Abstract：
BACKGROUND:Meconium ileus (MI) is a form of neonatal intestinal obstruction due to an abnormal thickened meconium within the terminal ileum. The aim of this retrospective paper is to review our experience with neonates affected from MI treated at our institute over a twenty year period. METHODS:This report deals with 23 neonates with MI: 14 newborns had uncomplicated MI due to obstruction of the terminal ileum with meconium pellets, while 9 presented with complications (intestinal atresia, volvulus, pseudocyst, peritonitis). RESULTS:A water soluble contrast enema (Gastrografin) was attempted in 12 cases with a success rate of 7/12 (58%). The remaining sixteen neonates underwent laparotomy, with 4 treated by resection and primary anastomosis, 7 by enterostomy (chimney or double-barrelled) and 5 managed with T-tube enterostomy. Survival rate was 93% in uncomplicated MI and 67% in complicated forms. CONCLUSIONS:On the basis of personal experience the authors suggest that the treatment of choice for uncomplicated MI is Gastrografin enema, with T-tube enterostomy to be reserved for enema failure. The surgical treatment of the complicated forms depends on the intra-abdominal findings; nowadays chimney or double barrelled enterostomy is to be reserved in cases where peritonitis, late diagnosis, prematurity or associated anomalies complicate the disease.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Fasoli L,Campagnola Skeywords:
subject
Has Abstractpub_date
1999-12-01 00:00:00pages
855-8issue
12eissn
0026-4733issn
1827-1626journal_volume
54pub_type
杂志文章abstract：:Between 1973 and 1975, the "early" operation was carried out in 15 patients suffering from acute haemorrhagic-necrotizing pancreatitis to eliminate necrotic parts. Partially necrotizing pancreatitis was identified in 10 patients: 7 survived. All patients with total pancreatic necrosis died. Surgery consisted of digita...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-07-15 00:00:00
abstract：BACKGROUND:The well-known soft tissue healing properties in some rat models as well as the modulating fibroblasts activity of heterologous collagen led us to the hypothesis that it is possible to prevent the peritoneal adhesions in the rat by interposition of the collagen after peritoneal surgery. METHODS:In this stud...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1998-11-01 00:00:00
abstract：:Authors describe a rare case of malignant schwannoma of the omentum. The diagnosis of schwannomas is often late because of the absence of early clinical signs. Clinical, diagnostic and histopathological considerations of these neoplasias are described in this work. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:Boerhaave's syndrome or postemetic rupture of the esophagus, carries a high morbidity and mortality. The authors report a delayed Boerhaave's syndrome diagnosis (3 days), successfully treated by right thoracoscopic debridement in prone position. Thanks to gravity the cardiopulmonary bloc drops back and the access to t...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2008-06-01 00:00:00
abstract：:The finding of Merkel cell carcinoma is a rare but important event owing to the highly aggressive nature of this neoplasm. The authors report three cases of Merkel cell carcinoma with different onsets which were representative of the possible range of clinical symptoms and the prognosis of this pathology. In two cases...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1999-03-01 00:00:00
abstract：:Among the other complications of enterostomy, prolapse deserves particular mention on account of the therapeutic problems involved in its correction. Based on a report of the authors' personal experience, the paper focuses on the mechanisms of onset and, above all, on the most appropriate forms of treatment, before co...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1990-05-15 00:00:00
abstract：:The authors report a case of granular cell tumor of the breast arising in a 38-year old man. Preoperative diagnosis was of breast carcinoma. However, frozen sections showed the benign nature of the tumour. It is important to identify this lesion as, in spite of a clinical and mammographic similarity with carcinoma, it...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1995-07-01 00:00:00
abstract：BACKGROUND:The emergency surgical treatment of inflammatory chronic bowel diseases is closely related to the classification of patients according to their symptoms and clinical conditions, as well as possible surgical options. In our study, an actual set of criteria is proposed for the classification of the degree of s...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：BACKGROUND:We investigated the application value of nanocarbon lymphatic tracer in thoraco-laparoscopic esophagectomy. METHODS:A total of 80 patients were enrolled and randomly divided into the experimental group (N.=40) and the control group (N.=40). Patients in the experimental group were injected with nanocarbon su...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.17.07298-4
更新日期：2017-12-01 00:00:00
abstract：:The authors present a case of neonatal intestinal duplication. Etiopathogenic view and the diagnostic and therapeutic problems are discussed. Echotomographic examination can provide useful diagnostic input, as in this case, even at a prenatal stage. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-06-15 00:00:00
abstract：:A particular cell-mediated immune response is tested in this work: the leukocyte adherence inhibition (L.A.I.) in the presence of organ tumor antigens. Forty-two patients suspected of having pancreatic cancer were submitted to the L.A.I. test and Ca 19.9 and TPA determination. The diagnosis of pancreatic cancer was ev...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-08-31 00:00:00
abstract：:Among 94 cases of pulmonary metastases treated by the exeresis of one or more nodules, 28 cases produced metastasis located in the lung only. Radical metastasectomy was performed on 250. Analysis of survival, also assessed in relation to every prognostic factor reveals the efficacy of surgical therapy even in iterativ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-09-30 00:00:00
abstract：BACKGROUND:The authors evaluate effectiveness, safety and cosmetic results obtained using the new skin closing system Medizip. METHODS:At the Thoracic Surgery Department of the National Cancer Institute (Milan) between June 1999 and March 2001, in 30 patients who underwent median sternotomy for bilateral pulmonary wed...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-02-01 00:00:00
