Chirurgia italiana最新文献_第9页

Biofeedback therapy for faecal incontinence: our experience. 生物反馈治疗大便失禁:我们的经验。

Chirurgia italiana Pub Date : 2009-03-01

Antonino Carlo Privitera, Conchita Emanuela Oliveri, Giuseppe Randazzo, Nnawuihe Luca Ohazuruike, Serafina Prumeri, Antonino Politi, Lino Succi

{"title":"Biofeedback therapy for faecal incontinence: our experience.","authors":"Antonino Carlo Privitera, Conchita Emanuela Oliveri, Giuseppe Randazzo, Nnawuihe Luca Ohazuruike, Serafina Prumeri, Antonino Politi, Lino Succi","doi":"","DOIUrl":"","url":null,"abstract":"Biofeedback combined with electrical stimulation is an appealing conservative therapeutic option in patients with faecal incontinence. A total of 51 patients with faecal incontinence referred to our proctological division from March 2004 to June 2008 were studied. All patients were treated with biofeedback plus electrical stimulation. All patients underwent, on average, twice-weekly 15-minute electromyography-biofeedback training sessions followed by 5 minutes of electrical stimulation. Patients satisfaction, physiological data, clinical symptoms and a modified Wexner score were used to assess improvement. At 6 months' follow-up, nearly all physiological parameters showed a significant improvement (p < 0.05) and there was a reduction in the loss of solid stool (from 78.4 to 27.5 percent), in the loss of liquid stool (from 100 to 29.4 percent), and in pad usage (from 74.5 to 17.6 percent). At 1-year follow-up, an improvement in satisfaction was reported by 41/51 of patients (80.4%). This study suggests that biofeedback plus electrical stimulation leads to a substantial improvement in faecal incontinence symptoms and underlines the importance of anorectal functional tests to examine and guide the management of patients with faecal incontinence.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 2","pages":"149-54"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28251814","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

Thoracoscopic repair of lung herniation following minimally invasive cardiothoracic surgery. 微创心胸外科术后肺疝的胸腔镜修复。

Chirurgia italiana Pub Date : 2009-03-01

Valentino Fiscon, Giuseppe Portale, Flavio Frigo, Giovanni Migliorini

引用次数: 0

[Cavernous haemangioma of the lung: a case report and review of the literature]. [肺海绵状血管瘤:1例报告及文献复习]。

Chirurgia italiana Pub Date : 2009-03-01

Ursula Basile, Chiara Cavallotti, Antonio Burza, Mario Albertucci, Renato De Angelis, Giampiero Facchini, Ettore Santini, Francesco Stipa

引用次数: 0

[Haemoperitoneum secondary to avulsed short gastric arteries after vomiting]. [呕吐后胃短动脉撕脱所致腹膜出血]。

Chirurgia italiana Pub Date : 2009-03-01

Leonardo Piccagliani, Matteo D'Arienzo, Gianrocco Manco, Davide Luppi, Aldo Rossi

引用次数: 0

Ultrasonographic venous anatomy at the popliteal fossa in relation to tibial nerve course in normal and varicose limbs. 正常和静脉曲张肢体腘窝与胫神经走行关系的超声静脉解剖。

Chirurgia italiana Pub Date : 2009-03-01

Massimiliano Tuveri, Valentina Borsezio, Raffaela Argiolas, Fabio Medas, Augusto Tuveri

