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Il Giornale di Chirurgia

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https://www.readbyqxmd.com/read/27938538/una-lettera-di-lister
#1
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938537/uncommon-localizations-of-hydatid-cyst-review-of-the-literature
#2
G Salamone, L Licari, B Randisi, N Falco, R Tutino, A Vaglica, R Gullo, C Porello, G Cocorullo, G Gulotta
INTRODUCTION: Hydatid disease is an endemic anthropozoonosis with usual localization in liver and lungs. Rarely it localizes in uncommon sites as spleen, skeleton, kidney, brain, cardiac muscle, peritoneum, sub cutis. Complications of uncommon localizations are the same that for usual ones. MATERIAL AND METHODS: Review of the literature on rare and atypical localization of hydatid cysts in soft tissues. Key-words used on Pub-Med [(echinococ OR hydatid) AND (soft tissue OR subcutaneous OR cutaneous)] without time limit...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938536/acute-appendicitis-should-the-laparoscopic-approach-be-proposed-as-the-gold-standard-six-year-experience-in-an-emergency-surgery-unit
#3
G Guercio, G Augello, L Licari, A Dafnomili, C Raspanti, N Bagarella, N Falco, G Rotolo, T Fontana, C Porello, G Gulotta
Acute appendicitis is common in an Emergency Surgery Unit. Although the laparoscopic approach is a method accepted for its treatment, no strong data are available for determining how many procedures must an experienced surgeon carry out for obtaining all the advantages of this technique and if this approach can become the gold standard in the activity of a general emergency unit with senior surgeons variously skilled on the basic laparoscopy. 142 patients that underwent appendectomy (90 laparoscopic, 52 conventional) for acute appendicitis were enrolled in this institutional retrospective cohort study...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938535/coexisting-incarcerated-femoral-and-obturator-hernia-a-case-report
#4
C Santorelli, C A Leo, J D Hodgkinson, Paolo Rossi
BACKGROUND: Obturator hernia is a rare condition associated with a high morbidity and mortality. It is an uncommon cause of bowel obstruction most commonly described in elderly females with comorbidity. Surgical intervention is often delayed as a result of subtle presenting signs. Coexisting ipsilateral femoral hernia is an even rarer condition represented by non-exhaustive series in the literature. CASE PRESENTATION: We report a case of a healthy 36 years old lady, nulliparous, with abdominal pain and swelling in the right groin...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938534/chyloperitoneum-associated-with-idiopathic-pancreatitis-case-report-and-review-of-the-literature
#5
G D'Amata, M Rega, V Viola, V Bove, P Simeone, G Baiano
Acute chylous peritonitis is defined as the onset of acute abdomen findings due to abrupt chylous fluid accumulation in the peritoneal space. A correct diagnosis of this condition is seldom made preoperatively. The optimal management of true chylous pancreatitis depends upon the underlying etiology. Thorough lavage of the abdomen and adequate drainage has proven to be an excellent treatment modality for acute chylous peritonitis, since resolution of chylous ascites usually occurs within the next few days. However, conservative treatment may be appropriate in selected cases...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938533/laparoscopic-treatment-of-a-large-pedunculated-hemangioma-of-the-liver-a-case-report
#6
G Melfa, G Coccorullo, C Raspanti, N Falco, C Porello, R Gullo, G Rotolo, C Genova, G Gulotta, G Scerrino
Hepatic hemangiomas are the most common benign tumors of the liver, often asymptomatic and discovered incidentally. A 62-year-old woman was referred to our Institution under the suspicion of having an 8 cm-sized GIST. Due to the atypical features of the lesion on TC scan, a biopsy was performed. We report the case of pedunculated hepatic hemangioma with the aim to discuss the diagnostic approach, the possible causes of misdiagnosis and the opportunity of the laparoscopic approach.
