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1.
Opt Express ; 29(4): 4842-4857, 2021 Feb 15.
Article in English | MEDLINE | ID: mdl-33726031

ABSTRACT

Recombination-driven acoustic pulses and heating in a photoionized gas transiently alter its refractive index. Slow thermal dissipation can cause substantial heat accumulation and impair the performance and stability of gas-based laser systems operating at strong-field intensities and megahertz repetition rates. Here we study this effect by probing the pulse-by-pulse buildup of refractive index changes in gases spatially confined inside a capillary. A high-power repetition-rate-tunable femtosecond laser photoionizes the gas at its free-space focus, while a transverse-propagating probe laser interferometrically monitors the resulting time-dependent changes in refractive index. The system allows convenient exploration of the nonlinear regimes used to temporally compress pulses with durations in the ∼30 to ∼300 fs range. We observe thermal gas-density depressions, milliseconds in duration, that saturate to a level that depends on the peak intensity and repetition rate of the pulses, in good agreement with numerical modelling. The dynamics are independently confirmed by measuring the mean speed-of-sound across the capillary core, allowing us to infer that the temperature in the gas can exceed 1000 K. Finally, we explore several strategies for mitigating these effects and improving the stability of gas-based high-power laser systems at high repetition rates.

2.
Opt Express ; 28(7): 9099-9110, 2020 Mar 30.
Article in English | MEDLINE | ID: mdl-32225523

ABSTRACT

Over the past years, ultrafast lasers with average powers in the 100 W range have become a mature technology, with a multitude of applications in science and technology. Nonlinear temporal compression of these lasers to few- or even single-cycle duration is often essential, yet still hard to achieve, in particular at high repetition rates. Here we report a two-stage system for compressing pulses from a 1030 nm ytterbium fiber laser to single-cycle durations with 5 µJ output pulse energy at 9.6 MHz repetition rate. In the first stage, the laser pulses are compressed from 340 to 25 fs by spectral broadening in a krypton-filled single-ring photonic crystal fiber (SR-PCF), subsequent phase compensation being achieved with chirped mirrors. In the second stage, the pulses are further compressed to single-cycle duration by soliton-effect self-compression in a neon-filled SR-PCF. We estimate a pulse duration of ∼3.4 fs at the fiber output by numerically back-propagating the measured pulses. Finally, we directly measured a pulse duration of 3.8 fs (1.25 optical cycles) after compensating (using chirped mirrors) the dispersion introduced by the optical elements after the fiber, more than 50% of the total pulse energy being in the main peak. The system can produce compressed pulses with peak powers >0.6 GW and a total transmission exceeding 66%.

3.
Opt Express ; 27(10): 14392-14399, 2019 May 13.
Article in English | MEDLINE | ID: mdl-31163889

ABSTRACT

We report the use of prism-assisted side-coupling to investigate the spatio-temporal dynamics of photoionization in an Ar-filled hollow-core photonic crystal fiber. By launching four different LP core modes we are able to probe temporal and spatial changes in the modal refractive index on timescales from a few hundred picoseconds to several hundred microseconds after the ionization event. We experimentally analyze the underlying gas density waves and find good agreement with quantitative and qualitative hydrodynamic predictions. Moreover, we observe periodic modulations in the MHz-range lasting for a few microseconds, indicating nanometer-scale vibrations of the fiber structure, driven by gas density waves.

4.
Nat Commun ; 8(1): 813, 2017 10 09.
Article in English | MEDLINE | ID: mdl-28993618

ABSTRACT

Gas-filled hollow-core photonic crystal fibre is being used to generate ever wider supercontinuum spectra, in particular via dispersive wave emission in the deep and vacuum ultraviolet, with a multitude of applications. Dispersive waves are the result of nonlinear transfer of energy from a self-compressed soliton, a process that relies crucially on phase-matching. It was recently predicted that, in the strong-field regime, the additional transient anomalous dispersion introduced by gas ionization would allow phase-matched dispersive wave generation in the mid-infrared-something that is forbidden in the absence of free electrons. Here we report the experimental observation of such mid-infrared dispersive waves, embedded in a 4.7-octave-wide supercontinuum that uniquely reaches simultaneously to the vacuum ultraviolet, with up to 1.7 W of total average power.Dispersive wave emission in gas-filled hollow-core photonic crystal fibres has been possible in the visible and ultraviolet via the optical Kerr effect. Here, Köttig et al. demonstrate dispersive waves generated by an additional transient anomalous dispersion from gas ionization in the mid-infrared.

