175 research outputs found
Fournier’s gangrene secondary to male’s circumcision – a case report and review of the literature
No full textBackground: Fournier's gangrene is necrotizing fasciitis of the genitalia, perineal and perianal region associated with a significant mortality rate. The potentially fatal disease is caused both by aerobic and anaerobic bacteria and primarily occurs in men. The majority of Fournier's gangrene cases is idiopathic or derived from perineal and genital skin infections. Early surgical debridement of necrotic tissues and antibiotics are fundamental. Case: We report a rare case of Fourniers gangrene of a 57-year-old man secondary to circumcision. The patient presented due to painful swelling of the scrotum and perineum associated with high-grade fever. The patient received broad-spectrum antibiotics and underwent immediate surgical debridement; a total of five other debridements were performed during the recovery until the wounds healed. On a second recovery phase, we performed a penile reconstruction with full thickness skin graft with satisfactory cosmetic and functional results. Conclusion: FG remains an urgent condition associated with a high mortality rate, requiring immediate treatment. More statistical reports and standard guidelines are necessary to improve the rate of its survival
The "Jacobsen flap" technique: a safe, simple surgical procedure to treat Dupuytren disease of the little finger in advanced stage.
No full textThe "Jacobsen flap" technique: a safe, simple surgical procedure to treat Dupuytren disease of the little finger in advanced stage.
Tripoli M, Cordova A, Moschella F.
Source
Chirurgia Plastica e Ricostruttiva, Dipartimento di Discipline Chirurgiche ed Oncologiche, Università degli Studi di Palermo, Italy. [email protected]
Abstract
The surgery for advanced stages of Dupuytren disease of the little finger is controversial. In the literature, several techniques have been described with variable reported results and postoperative complications. Percutaneous needle fasciotomy, McCash technique, and dermofasciectomy are often performed for surgical treatment but they present significant complications and limits. This study reviews our experience of using the Jacobsen flap technique, a modification of the McCash procedure. We found that the Jacobsen flap technique for the significant correction of the contracture, the low rate of complications, and the relatively simple surgical approach is an excellent alternative to percutaneous needle fasciotomy, dermofasciectomy, or amputation
Gynecomastia
No full textGynecomastia is a swelling of the male breast as a result of the growth of two components: The adipose and the glandular tissue, sometimes unilateral, but more often occurring in bilateral form. Several classification systems were proposed, based on the hypertrophy of the tissue and the position of the nipple-areola complex. The clinical examination and blood analysis play an important role in excluding endocrine tumors or hormone balance modification and in choosing the treatment. The management of gynecomastia considers the drug therapy in case of hormones disorder. But surgical procedures, such as the combined adenectomy/liposuction, represent the gold standard of treatment. Skin redundancy removal is adopted in advanced-stage cases with severe skin ptosis
Arts and aesthetics of male chest
No full textIn the 2006 World Cup final, Italy were losing against France 1-0. In a moment of agitation, Zinedine Zidane, hero of the French national team, reacted to a verbal provocation from the Italian defender Materazzi by giving him a headbutt right in the chest. A furious gesture, the violation of the inviolable. The chest of man. The chest of the sportsman, the warrior, the hero; the chest of God. The point that symbolizes strength and protects the heart. Strength, beauty, and prowess have been concentrated at this point ever since ancient times
Tripoli
No full textThis text was recorded in a hotel room in Genova. A colleague of my informant and me were present. My informant was working in Italy for six months and I asked him to talk abouth something he was missing a lot and he spoke about Tripoli.In this recording, my informant is mainly speakinge about Tripoli
Update on the role of molecular factors and fibroblasts in the pathogenesis of Dupuytren’s disease
No full textThe mechanism by which the fibroblast is able to
trigger palmar fibromatosis is still not yet fully understood. It
would appear certain that the Babnormal^ fibroblasts continuously
synthesise profibrotic cytokines which are able to determine
the activation to myofibroblasts, to stimulate them to the
further proliferation and synthesis of other cytokines, to modify
the cells’ differentiation and ultrastructural characteristics,
as well as the production of matrix and other proteins. Several
fibroblast growth factors have been suggested to be responsible
of an abnormal cell activation with an aberrantly elevated
collagen synthesis and extracellular deposition in Dupuytren’s
disease, as TGF-Beta, TNF-Alfa, PDGF, GM-CSF, free radicals,
metalloproteinases, sex hormones, gene modified expression,
mechanical stimulation. The Authors review the current
state of knowledge in the field, by analyzing the role of
these cytokines in the palmar fibromatosis
The spatial structure of Tripoli, Libya :