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938532/a-rare-case-of-perforation-of-the-subhepatic-appendix-by-a-toothpick-in-a-patient-with-intestinal-malrotation-laparoscopic-approach
#7
V Grassi, J Desiderio, A Cacurri, A Gemini, C Renzi, Alessandro Corsi, I Barillaro, A Parisi
Foreign body ingestion is not an uncommon problem in clinical practice. While most ingested foreign bodies pass uneventfully through the gastrointestinal tract, sharp foreign bodies such as toothpicks should cause intestinal perforation. We reported the case of a perforation of the appendix caused by a toothpick, which also pierced the liver without hepatic damages, in a male with an intestinal malrotation and subhepatic appendix. The patient was admitted to our hospital for abdominal pain in the right upper quadrant...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938531/pancreas-divisum-correlation-between-anatomical-abnormalities-and-bile-precipitation-in-the-gallbladder-in-seven-patients
#8
P Izzo, P Di Cello, F Pugliese, S Izzo, Romualdo Grande, F Biancucci, G Sinaimeri, F Razionale, U Costi, M Al Mansour, A Muneer, S Valabrega, L Izzo
Pancreas divisum is a genetic defect associated with recurrent acute pancreatitis due to insufficient drainage of the accessory pancreatic duct. Seven young patients diagnosed with pancreatic divisum and thickening of the gallbladder bile as shown on magnetic resonance cholangio-pancreatography without pancreatic ductal changes underwent laparoscopic cholecystectomy. During the mean follow-up of 32 months no episode of pancreatitis was reported. There is an association between PD and higher concentration of bile in the gallbladder...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938530/surgical-management-of-gynecomastia-experience-of-a-general-surgery-center
#9
A Longheu, F Medas, F Corrias, S Farris, A Tatti, G Pisano, E Erdas, P G Calò
AIM: Gynecomastia is a common finding in male population of all ages. The aim of our study was to present our experience and goals in surgical treatment of gynecomastia. PATIENTS AND METHODS: Clinical records of patients affected by gynecomastia referred to our Department of Surgery between September 2008 and January 2015 were analyzed. 50 patients were included in this study. RESULTS: Gynecomastia was monolateral in 12 patients (24%) and bilateral in 38 (76%); idiopathic in 41 patients (82%) and secondary in 9 (18%)...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27938529/adhesions-small-bowel-obstruction-in-emergency-setting-conservative-or-operative-treatment
#10
M Assenza, I De Gruttola, D Rossi, S Castaldi, F Falaschi, G Giuliano
Adhesions small bowel obstructions (aSBO) are among the leading causes of emergency operative intervention. About the 80% of aSBO cases resolve without a surgical treatment. It's important to identify which patients could undergo a conservative treatment to prevent an useless surgery The aim of this study is to determine findings that can indicate whether patients with aSBO should undergo a conservative or a surgical treatment. 313 patients with diagnosis of submission of aSBO were restudied. Patients were divided into two groups based on the different type of treatment received, 225 patients who underwent surgical treatment within 24 hours after admission, 88 patients which underwent conservative treatment successfully...
July 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734800/-sono-scomparsi-due-amici-intelligenti-capaci-di-sana-determinazione-rivolgo-a-loro-questo-mio-affettuoso-ricordo
#11
G Di Matteo
No abstract text is available yet for this article.
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734799/an-unexpected-metastasis-of-breast-cancer-mimicking-wheal-rush
#12
C Damaskos, D Dimitroulis, V Pergialiotis, C Doula, G Koulermou, E A Antoniou, M Frangoulis, K Stergios, K Kontzoglou
Breast cancer is the most common cancer among women and ranks second in cancer deaths worldwide. Breast cancer can metastasize to the skin but rarely, cutaneous metastases may be the first indication of the cancer. Skin metastases of breast cancer are usually found on the chest and close to the point of the mastectomy. We present the rare clinical entity of a breast cancer which was first diagnosed due to the skin metastasis away from the breast tumor. This is a rare case because the skin lesions usually appear simultaneously or secondary...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734798/rectal-bleeding-and-prolapse%C3%A2-not-always-benign-diseases-rather-anal-cancer-the-importance-of-a-correct-decision-making-since-primary-care
#13
G Cocorullo, R Tutino, N Falco, T Fontana, G Salamone, L Licari, G Gulotta
Rectal bleeding is very common in general population with a prevalence of 10-20 %. Primary care physicians have to stratify patients basing on urgency and on the colo-rectal cancer risk and to conduct a decision making for the correct management. We report a case of a 61-years-old woman, complaining rectal bleeding and an anal mass attended to their family doctor who does a visit but without a digital rectal examination and diagnosed a hemorrhoidal prolapse suggesting medical therapy. For the persistence of symptoms she comes to our service from emergency attention...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734797/deep-vein-thrombosis-of-the-lower-limb-secondary-to-lumbar-discal-hernia-compression-a-rarity-review-of-the-literature
