's what a hernia is: the tear represents "the orifice, anatomical channel or otherwise continuous solution" of the definition from before; what we surgeons call "the herniated defect."

what is a hernia, abdominal hernia, inguinal hernia

The air chamber that comes out of the tear is the "hernial sac": in the case of the inguinal hernia, it is the peritoneum that used to line the "torn" inguinal wall on the inside and now peeps through the tear itself.

If then the sac contains a "viscera" that has pushed through the "tear"-and which in the case of an abdominal hernia (abdominal hernias are, depending on where in the abdominal wall they occur, inguinal hernia, crural hernia, umbilical hernia, epigastric hernia, Spigelius hernia...) is usually fat (the omentum) or a piece of intestine-these are the "herniary contents." Easy, right?

Now that (I hope) it is clear what a hernia is, let's come to the other question: why can a hernia be dangerous and must be operated on? Well, in abdominal hernias--of which the most common are inguino-crural and umbilical--and particularly, paradoxically, in those in which the defect is small, it is possible, as already mentioned, for the herniated content to be an intestinal loop. Sometimes, it happens that the leaked loop cannot be "reduced," that is, relocated to its natural position inside the abdomen. This is referred to in this case as an incarcerated hernia. The incarcerated loop, because of the compression it undergoes, becomes soaked with fluid and "swells," and this can cause compression of the arteries and veins that supply it. This is strangulated hernia, an extremely life-threatening condition because it is at very high risk of necrosis (i.e., death) of the intestinal loop and its perforation (as in the case of the photo opposite).

That is why all hernias should be referred to a surgeon experienced in abdominal wall surgery, the only specialist who can determine whether to operate, when, and with what technique.