{"title":"Ultrasonographic venous anatomy at the popliteal fossa in relation to tibial nerve course in normal and varicose limbs.","authors":"Massimiliano Tuveri, Valentina Borsezio, Raffaela Argiolas, Fabio Medas, Augusto Tuveri","doi":"","DOIUrl":"","url":null,"abstract":"The aim of this study was to investigate the ultrasonographic venous anatomy at the popliteal fossa in relation to tibial nerve course in normal and varicose limbs in order to detect anatomical abnormalities suggesting the potential risk of tibial nerve damage during surgery. Ninety-seven consecutive patients (194 limbs) were investigated by duplex ultrasound examination of the popliteal fossa. Forty-seven patients (48%) were candidates for surgery due to small saphenous vein (SSV) reflux. The tibial nerve course and its relation to the SSV were investigated in healthy and diseased patients. The tibial nerve ran along the medial edge of the SSV in 171 (88%) of the examined limbs. It ran behind the vein in 7 limbs (4%) and laterally in 16 limbs (8%). In this particular anatomical arrangement the SSV ends in the popliteal vein, running horizontally behind or wrapped around the tibial nerve for a distance of several centimetres. The median distance of the tibial nerve from the SSV was 0.2 cm (range: 0.1-0.3) in healthy limbs and 0.1 cm (range: 0.1-0.2) in varicose limbs, progressively diminishing as it proceeds upward. A posterior and lateral course of the tibial nerve (12%) would expose the nerve to potential damage during surgical procedures. Patient eligibility for treatment for SSV incompetence should always be based on a detailed ultrasonographic assessment of the course of the tibial nerve at the popliteal fossa in order to avoid the slightly higher risk of nerve damage due to particular anatomical abnormalities.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 2","pages":"171-7"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28251820","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

Horner's syndrome after video assisted thoracoscopic surgery for spontaneous pneumothorax: where can it be attributed? 自发性气胸视频胸腔镜手术后的霍纳综合征:原因何在?

Chirurgia italiana Pub Date : 2009-03-01

Georgios I Tagarakis, Andony Baddour, Athanassios Hevas, Charalampos Stroumpos, Nicolaos Antonopoulos, Apostolos Tsantilas, Nikolaos B Tsilimingas

引用次数: 0

Giant symptomatic myelolipoma of the right adrenal gland: a case report. 右肾上腺巨大症状性骨髓瘤1例。

Chirurgia italiana Pub Date : 2009-03-01

Roberto Dell'Avanzato, Fabio Castaldi, Cristiano Giovannini, Edoardo Mercadante, Paolo Cianciulli, Massimo Carlini

{"title":"Giant symptomatic myelolipoma of the right adrenal gland: a case report.","authors":"Roberto Dell'Avanzato, Fabio Castaldi, Cristiano Giovannini, Edoardo Mercadante, Paolo Cianciulli, Massimo Carlini","doi":"","DOIUrl":"","url":null,"abstract":"Adrenal myelolipoma is an uncommon tumour of the adrenal gland, usually unilateral, frequently associated with hypertension and obesity, with a benign biological behaviour and without hormonal activity, first described in 1905. The neoplasm consists of adipose tissue and myelopoietic cells of the bone marrow. These tumours have a very slow but continued growth and their volume and weight vary significantly from small lesions of a few grams to huge masses weighing up to several kilograms. If symptoms occur, surgery should be performed without delay, especially for large myelolipomas that are at high risk of spontaneous rupture with haemorrhage and life-threatening shock. In this report a case of a 43-year-old male with a 22 x 18 x 9 cm giant myelolipoma, weighing 3500 g and originating from the right adrenal gland is described. The large mass dislocating and compressing the inferior vena cava, was removed surgically. The early postoperative course and the late outcome were favourable without recurrence after 30 months. The different aetiological hypotheses of this rare neoplasm and its clinical features, diagnosis and treatment are discussed.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 2","pages":"231-6"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28250675","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

[Intestinal reconstruction after dehiscence of a jejunal suture in a patient submitted to aorto-enteric fistula repair: a case report]. 【空肠缝合线破裂后肠重建一例报告】。

Chirurgia italiana Pub Date : 2009-03-01

Maurizio Castriconi, Antonio Muzi, Giovanni Bartone, Mauro Natale Maglio, Maria Elena Giuliano, Beatrice Ulloa Severino, Francesco Renda

引用次数: 0

Use of a dynamic self-regulating prosthesis (P.A.D.) in inguinal hernia repair: our first experience in 214 patients. 动态自我调节假体(P.A.D.)在腹股沟疝修补中的应用:我们在214例患者中的首次经验。