#14
P Di Cello, S Izzo, F Pugliese, I Di Poce, A Orsini, L Izzo, G Mazzone, F Biancucci, G Sinaimeri, S Valabrega, M Almansour, P Izzo
This case report is about a 70-years-old female patient, suffering from discal hernia, with compression of the iliac vein, that led to the formation of deep vein thrombosis of the lower limbs. The angio-CT scan revealed the starting point of the L4- L5 compression where a voluminous discal hernia caused deep vein thrombosis, with the involvement the femoro-popliteal venous axis. Blood samples and PET-CT scans excluded other possible etiologic factors. This case demonstrates how a voluminous discal hernia can cause venous thrombosis...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734796/the-coexistence-of-primary-hyperparathyroidism-and-thyroid-nodules-should-the-preoperative-work-up-of-the-parathyroid-and-the-thyroid-diseases-be-specifically-adjusted
#15
G Scerrino, M Attard, C Lo Piccolo, A Attard, G I Melfa, C Raspanti, M Zarcone, S Bonventre, S Mazzola, G Gulotta
INTRODUCTION AND OBJECTIVES: Primary hyperparathyroidism (PHPT) can be found in concomitance with thyroid disease (TD) in a high frequency of cases. In this context the diagnostic exams for localizing the enlarged parathyroid(s) gland(s) could be less reliable or nonconclusive. Moreover, the thyroid carcinoma seems to be more frequent compared to that isolated thyroid desease and, therefore, carefully investigated. The main goal of the present study is to evaluate which diagnostic tool (US, MIBI) is more reliable for localizing the site of the PTH hypersecretion and to confirm if it is always advantageous a combination of both exams...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734795/breast-us-as-primary-imaging-modality-for-diagnosing-gynecomastia
#16
M Telegrafo, T Introna, L Coi, I Cornacchia, L Rella, A A Stabile Ianora, G Angelelli, M Moschetta
AIM: To assess the role of breast US in diagnosing and classifying gynecomastia as the primary imaging modality and to compare US findings and classification system with the mammographic ones. PATIENTS AND METHODS: 48 patients suspected of having gynecomastia underwent mammography and US. Two radiologists in consensus retrospectively evaluated mammograms and sonograms. Both US and mammographic images were evaluated categorizing gynecomastia into non-mass, nodular and flame shaped patterns...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734794/robotic-versus-laparoscopic-sacrocolpopexy-for-apical-prolapse-a-case-control-study
#17
G Cucinella, G Calagna, G Romano, G Di Buono, G Gugliotta, S Saitta, G Adile, M Manzone, G Accardi, A Perino, A Agrusa
The apical prolapse has always been considered the most complex of the defects of the pelvic floor, for both the difficulty of the surgical corrective technique and for the high post-surgical recurrence rate. Today, the laparoscopic sacrocolpopexy can be considered the standard treatment for apical prolapse. In the last years, several author performed robotic sacrocolpopexy, obtaining positive results. So, we developed a casecontrol study in order to compare the surgical outcome of robotic group with a control group of laparoscopic approach in patients with symptomatic apical pro-lapsed between January 2015 and December 2015 at University Hospital Policlinico "P...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734793/open-versus-laparoscopic-approach-in-the-treatment-of-abdominal-emergencies-in-elderly-population
#18
G Cocorullo, N Falco, R Tutino, T Fontana, G Scerrino, G Salamone, L Licari, G Gulotta
AIM: To evaluate the role of laparoscopy in the treatment of surgical emergency in old population. PATIENTS AND METHODS: Over-70 years-old patients submitted to emergency abdominal surgery from January 2013 to December 2014 were collected and grouped according to admission diagnoses. These accounted small bowel obstruction, colonic acute disease, appendicitis, ventral hernia, gastro-duodenal perforation, biliary disease. In each group it was analyzed the operation time (OT), the morbidity rate and the mortality rate comparing open and laparoscopic management using T-test and Chi-square test...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27734792/use-of-loupes-magnification-and-microsurgical-technique-in-thyroid-surgery-ten-years-experience-in-a-single-center
#19
V D'Orazi, A Panunzi, E Di Lorenzo, Al Ortensi, M Cialini, S Anichini, A Ortensi
AIM: The use of microsurgical technique and loupes magnification as a support to traditional surgery can help surgical performance and prevent complications in thyroid surgery. PATIENTS AND METHODS: Between January 2004 and December 2014, 782 patients with thyroid diseases were operated by our team with microsurgical technique and loupes magnification 4.5x. All patients had pre and postoperative vocal cords assessment and calcemia and the collected data were analysed...
May 2016: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/27381699/training-course-microsurgery-in-thyroid-surgery
#20
G Di Matteo
No abstract text is available yet for this article.
March 2016: Il Giornale di Chirurgia
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