1,721,013 research outputs found
“Significato prognostico della proteina C reattiva nella pancreatite acuta necrotico-emorragica”
No full textMinimally invasive video-assisted parathyroidectomy. Initial experience in a General Surgery Department.
No full textBackground: The aim of this study is to analyze our preliminary results from minimally invasive video-assisted parathyroidectomy (MIVAP) and demonstrate the feasibility of MIVAP also in non-referral centers.
Material and methods: During a period from June 2005 to January 2008, in the General Surgery Department of University of Trieste, we operated on 39 patients with primary hyperparathyroidism (pHPT). MIVAP by an anterior approach was proposed for 23 (59%) patients with sporadic pHPT and one unequivocally enlarged parathyroid gland on pre-operative ultrasound and 99mTc-SestaMIBI scintigraphy without associated goiter and without previous neck surgery. Intra-operatively, a quick parathyroid assay was used during the last 11 surgical procedures. All patients underwent pre-operative and post-operative investigations of calcemia, phoshoremia and PTH levels and vocal cord function. Age, operative times, pathologic findings, post-operative pain, calcemia, length of hospital stay, cosmetic results, and complications were retrospectively analyzed.
Results: MIVAP was successfully accomplished in 22 cases. Conversion to standard cervicotomy was required in one patient (4.34%). Mean operative time was 67 min. Post-operative complications included 1 (4.34%) transient hypocalcemia. No laryngeal nerve palsies, no definitive hypocalcemias, no persistent pHPT and no recurrent pHPT were observed. The cosmetic result was excellent in all cases.
Conclusions: Our preliminary results demonstrate that MIVAP for localized single-gland adenoma, after adequate training, seems to be feasible with significant advantages, especially in terms of cosmetic results, post-operative pain, and post-operative recovery even in a General Surgery Department, if performed by a dedicated team, with a sufficient and specific activity volume
“Linfoma primitivo non Hodgkin Burkitt-like bilaterale del surrene, una rara causa di insufficienza surrenalica primitiva”
No full text
“Minimally invasive Video-assisted Thyroidectomy. Initial experience in a General Surgery Department”.
No full text“Il ruolo della RMN nella determinazione dell’iter diagnostico e terapeutico nel carcinoma mammario in stadio iniziale”
No full text“Tiroidectomia mini-invasiva video-assistita: Iniziale esperienza in un Centro di Chirurgia Generale”
No full textSensitivity Evaluation of Fine-Needle Aspiration Cytology in Thyroid Lesions
No full textNot availabl
Idiopathic mesenteric venous thrombosis: report of a case.
No full textIntroduction.—Idiopathic mesenteric venous thrombosis is a rare entity. An early diagnosis and
thrombolytic and anticoagulant therapy are very important.
Patient and methods.—We report a case of a patient, without any specific known risk factor,
with small intestinal ischemia secondary to superior mesenteric vein thrombosis (SMVT).
Results.—In our case, only a computed tomography (CT) abdominal scan permitted the diagnosis
of SMVT. The patient was successfully treated by resection of the infarcted bowel with primary
anastomosis and immediate postoperative anticoagulation.
Conclusions.—Diagnosis of intestinal ischemia from mesenteric venous thrombosis (MVT) is
often delayed because the symptoms are nonspecific. Moreover, when there is not any known
predisposing factor, the diagnosis may become even more difficult with significant morbidity
and mortality. CT abdominal scan done early in case of nonspecific abdominal pain, since the
patients had a previous history of venous thrombosis, may not require a surgical treatment of
MV
Adhesive small bowel occlusion: a clinical and therapeutic study of 163 consecutive patients.
No full textThe aim of this retrospective study is to evaluate the immediate and late outcomes of the surgical and conservative treatment of adhesive small bowel obstruction. A series of 163 consecutive patients affected by adhesive occlusion were analysed. 63 patients were submitted to emergency surgery and 100 to conservative treatment; 15 of these ones were operated on because they did not improve or deteriorated. The in-hospital mortality and morbidity, the length of the ileus, the time required for the operatori, the length of the recovery, and the late results after a median follow-up of 3.6 years (range: 1-6 years) are reported. The overall mortality was 3.26% and there was no significant difference (p = 0.764) between the treatment modalities. The patients submitted to conservative therapy had a lower morbidity, shorter length of the ileus and shorter hospital stay and a better outcome at follow-up. In the surgical group, the patients submitted to emergency surgery had a lower mortality, a shorter ileus and shorter hospital stay than the patients submitted to delayed surgery. Conservative treatment of adhesive occlusions should be opted for when the indications are correct (no intestinal ischaemia, no occlusion by a bridle). In doubtfui cases, the patient should be submitted to emergency surgery to avoid the risks of surgical delay
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