ABSTRACT
The AA. propose the utilization of the relaxing incision of the aponeurosis during the Hernioplasty according to McVay's procedure. The main advantage of such a method is the lower tension of the suture of the plasty, with several aspects, which take to a lower incidence of recurrences. Also anaesthesiological aspects tied to such a surgical procedure are considered, after having said precisely the indications of the known methods of anaesthesia.
Subject(s)
Hernia, Femoral/surgery , Hernia, Inguinal/surgery , Abdominal Muscles/surgery , Anesthesia , Humans , Methods , Suture TechniquesABSTRACT
The Authors refer about a case of rare obstructive arteriopathy of the Hunterian superficial femoral artery, disease better known as Palma's Syndrome.
Subject(s)
Arterial Occlusive Diseases/diagnostic imaging , Femoral Artery , Adult , Arterial Occlusive Diseases/etiology , Arterial Occlusive Diseases/surgery , Humans , Male , Radiography , Syndrome , Thrombosis/complicationsABSTRACT
On the ground of a personal observation of juvenile popliteal obstructive arteriopathy, the Authors have considered, after a brief revision of the literature, the physiopathology and the pathologic anatomy about this pathology which, even if uncommon, must by anyhow taken into consideration among the possible causes of "claudicatio intermittens" in young patients. A right diagnosis can be made only during the surgical intervention, the indications of which are represented either by a clinic objectiveness consistent with a peripheral obstruction with description of chronic or openly acute arterial failure, or by an angiographic checking which shows a stop along the femoropopliteal axis. The prognosis is generally good, as the literature confirms, and particularly in the case observed by the Authors it was quite satisfactory after a follow up of four years.