1,720,973 research outputs found

    Role of preoperative Multitest findings on predicting postoperative infectiouscomplications.

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    On 100 patients undergoing gastrointestinal surgery, relationships between preoperative Multitest findings of delayed hypersensitivity and postoperative infectious complications were investigated. Multitest preoperative quantitative data, due to its strict antigen potency and standardization of technique, have shown to be reliable in excluding postoperative infections and they are also a good indicator in predicting them

    In vivo evaluation of postoperative immunosuppression by means of Multitestsystem.

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    The Multitest System, a new standardized method for evaluating delayed hypersensitivity and cell mediated immunity was carried out before surgery and throughout the postoperative care in subjects undergoing gastrointestinal surgery. In all patients significantly depressed cutaneous reactions were found in the first day after operation. Immunosuppression lasted more than four days when postoperative infection has set up, while in uneventful patients delayed hypersensitivity has returned to preoperative values from the fourth day. It would be suggested that Multitest System data in fourth postoperative day could identify subjects with uneventful recovery after surgery

    LA CHIRURGIA MAGGIORE DELLA MAMMELLA IN DAY-SURGERY: RAZIONALE E NOSTRA ESPERIENZA

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    INTRODUCTION: The objective of this study was to evaluate the feasibility of outpatient breast definitive surgery. CASE and METHODS: Between January 2001 and September 2003 181 definitive breast cancer surgical approaches were performed at Surgical Department of Genoa University on 173 patients. Mean age was 60 years (28-92). All the patients were discharged the day of surgery or the day after in the morning. RESULTS: There were no major complications or deaths. The specific complication rate was similar to inpatient setting and there was no readmission. The patients' quality of life and satisfaction were satisfactory or good. DISCUSSION: In conclusion, holding in due consideration some philosophical and technical changes, breast cancer surgery can be safely and comfortably performed on an outpatient basis

    BILIO-PANCREATIC BYPASS FOR OBESITY: II. INITIAL EXPERIENCE IN MAN.

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    After a successful trial of bilio-pancreatic bypass in dogs, a clinical study has been completed in 18 patients followed for more than 1 year. The operation has been modified to achieve the best weight reduction, and forming the bilio-pancreatic tract of equal length to the alimentary tract with a short common ileal tract, the average weight loss as a percentage of the preoperative body weight was 24.1 +/- 5.4 per cent (mean +/- s.d.) at 6 months and 33.7 +/- 4.1 per cent at 12 months. The only immediate complication was a wound dehiscence, and there were no late complications. Liver function studies showed the absence of hepatic deterioration and liver biopsies showed improvement of liver morphology 1 year after the operation. It is suggested that this procedure may be an alternative to jejuno-ileal bypass in the management of obesity

    [Newmethod for preparation of the totally hepatectomized dog. Critical review of the literature and surgical technics].

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    A critical review of the relevant literature is followed by the presentation of a new method for total hepatectomy in the dog. This is carried out in a single stage. Its main advantage is there is no temporary interruption of the portal or portocaval flow. A synthetic prosthesis is anastomosed end-to-end with the subhepatic vena cava and end-to-side with the supradiaphragmatic cava. Next, the portal vein is anastomosed side-to-side with the prosthesis and ligated upstream. Hepatectomy is then performed
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