Giornale di Chirurgia最新文献_第4页

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

引用次数: 0

Fournier's gangrene secondary to locally advanced prostate cancer: case report and review of the Literature. 富尼耶坏疽继发于局部晚期前列腺癌:病例报告及文献回顾。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

M Del Zingaro, A Boni, A Paladini, J A Rossi De Vermandois, S Ciarletti, G Felici, P Ursi, R Cirocchi, E Mearini

引用次数: 0

Radiation-induced undifferentiated pleomorphic sarcoma of the breast: a rare but serious complication following breast-conserving therapy. A case report and literature review. 乳房放射诱导的未分化多形性肉瘤:保乳治疗后罕见但严重的并发症。病例报告及文献复习。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

I Komaei, F Guccione, F Sarra, E Palmeri, A Ieni, R Cardia, G Currò, G Navarra, R Palmeri

{"title":"Radiation-induced undifferentiated pleomorphic sarcoma of the breast: a rare but serious complication following breast-conserving therapy. A case report and literature review.","authors":"I Komaei, F Guccione, F Sarra, E Palmeri, A Ieni, R Cardia, G Currò, G Navarra, R Palmeri","doi":"","DOIUrl":"","url":null,"abstract":"Background: Undifferentiated pleomorphic sarcoma (UPS) of the breast is an extremely rare, but aggressive subtype of sarcoma that can develop in radiotherapy (RT)-treated breast cancer patients. Due to the low incidence, there are many uncertainties regarding the adequate management of these tumors. We present a rare case of radiation-induced UPS in a 63-year-old woman who had undergone breast conserving therapy for invasive ductal carcinoma of the left breast, six years prior to presentation.Case presentation: A 63-year-old woman presented with a rapidly growing left breast mass. She had been diagnosed with invasive ductal carcinoma of the left breast for which she underwent a left upper outer quadrantectomy and ipsilateral axillary dissection followed by RT, six years previously. During her routine oncologic follow-up, the mammography revealed a dense, nodular opacity with microcalcifications. The breast ultrasound (US) confirmed the presence of the nodule. US-guided fine needle aspiration biopsy was performed and the diagnosis of UPS was made, the reason for which the patient underwent wide local excision of the left breast.Conclusion: The diagnosis of RT-induced UPS is challenging and often missed due to the low incidence, long latency period, unspecific imaging findings, and difficulties in clinical and histological detection of these lesions. These tumors should be considered in differential diagnoses of rapidly-growing breast masses in previously RT-treated breast cancer patients, as they can mimic the local recurrence of the primary tumor. Since the prevalence of breast-conserving surgery followed by RT has been increasing, the careful monitoring of at risk patients is of utmost importance, as UPSs are highly aggressive tumors associated with very poor outcomes.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 6","pages":"544-550"},"PeriodicalIF":0.6,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37599181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acute massive bleeding from splenic artery aneurysm rupture: a case report. 脾动脉瘤破裂急性大出血1例。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

P Locurto, M Airò Farulla, Giorgio Di Lorenzo, M Amico, G Ciaccio

引用次数: 0

L-Shaped nipple reconstruction: a novel technique to improve patient satisfaction outcomes. l型乳头重建术:一种提高患者满意度的新技术。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

M Krishnamurthy Sreedhar

{"title":"L-Shaped nipple reconstruction: a novel technique to improve patient satisfaction outcomes.","authors":"M Krishnamurthy Sreedhar","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Nipple reconstruction is the final stage of breast reconstruction and performed after acceptable breast mound shape and symmetry has been achieved. Here is a description of an original technique of L shaped nipple reconstruction to address issues such as transverse mas-tectomy scar which lies at the Neo nipple position.Aim: The objective of this study is to describe an original tech-nique of nipple reconstruction, using a combination of random flap and dermal graft; and also measures patient satisfaction of outco-mes. This original technique is set to overcome challenges of nipple reconstruction such as correct positioning, maintaining adequate projection and creating an almost inconspicuous scar.Methods: 31 patients underwent the L-shaped nipple reconstruction between 2011 and 2016 at our Breast Unit. Complications and outcomes were analysed and compared with 59 patients who underwent traditional CV flap during the same study period (total N=90, i.e., L flap n=31 and CV flap=59).Results: There was no statistically significant difference in complication rates between traditional CV flap (9.7%) and L-shaped (13.6%) nipple reconstructions (Fishers exact test p=0.74). In our study cohort undergoing L flap nipple reconstruction, 94% were either pleased or very pleased with their decision to have undergone nipple reconstruction and 93% would either strongly or very strongly recommend it to a friend.Conclusions: The innovative L-shaped nipple reconstruction has positive patient satisfaction out-comes and is a very suitable alternative to traditional nipple reconstruction such as CV flap.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 6","pages":"497-303"},"PeriodicalIF":0.6,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37600749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy and safety of full-thickness resection device based on over-the-scope clip system for resecting of gastric lesions in selected patients. Case series from a referral center for gastrointestinal diseases treatment and literature overview. 基于超镜夹系统的全层切除装置在部分患者胃病变切除中的疗效和安全性。来自胃肠疾病治疗转诊中心的病例系列和文献综述。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

