1,721,126 research outputs found
Experience of 3711 stapled haemorrhoidectomy operations.
No full textExperience of 3711 stapled haemorrhoidectomy operations (Br J Surg 2006; 93: 226–230) Sir This is the largest series from a single centre. We note that the authors have performed 3,711 operations in 56 months, which is 66 operations/month or 17/week, uninterruptedly for nearly 5 years. They have employed the technique in a number of patients with not otherwise specified ‘bleeding’ (80·7 per cent), and for ‘haemorrhoid thrombosis’ (3·9 per cent). Surgery is in general indicated only for symptomatic thirddegree haemorrhoids not responding to rubber band ligation, and for prolapsed piles1,2. As a consequence, fewer than 10 per cent of patients referred for specialist treatment need haemorrhoidectomy3. L. Basso, G. Cavallaro and A. Polistena Department of Surgery ‘‘Pietro Valdoni’’, University of Rome ‘‘La Sapienza’’ Medical School, Policlinico ‘‘Umberto I’’, viale del Policlinico, Rome 00161, Ital
An unusual case of genital filariasis of the testicular tunics in an Italian patient
Full text linkAt least 27 million men present with urogenital manifestations of genital filariasis (GF). Although there is a large burden of GF in residents in endemic regions, infection in short-term travellers and in non-endemic areas is rare. We report the case of a 75-year-old Italian man referred to our institution for a testicular discomfort. Clinical examination and ultrasound detected a mass of 40×18 mm in the scrotum without signs of varicocele, hydrocele and testicular or epididymal abnormalities. After ineffective medical treatment, the patient underwent surgical excision. Histology demonstrated filarial granuloma with thick cuticles pathognomonic of an adult worm in the testicular tunics. Surgery has a fundamental role in localized cases of GF to remove nematodes from the fibrotic nodules. The present manuscript describes a singular case of GF observed in Italy in a non-immigrant patient with evidence of remnants of an adult worm in the testicular tunics. SIMILAR CASES PUBLISHED: 1
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