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Guido Giusti
@GuidoGiusti
Head of European Training Center of Endourology at Ospedale San Raffaele, Milan Italy
Milan, Lombardy
etce.it
Joined January 2013
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  • user avatar
    Guido Giusti
    @GuidoGiusti
    Apr 17, 2020
    It is with great sorrow That I post this dutiful tribute to the 131 Italian doctors already died in the war against #Covid_19 ... regardless their safety has not always been a priority for NHS managers, they have alwAys put #patientsfirst #RIP brave colleagues šŸ‡®šŸ‡¹ is #proudofyou
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    Guido Giusti
    @GuidoGiusti
    Jun 7, 2019
    #enbloc resection of #NMIBC by means of #thulium laser by #QUANTA ... precise resection control avoiding damages to ureteral Origice in a completely bloodless field. #bladder #cancer
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    Guido Giusti
    @GuidoGiusti
    Jan 16, 2021
    Sometime older open surgeons r still necessary šŸ˜‰ a #RALP could not b done because of multiple adherences due to previous peritonitis: so young robotic colleagues gave up & the old 1 performed it open What a fun! Still able šŸ’ŖšŸ»! #notonlystones donā€™t worry I still love #endourology
  • user avatar
    Guido Giusti
    @GuidoGiusti
    Dec 1, 2022
    Iā€™m strongly convinced that sometimes more (aggressive) is less (invasive) .. in presence of a big #staghorn #renalstone only doing such aggressive #PCNL u can offer good clearance with acceptable complication rate. having a great team as I luckly have @ #ETCE is also crucial!
  • user avatar
    Guido Giusti
    @GuidoGiusti
    Jun 27, 2022
    U know what ?!? When I have to destroy such a beautiful #renalstoneā€¦.. I feel a bit guilty! šŸ˜‚ isnā€™t that awesome?!? šŸ¤«#ilovestones #ETCE
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    Guido Giusti
    @GuidoGiusti
    Mar 15, 2022
    The best success 4 #endourologist:dissolving a big stone in 3 mos of alcalinisation in an octogenarian pt already scheduled for #PCNL elsewhere Always check HU on CT: all stones r white but below 500HU they r #uratic and dissolution is possibile & must b attempted before surgery!
  • user avatar
    Guido Giusti
    @GuidoGiusti
    Apr 26, 2022
    Do u think uā€™d have seen the orifice of this #calycealdiverticulum without #bluespritztech?!? I donā€™t! 1) identify diverticulum on CT 2) #FURS: if orifice not visible, inject dye+blueāž”ļøevacuate & wait 3) look for blue dropping out 4)incise the mucosa & remove stones! #ETCE
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    Guido Giusti
    @GuidoGiusti
    Feb 1, 2022
    Have u ever seen scaring smoke in #TFL lasertripsy #MINIPERC? This isnā€™t water vapor due 2 ā¬†ļø temperature but smoke due 2 rupture of disulfide bond #cystine stone with typical smell.Bottomline: #TFL laser not strong enough in #miniperc where my choice is still highpower #holmium!
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    Guido Giusti
    @GuidoGiusti
    Jun 11, 2020
    Everything u wanted 2 know but u were afraid 2 ask about #supine #PCNL! Watch our video paper @urogoldjournal video journal doi.org/10.1016/j.urolā€¦ with open access to know all tips to ease the switching from prone #pcnl! big thank @mariobasulto & my team 4 the effort! #pronexit
  • user avatar
    Guido Giusti
    @GuidoGiusti
    Sep 30, 2019
    2day effective dusting of 1.3cm HU 1400 #calciumoxalate monoH #renalstone with my #QUANTA 100w holmium laser set at 0.4J 60Hz with #VIRTUALBASKET tech! this is the challenge: understanding whether #THULIUMFIBER is really superior to #HOLMIUM in order to get the best dusting!
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    Guido Giusti
    @GuidoGiusti
    Nov 15, 2018
    Never trust a #nephroStomy placed by a #radiologist in emergency in view of a #PCNL! Always check it first: Do not use it to do your tract... and re-puncture the kidney! bottom line... kidney puncture is not #radiologists business but #urologists one!
  • user avatar
    Guido Giusti
    @GuidoGiusti
    Jun 25, 2020
    After this aggressive 4 accesses #supinePCNL 4 #staghorn I can say that I feel fully established in the new hospital @SanRaffaeleMI: of course this is possible thanks to my #ETCE team ... new hospital but same team & same passion for #endourology teamwork is key to succeed!
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    Guido Giusti
    @GuidoGiusti
    Apr 17, 2024
    When #UTUC is only within intramural #ureter & complete eradication is achievable, deep #TUR is the way 2 go: some experience is required but complete ureteral detachment is really difficult even in deepest resections. Whichever laser ablation would imply higher risk of ureteral
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