5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this exp" />
Abstract:
AIM:Postoperative air leaks and in particular persistent air leaks (>5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this experimental trial was to investigate the efficacy of the use of bovine pericardium strips (in terms of reduction of postoperative leakage and hospital stay) in "critical" patients (COPD, emphysema etc.) who underwent pulmonary resection. METHODS:From October 2010 to February 2011, eight patients (experimental group, Group A) were preoperative selected and underwent pulmonary resection with bovine pericardium strips (Peri-Strips Dry; Synovis ). The inclusion criteria of a "frail patient" were established by a dedicate pneumologist according with clinical and functional data (predicted postoperative FEV1 ranging from 35% and 80% of the theorical predicted value). For comparison, from January 2010 to September 2010, we retrospectively reviewed the data of 28 patients who satisfied the same inclusion criteria and underwent pulmonary resection with standard surgical procedures. This group of patients represents our control group (Group B). RESULTS:There were no significant differences between the two groups in age, gender, preoperative risk factors for developing a postoperative air leak, preop FEV1 and type of resection. No technical deficiencies in the use of bovine pericardium strips were observed in Group A. Postoperative leakage was significant different in the two groups being persistent air leak detected in 0% in Group A versus 17.8% of Group B (P=0.046). Consequently, chest tube duration (6.75±0.84 days [Group A] vs. 9.70±1.26 days (Group B), P=0.019) and hospital stay (10.13±0.83 days [Group A] vs. 12.95±1.37 days [Group B], P=0.013) were lower in the experimental group. CONCLUSION:Bovine pericardium strips are safe and easy-to-do technique to reduce postoperative air leaks after pulmonary resection in "critical" patients.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Lococo F,Cesario A,Margaritora S,Nachira D,Leuzzi G,Porziella V,Meacci E,Vita ML,Congedo MT,Granone Psubject
Has Abstractpub_date
2012-02-01 00:00:00pages
87-94issue
1eissn
0026-4733issn
1827-1626pii
R06125508journal_volume
67pub_type
临床试验,杂志文章abstract::Uremic patients in hemodialytic treatment have the same opportunity to be affected with hydatid disease as healthy people. However, because these patients usually have an immunodeficiency syndrome, it is always necessary to evaluate correctly the most common immune diagnostic procedures; furthermore the clinical appro...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::In a previous study, we have shown that caerulein relieves biliary colic pain in gallstone patients. This study was initiated to determine gallbladder and sphincter of Oddi behaviour during biliary colic and their response to caerulein. In 10 gallstone patients gallbladder volume was measured by real-time ultrasonogra...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract::Cystic pneumatosis (CP) is an uncommon but significant condition in adults in which gas is found in a linear or cystic form in the submucosa or the subserosa of the bowel wall. The diagnosis was made by conventional X-ray and confirmed by abdominal computed tomography. Benign pneumoperitoneum due to CP should be consi...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2003-06-01 00:00:00
abstract::Pancreatoblastoma is a very rare tumor of the pancreas, affecting children in the first decade of life. Ultrasound and CT scan may be useful but pre-operative diagnosis is often quite difficult. High level of seric alpha-fetoprotein could be suggestive of pancreatoblastoma. The definitive diagnosis is however made by ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:BACKGROUND:Personal experience about substernal goiter is reported. Stressing laid on the importance of definition: a goiter that is totally or in the most part below the superior thoracic outlet, with normal vascularization. METHODS: DESIGN:retrospective evaluation of patients observed in the last six years. SETTIN...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:The surgical procedure in the haemorrhoidal disease, performed in one day surgery, using a local anaesthesia (posterior perineal block), where suggested and possible, presents many advantages: for the patient whose stay in the hospital is shorter, for the hospital which is facilitated in the organization and...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::Pancreatic pseudocysts are a rare pathology in pancreas diseases. Their incidence has been increasing in recent years and the man-woman ratio is equal. The aetiopathogenetic mechanism is attributable to dilation of the pancreatic ducts with later formation of a cyst due to blocked flow. Symptomatology is bound up prev...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-04-30 00:00:00
abstract::A case of intestinal occlusion is reported caused by volvulus of Meckel's diverticulum. The etiological and clinical aspects are discussed together with their implications in terms of suitable surgical therapy. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-06-30 00:00:00
abstract::The authors report their experience in the treatment of perforated peptic ulcer. From August 1992 to December 1995 a total of 23 patients (14 cases of gastric ulcer and 9 cases of duodenal ulcer), mean age 67.5 years, underwent emergency surgery for perforated peptic ulcer. The operations performed included: simple ga...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
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:
更新日期:2006-02-01 00:00:00
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:
更新日期:1993-12-01 00:00:00