No full textIn focusing upon the growth and spatial structure of Tripoli, the following questions are asked: (1) What patterns of residential structure prevail in modern Tripoli? (2) What is the impact of government and public policy upon the spatial structure of Tripoli? (3) To what extent is the spatial configuration of contemporary residential areas in Tripoli a physical expression of the existing socio-economic divisions in the urban society? (4) Can the present land-use patterns of the city be explained by combinations that have been suggested for the spatial structure of the pre-industrial, industrial, and socialist industrial city land-use?The eighth chapter covers the author's argument that adequate land-use models of Western industrial cities cannot be applied to the contemporary land-use patterns found in Tripoli. It also points out that it is almost impossible to understand Tripoli's land-use patterns without reference to particular historical developments of the city and the consequent impact of these past developments on the present structure of the city. The author concluded that Tripoli, in 1982, had a complex spatial structure which probably reflected the city in a stage of transformation resulting from the imposition of a new structure on an old one. The recent socio-economic socialist policy adopted by the current Libyan government eliminates residential segregation by providing members of the low income population with publicly-built apartments as well as by the government confiscation of private urban property from owners who owned more than the government considered adequate for their needs and its subsequent reallocation to other individual users. . . . (Author's abstract exceeds stipulated maximum length. Discontinued here with permission of author.) UMIThe first five chapters of this study review the historical urban development of Tripoli. In the sixth chapter an attempt is made to investigate the factorial ecology of Tripoli. The seventh chapter attempts to create a generalized geographical model which explains the urban land-use structure of contemporary Tripoli. It has been determined that Tripoli passed through several stages of urban transformation from pre-industrial, to industrial and, finally, to a socialist city stage.To answer these and related questions, in 1982 the author conducted a nine-month field trip survey of the residential structure of Tripoli's mahallas.This study is concerned with the growth and the spatial structure of Tripoli as it undergoes the transition from pre-industrial to industrial and, finally, to socialist city
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Libya and Britain: a study of the history of British-Libyan relations 1969-1979
No full textThis thesis examines relations between Libya and the United Kingdom after 1969 when a new government came to power in Tripoli which seemed to pose a direct threat to a number of key British interests. The thesis is grounded on a careful reading of secondary literature which has been integrated into newly available official documents available in the National Archive. The main claim to originality is in the light these documents throw on our understanding of that relationship. The thesis uses a case study approach which examines specific themes in UK-Libya relations which include arguments over arms sales, the oil economy and the role of oil companies, and relations over the Irish question and the problematic Libyan supply of weapons and support to the IRA in the 1970s. It inevitably touches on relations between both governments and the United States, but that is not a main focus of the study. These areas have been chosen for study because they represent the most significant areas of bargaining and conflict between Libya and the UK in the time period, according to both the secondary literature and press debate at the time and the newly available documentation. The author has been aware of the limitations of using the National Archives, especially where material has newly arrived for view. These include the scope of official ‘weeding’ before documents are made available to conserve space and to avoid repetition, but also to exclude sensitive material relating to intelligence and cognate aspects of relations with other governments. These limitations qualify, but do not undermine, the conclusions drawn
Malattia di Dupuytren
No full textLa malattia di Dupuytren ancora oggi rimane avvolta nel mistero: è incerta la paternità della sua prima descrizione, sebbene, e con molte polemiche, da centoottantuno anni è storicamente legata all’illustre chirurgo francese Guillaume Dupuytren. Un enigma per gli studiosi è anche la sua eziopatogenesi, in cui fattori ambientali, comportamentali, genetici, e biomolecolari, in parte ancora sconosciuti, interagiscono a più livelli, generando reazioni biochimiche a cascata che portano alla ben nota iperproliferazione dei fibroblasti e alla conseguente deposizione di collagene. Essa rappresenta inoltre una sfida per il chirurgo che deve districarsi tra tecniche operatorie differenti in relazione allo stadio della malattia, età del paziente, esigenze di vita quotidiana, in un distretto che per complessità anatomica non ha eguali nel resto del corpo. Fino ad ora la chirurgia è stata la sola opzione terapeutica codificata che abbia permesso di ottenere la correzione delle deformità digitali a lungo termine. Risultati incoraggianti sono stati raggiunti di recente con la collagenasi, di cui ancora non esistono risultati a distanza statisticamente significativi. Sono ancora necessari ulteriori studi e approfondimenti che richiedono contributi e collaborazioni tra i “diversi campi del sapere? al fine di trovare soluzioni sempre meno invasive per la cura definitiva di questa malattia
La “congiura” maltese del 1749 nei documenti diplomatici ragusei
No full textUtilizzando tre inedite relazioni del console raguseo si ricostruiscono le fasi della congiura del 1749 a Malta ordita dall’ex pascià di Rodi. La religione islamica doveva essere il naturale collante per i congiurati nelle varie fasi del complotto finalizzato ad uccidere il Gran Maestro dell’Ordine e ad assumere il comando dell’Isola. Scoperta la congiura, seguivano gli arresti e gli interrogatori degli indiziati che speravano di essere supportati dal bey di Tripoli
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