ABSTRACT
The aim of this article was to review the main indications of laparoscopic colostomy. A series of 9 patients is reported, stressing the technical steps of laparoscopic colostomy. The laparoscopic approach in patients with unresectable colorectal cancer permit to avoidance mayor laparotomy. In conclusion this technique appears safe, feasible and effective.
Subject(s)
Colostomy/methods , Laparoscopy , Aged , Aged, 80 and over , Colorectal Neoplasms/surgery , Feasibility Studies , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
The work is based on two years studied cases. It consists of 80 patients between 35 and 80 years old with leg ulcers (73.8% women and 26.2% men). In 80% of patients this affection is due to a venous disease. In 10% of cases the cause was an arterial insufficiency of the lower extremity. Lymphatic and extravascular diseases are rarely involved. A group of 54 patients was treated with a traditional method. In the remaining 26 patients we used fibrin glue. Leg ulcers are an evolutive chronic pathology characterized by slow recovery. This means expensive social and therapeutic costs. From this point of view the treatment with fibrin glue, weekly applied, besides reducing pain, has a favourable impact on the outcome, times of re-epithelialization are shortened.
Subject(s)
Fibrin Tissue Adhesive/therapeutic use , Leg Ulcer/therapy , Adult , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Leg/blood supply , Leg Ulcer/etiology , Male , Middle Aged , Time Factors , Venous Insufficiency/complicationsABSTRACT
A statistical analysis of 340 patients operated between 1986 and 1991 for inguinal hernia using the Shouldice procedure are reported by the authors. The majority of patients (60%) treated was between 45 and 65 years old. Two-hundred-eighty-one (82%) were controlled with a mean follow-up of 30 months (range 1-6 years) and was executed with physical examination and a medical questionnaire looking for recurring factors of risk. Hundred-twenty-eight patients (45% of controls) were at the high risk, nevertheless hernia recurrences were not noticed. Postoperative course was uncomplicated in 93% of patients. Early or late loco-regional complications had an incidence of 7%. Local infections and edema were reported in 10 of 22 patients. Acute urinary retention, cephalalgia and hypotension correlated with an anesthesiologic method had an incidence of 5% (17 cases). There were no deaths was pulmonary embolisms. A review of literature was performed and compared with our work. From experience in our Division, Shouldice's hospital technique had a high reliability compared to methods utilized in the previous ten years (Bassini, McNealy, Postemskj, Mugnai-Ferrari), in terms of recurrences.
Subject(s)
Hernia, Inguinal/surgery , Adolescent , Adult , Age Distribution , Aged , Follow-Up Studies , Hernia, Inguinal/epidemiology , Humans , Incidence , Methods , Middle Aged , Postoperative Complications/epidemiology , RecurrenceSubject(s)
Perineum/surgery , Rectal Neoplasms/surgery , Wound Healing , Humans , Methods , Postoperative ComplicationsABSTRACT
Analysis of 5 cases of primary breast lymphoma highlights the marked rarity of the lesion and the extreme difficulty of pre-operative diagnosis. It is also shown that the disease generally runs a rapid course and that prognosis is usually unfavourable. The most effective treatment appears to be a combination of surgery and radiation therapy, while chemotherapy--although widely used--still requires further confirmation.
Subject(s)
Breast Neoplasms/pathology , Lymphoma/pathology , Aged , Breast Neoplasms/mortality , Breast Neoplasms/surgery , Combined Modality Therapy , Female , Humans , Lymph Nodes/pathology , Lymphatic Metastasis/pathology , Lymphatic Metastasis/surgery , Lymphoma/mortality , Lymphoma/surgery , Mastectomy , Middle AgedABSTRACT
On the basis of two observed cases and a review of the literature, the extreme rarity of cystic lymphangioma of the spleen is pointed out. The presumed pathogenesis of the condition is described as are its greater frequency among the young, the possibility of dangerous complications and its non-malignity. The superiority of non-invasive instrumental diagnosis (echotomography and CAT) over traditional techniques is reported. Finally splenectomy is identified as the therapy of choice.
Subject(s)
Lymphangioma/pathology , Splenic Neoplasms/pathology , Adolescent , Humans , Lymphangioma/surgery , Male , Middle Aged , Splenectomy , Splenic Neoplasms/surgerySubject(s)
Gallbladder Neoplasms , Adult , Aged , Female , Gallbladder Neoplasms/diagnosis , Gallbladder Neoplasms/therapy , Humans , Male , Middle Aged , Neoplasm MetastasisSubject(s)
Rhabdomyosarcoma , Testicular Neoplasms , Humans , Infant , Male , Rhabdomyosarcoma/congenital , Rhabdomyosarcoma/diagnosis , Rhabdomyosarcoma/pathology , Rhabdomyosarcoma/therapy , Testicular Neoplasms/congenital , Testicular Neoplasms/diagnosis , Testicular Neoplasms/pathology , Testicular Neoplasms/therapyABSTRACT
The extreme rarity of this condition is shown and its anatomopathological and clinical features described. Conclusive diagnosis is impossible to formulate preoperatively and emergency surgery is necessary to avoid complications which are always serious in biliary peritonitis. Finally the observed clinical case is described.
Subject(s)
Biliary Tract Diseases/complications , Peritonitis/complications , Aged , Biliary Tract Diseases/diagnosis , Female , Humans , Peritonitis/diagnosisABSTRACT
A retrospective epidemiological investigation has been conducted on nipple cancer cases observed over the past 10 years in the hospital of Castellamonte and Cuorgné. The high percentage of advanced cases of breast cancer encountered indicates the need for facilities (accurate, wide-ranging information, a tracer unit etc.) to provide early and therefore useful treatment of breast cancer in the area in question.
