[Video laparoscopic adrenalectomy. The authors' personal experience]. / La surrenectomia videolaparoscopica. Esperienza personale.

Personal experience on two cases of laparoscopic adrenalectomy, operated, one on the right and the other on the left side, during 1996 is reported. The surgical technique, using a lateral decubitus and a transperitoneal approach is described, as well as the postoperative outcome. The laparoscopic approach to adrenal surgery seems to be "ideal", since it has a low "trauma ratio" (surgical procedure/access) with an anatomical an virtually bloodless dissection.

[Hemorrhoidectomy with circular stapler in advanced hemorrhoid pathology]. / Emorroidectomia con suturatrice circolare nella patologia emorroidaria avanzata.

The Authors refer their early experience with the treatment of 4th grade haemorrhoids and 4th grade with mucosal prolapse using a circular stapler. The operation is quite easy with a short learning period, with no short term complications and low post-operative pain. The good results need to be confirmed on a large number of cases and a longer follow-up.

[Cefoxitin in the preventive treatment of infectious complications in high-risk gastro-jejuno-colic and biliary surgery]. / La cefoxitina nel trattamento preventivo delle complicanze infettive nella chirurgia gastro-digiuno-colica e biliare a rischio.

Cefoxitin is a bactericidal beta lactam antibiotic of the cephamycins group, with wide antimicrobial efficacy and active against both aerobes and anaerobes. In this study, 58 patients were divided in four groups according to the site of the disease (stomach, gallbladder and biliary tract, jejunum ileum and colon-rectum). The efficacy of cefoxitin in the prophylaxis of surgical infections was assessed for each group and for all patients. When compared with the combination of antibiotics used previously, cefoxitin led to a reduction of the mean duration of fever (7.2 and 5 days respectively with ampicillin/cloxacillin and lincomycin/gentamycin, 3.2 days with cefoxitin). Cefoxitin also led to a reduction in the incidence of surgical infections (50% with ampicillin/cloxacillin, 9.19% with lincomycin/gentamycin, 8.6% with cefoxitin) and in the incidence of localized surgical infections (29.6%, 20.3%, 8.6% respectively). In this study, cefoxitin has been found to be very useful and well tolerated in the prophylaxis of surgical infections.