RESUMO
The simultaneous presence of more than one primary malignant tumour in the same patient is a relatively rare event, with values going from 2.7% to 6.8%. In this paper two synchronous colorectal-renal cases surgically treated are described; in the first case with only one resolutive operation for the two tumours, in the second with two consecutive operations. In both cases, the patients had no familiarity for colorectal or renal malignant tumours. Both cases have paradigmatic peculiarities: in the first the discovery of the renal neoplasm has been possible in election during the normal execution of the diagnostic protocol for sigmoido-rectal neoplasm. The second case shows the other possible modality of the outset of the two tumours: the occlusive urgency which never allows to discover immediately the renal tumour (unless a laparotomic exploration makes it perceptible).
Assuntos
Neoplasias Colorretais/cirurgia , Neoplasias Renais/cirurgia , Neoplasias Primárias Múltiplas/cirurgia , Adulto , Idoso , Neoplasias Colorretais/diagnóstico , Feminino , Humanos , Neoplasias Renais/diagnóstico , Laparotomia , MasculinoRESUMO
Aim of this study is the comparison between spermatic vein ligature (Ivanissevich technique) and low intrafunicular ligature in the surgical treatment of varicocele. The Authors present two groups of patients (total 61) operated between 1995 and 1999 with the above-mentioned surgical techniques. Apart from the utilized method, they didn't ascertain any improvements in the spermiograms of the patients older than 30 years. The low ligature of the spermatic veins demonstrated the advantages of surgery treatment and lower percentage of relapses.
Assuntos
Procedimentos Cirúrgicos Ambulatórios , Varicocele/cirurgia , Adulto , Seguimentos , Humanos , Masculino , Resultado do Tratamento , Ultrassonografia Doppler , Varicocele/diagnóstico por imagemRESUMO
The Authors report the results of a short term follow-up in 28 patients treated for sialolithiasis. Extracorporeal lithotripsy is safe, effective and minimally invasive therapeutical option. Open surgery is reserved to cases of failure of noninvasive procedure.