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1.
G Chir ; 26(6-7): 278-81, 2005.
Artigo em Italiano | MEDLINE | ID: mdl-16332307

RESUMO

The Authors report an interesting case of liposarcoma of the leg and review the international Literature. Moreover, a particular analysis of different aspects such as anatomy, clinic, diagnosis and treatment has been carried out.


Assuntos
Perna (Membro) , Lipossarcoma , Idoso , Feminino , Humanos , Lipossarcoma/diagnóstico , Lipossarcoma/cirurgia , Neoplasias de Tecidos Moles/diagnóstico , Neoplasias de Tecidos Moles/cirurgia
2.
G Chir ; 24(3): 82-5, 2003 Mar.
Artigo em Italiano | MEDLINE | ID: mdl-12822213

RESUMO

The Authors report a rare case of duodenal neoplasia in a 17 year old boy. The patient was admitted in an emergency setting for hemorrhagic shock and duodenal perforation. Laparotomy was performed and a huge perforated neoplasia of the duodenum was found. Conservative approach was preferred, since the intraoperative histology was unuseful in choosing the better procedure: thus just a tumorectomy and closure of the duodenum were performed. Pathology examination demonstrated a neuroendocrine primitive duodenal tumors not well differentiated and with high grade of malignancy. The Authors discuss the role of the elements, clinical features and pathology, as well as emergency and postoperative management.


Assuntos
Carcinoma Neuroendócrino/complicações , Neoplasias Duodenais/complicações , Emergências , Hemorragia Gastrointestinal/etiologia , Abdome Agudo/etiologia , Abdome Agudo/cirurgia , Adolescente , Carcinoma Neuroendócrino/tratamento farmacológico , Carcinoma Neuroendócrino/cirurgia , Cisplatino/administração & dosagem , Terapia Combinada , Duodenopatias/etiologia , Duodenopatias/cirurgia , Neoplasias Duodenais/tratamento farmacológico , Neoplasias Duodenais/cirurgia , Etoposídeo/administração & dosagem , Humanos , Perfuração Intestinal/etiologia , Perfuração Intestinal/cirurgia , Masculino , Choque Hemorrágico/etiologia
3.
G Chir ; 23(6-7): 253-6, 2002.
Artigo em Italiano | MEDLINE | ID: mdl-12422781

RESUMO

Accidental or voluntary foreign bodies ingestion is a frequent reported event in emergency departments. Complication, foreign body shape related are not often observed and, once occurred, just few a cases need an open surgery approach, about 1%. The Authors report the case of a young woman with pica admitted to their Department in an emergency setting for acute intestinal obstruction due to the ingestion of not specified amount of elastics, which required an open surgery operation.


Assuntos
Bezoares/etiologia , Bezoares/cirurgia , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , Pica/complicações , Adolescente , Feminino , Humanos
4.
G Chir ; 22(1-2): 33-6, 2001.
Artigo em Italiano | MEDLINE | ID: mdl-11272434

RESUMO

The term "strawberry gallbladder" refers to an anatomo-pathological aspect which is included in the wider chapter of gallbladder cholesterolosis. Introducing their experience, the Authors summarize the hypotheses through the years proposed about the etiopathogenesis of this condition the clinical symptoms that it can produce and the diagnostic strategies used to identify it. Moreover the Authors underline that the "strawberry gallbladder" continues to be reported with a significant frequency. They also confirm the opportunity of surgical treatment of symptomatic patients as a valid alternative to medical therapy which is not always effective, it is long lasting, often complex and not completely side effects lacking.


Assuntos
Colecistectomia , Doenças da Vesícula Biliar/cirurgia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
5.
Pathologica ; 92(1): 32-5, 2000 Feb.
Artigo em Italiano | MEDLINE | ID: mdl-10842998

RESUMO

Gastric antral vascular ectasia (GAVE), recently described in literature, is an important cause of gastric bleeding. A case of great gastrectasia with vascular ectasia in an elderly male patient is reported. The lesion was characterized by great linear and brush folds along the antrum and body of the stomach, Endoscopically, this folds seems like the watermelon streakings. It could be an acquired lesion probably linked to traumatism on gastric mucosa.


