Abstract:
AIM:Despite improvement in the operative technique and graft and suture material, femoral anastomotic aneurysms (FAAs) represent a continuing problem for patients undergoing lower extremity revascularization. The present retrospective study investigates the clinical presentation, the infection as a cause of FAAs, the interval between the original operation and the development of FAAs. It also evaluates the mortality and amputation rate of patients with FAAs. METHODS:We reviewed the records of 124 patients (thrombendarterectomy in 9, femoro-femoral bypass in 3 and axillofemoral bypass in 1). RESULTS:There were 13 infected and 14 recurrent FAAs. The overall mean time elapsing between the initial operation and the development of FAAs was 56.9 months (range 1-219). This interval was 62 months for the noninfected FAAs, while it was only 8 months for the infected FAAs. The mean time interval in which a recurrence of FAAs occurred was 39 months. The most common type of repair was an interposition prosthetic graft from the proximal prosthesis to the profunda femoral artery (100 cases). In the postoperative period local complications occurred in 21 (15.4%) cases and systemic in 7 (5.1%). The postoperative mortality was 3.7%. The overall survival at 1 year was 91.3% (standard error: +/-2.5%) and at 2 years 85.4% (standard error: +/-3.3%). Kaplan-Meier analysis showed a cumulative limb salvage of 94.2%, 93.3 % and 89.2% after 6 months, 1 and 2 years, respectively. A significant relationship was demonstrated between amputation and the following parameters: infected FAAs (Log rank test: 26.1, P-value <0.001), diabetes (Log-rank test: 12.9, P-value <0.01), peripheral arterial occlusive disease (Log-rank test: 3.1, P-value =0.08), and prior limb amputation (Log-rank test: 9.9, P-value <0.01). The mean time to amputation for the infected FAAs was 49.6 months (95% CI: 24.3-74.8), while for the noninfected it was 98.8 months (95% CI: 93.4-104.2). CONCLUSIONS:Complicated FAAs are still responsible for significant morbidity and mortality. Elective treatment produce the maximum benefit.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Sigala F,Georgopoulos S,Sigalas K,Alevizacos P,Papalambros E,Bramis J,Tsigris C,Bastounis E,Hepp Wsubject
Has Abstractpub_date
2006-04-01 00:00:00pages
95-101issue
2eissn
0026-4733issn
1827-1626journal_volume
61pub_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:BACKGROUND:Delayed graft function is a common and severe complication after cadaveric kidney transplantation. Besides a more complicated postoperative course, DGF can worsen the overall graft survival. In particular, DGF enhances the nephrotoxicity of mainstream immunosuppressants cyclosporine and FK506. This study eva...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:Many reports emphasize the role of sub-lobar resections in the treatment of small peripheral lung cancer. The aim of this study was to investigate a range of prognostic factors, including the extension of resection, which may affect the prognosis in a homogeneous group of patients. METHODS:We retrospectivel...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2016-02-01 00:00:00
abstract::Two cases of cardiac wounds in association with acute anaemia and acute cardiac tamponade respectively are presented. The statistical and, more particularly, the diagnostic factors involved are discussed. Stress is laid on the measurement of CVP along with pericardiocentesis. Correct interpretation of the data furnish...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1978-11-15 00:00:00
abstract::Insulinoma is the most common endocrine tumor of the pancreas. It arises from the beta-islet cells of Langerhans. Insulinomas synthesize and secrete insulin autonomously in the presence of low blood glucose levels, causing spontaneous hypoglycemia and characteristic clinical symptoms. The authors examined data the fro...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
abstract::The authors report a case in which a PTFE prosthesis, used to treat a voluminous hiatal sliding hernia, dislocated inside the cardial lumen. Within two months the prosthesis had become decubitant and penetrated the cardial lumen, causing dysphagia, inappetence and weight loss. The use of radiological and tomographic i...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:There is an increasing preference for early laparoscopic cholecystectomy (ELC) as compared to delayed LC (DLC) in the management of acute cholecystitis (AC). Conversion to open cholecystectomy (LOC) remains an important outcome. We aim to compare ELC and DLC outcomes and identify LOC predictors. METHODS:Ret...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.17.07412-0
更新日期:2017-12-01 00:00:00
