1,721,102 research outputs found
Right portal vein thrombosis after splenectomy for trauma
No full textPortal vein thrombosis may complicate splenectomy in patients with hemolytic anemia and myeloproliferative disease, whereas the frequency of portal vein thrombosis in case of trauma is not defined. A case of right portal vein thrombosis after splenectomy for trauma is reported in this paper. Hematologic workup did not reveal an underlying platelet or coagulation disorder. The patient was promptly anti-coagulated with complete recanalization of the portal vein. We conclude that mild symptoms, like abdominal pain and fever, after splenectomy should be investigated with a color Doppler ultrasonography to confirm or rule out a diagnosis of portal thrombosis and to anti-coagulate the patient with thrombosis, thus preventing bowel infarction and secondary portal hypertension. Routine postoperative color Doppler might also be justified in all postsplenectomy patients (without hematologic diseases) for early detection of a portal vein thrombosis
AUTOTRASFUSIONE NEL BYPASS BILIOPANCREATICO PER LA TERAPIA CHIRURGICA FUNZIONALE DELL'OBESITA'. RAPPORTO PRELIMINARE.
No full textThe multitest system for delayed hypersensitivity evaluation. Standardized result in an Italian adult population
No full text
In vivo evaluation of postoperative immunosuppression by means of Multitestsystem.
No full textThe 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
Intrahepatic dilation of the bile ducts. Particularity of a clinical case [Dilatazione intraepatica delle vie biliari. Particolarità su un caso clinico]
No full textWe report the case of a 71 years old male patient with a "simple" form of Caroli's syndrome. The "simple" form is less common than the form associated with congenital hepatic fibrosis. In this case the intrahepatic bile duct dilatation was confined to the segments V and VI, and intrahepatic lithiasis and cholelithiasis were associated. Usually, Caroli's syndrome remains asymptomatic for the first 20 years of the patient's life, sometimes longer, and in few cases for the patient's whole life. "Simple" asymptomatic Caroli's syndrome is generally unrecognized and in our own case it was an intraoperative finding. Patient's age, the presence of a hepatitis C and the absence of malignant changes discouraged us from performing a right hepatectomy and then a Roux-en-Y intrahepatic bile duct jejunal anastomosis was done. One year after the operation the patient is leading a normal life, and he is symptom-free
'Simple' form of Caroli's disease
No full textThe case of a 71 year-old male patient with 'simple' form of Caroli's disease is reported. The 'simple' form is less common than the form associated with congenital fibrosis. In this case the intrahepatic bile duct dilatation was confined to the segments V and VI, and intrahepatic lithiasis and cholelithiasis were associated. Usually, Caroli's disease remains asymptomatic for the first 20 years of the patient's life, sometimes longer, and in few cases for the patient's whole life. 'Simple' asymptomatic Caroli's disease is generally unrecognized and in the case reported it was an intraoperating finding. Patient's age, the presence of a hepatitis C and the absence of malignant changes discouraged us from performing a right hepatectomy or a resection of segments V and VI. Therefore a Roux-en-Y intrahepatic bile duct jejunal anastomosis was done. Three years after the operation the patient is leading a normal life, and is symptom-free
LA CHIRURGIA MAGGIORE DELLA MAMMELLA IN DAY-SURGERY: RAZIONALE E NOSTRA ESPERIENZA
No full textINTRODUCTION: 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
Definitive breast cancer surgery as an outpatient: rationale and our experience
No full textThe 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
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