Il Giornale di chirurgia
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Il Giornale di chirurgia · Jun 1992
[Emergency treatment of caustic lesions of the upper digestive tract].
The role of an early multidisciplinary approach to the management of upper digestive tract caustic lesions in the acute phase is stressed. The accurate evaluation of the lesions through early endoscopy, performed within 24-48 hours of ingestion, is the best means of assessing the degree of injury after caustic ingestion. ⋯ Management techniques of acute lesions are controversial because results of the different surgical procedures proposed are not satisfactory. Surgery of complications is mandatory, but up to date morbidity and mortality rates are still high.
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Il Giornale di chirurgia · Aug 1991
Case Reports[Respiratory complications in compressive goiters].
Authors' experience in respiratory complications of compressive goiter is reviewed. Three cases with typical symptoms, relative therapy and outcome are reported. ⋯ In case of acute respiratory failure, immediate emergency tracheostomy is mandatory, subsequently followed by elective intervention. In case of malignancy, if radical surgery is not possible, tracheostomy is the short and medium-term palliative surgical treatment of choice.
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Il Giornale di chirurgia · May 1991
Case Reports[A rare cause of acute abdomen: perforation of cecal diverticulum].
The Authors, after a brief review of the literature on the frequency and localization of large bowel diverticular disease report a case of perforation of a cecal diverticulum operated on emergency. They also add some brief comments on the interesting aspects of the case, its diagnostic difficulties and operating technique.
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Il Giornale di chirurgia · Apr 1991
[Risk surgery of the carotid. A balanced assessment of the use of locoregional anesthesia].
The authors report their experience with regional anaesthesia in carotid surgery. They performed 80 carotid endarterectomies in 79 patients. Thirty-three patients were at high surgical risk because of contralateral internal carotid artery occlusion or bilateral stenosis (greater than 70%) or ischemic brain areas for past stroke. In this high risk group 4 strokes were registered in the postoperative period, while no strokes appeared in patients non at risk.
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Il Giornale di chirurgia · Sep 1990
Comparative Study[Role of surgery in the therapy of peptic ulcer after arrival of H2-blocking drugs].
This retrospective study was undertaken to determine if the advent of H2-blockers has altered the surgical treatment and the outcome of patients with peptic ulcer disease. The records of patients undergoing surgery for peptic ulcer disease at Montecchio Maggiore Hospital, Vicenza (Italy), from 1968 to 1977 (group A) and from 1979 to 1989 (group B) were reviewed. Data recorded included, ulcer location, surgical procedures (emergency or elective), indications for emergency surgery (perforation, bleeding). ⋯ The percentage of surgical operations performed for peptic ulcer was 3.54% in group A and 1.55% in group B. A marked decline in surgery for peptic ulcer was noted in group B, concerning both elective and emergency surgery; surgical interventions strongly decreased for both duodenal and gastric ulcer. This study demonstrates that H2-blockers have definitely altered the surgical treatment for peptic ulcer disease.