1,720,991 research outputs found
Laparoscopic treatment of perforated diverticular peritonitis.
No full textThe laparoscopic treatment of local and generalized peritonitis due to complicated diverticular disease is safe in selected patients. The subsequent elective laparoscopic resection results in a reduction of the morbidity and mortality and better quality of life, avoiding a stoma
Reconstruction
No full textAt present, preservation of the anal sphincter is possible in the majority of low
rectal (LR) carcinomas; indeed, by associating neoadjuvant radiochemotherapy
(RCT) to TME, it is possible to preserve the sphincter in at least 70% of
case
Surgical Technique
No full textIn this chapter we analyze the surgical technique of rectal resections, focusing
on describing the laparoscopic approach and our usual technique.
The laparoscopic surgical set includes the usual instruments, which means
atraumatic grasping forceps, dissector, clip applier, and a suction-irrigation
system. Furthermore each surgeon should use the dissection-coagulation system
that he or she is most familiar with (bipolar, ultrasounds, radiofrequency),
as there is no particular standard set of instruments. Linear, angular or circular
staplers for transanal mechanical anastomosis can also be chosen
Complicated right diverticular disease; case reports and review of the literature
No full textReport of two cases of complicated diverticular disease in young men presenting with palpable abdominal inflammatory masses and both caracterized by a difficult differential diagnosis from colonic cancer
Long term outcome of conversion in laparoscopic colorectal surgery
No full textObjective: Conversion rates in colorectal laparoscopic surgery
vary from 8 to 29% in the Literature. An increased postoperative
morbidity and prolonged hospital stay have been described as
the main adverse outcomes in converted patients.
Some studies suggest a negative influence of conversion on the
oncologic outcome, but consistent data are still lacking. This study
evaluates the impact of conversion and analyze the differences in
the oncologic outcome of patients who underwent laparoscopic
resection for colorectal cancer.
Methods: A monocentric retrospective study on 247 patients
operated for colorectal cancer between 2004 and 2007 was performed.
The operative results and long-term outcomes of 44
patients with conversion (22%) were compared both with 200 cases
of successful laparoscopic and 103 open operations. We considered
as conversion a widening or an anticipation of a Pfannenstiel
incision, an upfront midline or transverse laparotomy.
Results: Median follow up was 56 months. Our results show
that the disease-free survival and local recurrence (6.81% in the
converted group) were not significantly worse by the presence of
conversion in laparoscopic cancer resections.
Conclusions: Conversion should not be viewed as a complication
but as a solution to overcome the limitations of laparoscopic
surgery. The adoption of a standardized operative strategy from
an experienced team, together with an early and prompt decision
for conversion and careful patients selection may improve the outcome
of converted patients
Self-adhesive mesh for Lichtenstein inguinal hernia repair. Experience of a single center
No full textLichtenstein tension-free mesh repair is the most frequently performed procedure for inguinal hernioplasty. In the past surgery aimed to control recurrences. Nowadays it is important to avoid postoperative chronic pain and thus several studies have examined the potential role of meshes in causing postoperative pain. The purpose of this study was to retrospectively assess the early and long-term results after Lichtenstein tension-free repair using a self-adhesive mesh (Parietex ProgripTM - Covidien, Germany) in a single center
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
- …