Assuntos
Ectasia Vascular Gástrica Antral/patologia , Idoso , Evolução Fatal , Ectasia Vascular Gástrica Antral/complicações , Humanos , Masculino , Infarto do Miocárdio/complicações
6.
Chir Ital ; 52(4): 447-50, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11190538

RESUMO

Suture line leakage is a frequent, serious problem in colon surgery. We propose the use of a flap of the parietal peritoneum from the paracolic gutter, adjacent to the operative site, to protect right and left colon suture lines. The advantage of this method is that it permits complete exclusion of the sutured intestine from the peritoneal cavity and avoids the risks of leakage from an intestinal suture line within the peritoneal cavity.


Assuntos
Colo/cirurgia , Técnicas de Sutura , Humanos
7.
Pathol Res Pract ; 195(4): 253-6, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10337664

RESUMO

A peculiar case of papillary carcinoma arising in the parotid gland is reported. A 68-year-old woman presented with a right, painless, parotid mass, measuring approximately 3 cm in greatest diameter. A conservative parotidectomy was performed. Histologically, the neoplasm showed exophytic papillary projections into a cavity. The cells were focally suggestive of epidermoidal differentiation, whereas a transitional differentiation was noted in other portions, as in bladder papilloma. Immunohistochemical studies showed strong positivity of the neoplastic cells for cytokeratin and weak positivity for PCNA and Mib-1. We classified this neoplasm among the papillary tumors with a low-grade of malignancy.


Assuntos
Carcinoma Papilar/patologia , Neoplasias Parotídeas/patologia , Idoso , Antígenos Nucleares , Carcinoma Papilar/metabolismo , Feminino , Humanos , Imuno-Histoquímica , Queratinas/metabolismo , Antígeno Ki-67 , Proteínas Nucleares/metabolismo , Neoplasias Parotídeas/metabolismo , Antígeno Nuclear de Célula em Proliferação/metabolismo
8.
G Chir ; 16(1-2): 48-54, 1995.
Artigo em Italiano | MEDLINE | ID: mdl-7779630

RESUMO

Approximately 80% of liver trauma cases have a good prognosis and do not create decision-making problems for the surgeon, while in the remaining 20% the correct choice still represents a problem. Recently there has been a trend toward more conservative surgical management with emphasis on hemostasis and debridement, as well as a move toward a non-surgical alternative (surgical abstention) where feasible, relying in such cases on first-line CT scans for trauma evaluation. We report 51 cases of liver trauma observed in the period 1985-1993 graded according to the AAST Liver Injury Scale as follows: 12 grade I lesions (23.5%), 7 grade II lesions (13.7%), 19 grade III lesions (37.3%), 7 grade IV lesions (13.7%), and 6 grade V lesions (11.8%). In managing these cases we relied on two first-line diagnostic procedures: diagnostic peritoneal lavage (DPL) and CT scans. DPL, performed on 10 blunt trauma victims with unstable vital signs, was positive in 7 who thus underwent immediate surgery, and negative in 3 who subsequently underwent CT scan. Another 14 blunt trauma victims with stable vital signs underwent first-line CT scanning. In the event of a CT grade III or IV lesion patients underwent surgery, while patients with a CT grade I or II lesion were followed expectantly. Deaths (14) occurred only among patients with grade III or IV lesions (including 9 multiple trauma victims) who underwent surgery.