abstract:AIM:Electromagnetic navigation bronchoscopy (ENB) was reported to increase diagnostic yield in pulmonary nodules (PNs). The aim of this study was to assess if rapid on site evaluation (ROSE) associated with ENB could improve diagnostic accuracy in PNs after non-diagnostic fluoroscopy-guided bronchoscopy added to ROSE. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::The authors underline that, although rarely found, leiomyomas of the gastrointestinal tract are the most frequent benign tumours of the small intestine. On occasions, from being a simple autoptic finding or diagnosed during the course of explorative laparotomy, they may be responsible for emergency abdominal surgery, ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract::The early surgical reexploration to check the viability of intestinal loops in patients operated on for acute mesenteric ischaemia (the so called "second-look"), has contributed in improving the prognosis of this disease. However, since there are no certain predictive criteria for the progression of ischaemia, and not...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1997-05-01 00:00:00
abstract::Abdomen and pelvic radiation therapy, as a complement to medical and surgery therapy in malignancies, may determine acute and chronic intestinal injuries. The acute intestinal effects of ionizing radiation are the necrosis of crypt epithelial cells and the cessation of the intestinal epithelium; late radiation injury ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::Echotomography was used in the diagnosis of abdominal disease in children. The results obtained were compared with those given by conventional methods. The soundness of echotomography in the location and indication of the size and structure of lesions was demonstrated in a series of 20 cases. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1978-05-15 00:00:00
abstract::The results obtained in 10 patients suffering from complicated diverticulitis are reported, stress being laid on the seriousness of the pathology and proposing that emergency surgery be carried out. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-03-31 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::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::The authors evaluate the incidence of varicocele after having examined 18,800 healthy white men members of the Italian Army Corps born in 1966 and visited in 1985. They found a varicocele in 775 patients (4.12%), in 5 was present bilaterally, and in 770 in the left side. In 45 patients the surgical treatment was alrea...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1990-03-31 00:00:00
abstract::The authors present a clinical contribution on Paget's disease of the breast, concerning 194 cases of mammary carcinoma observed in the period 1988-1995. Treatment strategy is discussed, particularly regarding the cases without a palpable node or positive mammography that can be cured by conservative operations or, mo...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract::Twenty autotransplantations and five allotransplantations were performed in female pigs; exocrine secretion was suppressed by injecting an acrylic glue into the ductal system; pancreatic segment was transplanted extraperitoneally in the iliac fussa. We describe an original technique most suitable to the morfologic car...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-05-31 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:Neoadjuvant therapy is recommended for patients with borderline-resectable pancreatic cancer (BRPC). In this study, we compare survival outcomes of neoadjuvant therapy with upfront surgery. METHODS:From January 2011 to June 2016, 1415 patients underwent treatments for pancreatic cancer in Samsung Medical Ce...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.19.07958-6
更新日期:2020-02-01 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 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::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::We have reported two patients with unilateral adrenal hyperplasia as a rare cause of primary aldosteronism, and discussed the literature on this subject. When diagnosed by NMR-CT imaging and selective sampling from adrenal veins, the treatment of this disorder appears to be surgical. Whether its pathogenesis is relate...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 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:AIM:Patients undergoing excision for breast lumps prefer general anesthesia or local anesthesia plus sedation, because of the fear of pain for local anesthesia alone. The aim of this study is to show the efficacy of an eutectic mixture of local anesthetic lignocaine and prilocaine (EMLA®) in these patients. METHODS:Th...
journal_title:Minerva chirurgica
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2012-04-01 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::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
abstract::Solid pseudopapillary pancreatic tumour is an uncommon disease including 2.7% of exocrine malignancies of the pancreas. Its low incidence is associated with an uncertain prognosis and with difficult diagnostic and therapeutic problems, despite routine use of ultrasonography, TC and RMN. A case of solid pseudopapillary...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2003-12-01 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