D Bisogni, R Manetti, L Talamucci, F Staderini, F Coratti, M Rossi, R Naspetti

{"title":"Efficacy and safety of full-thickness resection device based on over-the-scope clip system for resecting of gastric lesions in selected patients. Case series from a referral center for gastrointestinal diseases treatment and literature overview.","authors":"D Bisogni, R Manetti, L Talamucci, F Staderini, F Coratti, M Rossi, R Naspetti","doi":"","DOIUrl":"","url":null,"abstract":"Since gastroduodenal FTRD system is commercially available, several data have been reported in Literature concerning duodenal full-thickness resections, whereas few cases of gastric full-thickness resections has been described. In this case series We report three patients treated with this innovative tool for resecting lesions of the gastric wall. The indications ranged notably: a neuroendocrine tumor in a difficult to treat environment in the first case, a recurrent adenocarcinoma in a poorly surgical candidate patient in the second case and a pre-pyloric lesion for the third patient. In the third patient, a complete pyloric stenosis due to the clip deployment occurred. Clinical success rate was 100%. Even if current Literature is still poor of articles dealing with gastric full-thickness resection device based on over-the-scope-clip system. Our case series show how this novel tool might be take into consideration for whenever both surgery and standard endoscopic resection techniques are poorly feasible.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 6","pages":"569-577"},"PeriodicalIF":0.6,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37599136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can Longo stapled haemorrhoidopexy for haemorroids be a day-case procedure? 长钉痔疮切除术能成为一项日常手术吗?

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

G Florio, G D'Amata, M Crovaro, L Musmeci, F Manzi, P Carnì, M Del Papa

引用次数: 0

"Falling down": a retroperitoneal catastropheC. “坠落”:腹膜后的大灾难。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

C A E Gelmi, C Frattini, A Birindelli, E Segalini, C Coniglio, S Gourgiotis, G Tugnoli, S Di Saverio

引用次数: 0

Archeology and urology: testimonies of the IV-III century b.C. on La Peyronie's disease. 考古学和泌尿学:公元前4 - 3世纪关于拉佩罗尼氏病的证据。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-11-01

G Baggieri, L Galieti

引用次数: 0

A dramatic and rare complication: bowel perforation following abdominal liposuction. 一个戏剧性的和罕见的并发症:腹部吸脂后肠穿孔。

IF 0.6

Giornale di Chirurgia Pub Date : 2019-09-01

Angela Giordano, G Alemanno, K Bici, P Prosperi, R Viligiardi, D Bisogni, V Iacopini, A Dibella, A Valeri

{"title":"A dramatic and rare complication: bowel perforation following abdominal liposuction.","authors":"Angela Giordano, G Alemanno, K Bici, P Prosperi, R Viligiardi, D Bisogni, V Iacopini, A Dibella, A Valeri","doi":"","DOIUrl":"","url":null,"abstract":"Aim: The purpose of this study is to analyze a rare and under-reported complication of abdominal liposuction and the role of laparoscopy.Clinical case: We report a case of bowel perforation after 7 days of abdominal liposuction and bilateral mastopexy. The patient presented clinical and radiological findings of bowel obstructive syndrome and bilateral peripheral pulmonary embolism. An emergency diagnostic laparoscopy was performed and confirmed the diagnosis of bowel perforation.Discussion: Bowel perforation is a known but under-reported comSOD Romaplication of abdominal liposuction, and it is characterized by a difficult diagnosis. The clinical presentation is characterized by a difficult diagnosis and severe complications. Bowel obstructive syndrome was constant, as our case and also peritonitis was never frank. This is an important point because it is one of the reasons for diagnostic delay. The development of laparoscopic surgery has changed the way to manage such conditions, where the diagnosis was doubt. In particular, when an acute abdomen occurs, laparoscopy may have three different roles: to confirm or not the diagnosis, to facilitate and guide a subsequent laparotomy or, finally, to entirely treat the disease.Conclusion: The bowel perforation is a dramatic and underestimated complication of abdominal liposuction. Diagnosis is complex. A clinical and radiological investigation should be quickly performed. In doubtful cases, an emergency laparoscopy can confirm the diagnosis and guide a possible subsequent laparotomy.","PeriodicalId":46352,"journal":{"name":"Giornale di Chirurgia","volume":"40 5","pages":"429-432"},"PeriodicalIF":0.6,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37596138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0