ABSTRACT
BACKGROUND: The authors report the present indications for thromboendarterectomy (TEA) and the advantages it offers for the surgical treatment of steno-obstructive lesions of aortoiliac and femoro-popliteal regions. They illustrate this method and the necessary instruments and describe the technique in detail, for the good outcome of revascularization. METHODS: Then personal surgical experience in 46 patients during the period from January 1985 to December 1995, is reported. Epidemiological data (sex, average age, risk-factors, concomitant diseases), different types of surgical operations (TEA "open air", TEA "semiclosed", TEA in association with bypass), clinical and instrumental preoperating study, invasive or not, medical therapy during and after operation, immediate and remote check-up are then reported. RESULTS AND CONCLUSIONS: The results in terms of cumulative pervious vessel and salvage of the arm, compared with different stages of the disease and a 5 years- follow-up are reported. The effectiveness of TEA is confirmed in the symptomatic improvement and salvage of the arm, and the lower costs, when the indications and the accuracy of surgical technique are respected.
Subject(s)
Arterial Occlusive Diseases/surgery , Endarterectomy/methods , Peripheral Vascular Diseases/surgery , Chronic Disease , HumansABSTRACT
The authors report a case of extrinsic stenosis of the sigmoid colon due to inflammation of the uterus and adjoining parts. Attention is drawn to the possibility that the radiological images of this condition may be similar to neoplastic diseases.
Subject(s)
Fallopian Tube Diseases/complications , Sigmoid Diseases/etiology , Uterine Diseases/complications , Aged , Constriction, Pathologic/diagnosis , Constriction, Pathologic/etiology , Constriction, Pathologic/surgery , Diagnosis, Differential , Fallopian Tube Diseases/diagnosis , Fallopian Tube Diseases/surgery , Fallopian Tubes/surgery , Female , Humans , Hysterectomy , Sigmoid Diseases/diagnosis , Sigmoid Diseases/surgery , Suppuration/complications , Suppuration/diagnosis , Suppuration/surgery , Uterine Diseases/diagnosis , Uterine Diseases/surgeryABSTRACT
A series of 100 consecutive new outpatients attending the neuroradiology service for a cranial CT scan between 1 October and 24 December 1984 were analyzed. On the day of the investigation each patient was examined by a neurologist, who gave his opinion on the value of a CT scan. The neurologist's ratings were then compared with the CT reports. More than 2/3 of the requests for CT were useless and could have been avoided by thorough clinical evaluation of the patients and full awareness of what CT scanning can contribute to diagnosis and treatment.
Subject(s)
Health Services Misuse/trends , Health Services/trends , Neuroradiography , Tomography, X-Ray Computed/statistics & numerical data , Adolescent , Adult , Aged , Child , Child, Preschool , Female , Hospitals, District/statistics & numerical data , Humans , Italy , Male , Middle Aged , Outpatient Clinics, Hospital/statistics & numerical data , Radiology Department, Hospital/statistics & numerical dataABSTRACT
The authors realized a retrospective clinical-statistical study about 121 cases of acute myocardial infarction (AMI), treated in the Department of general medicine with a pharmacological association of Lysine acetylsalicylate--Erythrityl tetranitrate--Papaverine hydrochloride, with the purpose of obtaining a vasodilatation on coronary arteries and a platelet antiaggregation, in the light of the new etiopathogenetic views about the prolonged coronary spasm and the platelet aggregation, in some cases of myocardial infarction with or without thrombosis. Obtained data are very optimistic about incidence of left ventricular insufficiency and (of) thromboembolisms, to they augur the sistematic adoption of this treatment of AMI, especially as to the early antiaggregation therapy.
