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Proctological surgery and digestive endoscopy at Sandro Pertini MiniHospital

After concluding his career as Medical Manager at the Proctological Surgery and Pelvic Floor Surgery of the University Hospital of Pisa (Cisanello), Dr. Gianluca Toniolo made himself available to MiniHospital “Sandro Pertini” from its inception, serving as the Head of Proctological Surgery and Digestive Endoscopy. Additionally, he has been involved in the professional training of staff and the selection of the most modern technological instruments in both areas. This allows us to offer patients of MiniHospital “Sandro Pertini” not only high-quality and professional medical-surgical care but also maximum comfort and safety.

We asked Dr. Toniolo to outline the pathologies addressed and the activities carried out by him and other professionals within the facility; below are his words.

The medical issues addressed involve delicate and often complex pathologies that significantly impact quality of life, and our dedicated team has been treating them for years with medical therapies, endoscopic procedures (with and without sedation), ambulatory surgical techniques, or in the operating room under anesthesia, with the possibility of hospitalization.

The treated pathologies include:

  • Hemorrhoidal prolapse
  • Rectal prolapses
  • Anal fissures
  • Anal fistulas and abscesses
  • Pilonidal or sacrococcygeal cysts
  • Anal and perianal neoplasms
  • Condylomatosis (HPV) sexually transmitted diseases
  • Constipation
  • Fecal incontinence
  • Obstructed defecation syndrome (ODS)
  • Polyps and pathologies of the colon-rectum and upper digestive tract (inflammatory bowel diseases, diverticulosis)

Where necessary and beneficial, we can address complex pelvic floor disorders with the multidisciplinary collaboration of other specialists (gynecologists, urologists, gastroenterologists, rehabilitation physiotherapists), proposing internationally shared and personalized treatments.

The main techniques adopted by us are:

  • Mucopexy with dearterialization (also Doppler-guided THD-HAL)
  • Longo or STARR prolapsectomy (stapler)
  • Hemorrhoidectomy with ultrasonic scalpels (Thunderbeat or Ligasure)
  • Laser treatments (anal fistulas, pilonidal cysts, hemorrhoids)
  • Sphincter-saving interventions (Lipogems, Laser, LIFT, reconstructions)
  • Ambulatory techniques (elastic ligations, Sclerotherapy)
  • Pelvic floor rehabilitation and sacral neuromodulation (NMS)

Furthermore, at MiniHospital “Sandro Pertini,” we have state-of-the-art diagnostic equipment for:

  • Colonoscopy and Gastroscopy (both also under deep sedation)
  • Anorectal manometry
  • 360° transanal or transrectal ultrasound

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