Abstract：
:The length of stay (LOS) is one of the major determinants of rising costs in surgical patient care. We studied the timing of the diagnostic procedures performed in 323 surgical patients admitted to 8 surgical departments of a large hospital. Of these: 50 underwent gastrectomy, 28 colectomy, 90 biliary tract (BT) operation, 94 appendectomy and 61 saphenectomy. The average total and preoperative LOS were respectively 27 and 11 days in the gastrectomy group, 26 and 10 in the colectomy group, 10 and 4 in the appendectomy group, 20 and 11 in the BT group, 12 and 6 in the saphenectomy group. The LOS was not affected by the presence of a benign or malignant lesion in gastrectomy and colectomy. In the appendectomy and BT groups, patients admitted from the emergency room had a significantly lower total LOS when compared to elective admissions (8 vs 12 and 9 vs 21 days respectively, p < 0.01). The multiple regression model showed that global and preoperative LOS were influenced by the number of instrumental exams (contrastographic, endoscopic, echographic).
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Allevi A,Cristina S,Rizzardi GP,Cucchiaro G,Osella A,Nicolosi A,Polli Ekeywords:
subject
Has Abstractpub_date
1992-10-15 00:00:00pages
1549-56issue
19eissn
0026-4733issn
1827-1626journal_volume
47pub_type
杂志文章abstract：:A clinical case of cloacogenic anal carcinoma is reported. These neoplasms, deriving from embryonal residuals at different levels of the ano-rectal junction, have a better prognosis than squamous carcinomas; the surgical alternative to abdomino-perineal resection is a simple local exeresis for small tumours that do no...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-10-15 00:00:00
abstract：:Advanced hepatocellular carcinoma remains an entity that is hard to approach therapeutically and has shown disappointing results in terms of survival. For many years, the only accepted option for this setting was the use of a multikinase inhibitor, sorafenib. Nevertheless, through the years, a deeper knowledge has ari...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2015-04-01 00:00:00
abstract：AIM:The aim of this article is to present a new method for treating spontaneous pneumothorax, the one window plus puncture method (1WP) in which a thin endoscope is used. METHODS:With the patient in the lateral position and under one-lung ventilation, a one-window working port was created on the ventral side. An intro...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2008-12-01 00:00:00
abstract：:Ward nurses have a central role in postoperative pain management. Pain medication is prescribed by anesthetists and surgeons, but it is ward nurses who spend more time with patients and have the responsibility for assessing patient's pain intensity, administering some prescribed analgesic treatments and monitoring the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2003-12-01 00:00:00
abstract：:The aetiology and clinical manifestations most commonly noted in pseudocysts of the pancreas are briefly described. Particular attention is given to the treatments of lesions operated under emergency conditions and the clinical aspects of pancreatic effusions sometimes encountered during the course of the disease. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-05-15 00:00:00
abstract：:Uniportal Video-Assisted Thoracic Surgery (uniportal VATS) lobectomy represents the last evolution of minimally invasive techniques for the surgical treatment of lung cancer. Uniportal VATS was developed from two-ports approach, with two main advantages: only one intercostal space is damaged and the direct view to the...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2016-02-01 00:00:00
abstract：:The aim of the paper is to give a contribution to the understanding of the role of surgery in patients with N3 lung cancer. The A. describe their results on 32 patients with N3 lung cancer operated on mediastinectomy; histological examination of the specimens showed 27 squamous cell carcinomas and 5 adenocarcinomas. T...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：:A case of distal volvulus of the stomach as a cause of acute intestinal obstruction in a paraesophageal hernia is presented. The patient, an old woman aged 82, had been suffering from abdominal pain and vomiting for about 48 hours. She successfully underwent emergency operation for the reduction of hernia and plasty o...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-10-31 00:00:00
abstract：:Twenty-six patients submitted to surgery using BAR in intestinal anastomosis have been studied. The results were compared with data of the literature concerning this device of anastomosis and about mechanical staplers and manual suture. The following data were taken into consideration: type of operation, type of anast...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-10-01 00:00:00
abstract：:Peritoneal dialysis (PD) catheter insertion can be accomplished by any 1 of 3 techniques. These include dissective or surgical, the blind or modified Seldinger, and laparoscopic techniques. The dissective technique solely utilized by surgeons, places the catheter by mini-laparotomy under general anesthesia. In the bli...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2005-10-01 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：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：:The link between blood viscosity, Ht and the onset of stroke is highlighted and reports in the literature are examined. On this basic, the paper proposes an experimental model of cerebral ischaemia in the rabbit as providing a better insight into this aspect which may be highly significant, particularly in the prevent...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-06-15 00:00:00
