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Dr. Adolfo Renzi

Colonproctologo, Chirurgo generale

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Clinica Villa delle Querce

via Battistello Caracciolo, 48 - 80100 Napoli (NA) - Mappa

14.237238599999955 40.8524367

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Informazioni professionali

Laureato in Medicina e Chirurgia nel 1996 presso II università di Napoli. Iscritto all'Ordine dei Medici di Napoli.

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Curriculum vitae

Adolfo Renzi, MD, PhD
Presidente Eletto della Societ� Italiana Unitaria di Colonproctologia (SIUCP)

Riepilogo
Il dott. Adolfo Renzi, si � laureato in Medicina e Chirurgia (1996) e specializzato in Chirurgia Generale (2002) presso la Facolt� di Medicina della Seconda Universit� di Napoli. Presso la stessa Universit� ha conseguito il titolo di Dottore in Ricerca (2006).
La formazione in colonproctologia � maturata, in qualit� di Research Fellow, presso il Dipartimento di Chirurgia...

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Colorettale della Cleveland Clinic Florida, USA (2000).
Autore di diversi lavori scientifici, pubblicati su riviste nazionali ed internazionali, ha svolto attivit� di ricerca presso la Seconda Universit� di Napoli occupandosi prevalentemente di chirurgia laparoscopica avanzata e di alimentazione precoce post-operatoria.
Attualmente � Responsabile del Raggruppamento di Chiriurgia ed � Coordinatore della Unit� di Colonproctologia Pelvic Care Center" presso la Clinica Villa delle Querce di Napoli.
Inotre, � il Presidente Eletto dellla Societ� Italiana Unitaria di Colonproctologia (SIUCP).

Esperienza
Presidente Eletto at Societ� Italiana Unitaria di Colonproctologia (SIUCP)
Responsabile Raggruppamento Integrato di Chirurgia Generale, Colonproctologica ed UroGinecologica presso la Clinica Villa delle Querce - Napoli
Coordinatore Unit� di Colonproctologia "Pelvic Care Center - Napoli"

UCP NAPOLI - Pelvic Care Center - Villa delle Querce � un' unit� funzionale multi-specialistica impegnata in maniera intensiva nella cura delle malattie del colon, del retto, dell�ano e della pelvi: rappresenta un punto di riferimento di alta specializzazione sul territorio, nella diagnosi e nella cura di queste patologie. In questa struttura, al centro della citt�, i pazienti possono eseguire tutti i test specialistici per la diagnosi delle patologie (sia funzionali sia organiche) di interesse colon-proctologico ed uro-ginecologico. Si effettuano, di routine, esami endoscopici diagnostici ed operativi (rettoscopia, colonscopia, cistoscopia, colposcopia, isteroscopia), ecografia transanale computerizzata 3D, manometria ano-rettale, entero-colpo-cine-defecografia, uro-flussimetria, valutazione dei tempi di transito intestinali, clisma opaco, TC addomino pleviche etc.
L�attivit� clinica si completa con un efficace programma terapeutico con sale operatorie corredate di un�innovativa strumentazione tecnica dedicata. La casistica operatoria si compone, ogni anno, di oltre 500 interventi chirurgici colon-proctologici specialistici (per il trattamento di varie patologie quali, emorroidi, ragadi, fistole, ascessi, carcinoma colo-rettale, prolasso rettale, incontinenza fecale) ed altrettanti interventi uro-ginecologici (incontinenza urinaria, cisticele, prolasso uterino, carcinoma dell�utero).
L�UCP NAPOLI - Pelvic Care Center �Villa delle Querce�, inoltre, � costantemente impegnata nella ricerca scientifica finalizzata allo studio di tecniche chirurgiche innovative e alla messa a punto di linee guida e protocolli terapeutici per miglioramento della qualit� di vita dei pazienti.

Staff Surgeon at Clinica Villa Esther - Avellino
gennaio 2012 - aprile 2012 (4 mesi)

Staff Surgeon - Coordinatore UCP Santo Stefano NAPOLI at Clinica Santo Stefano - Napoli
ottobre 2002 - luglio 2009 (6 anni 10 mesi)

Research Fellow at IRCCS Istituto Nazionale Tumori Fondazione G Pascale, Napoli, Italy
ottobre 2008 - dicembre 2008 (3 mesi)

Dottorato di Ricerca: Alimentazione in Chirurgia at Seconda Universit� di Napoli
2002 - 2006 (4 anni)

Specializzazione Chirurgia Generale at Seceonda Universit� di Napoli
1996 - 2002 (6 anni)

Research Fellow Colorectal Surgery at Cleveland Clinic Foundation - Florida
2000 - 2001

