[Mechanical and antibiotic preparation and infections in colorectal surgery. Comparison of 2 methods of orthograde lavage].

Abstract:

:The efficacy of two methods of orthograde lavage preparation in elective colorectal surgery was tested in 133 consecutive patients: the results obtained with whole gut irrigation (50 patients, group A) were compared with the results of oral lavage solution (83 patients, group B). All patients received a parenteral association of antibodies (clindamycin in combination with a broad spectrum antibiotic, mainly II or III generation cephalosporins). Bacterial cultures were carried out at the end of the lavage in the rectal effluent (no statistically significant differences between the two groups) and in the intraoperative aspirate from the colon (the bacterial concentration was higher in group B). The total number of infections was 12 (9%), with 6 (12%) in group A and 6 (7.2%) in group B. The infectious complications involved perineal wound in 9 cases (in 2 patients in combination with abdominal wound infection), abdominal drainage in 2 and abdominal wound in 1. The type of broad spectrum antibiotic did not affect the infection rate significantly. Perioperative and infection site bacteriological cultures grew the same type of organism only in one case. The surgeons' judgement of the adequacy of the cleansing favored whole gut irrigation, although the results of the study revealed that both methods were safe and provided equally adequate bowel cleansing.

journal_name

Minerva Chir

journal_title

Minerva chirurgica

authors

Scintu F,Deriu IP,Canu L,Casula G

keywords:

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

1287-92

issue

15-16

eissn

0026-4733

issn

1827-1626

journal_volume

47

pub_type

杂志文章
  • [CT pulmonary density mapping: surgical utility].

    abstract:BACKGROUND:The present paper considers the technique of CT scan maps of pulmonary isodensity, examining lung density differences as a function of the type of disease and considering their significance for the purposes of refined, useful diagnosis in a surgical context. METHODS. The method is used to examine 3 groups of...

    journal_title:Minerva chirurgica

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    doi:

    authors: Gavezzoli D,Caputo P,Manelli A,Zuccon W,Faccini M,Bonandrini L

    更新日期:2002-04-01 00:00:00

  • [Fistulectomy with closure by first intention in the treatment of perianal fistulae].

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    journal_title:Minerva chirurgica

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    doi:

    authors: Toccaceli S,Minervini S,Salvio A,Zarba Meli E,Mazzocchi P,Lepiane P,Altorio F,Basoli A,Speranza V

    更新日期:1997-04-01 00:00:00

  • Navigated open, laparoscopic, and percutaneous liver surgery.

    abstract::Resection and thermal ablation procedures are frequently used for the treatment of primary and secondary liver tumors. Various tools for the virtual planning of liver resections and ablation are available and some of them are already used clinically. Resection planes and ablation volumes can be optimized for sufficien...

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    pub_type: 杂志文章

    doi:

    authors: Bale R,Widmann G,Jaschke W

    更新日期:2011-10-01 00:00:00

  • External hemorrhoidal thrombosis in the elderly patients: conservative and surgical management.

    abstract:BACKGROUND:External hemorrhoidal thrombosis is a common disease with an acute anal pain as the major symptom. It is astonishing the lack of studies which investigates the most effective treatment and there are not guidelines. Furthermore, nobody has ever evaluated this peculiar condition in an elderly population. METH...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:10.23736/S0026-4733.18.07724-6

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    更新日期:2020-04-01 00:00:00

  • Carcinoid of the vermiform appendix. Description of three clinical cases and review of the literature.

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    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Candela G,Varriale S,Di Libero L,Giordano M,Maschio A,Manetta F,Borrelli V,Nunziata A,Santini L

    更新日期:2006-06-01 00:00:00

  • [Large retroperitoneal hemangiopericytoma. Presentation of a clinical case].

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    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Clerici D,Colombo E,Griffa B,Basilico V,Maternini F,Grecchi F

    更新日期:1993-06-30 00:00:00

  • [Cholecystolithotomy with cholecystojejunostomy as surgical solution for cholelithiasis in portal hypertension caused by hepatic cirrhosis].

    abstract::Cholecystolithotomy and cholecystojejunostomy has been carried out on 11 patients with severe hypertension from cirrhosis. The indications were frequently recurring attacks of biliary cholic or acute cholecystitis at onset. There was 1 postoperative death from cardiac infarction and only minor in-hospital morbidity. N...

    journal_title:Minerva chirurgica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Confalonieri F,Ballerini A,Santangelo A,Turra G

    更新日期:1995-03-01 00:00:00

  • [Duplication of the small intestine. A case diagnosed prenatally].