5.
Rev Sci Instrum ; 88(7): 073106, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28764547

ABSTRACT

A cross-correlation frequency-resolved optical gating (FROG) concept, potentially suitable for characterizing few or sub-cycle pulses in a single shot, is described in which a counter-propagating transient grating is used as both the gate and the dispersive element in a FROG spectrometer. An all-reflective setup, which can operate over the whole transmission range of the nonlinear medium, within the sensitivity range of the matrix sensor, is also proposed, and proof-of-principle experiments for the ultraviolet and visible-to-near-infrared spectral ranges are reported.

6.
Phys Rev Lett ; 118(26): 263902, 2017 Jun 30.
Article in English | MEDLINE | ID: mdl-28707928

ABSTRACT

We identify a novel regime of soliton-plasma interactions in which high-intensity ultrashort pulses of intermediate soliton order undergo coherent plasma-induced fission. Experimental results obtained in gas-filled hollow-core photonic crystal fiber are supported by rigorous numerical simulations. In the anomalous dispersion regime, the cumulative blueshift of higher-order input solitons with ionizing intensities results in pulse splitting before the ultimate self-compression point, leading to the generation of robust pulse pairs with PHz bandwidths. The novel dynamics closes the gap between plasma-induced adiabatic soliton compression and modulational instability.

7.
Opt Lett ; 40(6): 1026-9, 2015 Mar 15.
Article in English | MEDLINE | ID: mdl-25768173

ABSTRACT

A noise-seeded transient comb of Raman sidebands spanning three octaves from 180 to 2400 nm, is generated by pumping a hydrogen-filled hollow-core photonic crystal fiber with 26-µJ, 300-fs pulses at 800 nm. The pump pulses are spectrally broadened by both Kerr and Raman-related self-phase modulation (SPM), and the broadening is then transferred to the Raman lines. In spite of the high intensity, and in contrast to bulk gas-cell based experiments, neither SPM broadening nor ionization are detrimental to comb formation.

8.
Complement Ther Clin Pract ; 21(1): 42-6, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25701449

ABSTRACT

OBJECTIVES: The aim of this study was to compare the effects of Animal-Assisted Therapy (AAT) with a standard treatment protocol in children and adolescents admitted to the psychiatry hospital for acute mental disorders. We used a methodology involving high quality standards for AAT research. DESIGN: A pre-post experimental design with a randomized controlled trial (RCT) in 34 hospitalized patients (17 treatment, 17 control) was carried out. MAIN OUTCOME MEASURES: The study focused on improvement in clinical status including, global functioning measured by the Children Global Assessment Scale (C GAS), format of care and ordinary school attendance measured by a rating scale. RESULTS: Our results indicate a statistically significant improvement in global functioning, reduction in format of care and increased ordinary school attendance in the treatment group, but not in the control group. CONCLUSIONS: Our results verify that AAT can have significant positive effects on therapeutic progress and the recovery process.


Subject(s)
Animal Assisted Therapy , Mental Disorders/therapy , Acute Disease , Adolescent , Animals , Child , Dogs , Female , Humans , Male , Mental Disorders/epidemiology
9.
Acta Paediatr ; 104(3): 237-40, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25524143

ABSTRACT

AIM: The aim of this study was to verify the influence of mother to child skin-to-skin contact and the ability of 2-day-old infants to recognise their own mother's axillary odour. METHODS: We tested the responses of 19 vaginally delivered, breastfeeding newborns to their mothers' axillary odours using a paired-choice test. The eight males and 11 females were exposed to their own mother's axillary odour and the odour of another unfamiliar new mother taking part in the study, and their responses to each woman were taped for 60 sec. We did this by assessing how long their heads were orientated towards pads carrying the scents of their mothers and the unfamiliar women. RESULTS: The average time that the infants' heads were orientated towards the olfactory stimulus of their own mothers was 20.53 sec, which was significantly longer than the 11.13 sec recorded for the unfamiliar women (p < 0.05). In addition, this orientation increased significantly with the newborn infants' age in hours (Spearman's Rho = 0.58, p < 0.01) and their recognition time significantly decreased (Spearman's Rho = -0.52, p < 0.05). CONCLUSION: Two-day-old breastfeeding newborn infants who experienced skin-to-skin contact with their mothers were able to recognise their axillary odour.


