1,721,138 research outputs found
Persistent hypertension after removal of adrenal tumours
No full textObjective: To assess the long-term results of operation for adrenal hypertension and to evaluate reasons and potential risk factors for the persistence or recurrence of hypertension. Design: Retrospective clinical study. Setting: Teaching hospital, Italy. Subjects: 48 patients with benign adrenal tumours who were preoperatively hypertensive and treated by adrenalectomy between 1980 and 1996. Main outcome measures: Factors that influenced the persistence of hypertension after removal of the adrenal tumours. Results: During a mean (SD) follow-up of 77 (12) months, 4 (8.3%) patients developed cardiovascular or cerebrovascular complications. 24 patients had had a history of hypertension for less than 5 years and the remaining 24 for 5 years or more. Blood pressure returned to the normal range after operation in 22 patients (46%). 14 patients (29%) had persistent hypertension that required treatment with antihypertensive drugs, but 12 required less intensive treatment than before adrenalectomy. Multivariate analysis showed that age at presentation was the only significant factor predictive of persistent hypertension (p < 0.05); sex, haematochemical tests, raised preoperative blood pressure, duration of hypertension preoperatively, and size of tumour were not. Conclusion: The success in reversing hypertension after adrenalectomy for benign tumour is strongly related to age at presentation
Letter to the editor on endovascular revascularization with stent implantation in patients with acute mesenteric ischemia due to acute arterial thrombosis: clinical outcome and predictive factors
Full text linkWe read with great interest the article of Pedersoli et al. [1] recently published in an issue of the journal. The authors retrospectively described their experience on the emergency treatment of acute mesenteric ischemia with endovascular stenting of the superior mesenteric artery (SMA) and/or celiac trunk (CA). A total of 17 of the 40 patients (42.5%) presented with bowel necrosis (2/17) or ischemia (15/17) on pre-interventional computed tomography. Two out of 40 patients (5%) underwent surgery before stent deployment. Revascularization of the target vessel was successful in 36/40 patients (90%). After stenting, 25 out of 40 patients (62.5%) underwent abdominal laparoscopy or laparotomy; specifically, in 12 patients (48%) the ischemic bowel was resected, and in the remaining 13 patients (52%) no additional surgery was needed or possibl
An invited commentary on "Survival outcomes of neoadjuvant therapy followed by radical resection versus upfront surgery for stage I-III pancreatic ductal adenocarcinoma: a retrospective cohort study"
No full textExpenses related with a well organized information about risk factors for stroke reduce mortality and burden, with diminished total health expenses
No full textViene indicata l'importanza di educazione a proposito di fattori di rischio che concorrono all'insorgenza di ictus ischemico. Negli ultimi 5 anni (2014-2019) si è verificato un aumento della esposizione a fattori di rischio come l'obesità, il diabete, il fumo di sigaretta ed un aumento della mortalità per ictus ischemico
THE ROLE OF AXILLOAXILLARY BYPASS GRAFT IN THE TREATMENT OF SYMPTOMATIC LESIONS OF THE SUBCLAVIAN ARTERY
No full textCryopreserved cultured allogenic human epidermal grafts for the treatment of chronic ischemic ulcers: report on two cases.
No full textSurgeons' risk awareness and behavioral methods of protection against bloodborne pathogen transmission during surgery.
No full text- …