    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:

    authors: Saviano MS,Guarasci N,Simonazzi R

    更新日期:1991-06-15 00:00:00

  • Palliative care in advanced cancer.

    abstract::Palliative care represents a new field among clinical approaches to patients with advanced or terminal cancer. The modern concept of palliative care can be considered in several ways: 1) the relationship between palliative care and primary treatments of cancer (surgery, radiotherapy or chemotherapy); 2) the treatment ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Amadori D,Tassinari D,Maltoni M

    更新日期:2005-08-01 00:00:00

  • [Experiments with splenohepatoplasty in the rat].

    abstract::The physiopathological premises for various methods of hepatic revascularisation are described and results wiht splenohepatoplasty in 40 rats are presented. This operation involves insertion of the upper pole of decapsulated spleen in the left hepatic lobe to create a new parenchymal supply and regenerate the liver ce...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Colombo P,Fiaccadori C,Cavallero M,Dall'Acqua S

    更新日期:1975-09-30 00:00:00

  • [Laparocele. A late complication of bariatric surgery].

    abstract::In this paper the authors consider the problem of incisional hernias as late complications of bariatric surgery. After a description of relationships between obesity and incisional hernias they report their experience on this topic, consisting of 56 patients submitted to bilio-pancreatic diversion between March 1989 a...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Bajardi G,Ricevuto G,Mastrandrea G,Latteri M,Pischedda G,Rubino G,Valenti D,Florena M

    更新日期:1993-04-15 00:00:00

  • [Vagal paraganglioma].

    abstract::Vagal paragangliomas are rare tumors of neural crest origin. This neoplasm is generally located at various points along the peripheral distribution of the vagus nerve, in the region of the jugular and nodose ganglia, just beneath the perineurium of the nerve, but may arise anywhere along the course of the vagus nerve....

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Miani S,Boneschi M,Erba M,Giordanengo F

    更新日期:1993-12-01 00:00:00

  • [Mini-invasive treatment of pectus excavatum in adolescence. Initial experience].

    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:

    authors: Anile M,De Giacomo T,Venuta F,Angelo Rendina E,Andreetti C,Diso D,Coloni GF

    更新日期:2004-02-01 00:00:00

  • [Biliodigestive anastomosis: case series and technical notes].

    abstract:AIM:Biliodigestive anastomoses are widely used in the treatment of biliary obstruction. METHODS:A survey is presented of the personal case series treated during the last 5 years. Thirty biliodigestive anastomose have been performed both for neoplastic disease and for benign lesions. RESULTS:The biliodigestive anastom...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Meccariello R,Damiano I,Pelosio L,Rizzo GM,Ansalone M,D'Aniello F

    更新日期:2006-02-01 00:00:00

  • [An experimental study of the use of synthetic meshes in large abdominal eventrations].

    abstract:BACKGROUND:The aim of this study is to evaluate the biocompatibility of Angimesh mesh (polypropilene) in rats, usually used to replace or to strengthen the abdominal fasciae. METHODS:We made an abdominal longitudinal incision of skin and muscles in 20 rats was carried out and two muscular semilunae removed. The incisi...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Palmieri B,Gozzi G,Palmieri G,Marzona L

    更新日期:1999-07-01 00:00:00

  • [Askin's tumor in a young adult: a rare occurrence. Apropos one case observed].

    abstract::Askin's tumour is a rare malignant small cell neoplasia of the thoracic wall; it most often effects females during childhood and is characterised by limited survival. The authors report a recent case of Askin's tumour in a young adult male. The case was characterised by multiple recidivation but a long survival. The a...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Oliaro A,Filosso PL,Casadio C,Ruffini R,Pischedda F,Molinatti M,Porrello C,Platania G,Maggi G

    更新日期:1994-12-01 00:00:00

  • [Venous microanastomoses by fibrin glue versus standard technique].

    abstract:BACKGROUND:The goal of this study is to compare the usual surgical technique with the use of fibrin glue, which is faster to perform and has few histological alterations in the anastomosis. METHODS:We performed 70 microanastomoses on the internal jugular vein of the Sprague-Dawley rats, and we estimated: immediate and...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Pelayo Salas,Perez Ruiz L,Marco Estarreado L,Guidolin D,Del Carmen Garcés Guallart M

    更新日期:2002-08-01 00:00:00

  • [So-called spontaneous rupture of the esophagus or Boerhaave's syndrome].

    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:

    authors: Ciccone G,Zanoni V

    更新日期:1975-10-15 00:00:00

  • [A frequent complication of enterostomy: prolapse].