Subject(s)
Axilla , Infant Behavior , Mother-Child Relations , Mothers , Odorants , Age Factors , Breast Feeding , Female , Humans , Infant, Newborn , Male , Video Recording
10.
Phys Rev Lett ; 111(3): 033902, 2013 Jul 19.
Article in English | MEDLINE | ID: mdl-23909325

ABSTRACT

Modulational instability (MI) of 500 fs, 5 µJ pulses, propagating in gas-filled hollow-core kagome photonic crystal fiber, is studied numerically and experimentally. By tuning the pressure and launched energy, we control the duration of the pulses emerging as a consequence of MI and hence are able to study two regimes: the classical MI case leading to few-cycle solitons of the nonlinear Schrödinger equation; and an extreme case leading to the formation of nondispersing subcycle pulses (0.5 to 2 fs) with peak intensities of order 10(14) W cm(-2). Insight into the two regimes is obtained using a novel statistical analysis of the soliton parameters. Numerical simulations and experimental measurements show that, when a train of these pulses is generated, strong ionization of the gas occurs. This extreme MI is used to experimentally generate a high energy (>1 µJ) and spectrally broad supercontinuum extending from the deep ultraviolet (320 nm) to the infrared (1300 nm).

11.
Opt Express ; 19(16): 15438-44, 2011 Aug 01.
Article in English | MEDLINE | ID: mdl-21934907

ABSTRACT

We demonstrate the first soft-glass hollow core photonic crystal fiber. The fiber is made from a high-index lead-silicate glass (Schott SF6, refractive index 1.82 at 500 nm). Fabricated by the stack-and-draw technique, the fiber incorporates a 7-cell hollow core embedded in a highly uniform 6-layer cladding structure that resembles a kagomé-like lattice. Effective single mode guidance of light is observed from 750 to 1050 nm in a large mode area (core diameter ~30 µm) with a low loss of 0.74 dB/m. The underlying guidance mechanism of the fiber is investigated using finite element modeling. The fiber is promising for applications requiring single mode guidance in a large mode area, such as particle guidance, fluid and gas filled devices.

12.
G Chir ; 31(8-9): 394-6, 2010.
Article in Italian | MEDLINE | ID: mdl-20843445

ABSTRACT

A bleeding pseudoaneurysm in patients with chronic pancreatitis is a rare and potentially lethal complication. This diagnosis may be very difficult and the optimal treatment remains controversial. We report the case of 80 years old female with calcific pancreatitis and severe intestinal bleeding due to a pseudoaneurysm of the splenic artery treated with interventional radiographic embolization.


Subject(s)
Aneurysm, False/complications , Gastrointestinal Hemorrhage/etiology , Pancreatitis, Chronic/complications , Splenic Artery , Aged, 80 and over , Aneurysm, False/diagnosis , Aneurysm, False/etiology , Aneurysm, False/therapy , Embolization, Therapeutic , Female , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/therapy , Humans , Radiography, Interventional , Treatment Outcome
13.
G Chir ; 30(8-9): 377-84, 2009.
Article in Italian | MEDLINE | ID: mdl-19735620

ABSTRACT

BACKGROUND: The objective of this study is in the critical analysis of the results of the lap and open surgery in the colorectal carcinoma, through the meta-analysis of the principal trials. PATIENTS AND METHODS: A systematic search of the comparative studies has been made among lap and open surgery in the colorectal carcinoma, using PubMed and Cochrane Library. Among these, have been selected perspective studies containing the description of the surgical techniques, the perioperative results and the oncological long term results. Statistic analysis has been performed with the program NCSS (Kaysville 2006, Utah). RESULTS: From the revision of the literature, 7 perspective studies have checked fit to a meta-analysis, for a total of 3580 patients. Among the operative outcomes, has been observed, with statistically significant, a reduction of the blood loss and of the morbidity, an earlier resumption to passing flatus and to normal diet, a reduction of the postoperative hospitalization for the lap; shorter operative time is releaved for the open surgery. Statistically significant differences have emerged neither on the other surgical outcomes (included mortality) nor on relapset of illness (regional or metastasis), crab-correlated mortality, long term survival. CONCLUSIONS: The laparoscopic can be considered a valid alternative to the traditional open surgery in the therapy of the colorectal carcinoma: the advantages consist in smaller trauma and reduction of morbidity and postoperative stay. The oncological results are the same of the open surgery.