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：
更新日期：1981-10-15 00:00:00
abstract：:Breast cancer is the most frequent form of tumour in women. The only weapon at our disposal to reduce the mortality rate for breast cancer is early diagnosis. A number of studies have shown, using appropriate prevention programmes, an increasing number of minimum 20-30% lesions. The probability that a non-palpable les...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1997-05-01 00:00:00
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 ass...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-08-01 00:00:00
abstract：:Deep venous thrombosis is a quite frequent pathology with a high degree of morbidity and death-rate. Two are the main problems of this disease: the risk of pulmonary embolism and outcome of a post-thrombotic syndrome, leading patients to infirmity. The patients max exposed to the risk of deep venous thrombosis are the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-01-01 00:00:00
abstract：:The behaviour and distribution of "vasa recta" in the jejunum-ileal tract of the small intestine are described. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-07-15 00:00:00
abstract：BACKGROUND:Diastasis Recti Abdominis DRA is defined as an abnormally wide distance separates the two rectus muscles. Thinning and widening of the linea alba is an important risk factor for development midline hernia. In patient with DRA there is an increase rate of hernia recurrence. METHODS:We perform a retrospective...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.20.08404-7
更新日期：2020-08-06 00:00:00
abstract：:In Italy 250,000 subjects every year are affected by malignant tumors, causing 150,000 deaths/year. The global index (statistic prevalence) of oncological patients, either at first diagnosis, or restored to health or under treatment, aggregates 1 million and 500 thousand individuals. During his whole lifetime, every m...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2003-04-01 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：:Cholecystosis conditions include those diseases of the gallbladder whose aetiopathogenesis is to be sought in a hyperplasia of the tissues making up the cholecystic wall (hyperplastic forms) and in an overload of this wall on the part of organic substances or minerals such as lipides or calcium salts (thesaurismosic f...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-07-15 00:00:00
abstract：:The authors describe a case of pancreatic encephalopathy. This uncommon condition, rarely described in the literature, occurs with neuropsychiatric signs 3-4 days after the onset of acute pancreatitis. Diagnosis is due to clinical and biochemical findings and to post mortem examinations revealing also amylase in CSF. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1995-03-01 00:00:00
abstract：:The symptomatology and diagnostic procedure adopted in 11 cases of acute mesenteric infarction are examined. Stress is laid on the importance of early, aetiologically accurate diagnosis for the purpose of instituting profitable treatment. In order to comply with such needs it is essential to perform urgent selective a...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-07-31 00:00:00
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：
更新日期：1981-06-15 00:00:00
abstract：:The diaphragmatic hernia described by Morgagni in 1761 and by Larrey in 1829 is a rare diaphragmatic anomaly that may be considered nearly always congenital. It is called in so many ways, but the authors think that "anterior diaphragmatic hernia of Morgagni-Larrey" is the most correct name. Usually asymptomatic in the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：:The authors starting from two observed cases of gallstone ileus, describe of these, the pathogenesis, the diagnostic difficulty, and they express their opinion with regard to surgical treatment to execute, related to the data reported by the authors and from their own experience. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1996-01-01 00:00:00
abstract：:A case series of 5 male patients afflicted with breast carcinoma is reported. The Authors describe symptomatology, diagnostic iter, principles of surgical treatment and results. Underlined is the wider surgical demolition in male breast cancer in comparison with females, even if natural history and biological conduct ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-09-15 00:00:00
abstract：:We have analysed the results of surgical treatment for microcarcinoma of the thyroid (MCT). In sixteen patient clinical and follow-up data were retrospectively evaluated during a 35.1-month follow-up. Thyroid hyperfunctional state us was present in two subjects. A single nodule was detected by echotomography in 11 pat...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：:A 54 year-old man, without any remarkable medical history, was examined for recurrent episodes of colicky abdominal pain, over a period of nine months, with positive faecal occult blood test. Three months earlier he had undergone an extensive evaluation for a single episode of melaena, including upper gastrointestinal...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-12-01 00:00:00
