1,721,051 research outputs found
Resezione endoscopica di un emangioma dello stomaco: a proposito di un caso clinico
Full text linkGli emangiomi gastrici rappresentano una infrequente varietà
istologica di neoplasie benigne del tratto gastrointestinale. La diagnosi
si avvale di diverse metodiche d’imaging ma la certezza si ottiene solo
con l’esame istologico definitivo. La resezione per via endoscopica, rispettando alcuni criteri, rappresenta il trattamento di scelta per queste
lesioni.
Gli Autori presentano un caso di emangioma cavernoso della piccola curva gastrica, diagnosticato e trattato mediante approccio endoscopic
L’ernioplastica secondo Lichtenstein: a proposito delle complicanze
Full text linkL’intervento di ernioplastica secondo Lichtenstein originale o con l’apporto di piccole varianti consente oggi ottimi risultati sia dal punto di vista chirurgico che in termini di riduzione della spesa sanitaria. Le procedure “tension free” e la diffusione dell’anestesia locale consentono una drastica riduzione della degenza ospedaliera, una precoce ripresa dell’attività lavorativa e la diffusione del ricovero in Day Hospital.
Gli Autori presentano la propria casistica aggiornata comprendente 1116 ernioplastiche in 1.034 pazienti e sulla base di due studi, retrospettivo e prospettico, concludono che una maggiore attenzione nella condotta dell’intervento e una più accurata preparazione preoperatoria dei pazienti rappresentano momenti fondamentali per ottenere risultati ancora più soddisfacenti
Aorto–mesenteric compass syndrome (Wilkie’s syndrome) in the differential diagnosis of chronic abdominal pain
No full text: A woman in her 40s was admitted to hospital with weight loss, asthenia, persistent abdominal pain and post-prandial nausea and vomiting. Other comorbidities were anxiety-depressive disorder, gastro-oesophageal reflux disease and fibrocystic mastopathy. On admission her body mass index (BMI) was 15.57 kg/m2 with a reported weight loss of 6 kg during the last 3 months. The patient underwent a double contrast abdominal CT scan, which showed that the third portion of the duodenum appeared to be compressed between the superior mesenteric artery and the abdominal aorta. After a multidisciplinary evaluation, a conservative approach and nutritional supplementation was decided upon and administered. At the 1-year follow-up the symptoms had greatly improved; the epigastric pain, although persistent, was reduced, also due to the weight gain to 50 kg (BMI 19.5 kg/m2). Wilkie's syndrome, in its acquired form, predominantly affects young women after rapid weight loss. In the diagnostic work-up, case history, physical examination and radiological findings play a key role
Case Report: Laparoscopic Cholecystectomy in a Patient with Situs Inversus Totalis
No full textBackground: Situs inversus totalis is inherited as an autosomal
recessive trait and occurs in approximately 1 per 10 to
20.000 live births. It’s definite as the transposition of both the thoracic
and abdominal viscera to the opposite side of the body.
Case Presentation: D.D. was a 42 y old man who
experienced 6 months prior of his presentation intermittent
nausea,intermittent epigastric pain that radiated laterally to both
sides of upper abdomen,shoulder pain and bloating after some
meals. He received an abdominal US that showed the presence
of gallstones without biliary tree distention, with gallbladder wall
thickening. Patient underwent laparoscopic cholecystectomy.
The operation was carried out in the usual manner with the trocars
placed in locations on the left side of the abdomen as mirror
images to their usual location on the right side. On laparoscopic
examination the intra-abdominal anatomy was the mirror image
of the normal view. Dissection of the triangle Calot and application
of the clip and gallbladder dissection was performed by operator’s
left hand through the subxiphoid trocar.
Conclusions: Some authors suggest that laparoscopic cholecystectomy
in patients with left-sided gallbladder is preferred to
be performed by left handed surgeons due to better ergonomy; we
suggest that surgeon should be right and left handed with experience
in laparoscopy and hepatobiliary surgery
Chemical pleurodesis in the treatment of iterative neoplastic effusion.
No full textInstitute of Clinical Surgery IV, La Sapienza University of Rome, Italy
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