Subject(s)
Adenocarcinoma/surgery , Colorectal Neoplasms/surgery , Laparoscopy/methods , Adenocarcinoma/mortality , Aged , Aged, 80 and over , Blood Loss, Surgical , Colectomy/methods , Colorectal Neoplasms/mortality , Digestive System Surgical Procedures/methods , Evidence-Based Medicine , Female , Humans , Length of Stay , Male , Middle Aged , Odds Ratio , Randomized Controlled Trials as Topic , Treatment Outcome
14.
G Chir ; 30(6-7): 286-8, 2009.
Article in Italian | MEDLINE | ID: mdl-19580709

ABSTRACT

Digestive Tract Schwannomas (DTS) are benign mesenchymal tumours, usually affecting female between 20 and 70 years old. They are most commonly found in the stomach but they can arise anywhere from the digestive tract. DTS are usually asymptomatic but can present with different symptoms. Definitive diagnosis can only be made with immunohistochemistry because endoscopy and computed tomography can't distinguish them from other non epithelial neoplasms. Surgical resection is the treatment of choice.


Subject(s)
Colonic Neoplasms , Neurilemmoma , Colonic Neoplasms/pathology , Colonic Neoplasms/surgery , Female , Humans , Middle Aged , Neurilemmoma/pathology , Neurilemmoma/surgery
15.
Anim Genet ; 37(4): 342-7, 2006 Aug.
Article in English | MEDLINE | ID: mdl-16879343

ABSTRACT

Here, we analysed quantitative trait loci (QTL) for fatty acid composition, one of the factors affecting fat quality, in a Japanese wild boar x Large White cross. We found 25 significant effects for 17 traits at 13 positions at the 5% genome-wise level, of which 16 effects for 12 traits at 10 positions were significant at the 1% level. QTL for saturated fatty acids (SFA) in back fat were mapped to swine (Sus scrofa) chromosomes (SSC) 1p, 9 and 15. QTL for unsaturated fatty acids in back fat were mapped to SSC1p, 1q, 4, 5, 9, 15 and 17. Using a regression model that fits back fat thickness as a covariate, two of the QTL for linoleic acid content on SSC4 and SSC17 were not significant, but one QTL for total SFA composition was detected on SSC5 with correction for back fat thickness. Wild boar alleles at six of seven QTL tended to increase SFAs and to decrease unsaturated fatty acids. QTL for fatty acid composition in perirenal fat were mapped on SSC2, 3, 4, 5, 6, 14, 16 and X. QTL for melting point (in back fat samples) were mapped on SSC1, 2 and 15. Wild boar alleles in QTL on SSC1 and SSC15 were associated with elevated melting points whereas those on SSC2 were associated with lower melting point measurements.


Subject(s)
Adipose Tissue/chemistry , Crosses, Genetic , Fatty Acids/chemistry , Quantitative Trait Loci , Sus scrofa/genetics , Alleles , Animals , Body Composition/genetics , Breeding , Chromosome Mapping , Chromosomes , Fatty Acids/analysis , Regression Analysis , Transition Temperature
16.
Environ Pollut ; 138(3): 548-58, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16043272

ABSTRACT

To evaluate the environmental risks of irrigating crops with treated wastewater, a study was undertaken to quantify heavy metal uptake by 4-week old buckwheat (Fagopyrum esculentum L.) plants during 18 days of irrigation with 8 different Cu and Zn solutions under two transpiration rates (TR). At 4 weeks, potted buckwheat plants were transferred into one of the two growth chambers, offering either a high or low vapour pressure deficit (VDP) for, respectively, a high or low TR. Triplicate pots received one of the 8 irrigation treatments containing one of two Zn levels (0 and 25 mg/L) combined with one of four Cu levels (0, 5, 10 and 15 mg/L). Daily TR were measured by weighing the evapo-transpired water lost from the planted pot, less was the evaporation loss measured from triplicate non-planted pots. After 0, 6, 12 and 18 days of treatment, the stems and leaves of three randomly selected plants were harvested and after 18 days, the roots were harvested to determine Cu and Zn uptake. The treatments did not affect TR in terms of dry plant mass, indicating the absence of toxic effects. Irrigating with Zn, without Cu, increased dry biomass production, whereas the lowest biomass occurred with 15 and 30 mg/L of Cu with and without 25 mg/L of Zn, respectively, because higher applications of heavy metal significantly reduced soil pH. Plant Cu and Zn uptake increased with TR. With higher levels of Cu, Zn uptake by buckwheat was significantly reduced, while Zn had a slight but non-significant impact on Cu uptake. Previously and in a study exposing wheat plants to the same conditions, Cu significantly increased Zn uptake, while Zn had a slight but insignificant negative effect on Cu uptake. The buckwheat roots contained the greatest levels of Cu and Zn, indicating their role in moderating heavy metal uptake. Also, both Cu and Zn had a synergetic effect on each other in terms of root levels, and a similar observation was made in the earlier similar experiment using wheat plants. Irrigating a buckwheat crop with treated wastewater, with more natural Cu and Zn levels of 0.08 mg/L, could be quite beneficial without endangering the quality of the crop and acidifying the soil pH. The most concentrated experimental solutions contained 300 times more Cu and Zn, to obtain measurable differences.