    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:

    authors: Barbuscia M,Gorgone S,Di Pietro N,Sampiero G,Labruto G,Trimboli C,Trovato M

    更新日期:1990-05-15 00:00:00

  • [Sigmoid volvulus].

    abstract::The authors report a retrospective study of four patients treated for sigmoid volvulus at the Clinica Chirurgica II of IRCCS Policlinico S. Matteo of Pavia between April 1974 and June 1989. They are collected from a series of 74 consecutive operations for colonic obstruction not related to hernias of the inguinal-crur...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Cabano F,Vezzulli I,Venegoni A,Resta E,De Medici A

    更新日期:1993-05-31 00:00:00

  • Procalcitonin as an early marker of postoperative infectious complications.

    abstract:BACKGROUND:Procalcitonin (PCT) is a new marker for severe infection that is supposed to have a useful role in the early detection of bacterial infection in the perioperative period. AIM OF THE STUDY:to test the hypothesis that PCT is useful as an early marker of postoperative infectious complications. METHODS:Thirty-...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Di Filippo A,Lombardi A,Ognibene A,Messeri G,Tonelli F

    更新日期:2002-02-01 00:00:00

  • [Importance of lymphangiography in the diagnosis of recto-sigmoid tumors].

    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:

    authors: Dominici C,Fracella G,De Leo S,Bacoccoli GF,Lupattelli L

    更新日期:1980-01-15 00:00:00

  • [Papillosphincteroplasty and wirsungsphincteroplasty. 10 years of experience].

    abstract::Authors personal experience during ten years in surgery Oddi's sphincter is reported. Indications and technique of papillosphincteroplasty and wirsungsphincteroplasty are described; results obtained in 504 surgical treatment of PSP (combined with WSP in 121 cases) are referred; failures and complications are described...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Gazzaniga GM,Pastorino G,Cogolo L

    更新日期:1981-10-15 00:00:00

  • [Unusual congenital diaphragmatic hernias. Report of 2 cases of aplasia of the phrenic center].

    abstract::Two cases of congenital diaphragmatic hernia affecting the central tendon are described. The anatomic, etiologic, pathogenic and clinic characteristics of this uncommon disease are then discussed. Finally some considerations about indications on how to operate on these congenital hernias and different repairing surgic...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Dei Poli M,De Simone M,Casalegno PA,Schieroni R

    更新日期:1981-06-15 00:00:00

  • [Mechanical entero-enteral anastomosis in surgery of the upper digestive tract].

    abstract::The authors analyse the results relating to the use of a technical variation of entero-enteroanastomosis preparation in the reconstruction of the continuity of upper digestive tract with a defunctionalised Roux en Y loop. This variation includes the use of a circular Proximate ILS mechanical stapler. The series examin...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Scandroglio I,Di Lernia S,Massazza C,Salatino G,Cocozza E,Pugliese R

    更新日期:1997-09-01 00:00:00

  • [Autotransfusion in vascular surgery].

    abstract::This report describes 51 vascular patients with peripheral vascular disease treated intraoperatively by means of the autotransfusion apparatus with a minimum of 750 cc of reinfused blood. An early decrease of Hct, Hb, RBC, fibrinogen and Plt count was observed without any significant coagulation disorder. ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Tola M,Portoghese A,Talloru M,Cocco G,De Giudici A,Brotzu G

    更新日期:1990-11-01 00:00:00

  • [Plication of the sapheno-femoral junction].

    abstract::Plication of the long saphena at the sapheno-femoral junction (SFJ) is an alternative to flush ligation and stripping. This technique abolishes reflux at the SFJ without altering the vein which may be used for arterial surgery or coronary grafting. The selection of the candidate for plication is done with ambulatory v...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Ricci A,Laurora G,Cesarone MR,Belcaro G

    更新日期:1991-10-31 00:00:00

  • The management of acute limb ischemia.

    abstract::Acute limb ischemia (ALI) is one of the most common vascular emergencies and characterized by sudden worsening of limb perfusion mainly caused by embolization of thrombotic masses or acute graft occlusion. It is a serious condition with potential thread to limb viability accompanied by significant mortality, morbidity...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Trummer G,Brehm K,Siepe M,Heilmann C,Schlensak C,Beyersdorf F

    更新日期:2010-06-01 00:00:00

  • [99mTc pertechnetate scintigraphy and premedication for the search for ectopic gastric mucosa in Meckel's diverticulum].

    abstract:BACKGROUND:Meckel's diverticulum (MD) is the most common anomaly of the large intestinal tract (1-3%) and is more frequent in children (62% < 2 years) and in males (66%). It often involves ectopic gastric mucosa which manifests through gastrointestinal bleeding in 50% of cases. 99m-Technetium scintigraphy (99mTcO4) is ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Rampin L,Donner D,Zucchetta P,Zuffante M,Faggin P,Bui F,Gregianin M

    更新日期:1998-11-01 00:00:00

  • [Loco-regional anesthesia in ambulatory surgery].

    abstract::Following a brief review of the various types of local anesthesia, including a recent method using EMLA cream, the paper focuses on the different complications which arise in relation to the technique used. Treatment protocols are also analysed in relation to the toxic stage. ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章,评审

    doi:

    authors: Giordano V,Milazzo A,Carpinteri A

    更新日期:1992-05-15 00:00:00