44 research outputs found
MODULATION OF CONTINUOUS INFUSION 5-FLUOROURACIL (5FU) WITH WEEKLY METHOTREXATE (MTX)
No full textPHILADELPHIA (USA
Management of bronchobiliary fistula as a complication of liver hydatidosis
No full text[No abstract available
RESEZIONE RETTOCOLICA ANTERIORE CON CONSERVAZIONE E SCHELETRIZZAZIONE DELL'AMI PER CANCRO DEL SIGMA
No full textComparing fibrin sealant with staples for mesh fixation in laparoscopic transabdominal hernia repair: A case control-study
No full textBackground: Laparoscopic hernia repair is not as popular as cholecystectomy. We have performed more than 3,000 laparoscopic herniorrhaphies using the trans-abdominal (TAPP) technique. To prevent recurrences we fix the polypropylene mesh with staples. The use of fibrin glue for graft fixation is a possible alternative. Methods: We have performed 3,130 laparoscopic hernia repairs over 14 years. For mesh fixation we used titanium clips and observed a small number of complications. In July 2003 we started using fibrin glue (Tissucol®). The purpose of this retrospective longitudinal study was to evaluate if the use of fibrin sealant was as safe and effective as conventional stapling and if there were differences in post-operative pain, complications and recurrences. Results: From July 2003 to June 2006 we performed 823 laparoscopic herniorrhaphies. Fibrin glue (Tissucol®) was used in 88 cases. Two homogeneous groups of 68 patients (83 cases) treated with fibrin glue and 68 patients (87 cases) where the mesh was fixed with staples, were compared. Patients with relevant associated diseases or large inguino-scrotal hernias were excluded. Operative times were longer in the group treated with fibrin glue with a mean of 35 minutes (range 22-65 mins) compared to the group treated with staples (25 minutes, range 14-50 mins). The time of hospital stay was the same (24 hours). Post-operative complications, that were more frequent in the stapled group, included trocar site pain, hematomas, intra-operative bleedings and incisional hernias. No significant difference was observed concerning seromas, chronic pain and recurrence rate. Conclusions: Less post-operative pain, and a faster return to usual activities are the main advantages of laparoscopic repair compared to the traditional approach. The use of fibrin sealant reduces in our experience the risk of post- and intra-operative complications such as bleeding and incisional hernia; recurrence rates are similar, but the operative time is longer. © 2007 Springer Science+Business Media, LLC
Haemangiopericytoma of greater omentum. A rare cause of acute abdominal pain.
No full textHaemangiopericytoma (HPT) is a rare neoplasm that can occur in any part of the human body. In this report, we
describe the case of a patient with sudden severe upper abdominal pain caused by primary HPT in the greater
omentum
The influence of preoperative MRI in early breast cancer: gold standard
No full textBackground: Aim of this study was to evaluate the impact of presurgical breast MRI on the surgical management of selected patients with early-stage breast cancer, who were candidates for BCT.
Materials and methods: The trial was built up according to the major European Breast Society. In additional foci classified as BI-RADS 3-4 (4a, 4b, and 4c), a targeted second-look US study was performed.
Results: A total of 123 patients underwent presurgical breast MRI. Therapeutic strategy established based on MRI was appropriate in 83.8% of cases. Analysis carried out on the subgroup of patients with dense breast showed that additional foci were found in 41.9% and a greater local extension of the index lesion in 6.4%.
Conclusion: The results obtained in the subgroup of patients with high breast density suggest the importance of a sensitive tool such as MRI in the local staging of breast cancer before treatment planning
Obstructive biliary symptomatology as the first sign of HIV-infection.
No full text1999 Dec;18(4):459-62
CHANGES IN CARACHTERISTICS OF PATIENTS DIAGNOSED WITH MELANOMA, IDI-IRCCS, ROME, 1992-2000
No full textA modified umbilical incision for specimen extraction after laparoscopic abdominal surgery
No full textBackground: One advantage of laparoscopic surgery over open surgery is the absence of laparotomic incisions. This advantage is reduced when an auxiliary incision is performed to remove surgical specimens larger than the trocar. Methods: A special incision was performed at umbilical trocar level that enabled removal of a large surgical specimen as in right hemicolectomy (colic), gastric resection, and splenic surgery. Results: The authors have used this method routinely for 10 years for all cases requiring removal of a surgical specimen too large for the normal incision of a 10-mm trocar. Conclusion: The authors maintain that this method avoids the use of auxiliary incisions, which undo the many benefits of laparoscopic surgery. © 2007 Springer Science+Business Media, LLC