Subject(s)
Copper/pharmacokinetics , Fagopyrum/metabolism , Plant Transpiration/physiology , Water Pollutants, Chemical/pharmacokinetics , Zinc/pharmacokinetics , Agriculture , Biomass , Environmental Exposure/adverse effects , Hydrogen-Ion Concentration , Plant Leaves/metabolism , Plant Roots/metabolism , Plant Stems/metabolism , Soil
17.
Environ Pollut ; 138(3): 538-47, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16043273

ABSTRACT

To evaluate the environmental risk of irrigating crops with treated wastewater, an experiment was conducted using two growth chambers, each offering a different vapour pressure deficit (VPD) for high and low transpiration rates (TR), respectively. One of the two sets of 24 pots planted with 6 week old wheat (Triticum aestivum L.), was placed in each growth chamber, and irrigated in triplicates for 20 days with 8 Zn and Cu solutions (0 and 25 mg Zn/L combined with 0, 5, 15 and 30 mg Cu/L). Water losses from planted and non-planted pots served to measure evapo-transpiration and evaporation, respectively. Pots were monitored for Cu and Zn uptake by collecting three plants (shoot and grain)/pots after 0, 10 and 20 days, and roots in each pot after 20 days, and analyzing these plant parts for dry mass, and Cu and Zn levels. Transpiration rate was not affected by any Cu/Zn treatment, but Cu and Zn uptake increase with the time, irrigation solution level and higher TR, with the roots retaining most Cu and Zn, compared to the shoot followed by the grain. For the shoot and grain, Cu had a significant synergetic effect on Zn uptake, when Zn had slight but insignificant antagonistic effects on Cu uptake. For the roots, Cu and Zn had significant synergetic effect on each other. Regression equations obtained from the data indicate that Cu and Zn levels normally found in treated wastewater (0.08 mg/L) are 300 times lower than those used for the most concentrated experimental solutions (30 and 25 mg/L, respectively) and may, on a long term basis, be beneficial rather than toxic to wheat plants and do not acidify soil pH.


Subject(s)
Copper/pharmacokinetics , Plant Transpiration/physiology , Triticum/metabolism , Water Pollutants, Chemical/pharmacokinetics , Zinc/pharmacokinetics , Absorption , Agriculture , Biomass , Drug Synergism , Environmental Exposure/adverse effects , Hydrogen-Ion Concentration , Plant Roots/metabolism , Plant Shoots/metabolism
18.
J Anim Sci ; 83(2): 308-15, 2005 Feb.
Article in English | MEDLINE | ID: mdl-15644501

ABSTRACT

Three generations of a swine family produced by crossing a Japanese wild boar and three Large White female pigs were used to map QTL for various production traits. Here we report the results of QTL analyses for skeletal muscle fiber composition and meat quality traits based on phenotypic data of 353 F(2) animals and genotypic data of 225 markers covering almost the entire pig genome for all of the F(2) animals as well as their F(1) parents and F(0) grandparents. The results of a genome scan using least squares regression interval mapping provided evidence that QTL (<1% genome-wise error rate) affected the proportion of the number of type IIA muscle fibers on SSC2, the number of type IIB on SSC14, the relative area (RA) of type I on SSCX, the RA of type IIA on SSC6, the RA of type IIB on SSC6 and SSC14, the Minolta a* values of loin on SSC4 and SSC6, the Minolta b* value of loin on SSC15, and the hematin content of the LM on SSC6. Quantitative trait loci (<5% genome-wise error rate) were found for the number of type I on SSC1, SSC14, and SSCX, for the number of type IIA on SSC14, for the number of type IIB on SSC2, for the RA of type IIA on SSC2, for the Minolta b* value of loin on SSC3, for the pH of loin on SSC15, and for the i.m. fat content on SSC15. Twenty-four QTL were detected for 11 traits at the 5% genome-wise level. Some traits were associated with each other, so the 24 QTL were located on 11 genomic regions. In five QTL located on SSC2, SSC6, and SSC14, each wild boar allele had the effect of increasing types I and IIA muscle fibers and decreasing type IIB muscle fibers. These effects are expected to improve meat quality.


