Abstract:
:Continuing researches on the monitoring of acute phase proteins (A.P.P.) as markers of septic risk in the surgery patient, a series of 50 patients suffering from pathological processes classifiable as follows has been examined: 1) acute biliary pancreatitis 18 cases; 2) acute hepatobiliary pathology without pancreatic impairment 26 cases; 3) burn 2 cases; 4) particularly serious sepsis in immunodepressed subjects 4 cases. The constant finding of increased values of PCR, fibrin, cerul, alpha 1-Trip in the surgery patient at septic risk and their normalisation after treatment is, in single cases, particularly significant and perfectly consistent with the clinical entity of the infectious process. In immunodepressed surgery patients showing deficiency in nitrogen balance and suffering from endotoxin shock a marked, persistent decrease in alpha 2-Macro, Tranfs, Albu and Prealbu parameters was noted. The reduction in these four A.P.P. can, in the Authors' experience, be considered a diagnostic indicator of sepsis of extreme gravity and an unfavourable prognosis finding regarding the course of the disease process.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Podestà A,Scotto G,De Mattei GF,De Nisi A,Sommariva S,Saggese MPsubject
Has Abstractpub_date
1990-04-15 00:00:00pages
489-97issue
7eissn
0026-4733issn
1827-1626journal_volume
45pub_type
杂志文章abstract:AIM:It is generally impossible to make a distinction between benign and malign with a cytopathological examination using a fine needle aspiration biopsy (FNAB) in follicular lesions of the thyroid gland. This is the reason why lesions are frequently reported as follicular neoplasia (FN). Our study aims to examine the p...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::Two cases of Mirizzi's syndrome are reported. The syndrome consists of: external compression of the common bile duct due to a benign lesion (Type I)--presence of a cholecystobiliary fistula with impacted stones and partial or total obstruction of the hepatic duct (Type II). Clinical signs are non-specific and suggest ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
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:
更新日期:1992-05-15 00:00:00
abstract:AIM:Aim of the study was to demonstrate the effectiveness, in the management of recalcitrant wounds, of a hyperoxidized oil-based gel with film-forming and protective functions. METHODS:The study involved 50 patients with recalcitrant not infected and/or necrotic chronic ulcers. All patients had 0.7 minimum ABPI value...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2015-02-01 00:00:00
abstract::A new system has been developed for transanal endoscopic microsurgery (TEM), which allows all the conventional surgical techniques within the rectal cavity. The main indication is the removal of sessile adenomas. "Early rectal carcinomas" are also suitable for local excision. We perform local excision of advanced canc...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-06-30 00:00:00
abstract:BACKGROUND:In gastric cancer surgery, to search for a technique to remove the entire posterior mesogastric region using a standardised operation using well defined methods and anatomic-embryological planes. METHODS:A concise description of the embryological evolution of the posterior mesogastrium allow the formation o...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-10-01 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::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::Mucinous cystadenocarcinoma of the cecal appendix is a very rare malignant neoplasia. The majority of these tumours are discovered during surgery performed for other pathologies or as a chance finding in the histological analysis of surgically removed inflamed appendix. There is no characteristic symptomatology of thi...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
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:
更新日期:1993-05-31 00:00:00
abstract:AIM:The main purpose of the trial was to evaluate the opinions expressed by a sample of subjects with permanent colostomy, as a result of the use of a new device designed for the execution of transtomal intestinal irrigation; their feedback was analyzed in relation to the concept of Quality of Life. METHODS:The device...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:2015-10-01 00:00:00
abstract::The incidence of thyroid cancer has increased dramatically, yet the mortality has remained unchanged. There remain many challenges and "difficult problems" in diagnosing and treating patients with differentiated thyroid cancer (DTC). A significant percentage of patients with DTC will present with a thyroid nodule and ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2010-02-01 00:00:00
abstract::The Authors analyse 121 cases of patients affected by abdominal malignant tumors, who underwent a palliative operation. Although the number of the examinated cases is small, it appears clear that the longest survival requires, when possible, the removal of most of the malignant tissue. This seems to be in accordance w...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1979-02-15 00:00:00
abstract::The authors analyzed the data obtained from their experiences in extensive head and neck resections, and, reconstructive treatments using myocutaneous and conventional flaps. They tried to evaluate comparatively the reconstructive approach, in terms of morbidity and functional results. The 145 cases of advanced had an...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-03-01 00:00:00
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:
更新日期:2002-02-01 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::The key concepts regarding nutrition of elderly patients prior to surgery are outlined. The main metabolic changes that occur during surgical stress, paying special attention to the characteristics of elderly patients, are described. Lastly, the caloric-energy intake required by postoperative geriatric patients is eva...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1999-01-01 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 review of surgical treatment for cancer of the colon and rectum has shown that 5 of 87 patients were younger than 30 years old. The symptoms were abdominal pain and anemia and were present about 2 years before the hospital admission. The survival after the surgical treatment was, for all patients, 11 months. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-09-30 00:00:00
abstract::Following the exclusion of the ventilation of a lung, perfusion is arrested as a consequence of the Von Euler and Liljestrand vasoconstrictive reflex. However it is as yet unknown how long this phenomenon takes to manifest itself in human beings. In order to verify whether hypoxic pulmonary vasoconstriction follows im...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-06-15 00:00:00
abstract::Examination of the rectum by pathologists is instrumental in the management of patients affected by rectal carcinoma. That role includes evaluation of multiple gross and microscopic features that convey prognostic implications. The analysis is based on the authors' experience handling rectal specimens along with revie...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:10.23736/S0026-4733.18.07739-8
更新日期:2018-12-01 00:00:00
abstract::After an introduction on the various aetiological factors involved in toxic megacolon, its onset, medical treatment and indications to surgery, the paper describes personal experience with seven cases. The report highlights the importance of medical treatment which is recommended as the appropriate initial therapeutic...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::This paper presents guidelines for the safe outpatient practice of aesthetic surgery. These guidelines have been prepared by the Lombard Association of Plastic Surgery for Outpatients (ALChiPlA), an association confined to board certified plastic surgeons and holders of official authorizations issued by the Lombard AS...
journal_title:Minerva chirurgica
pub_type: 杂志文章,实务指引
doi:
更新日期:2010-04-01 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::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: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:
更新日期:2002-08-01 00:00:00
abstract::Mechanistic reasoning suggests that since antireflux surgery treats the gastroesophageal reflux that is the major known risk factor for Barrett's esophagus, it should have a beneficial effect on the biology of Barrett's disease. Due to a lack of adequate data, whether this is the case remains uncertain. Most studies, ...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2011-02-01 00:00:00
abstract::Meckel's diverticulum occurs in approximately 2 percent of the population and may present at any age. Although Meckel's diverticulum may produce an intestinal obstruction or perforation, simulating an appendicitis, hemorrhage is its most important clinical presentation. From 1989 to 1994, Meckel's diverticulum was dis...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:The conservative surgery is considered currently the treatment of choice for the carcinoma of the breast in the initial stage. METHODS:From 1993 to the 2000, 46 patients (median age 52 years) affected by intraductal carcinoma of the breast, have been submitted to surgical intervention. In 10 cases (21,7%) a...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2003-08-01 00:00:00
abstract::Myocardial revascularization among patients with porcelain aorta is a real dilemma regarding bypass technique, choice of conduit and site of proximal anastomosis. The experience reported here is about two cases of patients (aged 28 and 73 years) with porcelain aorta. Both patients had successful myocardial revasculari...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2007-12-01 00:00:00