abstract：:Nine years experience of anorectal surgery for Crohn-related lesion have been analysed. The series regards only 14 cases with pathology including ragade, abscesses and anocutaneous and retrovaginal fistulas. Treatment was as conservative as possible except for cases in which fistulizations led to sepsis as a result of...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-06-30 00:00:00
abstract：AIM:The aim of this study was to assess retrospectively at 5 years the clinical outcome of bone regeneration in patients who underwent maxillary sinus lift with different equine-derived, enzyme-deantigenated equine bone grafts, and simultaneous placement of acid-etched surface implants. METHODS:Eighteen patients (10 m...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2008-04-01 00:00:00
abstract：:On the basis of a case of thyroid primary lymphoma observed and in the light of the literature. The distinctive features of this rare pathology are discussed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1989-03-31 00:00:00
abstract：:Colonsphinctorometrography (CSMG) is a new, original method for the simultaneous investigation of the motility of the descending colon, sigmoid colon, rectosigmoid junction, rectum, and internal and external anal sphincters. A 60 cm open-ended tip sound with an external diameter of 10 mm is used. Three 3 cm long stimu...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-03-15 00:00:00
abstract：:After a review of the literature on the subject, all IIIrd and IVth age patients admitted for acute abdomen to the Department of Surgical Pathology I of the University of Pavia between 1-1-1974 and 31-12-1988 were studied. The various pathologies encountered in acute abdomen are considered on the basis of the results ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-02-01 00:00:00
abstract：:Between April 1992 and May 1994, 45 patients with recurrent spontaneous pneumothorax underwent videoassisted thoracoscopy (group I). The mean chest tube duration, the length of hospital stay, the use of parenteral narcotics, the complications and the follow-up were analyzed and compared to the same data of a group of ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：AIM:The aim of this paper was to investigate the effect of non-surgical internal intestinal splinting using an ileus tube under X-ray guidance. METHODS:Sixteen patients with recurrent postoperative adhesive small bowel obstruction (SBO) received internal splinting using intubation of a 300 cm long ileus tube. Under X-...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2015-10-01 00:00:00
abstract：:Emergency surgery is required for performed colonic diverticulitis. Surgical indications are not uniform in literature. In the experience of the authors the operations have been performed in the case of peritonitis subsequent to the perforation or in the case of failure of the conservative treatment. Twenty-four patie...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：BACKGROUND:The aim of this study was to determine the efficacy and safety of biliary-intestinal bypass in severely obese subjects (Body Mass Index > 35). METHODS:From January to December 1999, 23 patients (8 men and 15 women, mean age 36.6 years: range 20-51) affected with primary morbid obesity (BMI >40: range 40.1-6...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-08-01 00:00:00
abstract：:Combined esophago-gastric pH measurements has been recently employed to better define gastroesophageal reflux and to simultaneously evaluate esophageal and gastric acidity. We studied 21 patients with esophagitis and 11 controls. Gastric acidity was rather similar in the two groups. A significant difference (p less th...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-04-15 00:00:00
abstract：BACKGROUND:Since the 1980's, thanks to the introduction of new techniques and methods for the study of thyroid function, new light has been shed on certain aspects of thyroid disease that constitute the basis for surgical therapy. Multinodular goiter is a disorder affecting the entire gland, even when alterations mostl...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-06-01 00:00:00
abstract：:The early detection of breast cancer is of primary importance, as one method which many reduce the unacceptably high mortality rate associated with this disease. In fact, it is well stated that the most concrete possibility of therapeutic success in the treatment of breast cancer is represented by early treatment, whi...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：:The authors report their personal experience of the "excision and primary suture" operating technique in the surgical treatment of pilonidal sinus. A rapid recovery by postoperative day 10 was achieved in 58 out of 60 cases treated (96.7%). Dehiscence of the surgical wound was observed in 2 cases (3.3%) following isch...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1995-09-01 00:00:00
abstract：AIM:Anorectal dysfunction is routinely treated at the Center for Pelvic Floor Rehabilitation, San Giovanni University Hospital, Turin, Italy. Of a total of 147 patients treated between April 2007 and May 2008, 44 (30%) received pelvic floor rehabilitation following anorectal surgery. With this study we wanted to evalua...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2009-04-01 00:00:00
abstract：:The extreme variations with which atherosclerotic disease presents as regards progression index, arterial bed localization frequency, malignity and invasiveness in different ages and often as regards different anatomopathological aspects characterizing the formation and course of the primary lesion, mean that there ar...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-04-15 00:00:00
abstract：:The authors report a number of cases of hemorrhoid disease and describe the therapeutic iter followed with particular reference to the surgical approach used. After a description of the physiopathological aspects linked to the disease, bearing in mind the use of electromanometry and electromyography in diagnosis, the ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2000-04-01 00:00:00
abstract：BACKGROUND:The incidence of perforative diverticulitis of the left colon is steadily increasing. Today the decision is generally taken to perform two-stage surgery: segmentary resection without (Hartmann's operation) or with anastomosis, but protected by a colostomy ("limited intervention"). This study aimed to examine...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-12-01 00:00:00
