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 mostly or exclusively involve a single lobe. The functional deficit resulting from partial or subtotal resection has a hypertophic/hyperplastic effect on the remaining parenchyma. Partial resections often lead to postoperative hypothyroidism, usually of a subclinical nature, which implies difficult management by means of replacement therapy. METHODS:The authors report a series of 58 patients who underwent partial thyroidectomy to treat benign thyroid disease at the 2nd Surgical Department of the University of Florence during the period 1975-1985. RESULTS:Of these patients, operated on more than 15 years ago, 36.2% - the majority of whom (87.5%) have constantly been on substitutive therapy using L-thyroxin - currently shows no alteration of the remaining parenchyma. Conversely, in 60.3% of the patients there was evidence of nodular/pseudonodular alterations; in this group, only 40% of the patients were on substitutive therapy. There seems to be no doubt that, with few exceptions, disease involving an apparently circumscribed area of the thyroid in reality affects the entire parenchyma. CONCLUSIONS:Total thyroidectomy, therefore, represents the most appropriate treatment for multinodular goiter, even when the disease is limited to one lobe, thereby providing a cure for the disease and at the same time a state of euthyroidism easily achieved with the proper therapy.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Basili G,Biagini C,Manetti A,Martini F,Biliotti Gkeywords:
subject
Has Abstractpub_date
2003-06-01 00:00:00pages
321-9issue
3eissn
0026-4733issn
1827-1626journal_volume
58pub_type
杂志文章abstract：:Thymoma is the most common primary neoplasm of the tymus. The majority of thymomas are encapsulated masses and exhibit benign behavior. Less frequently they may be invasive, or rarely they may metastasize to distant sites. The usual clinical presentation is that of an anterior mediastinal mass found accidentally in an...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：BACKGROUND:The authors describe the advantages and disadvantages of plastic surgery performed in a day-care public hospital unit. METHODS:A retrospective study was made of the day-surgery activities over 16 months (1998-1999) as part of a centralized system. Data were compared to day-surgery activities undertaken in 1...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
abstract：AIM:Facial blushing represents the peculiar symptom in social phobia and is defined as the ''hallmark of embarrassment''. At present, endoscopic thoracic sympathectomy (ETS) is the technique only able to guarantee long-term results in the treatment of sympathetic disorders. The aim of our study was to evaluate results,...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-10-01 00:00:00
abstract：:On the basis of the anatomophysiological assumption that the abdominal oesophagus is kept in its seat by the meso-oesophagus and that the complex functional role of the gastro-oesophageal junction is conditioned essentially by the inferior oesophageal sphincter under the influence of intra-abdominal and endogastric pr...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-05-15 00:00:00
abstract：:40 patients with an endoscopic diagnosis of bleeding gastric or duodenal lesions have been examined in a double blind study. The haemorrhages were subdivided into slight and serious on the basis of objective parameters. Cimetidine (1.2 g/die i.v.) or placebo in a preparation indistinguishable from the drug were admini...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1981-10-15 00:00:00
abstract：:Renal oncocytoma is an uncommon benign neoplasm of tubular epithelial origin. It usually occurs as single mass and clinically may be confused with renal cell carcinoma. Angiographic, CT and ultrasound studies may suggest the diagnosis but they are not pathognomonic. The clinical, diagnostic and anatomopathological fea...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-05-31 00:00:00
abstract：AIM:This prospective study was done to evaluate the efficacy of commercial fibrin glue application in the healing of patients with fistulas-in-ano from a short follow up period (one year). METHODS:This randomized clinical trial of 26 patients was performed during the period from January 2012 to July 2012. Nineteen men...
journal_title：Minerva chirurgica
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2014-08-01 00:00:00
abstract：:Self-transfusion represents a clinical method used for the restoration of haematic losses that, in recent years has been employed more and more widely in the surgical ambit. The utilisation of this method has become increasingly frequent because of the high diffusion of haemotransmitted diseases, and of the incidences...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:Preoperative lymphangiography was performed in 25 cases of rectosigmoid neoplasia. Comparison between the angiographic picture and the anatomopathological findings permitted statistical assessment of the incidence of lymph node metastasis in this form, and substantiated the reliability and significance of this examina...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-01-15 00:00:00
abstract：AIM:The aim of this study was to make a contribution to improve the care of patients with colorectal cancer by optimizing times and methods of the follow-up; particular attention is given to factors which may be important for the prognosis and for the quality of life in the immediate postoperative period. METHODS:The ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-06-01 00:00:00
abstract：:The Authors report a case of benign mucocele which was brought to their attention for emergency treatment. Following a review of the literature, they examine the clinical, anatomopathological, pathogenetic and therapeutic problems related to this rare disease. In conclusion, it is important to assess the benign nature...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-10-31 00:00:00
abstract：:The authors make a wide-ranging review of the literature, examine the epidemiological aspect of fail chest and underline the importance of its correct anatomopathological classification for a more qualified physiopathologist, diagnostic and therapeutic approach. They make a historical excursion on volet's treatment an...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1994-03-01 00:00:00
abstract：:In the pulmonary emphysema a serious respiratory inadequacy can result from the impossibility of the thoracic cage and of the diaphragm to expand beyond a maximum limit, before that a significnat part of pulmonary parenchyma has been destroyed by the pathogenic process. The resection of part of the lung, selectively i...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1998-04-01 00:00:00