Subject(s)
Chromosome Mapping/veterinary , Meat/standards , Muscle, Skeletal/physiology , Quantitative Trait Loci , Sus scrofa/physiology , Animals , Breeding , DNA Primers/chemistry , Female , Japan , Least-Squares Analysis , Male , Microsatellite Repeats/genetics , Microsatellite Repeats/physiology , Models, Statistical , Muscle Fibers, Skeletal/physiology , Quantitative Trait Loci/physiology , Sus scrofa/genetics
19.
Br J Cancer ; 90(2): 306-9, 2004 Jan 26.
Article in English | MEDLINE | ID: mdl-14735168

ABSTRACT

A total of 41 metastatic colorectal cancer (CRC) patients received tegafur/uracil (UFT)+leucovorin (LV)+oxaliplatin alternated with UFT/LV+irinotecan. The overall response rate was 58.5% (95% confidence interval, 42.2-73.3%), and the median progression-free survival was 8.8 months. There were no grade 4 toxicities; 12 patients (29%) experienced grade 3 diarrhoea. There were no cases of hand-foot syndrome. This alternating regimen seems to be effective and well tolerated in the first-line treatment of patients with metastatic CRC.


Subject(s)
Antineoplastic Agents/therapeutic use , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Camptothecin/analogs & derivatives , Camptothecin/therapeutic use , Colorectal Neoplasms/drug therapy , Organoplatinum Compounds/therapeutic use , Administration, Oral , Aged , Antineoplastic Agents/administration & dosage , Antineoplastic Agents/adverse effects , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Camptothecin/administration & dosage , Camptothecin/adverse effects , Colorectal Neoplasms/pathology , Diarrhea/chemically induced , Disease Progression , Drug Administration Schedule , Female , Humans , Infusions, Intravenous , Irinotecan , Leucovorin/administration & dosage , Male , Middle Aged , Neoplasm Metastasis , Organoplatinum Compounds/administration & dosage , Organoplatinum Compounds/adverse effects , Oxaliplatin , Peripheral Nervous System Diseases/chemically induced , Tegafur/administration & dosage , Treatment Outcome , Uracil/administration & dosage
20.
Minerva Chir ; 59(6): 547-53, 2004 Dec.
Article in Italian | MEDLINE | ID: mdl-15876988

ABSTRACT

AIM: The aim of this retrospective study was to compare the results of early cholecystectomy and conservative treatment in acute cholecystitis. METHODS: From January 1998 to December 2002, 134 patients were admitted to our Department with the diagnosis of acute cholecystitis. Eighty-nine patients (66%, Group 1) were cured with conservative treatment (i.e. fast, broad-spectrum antibiotics, fluid and analgesic drugs), 45 patients (34%, Group 2) were submitted to early cholecystectomy. The 2 groups were matched for age, sex, laboratory results and echographic findings. RESULTS: The morbidity was 32.5% in Group 1 versus 15.5% in Group 2 (p < 0.05). Mean hospital stay was 18 days in Group 1 as compared to 10.5 days in Group 2 (p < 0.05). At follow-up (12 months) the mean period before starting again a normal working and social life was 57 days in Group 1 and 33 days in Group 2. CONCLUSIONS: The results of this study showed that early cholecystectomy was the gold standard in the treatment of acute cholecystitis, since it reduces morbidity, hospital stay and absence from working and social life in a statistically important way.


Subject(s)
Cholecystectomy , Cholecystitis, Acute/surgery , Adult , Aged , Aged, 80 and over , Analgesics/therapeutic use , Anti-Bacterial Agents/therapeutic use , Cholecystitis, Acute/diagnosis , Cholecystitis, Acute/drug therapy , Cholecystitis, Acute/mortality , Cholecystitis, Acute/therapy , Emergencies , Female , Fluid Therapy , Follow-Up Studies , Humans , Length of Stay , Male , Middle Aged , Postoperative Complications , Retrospective Studies , Time Factors
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