Pubblicazioni scientifiche

Pubblicazioni
Five-item score for obstructed defecation syndrome: study of validation.
Surg Innov. 2013 Apr;20(2):119-25. 2012
Autori: Adolfo Renzi, MD, PhD, Renzi A Brillantino A Di Sarno G d'Aniello F.
The use of a dedicated score represents an essential tool for the clinical staging of obstructed defecation syndrome (ODS), for subsequent diagnostic and therapeutic options, and for the evaluation of the results. This study was designed to develop and validate a new, simple, and disease-specific scoring system for ODS. The questionnaire consists of 5 items: excessive straining, incomplete rectal evacuation, use of enemas and/or laxatives, vaginal-anal-perineal digitations, and abdominal discomfort and/or pain. Each item was graded from 0 to 5 with a score ranging from 0 (no symptoms) to 20 (very severe symptoms). A specific statistical analysis identifies the new score as a valuable and concise instrument, which demonstrates, overall, excellent concurrent validity, reproducibility, internal consistency, and discriminant validity for the diagnosis and grading of ODS. The use of this questionnaire may improve uniformity in clinical research and may allow a more precise evaluation of symptom severity and treatment effectiveness in ODS.

PPH-01 versus PPH-03 to perform STARR for the treatment of hemorrhoids associated with large internal rectal prolapse: a prospective multicenter randomized trial.
Surg Innov. 2011 Sep;18(3):241-7 2011
Autori: Adolfo Renzi, MD, PhD, Renzi A Brillantino A Di Sarno G D'Aniello F Giordano A Stefanuto A Aguzzi D Daffin� A Ceci F D'Orian
PURPOSE: This multicenter randomized study was designed to compare the clinical and functional results of stapled transanal rectal resection (STARR) performed with 2 staplers (PPH-01 vs. PPH-03) in the treatment of hemorrhoidal disease associated with a large internal rectal prolapse.
METHODS: From a total of 937 patients, referred for hemorrhoidal disease in the 20 centers involved in the study, 425 (45.3%) with prolapsed hemorrhoids associated with a large internal rectal prolapse were randomized to undergo STARR with PPH-01 or PPH-03. Postoperative evaluation was made at 3, 6, and 12 months.
RESULTS: The incidence of bleeding at the stapled line was significantly lower in the PPH-03 group than in the PPH-01 group (58/207 [28.0%] vs. 145/201 [72.1%]; P < .0001); the mean number of hemostatic stitches was significantly higher in the PPH-01 than in the PPH-03 group (3.2 � 0.1 vs. 1.8 � 0.8; P < .0001). The mean operative time was 25.1 � 11.5 minutes in the PPH-03 group and 38.1 � 15.7 minutes in the PPH-01 group (P < .0001). No major complications occurred in either of the groups. At 12-month follow-up, the success rate in the 2 groups was 94.5% in the PPH01 group and 94.2% in the PPH03 group. CONCLUSION: STARR performed for the treatment of hemorrhoidal disease associated with a large rectal prolapse is a safe and effective procedure. The use of the PPH-03 stapler instead of the PPH-01 guarantees a statistically significant reduction of intraoperative bleeding and a significant decrease of the operative time.

Improved clinical outcomes with a new contour-curved stapler in the surgical treatment of obstructed defecation syndrome: a mid-term randomized controlled trial.
Dis Colon Rectum. 2011 Jun;54(6):736-42. 2011
Autori: Adolfo Renzi, MD, PhD, Renzi A Brillantino A Di Sarno G Izzo D D'Aniello F Falato A.
OBJECTIVE: This study was designed to compare the effects of these stapler types on relief of symptoms.
INTERVENTIONS: Participants were randomly assigned to undergo stapled transanal rectal resection with 2 circular staplers or the contour-curved stapler.
MAIN OUTCOME MEASURES: The primary end point was success rate at 24 months, defined by symptom improvement on an obstructed defecation syndrome scale. Secondary end points included success rate at 12 months, Agachan-Wexner constipation score, and rates of early and late complications at 12 and 24 months. RESULTS: Of 198 patients evaluated, 63 patients (31.8%) satisfied criteria. Follow-up data were available for 61 patients: 30 patients (28 women) in the circular stapler group (mean age, 53; range, 41-75 years) and 31 (29 women) in the contour-curved stapler group (mean age, 55; range, 38-69 years). At 24-month follow-up, success was achieved in 21 patients (70.0%) with the circular staplers and in 27 (87.0%) with the contour-curved stapler (P = .10). Symptom scores improved significantly in both groups from baseline to 12 months (P < .0001). Improvement was maintained in the contour-curved stapler group: mean score, 5.0 (SD, 1.6) at 12 months and 5.5 (1.5) at 24 months (P = .20). In the circular stapler group, symptom scores worsened from 4.5 (1.5) at 12 months to 9.0 (1.3) at 24 months (P < .0001). At 24 months, the groups differed significantly in symptom scores (P < .0001) and constipation scores (P = .03). No significant differences were seen in duration of postoperative hospital stay or rate of early or late complications.
CONCLUSIONS: Stapled transanal rectal resection with either circular or contour-curved staplers can achieve relief of symptoms in patients with obstructed defecation syndrome. The contour-curved stapler appears to result in more stable clinical results over time.

