I - General informations for Physicians and Patients:



Introduction to CM



The present web page is addressed to all professionals working within  Health Care Services, with the aim of providing information to improve  surgical assistance to their patients. It is also intended to be of support to  all patients about  to undergo surgeries, who are likely to have been made  anxious by the communication of requiring surgery. Being prepared to an  operation represents the opportunity to start out a new life style, which,  according to most recent medical information, can contribute to better  clinical outcomes and better life quality in the longer term.

    The authors Antonio D'Acunto, belonging to the Department of Obstetrics and Gynaecology at the University of Pisa in Italy and Joaquin Cortés-Prieto Chair of Gynaecology at the University of Alcalà in Spain, (eliminare il fondo giallo) have designed and developed a model of mini-traumatic surgery applicable to all types of open surgery, called Minitraumatic Surgery (CM). This novel approach intends to improve quality and safety standards, already featured by conventional techniques.

    When illness strikes, alterations in the normal body functions have to be taken into consideration as much as the environmental factors affecting the individual. The illness per se is going to further reduce both bio-functional and psychological possibilities of spontaneous recovery during its time-course. Therefore, the alteration of factors normally characterizing the psycho-biological aspects that guarantee good health conditions (morpho-functional integration of cells and tissues, perfusion, draining, innervations, biochemistry, saprophytic flora, chrono-biology, etc.) can unbalance and brake the pre-existing dynamic interactive harmony identified in the homeostasis.

   In order for medical intervention on the whole and operations in particular to succeed, it is crucial that the medical team does rely both on good technical approaches and on the ability of sustaining the patient psycho-physical recovery, also operating to stop external interferences that may have contributed to the pathological picture. In addition, the medical team will have to stimulate the body and try to achieve maximum balance and well being, recruiting all means available before the operation. In order to reach the objective an accurate global study of the phenomena, which play a fundamental role in creating and maintaining the homeostasis of boh the individual and the environment before and after surgery, will have to become a priority.

The authors have being studying the wider significance of illness development and cure, in the light of their specialist experience acquired thanks to the generous fundamentals provided by their teachers and through the constant investigation of medical literature, including relevant basic and practical aspects of cellular biology, food science, reflexology,

immune stimulation, etc. Based on gathered information, they have been able to develop an innovative biological approach to surgery that includes

relevant improvements both in surgical procedure and in personalized preparation of patients. These are, in brief, the theoretical and practical bases of CM according to D'Acunto and Cortés-Prieto. Basically the methodology proposed  accepts and respects the deepest biological principles, both general and local. The authors apply the concept by Ippocrates of "Primum Non Nocere" (First of all, do no harm).

     Considering its relevance, the set of instruments required to perform CM has been included in a picture. The care taken to preserve tissues, which is pivotal to their prompt structural and, most importantly, functional recovery, can be observed directly from images in vivo and CM movies.

     Finally, the results from over 3000 operations realized on the basis of CM according to D'Acunto and Cortés-Prieto allowed to highlight relevant features and facets, compared to conventional techniques, that can be summarized as follows: reduced duration of the operation due, for instance, to a lesser need for haemostasis; significantly greater well being and psycho-physical satisfaction for patients;possibility to immediately  administration of fluids orally;early abandon of the supine position and early ability to resume walking; cosmetic outcome of scars, which are neither hardened or thickened; reduced expenses due to the employment of fewer instruments, sutures, bandages, antibiotics, painkillers and transfusions; three-day average hospitalisations.