1,720,971 research outputs found
TRADITIONAL SURGERY VERSUS MINIMALLY INVASIVE THIROIDECTOMY: ACTUALITY AND PERSPECTIVES
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Sclerosing encapsulating peritonitis: a rare complication of peritoneal dialysis. A case report
No full textSclerosing encapsulating peritonitis is a typical, but at the same time, not so frequently observed complication of peritoneal dialysis. The aim of this article is to report on the authors' clinical and surgical experience with this disease. After a review of the international literature and a description of the typical clinical features of this disease, the authors describe a case of sclerosing encapsulated peritonitis observed in their surgical department, on its mode of onset (intestinal occlusion), clinical behaviour and surgical treatment. The treatment of the patient consisted in the removal of fibrous tissue, resection of a necrotic ileal loop and intestinal reconstruction by an end-to-end ileo-ileal anastomosis. From the technical point of view the result was good and resolution of the intestinal occlusion was obtained. Cardiocirculatory complications arose on 6th postoperative day were the cause of the patient's death. Sclerosing encapsulating peritonitis is a rare complication of peritoneal dialysis, but it should be borne in mind whenever a patient with a history of peritoneal dialysis reports episodes of abdominal pain, nausea and vomiting associated with weight loss. This kind of peritonitis may require surgical and non-surgical treatment, though laparotomy provides us with a reliable diagnosis and may be considered essential to resolve the intestinal obstruction
Virtual endoscopy: already a feasible proposition or a future prospect in diagnostic? A review of the literature
No full textThe aim of this article was to carry out a retrospective analysis of the feasibility of using virtual endoscopy in the field of gastrointestinal diseases. After a retrospective review of the international literature the authors analyse the most controversial aspects of virtual endoscopy such as its effective diagnostic reliability and potential clinical employment with specific reference to diagnosing colon diseases. The international literature shows that virtual endoscopy is currently poorly sensitivity in detecting lesions measuring less than 10 mm in diameter and that the radiologist's experience can negatively condition the trustworthiness of this procedure. Virtual endoscopy is likely to be the future gold standard in the field of diagnostic imaging. Furthermore, it eliminates all the compliance-related problems and any risk of iatrogenic lesions such as perforations and bleedings which are typical of traditional endoscopy. Its current sensitivity, however, is poor and it is unable to detect lesions smaller than 10 mm. Its reliability therefore needs to be improved
Mass casualty incidents - time to engage
No full textMass casualty incident continues to overwhelm medical systems worldwide. Preparedness for an MCI is a crucial requisite for the injured better outcome. The World Society of Emergency Surgery initiated a survey in regard to its senior member's personal and institutional preparedness for MCI. The results here in presented indicate that WSES should engage in a formatted and structured preparedness course for medical institutions and individuals
Ambulatory surgery: preoperative assessment
No full textOver the past 20 years public health expenditure has progressively increased for various reasons. With the aim of reducing public health expenditure and hospital stays, alternative models of public health care have been more widely adopted over the past two decades: Day Hospital, day surgery and ambulatory surgery. What is meant by ambulatory surgery is the clinical, organisational and administrative possibility of performing surgical operations and/or invasive and semi-invasive diagnostic procedures without hospitalisation of patients, in doctors' surgeries, outpatient departments or protected outpatient facilities. For both the patients and the centres providing the service to be able to exploit all the advantages stemming from this kind of health care provision, careful patient selection is mandatory, including assessment of the impact of any potential concomitant pathologies. Starting from their own personal experience and existing reports in the international literature, the authors analyse the impact that concomitant pathologies may have on patient selection for ambulatory surgery. The authors conclude that thorough preoperative evaluation of all the possible variables involved is the only way of ensuring the success of ambulatory surgery
VALUTAZIONE DELLA SENSIBILITA' E DELLA SPECIFICITA' DELLA TIREOGLOBULINA E DEGLI AB ANTI-TIREOGLOBULINA PER LA DETERMINAZIONE DEL RISCHIO DI RECIDIVA E NEL FOLLOW UP DEI PAZIENTI AFFETTI DA CARCINOMA BEN DIFFERENZIATO DELLA TIROIDE
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