1,721,013 research outputs found
Use of a disposable stapling instrument in gastrointestinal surgery
No full textThe authors describe the use of a disposable automatic metallic-clip instrument in gastrointestinal surger
Commento a: Galia G, Lieto E, Pelosio L, Imperatore V, Castellano P, Pignatelli C. Ileo biliare: revisione della letteratura e presentazione di un caso clinico.
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The anti-oedema activity of venoruton injectable in abdominal surgery
No full textThe anti-oedema activity of an injectable drug (HR; active principle: 0-(beta-hydroxyethyl)-rutoside) was assessed in 60 gastric extrahepatic bile duct, and large intestine surgery patients (30 being used as controls). Gastroscopy (with biopsy), gastroduodenoscopy, colonoscopy (with biopsy) and radiological examination were usually performed on the 5th and 10th post-operative days. The drug showed significant therapeutic effects: rapid resolution of oedema, especially at the sutures, leading to early cicatrisation, canalisation and the prevention of dehiscence. Finally, duration of hospitalisation was less than in the untreated cases. The gastroscopic, radiographic and biopsy findings are considered to have shown clear evidence of the drug's action against oedema formation
Laparoscopic approach for a case of esophageal achalasia with epiphrenic diverticulum
No full textWe present the case of a 65-year-old woman with al lO-year history of
dysphagia, regurgitation, cough, and lO-kilogram weight loss due to an
epiphrenic diverticulum associated with esophageal achalasia treated by
laparoscopic approach. A preoperative barium swallow showed a dilated
sigmoid esophagus with a 6-cm epiphrenic diverticulum. Upper endoscopy
with distal biopsies was negative for cancer, and esophageal manometry
confirmed absence of peristalsis in the esophageal body. We performed a
laparoscopic diverticulectomy and a 7-cm distal esophageal myotomy with
a Dor fundoplication. The postoperative course was uneventful. On the
third postoperative day a barium swallow showed no leak, and the patient
started PO intake. She was discharged home 5 days after the operation free
of symptoms and tolerating a soft diet. Twelve months postoperatively she
is still asymptomatic and has gained 8 kilograms. A barium swallow
showed a normal size esophagus with regular emptying. We reaffirm the
feasibility, safety and efficacy of the laparoscopic diverticulectomy and
distal myotomy with Dor fundoplication to treat epiphrenic diverticula due
to esophageal achalasia
A new technique in positioning of Kehr's tube in laparoscopy
No full textThe enlargement of the indications in the use of the laparoscopic technique puts the surgeon in front of the need to project new techniques and to improve new instruments daily. On one hand, the technique and instruments used to perform a video-laparoscopic cholecystectomy are codified. However, there is still a lot of work to do for the laparoscopic treatment of the common bile duct stones. The aim of the present scientific contribution is the exposition of an original methodology for the positioning of the T-tube in laparoscopy which would be a difficult manoeuvre otherwise
Progetto di un SIT per il Comune di Rivoli: metodi di gestione e pianificazione del territorio
No full textEvolution in the treatment of esophageal achalasia.
No full textAchalasia is a rare disease of the esophagus, characterized by the absence of peristalsis in the esophageal body and incomplete relaxation of a hypertensive lower esophageal sphincter. The cause of the disease is unknown; therefore, the aim of therapy is to improve esophageal emptying by eliminating the outflow resistance caused by the lower esophageal sphincter. This goal can be accomplished by either pneumatic dilatation or surgical cardiomyotomy, which are the only long term, effective therapies for the treatment of achalasia. In fact, medications such as channel blockers are ineffective, and botulinum toxin injection appears to offer only short-term relief of symptoms. Historically, pneumatic dilatation was preferred to surgery because of the morbidity associated with a thoracotomy or a laparotomy. However, with the development of minimally invasive techniques, the surgical approach has gained widespread acceptance among patients and gastroenterologists. Therefore, the role of surg..
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