Chirurgia italiana Pub Date : 2009-03-01

Fabrizio Ferranti, Marco Marzano, Alberto Quintiliani

{"title":"Use of a dynamic self-regulating prosthesis (P.A.D.) in inguinal hernia repair: our first experience in 214 patients.","authors":"Fabrizio Ferranti, Marco Marzano, Alberto Quintiliani","doi":"","DOIUrl":"","url":null,"abstract":"Numerous techniques exist for inguinal hernia treatment. Currently, open mesh tension-free repair is regarded as the repair method of choice. In particular Lichtenstein repair is the most common procedure performed, although several articles have reported long-lasting postoperative pain and a higher recurrence rate than originally reported. This study describes the P.A.D. (Protesi Autoregolantesi Dinamica) prosthesis implantation technique and reports postoperative complications and long-term results. From June 2002 to May 2005 a total of 214 patients underwent P.A.D. prosthesis inguinal repair. All patients were male, with a mean age of 51 years. All hernias were treated via an open inguinal approach using the original technique described by Valenti, with slight modifications. A total of 171'patients (80%) were available to follow-up 3 years after surgery. Early postoperative complications occurred in 14 patients (8.4%). Four patients (12.1%), who had undergone regional anaesthesia, developed urinary retention. Wound infection occurred in 3 patients (1.4%). There were two direct recurrences (0.93%) whereas chronic postoperative inguinal pain was reported in 4.2% of patients. Within the limitations of a short follow-up, our results show that the P.A.D. prosthesis procedure is a reliable technique with a low recurrence rate and low postoperative morbidity.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 2","pages":"179-85"},"PeriodicalIF":0.0,"publicationDate":"2009-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28251815","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

[Role of laparoscopy in acute obstruction of the small bowel: personal experience and analysis of the literature]. 【腹腔镜在急性小肠梗阻中的作用:个人经验及文献分析】。

Chirurgia italiana Pub Date : 2009-01-01

Carmine Cartanese, Serafina Lattarulo, Graziana Barile, Gennaro Fabiano, Angela Pezzolla, Nicola Palasciano

{"title":"[Role of laparoscopy in acute obstruction of the small bowel: personal experience and analysis of the literature].","authors":"Carmine Cartanese, Serafina Lattarulo, Graziana Barile, Gennaro Fabiano, Angela Pezzolla, Nicola Palasciano","doi":"","DOIUrl":"","url":null,"abstract":"Small bowel obstruction is caused by postoperative adhesions in most patients. The traditional surgical treatment has been laparotomy with adhesiolysis and possible resection of the ischaemic intestine. The laparoscopic approach has proved feasible but not without risks. We analysed our experience in the management of acute small bowel obstruction and then reviewed the literature in an attempt to identify the real role of laparoscopy. From January 2003 to June 2008, 19 patients operated on for small bowel obstruction were identified. We evaluated our performance in terms of the aetiology of the obstruction, operative time, length of postoperative hospital stay, conversion rate, and major morbidity and mortality. Postoperative adhesions were responsible for the occlusion in 13 cases; a single band was identified in 47% of patients (9 cases). Neoplastic disease (3 cases), a gallstone ileus, Crohn's disease and an internal hernia were the remaining cases. Laparoscopic treatment was only possible in 7 patients with single adhesions (77%), and a conversion was carried out in the remaining 12 cases (63%), including \"laparoscopy-assisted\" cases (6 cases). The duration of the intervention (89 +/- 21 min vs 135 +/- 27.5 min) and postoperative hospitalisation (3.6 +/- 1 days vs 6.25 +/- 1.6 days) were in favour of the completely laparoscopic group as compared to the laparoscopy-assisted group. A case of postoperative peritonitis due to bowel perforation required a second intervention. With an appropriate selection of patients, confirming the high incidence of the single adhesions responsible for the occlusion and the resulting high success rate of laparoscopy, we believe that only an initial laparoscopic approach can help identify such favourable situations.","PeriodicalId":75700,"journal":{"name":"Chirurgia italiana","volume":"61 1","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28129482","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