abstract::The paper reports the results of a follow-up of 25 patients who underwent gastric resection using Roux's technique, 15 patients undergoing reconstructive surgery according to Pean-Billroth and 15 who underwent Billroth II operations. Controls were performed more than 5 years after surgery and included endoscopic tests...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-06-30 00:00:00
abstract::A total of 148 patients underwent colon resection between June 1993 and November 1994 at the General Surgery Division of Busto Arsizio Hospital; anastomosis was performed using BAR Valtrac in 58 patients (39%), namely 28 males and 30 women with a mean age of 66.3 years. Surgery was elective in 90% of cases and in 84% ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::Between 1973 and 1975, the "early" operation was carried out in 15 patients suffering from acute haemorrhagic-necrotizing pancreatitis to eliminate necrotic parts. Partially necrotizing pancreatitis was identified in 10 patients: 7 survived. All patients with total pancreatic necrosis died. Surgery consisted of digita...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1976-07-15 00:00:00
abstract::The use of an external oblique muscle-cutaneous flap in the reconstruction of large chest wall defects after mastectomy is described. The flap is drown as a V-Y advancement-rotation flap, laterally based, on the ipsilateral abdominal wall. The flap extends from the posterior axillary line to the linea alba, vascular s...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract::Peritoneal carcinomatosis has always been regarded to have a poor prognosis. Surgery is usually limited to palliation of bowel obstruction by performing an intestinal bypass or ostomy. This severe disease has been considered as equal to distant metastasis and intravenous (i.v.) chemotherapy is commonly used in order t...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2005-06-01 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::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::Between 1973 and 1992 153 patients with Graves' disease were observed at the Surgery and Oncology Institute-Cagliari University. 103 underwent subtotal (70) or total (33) thyroidectomy, while 50(after 1985) were submitted to radioactive-iodine therapy. Surgical indications were failure of antithyroid drug therapy, sig...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1995-07-01 00:00:00
abstract::The plexosarcomas or gastrointestinal autonomic nerve tumors (GAN tumors) are very rare neoplasms originating from the gastrointestinal autonomic nervous system. They have been differentiated from the other gastrointestinal stromal tumors due to ultrastructural features showed by electronic microscopy. Their mesenteri...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract::Cholangiography carried out in laparoscopic surgery is a diagnostic exam considered by many authors to be very important for the anatomy and the research pre-existent pathologies of the biliary tree. Such are the effective advantages that many Schools suggest it be carried out any case as the risks, the costs and the ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
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:
更新日期:1999-07-01 00:00:00
abstract::Following a review of the literature, the paper reports a case of duodenal injury. This rare pathology most frequently affects the second half of the organ and may cause damage ranging from a simple hematoma to parietal laceration with peritonitis and/or retroperitonitis. Symptoms are often confusing and delayed, and ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-09-15 00:00:00
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:
更新日期:2010-06-01 00:00:00
abstract::Solitary fibrous tumors of the pleura represent a rare clinicopathological entity: 456 cases only have been reported since 1991. A interesting case of solitary fibrous tumor of the pleura is described here, because it turned up in a female patient followed up for a bilateral breast cancer and so with the exact determi...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1996-06-01 00:00:00
abstract::The clinical records and pathologic patterns of all the cases of primary small bowel malignancies, treated in the last 15 years, were reviewed. There were 12 patients: 8 men and 4 women ranged from 41 to 86 years old. Carcinoma was the most common (82%) followed by carcinoid and lymphoma (9%). The distribution of the ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-06-15 00:00:00
abstract::The extensive literature on the efficacy of chlorhexidine is reviewed. Personal experience with the substance in the daily and preoperative disinfection of the hands of medical and paramedical personnel in a surgical department, and the medication of surgical wounds, over a period of one year confirmed its low toxicit...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1977-10-31 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::A case of gastric leiomyoblastoma observed in a 76 year old woman, with details of its cytological and histological diagnosis, is reported. Cytologically, the tumour showed spindle-shaped cells, either single or arranged in clusters and bundles and constituted of epithelial-like cells with moderately irregular and hyp...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-04-30 00:00:00
abstract:BACKGROUND:There are several therapeutic proposals for idiopathic varicocele treatment, but all of them present a certain number of relapses. The technique proposed consists, through an inguinal approach, in a systematic ligation and section of all veins potentially responsible of a venous reflux. METHODS:During a per...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00