abstract：:Three cases of diverticulum of the IV duodenal portion are presented. The Authors, after having summarized the general features of the duodenal diverticula, remembered the rareness of the ones of its fourth portion, describe the clinical cases and conclude synthetizing the main indications to this type of surgery: com...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-09-15 00:00:00
abstract：:A typical case of spontaneous rupture of the oesophagus (Boerhaave's syndrome) successfully operated at the Surgery Division of the Lodi Greater Hospital is presented. An account of the aetiopathogenetic, anatomopathological and clinical problems involved is followed by an examination of the possibilities of diagnosis...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-10-15 00:00:00
abstract：:The authors report in a retrospective study their experience in the treatment of anal fistulas suggesting the total exercises of the fistula with primary closure of external and internal anal sphincters and rectal mucosa. In our department of surgery between 1987 and 1993, 36 patients (22 males and 14 females) with an...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-04-01 00:00:00
abstract：:The serum of rats immunized by MCA sarcoma graft may cause marked degranulation of the mast cells of syngeneic rats sensitized by a homogenate of cancer cells. The serum of immune rats has also caused more limited degranulation in syngeneic rats that have not been previously sensitized. This phenomenon would appear to...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-10-15 00:00:00
abstract：AIM:The aims of this study were to evaluate the performance and effectiveness of an antibedsore overlay in 3D structure of new conception towards an overlay of common use. Evaluation parameters: wound area reduction, healing, safety and comfort. METHODS:Open randomized multicenter study comparing the two overlays for ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,多中心研究,随机对照试验
doi：
更新日期：2013-02-01 00:00:00
abstract：:The paper reports a case of splenic rupture during the course of chronic pancreatitis, an event rarely reported in the literature. The anatomical arrangement of organs and peripancreatic vessels is a predisposing factor for this complication. There are essentially three different but correlated pathogenetic hypotheses...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1994-01-01 00:00:00
abstract：:The authors describe their experience of the aneurysm popliteal artery. They analyze the symptomatology, the diagnostic way and the therapy of such disease. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-09-01 00:00:00
abstract：INTRODUCTION:Over recent years, minimally invasive hepatic resections have increasingly been reported in the literature. Even though hepatic surgery is still considered a challenge for surgeons due to its technical difficulties and high morbidity, the development and spread of robotic surgery has highlighted a new inte...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2016-12-01 00:00:00
abstract：:Gastro-intestinal tuberculosis (TB) continues to give rise to diagnostic and therapeutic challenges. Its increasing incidence and multiple and non-specificity of symptoms and signs require special attention to establish a prompt diagnosis and not to delay treatment. The authors describe on case of colonic TB presentin...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-10-01 00:00:00
abstract：:Ductal carcinoma in situ (DCIS) has been the subject of much controversy since the advent of population based breast screening programs. An increasing number of asymptomatic women are being diagnosed with this condition and there is uncertainty over the best treatment algorithm for this condition if treatment is to be...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：10.23736/S0026-4733.18.07729-5
更新日期：2018-06-01 00:00:00
abstract：:Anal squamous dysplasia is recognized as a spectrum of disease that ranges from low-grade intraepithelial lesions (LSIL) to high-grade squamous intraepithelial lesions (HSIL) to invasive anal squamous cell carcinoma (SCC). Recent reports have shown a significant increase in both the incidence and prevalence of both HS...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2008-10-01 00:00:00
abstract：:The surgical approach to acute cholecystitis has changed through the years. It was extended to all ages. The authors report their 10-year experience with 562 cases of cholecystitis. The mortality rate was 1.5% the morbidity rate was 7.6% The authors propose early surgery (within 72 hours of diagnosis) in the majority ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-06-01 00:00:00
abstract：:The management of patients with cervical injuries is highly controversial. Some authorities advocate mandatory exploration for all such injuries, while others advocate selective exploration. This paper will objectively review the evidence supporting each approach. The non-operative approach may be pursued through a va...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2004-12-01 00:00:00
abstract：:The paper describes a case of traumatic hernia of the diaphragm, complicated by mixed gastric volvulus, with a rapid onset and severe clinical symptoms. The etiopathogenesis, diagnosis and therapeutic methods inherent in this rare affliction are discussed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-11-15 00:00:00
abstract：:Infected vascular grafts are associated with very high rates of limb loss and mortality. "Classic" treatment has invariably included graft excision. Recent reports have suggested that a more conservative approach may be indicated in selected cases, leaving the graft in place and using an aggressive local treatment ass...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1994-05-01 00:00:00
abstract：BACKGROUND:Personal preliminary experience with Minimally Invasive Repair of Pectus Excavatum (MIRPE), "Nuss" procedure, using VATS is reported. METHODS:From January 2001 to February 2002, MIRPE has been performed on 5 patients (age range 13-18 y; mean 14.8 y). Under general anesthesia, a curved steel bar is inserted ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2004-02-01 00:00:00
abstract：:Papillomatosis of the biliary tract is characterised by multicentric papillary lesions of intra and extrahepatic biliary epithelium. It's a rare benign neoplasm of the biliary tract that causes obstructive jaundice with a high rate of malignant transformation. We described a case of papillomatosis of the biliary tract...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-10-01 00:00:00
