1,721,126 research outputs found
L’agobiopsia epatica per via posteriore
No full textThe Authors present their experience in hepatic needle biopsies performed utilizing a posterior approach through the coronary ligament. this extraperitoneal approach avoids choleperitoneum and hemoperitoneum which may occur with the usual antero-lateral approach. the technique described is therefore safe and may be used even in patients with serious obstructive jaundice or with major coagulation deficiencie
Indicazioni all'osteosintesi esterna
No full textSi espongono tutte le indicazioni alla osteosintesi esterna, dalle fratture esposte al paziente politraumatizzato. Analizzandone oltre alle indicazioni, i vantaggio e gli svantaggi. Sono anche esposti i fissatori estreni più in uso e le loro caratteristiche
Frattura d'arma da fuoco
No full textSi analizzano le specificità delle fratture d'arma da fuoco, che sono da considerare fratture esposte e quindi il loro trattamento deve essere consequenziale. Inoltre il loro riconoscimento da un punto di vista medico-legale
Treatment of extensive losses of skin in open fractures of limbs
No full textPresents the cases of large skin losses in open fractures treated in the last 15 years. In particular, it showed the methods of treatment with grafts dermo-epidermal and pedicle flaps
Open fractures in polytraumatic patients
No full textOpen fractures from the clinical-therapeutic point of view, correlated with the global conditions of the polytraumatic patient are studied. The concept of polytraumatic patient is specified and the correlations of the patient's resuscitation and nurosurgical problems are pinpoited. Associated lesions in the polytraumatic patients studied ina one year period, chosen as a sample in the Author's Dept., are abalyzed and a classification based an the presence at the same time of one or more fractures and of a cranio-thoraco-abdominal lesions, are proposed. Contraindications and advantages of immediate and global treatment of all lesions presented by a polytraumaitc patient are discussed. The Authors' conclusion on the grounds of their experience and of the valuable results abtained are in favour of the treatment in emergency of all the existing lesions
Trattamento chirurgico delle fratture di omero nei politraumatizzati
No full textIn patients in whom extremity fractures form part of a multiple injury pcture it is often necessary for fractures to be stabilised as early as possible for better management of the overall situation and to avoid further complications connected with forced decubitus. AS both conservative treatment and osteosynthesis with a plate for a variety of reasons do not meet the needs of humeral fracture treatment in these patients, the use of external fixation is proposed in fractures of proximal humeral epiphisis and in plurifragmentary fractures of the disphysis, and of Rush's nail in certian fractures of the surgical neck and humeral disphysis. This treatment permits speedy patient mobilisation and good healing of humeral fractures. WE present 38 cases treated with this method, and good result are showed
Fissazione esterna nelle fratture complesse dell'estremo distale di radio
No full textConservative treatment in a plaster cast and internal osteosynthesis, fall for different reasons to solve the problems of complex, comminuted and intra-articular fractures of the distal end of the radius. Hoffmann's external fixation is therefore proposed for this offers a considerable number of advantages: speed of operation, blind reduction, early mobilisation, rapid callus, variability in wrist position, atraumaticity of fixator removal, low cost and tolerance of the apparatus. We present 17 cases treated with this method, and good results
Ender nails in fractures of tibial shaft
No full textThe treatment of tibial shaft fractures in polytraumatic patients are presented. From 1984 to 1987 we have treated 43 tibial shaft fractures with this method. Results is very good.We present our cases
Trattamento delle lesioni cutanee associate alle fratture complesse degli arti
No full textLe lesioni cutanee nelle fratture esposte sono un ploblema in più nel trattamento dei pazienti. Spesso causa di infezione locale e successivamente di osteomielite, meritano un trattamento immediato al fine di evitare o per lo meno ridurre questa temibile complicanza. Vengono analizzate le tecniche chirurgiche del loro trattamento sia immadiato in urgenza che differito, nonchè degli esiti con i trattamenti di chirurgia plastica ricostruttiva
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