Stapled trans-anal rectal resection (STARR) in the surgical treatment of the obstructed defecation syndrome: results of STARR Italian Registry.
Surg Innov. 2011 Sep;18(3):248-53. 2011
Autori: Adolfo Renzi, MD, PhD, Stuto A Renzi A Carriero A Gabrielli F Gianfreda V Villani RD Pietrantoni C Seria G Capomagi A Talent
PURPOSE: This study was designed to evaluate the safety and efficacy of stapled trans-anal rectal resection (STARR) in the treatment of obstructed defecation syndrome ODS by the analysis of the data collected in the STARR Italian Registry (SIR) with a special emphasis on the analysis of symptoms and quality of life. METHODS: Collected data included, preoperative tests findings, and the evaluation of symptoms; the latter was obtained by using dedicated tools such as the Obstructed Defecation Syndrome Score (ODS-S), the Severity Symptom Score (SSS), and the Continence Grading Scale (CGS). Data on the quality of life were collected by Patient Assessment of Constipation Quality of Life (PAC-QoL) and the Euro Quality of Life-5 Domains Visual Analogue Scale (EQ-5D VAS). The evaluation of the symptoms and the quality of life was repeated 6 and 12 months after surgery.
RESULTS: The SIR had collected data on 2171 patients (1653 females, 76.1%; mean age 56.2 years; range 20-96 years). A significant improvement (P < .0001) was seen between preoperative and 12-month follow-up in all scores: ODS-S (16.7 vs. 5.0), SSS (15.6 vs. 2.6), CGS (2.0 vs. 0.7), PAC-QoL (51.0 vs. 22.1), and EQ-5D VAS (57.5 vs. 85.7). Complications included defecatory urgency (4.5% at 12 months), bleeding (3.6%), perineal sepsis (3.4%), and one case of rectovaginal fistula (0.05%).
CONCLUSION: The analysis of SIR data seems to confirm that STARR is a safe and effective procedure in the treatment of ODS. However, further studies are required to evaluate the long-term stability of results.

Stapled trans-anal rectal resection (STARR) by a new dedicated device for the surgical treatment of
obstructed defaecation syndrome caused by rectal intussusception and rectocele: early results of a multicenter prospective study.
Int J Colorectal Dis. 2008 Oct;23(10):999-1005 2008
Autori: Adolfo Renzi, MD, PhD, Renzi A Talento P Giardiello C Angelone G Izzo D Di Sarno G.
BACKGROUND AND AIM: Obstructed defaecation syndrome (ODS) represents a very common clinical problem. The aim of the this prospective multicenter study was to evaluate the efficacy and safety of stapler trans-anal rectal resection (STARR) performed by a new dedicated device, CCS-30 Contour Transtar, in patients with ODS caused by rectal intussusception (RI) and/or rectocele (RE).
MATERIALS AND METHODS: All the patients who underwent STARR for ODS caused by RI and/or RE at Colorectal Surgery Units of S. Stefano Hospital, Naples, Gepos Hospital, Telese, Benevento and S. Maria della Piet� Hospital, Casoria, Naples, Italy were prospectively introduced into a database. Preoperatively, all the patients underwent anorectal manometry and cinedefecography. The grade of ODS was assessed using a dedicated obstructed defaecation syndrome score (ODS-S). All the patients with a ODS-S >or=12 and RI and/or RE were enrolled. Patients were followed up clinically at 6 months.
RESULTS: Thirty patients, 28 (93.3%) women, mean age 56.6+/-12.7 years, underwent STARR, by Transtar, between February and October 2006. Preoperatively, ODS-S was 15.8+/-2.4. RI was present in 26 (89.6%) and RE (34.4+/-15.2 mm) in 27 (93.1%) patients. No major postoperative complications occurred. The length of hospital stay was 2.5+/-0.6 days. At 6-month follow-up, ODS-S was 5.0+/-2.3 (P

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Attività su Medicitalia

Il Dr. Adolfo Renzi è specialista di medicitalia.it dal 2007.