Assuntos
Fígado/lesões , Ferimentos não Penetrantes/diagnóstico , Ferimentos Penetrantes/diagnóstico , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Emergências , Feminino , Hepatectomia , Humanos , Fígado/cirurgia , Masculino , Pessoa de Meia-Idade , Índices de Gravidade do Trauma , Ferimentos não Penetrantes/classificação , Ferimentos não Penetrantes/cirurgia , Ferimentos Penetrantes/classificação , Ferimentos Penetrantes/cirurgia
9.
G Chir ; 10(5): 269-71, 1989 May.
Artigo em Italiano | MEDLINE | ID: mdl-2518566

RESUMO

The Authors evaluated diagnostic reliability of echotomography in biliary tract lithiasis, reviewing a series of 130 patients (out of 171) who were surgically treated; 30 had proved to be affected with biliary main tract stones. A high rate of false negatives was documented as related to the diagnosis of lithiasis of the main biliary duct.


Assuntos
Colelitíase/diagnóstico por imagem , Cálculos Biliares/diagnóstico por imagem , Reações Falso-Negativas , Feminino , Humanos , Masculino , Valor Preditivo dos Testes , Estudos Retrospectivos , Ultrassonografia
10.
G Chir ; 10(5): 280-3, 1989 May.
Artigo em Italiano | MEDLINE | ID: mdl-2518569

RESUMO

In this study, the Authors have provoked experimentally acute pancreatitis in the rat by different methods, in order to find out morphological modifications of the pancreas in the initial stage of the disease. In case of biliary and pancreatic duct obstruction with pure pancreatic reflux, both oedema and inflammatory infiltrations were evident, whereas, in the presence of biliary reflux too, more serious histological features were detected. In conclusion, the first sign of alteration in acute pancreatitis could be represented by the association of intraductal hypertension and pure pancreatic reflux.


Assuntos
Pancreatite/etiologia , Pancreatite/patologia , Doença Aguda , Animais , Feminino , Hemorragia/etiologia , Hemorragia/patologia , Masculino , Necrose , Ratos , Ratos Endogâmicos
11.
Minerva Chir ; 44(7): 1067-9, 1989 Apr 15.
Artigo em Italiano | MEDLINE | ID: mdl-2747947

RESUMO

Liver resections pose a great variety of problems, not least repair of the cut. The various reconstruction modalities are reviewed and personal experience in twenty rats submitted to surgical removal of the median lobe of the liver with cover of the sectioned surface by means of omental mesh autograft is reported. The results were flattering for the absence of significant complications and for the haematological and haematochemical data obtained which confirm low easily the graft takes, its regenerative potential and the modulator action of peritoneal repair processes.


Assuntos
Fígado/cirurgia , Animais , Fígado/lesões , Regeneração Hepática , Masculino , Omento/transplante , Ratos
12.
Minerva Chir ; 44(7): 1075-7, 1989 Apr 15.
Artigo em Italiano | MEDLINE | ID: mdl-2747948

RESUMO

In general surgery, the advantages deriving from the utilisation of omental graft are attributable to the ease with which it takes, its regenerating potential and the modulator action on tissue repair. Personal experience regarding the peritoneization and covering of surgical liver surfaces is reported and the use in various sectors of surgery of omental mesh graft is recommended.


Assuntos
Omento/transplante , Animais , Intestinos/cirurgia , Fígado/cirurgia , Ortopedia , Coelhos , Cirurgia Plástica , Doenças Urológicas/cirurgia
13.
Minerva Chir ; 44(7): 1135-8, 1989 Apr 15.
Artigo em Italiano | MEDLINE | ID: mdl-2747957

RESUMO

A study relating to the preliminary results of the measurement of tumoral markers (TPA, GICA) in patients suffering from colorectal carcinoma is reported. It is possible to state, on the basis of this experience, that the use of the two tumoral markers is justified in the preoperative period above all as a prognostic indicator, while greater clinical utility would seem to derive from their use through serial determinations, in the postoperative follow-up and in the monitoring of patients undergoing antiblastic and radiation treatment.


Assuntos
Antígenos de Neoplasias/análise , Biomarcadores Tumorais , Neoplasias Colorretais/diagnóstico , Neoplasias Colorretais/imunologia , Neoplasias Colorretais/cirurgia , Seguimentos , Humanos , Radioimunoensaio
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