Abstract：
:Posterior partial fundoplication can be as effective as total fundoplication in the long-term control of gastroesophageal reflux if the gastric fundus valve is encircled around the distal esophagus for no less than 270 degrees to obtain effective pressures in the newly built sphincter. In order to minimize the adverse effects, to reach constant results and to guarantee the reproducibility of the technique we have modified the 270 degrees posterior fundoplicatio (formerly described by Lind) according to the following principles: 1) the length of the gastric valve must be limited to 3 cm for each side of the esophagus; 2) the gastric valve must be fixed to the right and left side of the hiatal orifice by a single stitch; 3) the gastric valve must be calibrated with an intraoperative manometry, this allowing the standardization of the valve pressure to an average value of 35 mmHg by varying its wrapping angle; 4) the hiatal orifice must not be closed unless it is large enough for thoracic migration of the gastroplasty. Since 1984 to 1991 43 patients with proven gastroesophageal reflux not controlled by medical treatment were submitted to surgery. Twelve Nissen procedures (NP) and 31 posterior calibrated fundoplications (PCF) were performed; PCF seemed to be superior to NP in terms of postoperative mobility. After two years 20 patients treated with PCF were evaluated clinically, manometrically and by 24-hour pH monitoring. No dysphagia was reported; in two patients a pH-metric, asymptomatic relapse was observed, while one patient complained mild and occasional heartburn.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Mussa A,Sandrucci S,Giugno G,Roy Lsubject
Has Abstractpub_date
1995-01-01 00:00:00pages
51-7issue
1-2eissn
0026-4733issn
1827-1626journal_volume
50pub_type
临床试验,杂志文章,评审abstract：:The authors describe the application of Nissen-Rossetti fundoplication for the treatment of hiatus hernia using a laparoscopic approach. They report excellent results both immediately after surgery and in the medium term. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:Following a discussion of the various methods of colorectal anastomosis in cancer surgery, the Authors describe a technical variant using a mechanical stapler in a high rectal location. The rapidity of anastomosis as well as the decreased risk of dehiscence, fistula and stenosis are underlined. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-09-30 00:00:00
abstract：:The Authors examine retrospectively all the cases of obstruction of the small bowel operated at the surgical department of the Verbania Hospital in the last twenty years. The records of 341 cases, 1.4% of the total amount of the surgical operations carried out in the same space of time, were retrospectively reviewed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:The role of aminophylline in the re-formation of peritoneal adhesions was considered in 23 rats. Since the adhesions were obtained, the animals were subsequently divided into three groups, the first one containing seven units, the others containing eight animals each. During the four days prior the surgery, allopurino...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-03-15 00:00:00
abstract：:A case of spontaneous oesophageal rupture or Boerhaave syndrome is described. The absence of the typical initial vomiting together with a clinical picture that successively indicated repeated myocardial infarction, pancreatitis and pulmonary abscess delayed diagnosis by 4 days, after which emergency thoracotomy, perfo...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-01-01 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：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：:Biliodigestive fistulas are the most frequent internal biliary fistulas and occur when a calculus or neoplasia perforates the wall of the biliary tract of intestine at any point. Symptoms vary given that completely asymptomatic cases have been reported in which the findings of a biliodigestive fistula was completely c...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1997-04-01 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：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：: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：: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：:A comparative experimental study was conducted on three different suture techniques for end-to-end colonic anastomoses. The development of stenosis, perivisceral adhesions and resistance to endoluminal pressure were assessed. The results show that the one layer all-coat interrupted stitch anastomosis displays less res...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-04-15 00:00:00
abstract：:A case of primary leiomyosarcoma of the mesentery is described. Only seven other cases have been reported in the literature, which means that this was an accidental finding. The histological features of the case are illustrated. It is suggested that this tumour originates in the muscle cells of the mesenteric vessels....
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-09-15 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 authors discuss the efficacy of the lateral calcaneal artery flap in repairing the calcaneal and malleolar regions. The lateral calcaneal artery flap is a safe flap, with constant vascularization represented by the lateral calcaneal artery and the external saphenous vein; the flap has a sensory nerve (the sural ne...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-05-01 00:00:00
abstract：:Clinical, radiological and endoscopic results at follow-up about 1-5 yr after surgery in a series of 62 patients subjected to Billroth I resection are compared with those in the literature. Recurrence of ulcers was observed in 8% (as opposed to 5% with the Billroth II). In addition, there was a marked reduction in the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-07-15 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：:The jejunal free flap is a standard technique in the reconstruction of hypopharyngeal and cervical esophageal defects. Conventional harvesting of the jejunal segment is performed with midline open laparotomy, which is associated with complications including prolonged ileus, abdominal pain, wound infection or dehiscenc...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：:Cancer of the extrahepatic biliary tract is a rare disease related to a severe prognosis. The resection of the extrahepatic biliary tract is a complex procedure and the preoperative assessment of resectability is made difficult because of the malignancies. Biliary cancer resection can be curative in some patients but ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-01-01 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：:Microscopic examination of organs from outbred and inbred rats used in 5 groups for experiments in parabiosis with and without crossing of the digestive tubes and pseudoparabiosis showed that skin junctions soon became dehiscent, with boundary furrows tendings to separate the animals, in outbred rats, whereas continui...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-02-15 00:00:00
abstract：:The prevalence of obesity has increased three-fold in the past two decades. In Europe, 150.000.000 adults and 15.000.000 children are currently affected and obesity epidemic is responsible for approximately 1,000,000 deaths annually. Bariatric surgery for the severely obese has resulted in an overall of 61% weight red...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2009-06-01 00:00:00
abstract：:Although successful short-term results have been achieved with the use of overlapping sphincteroplasty and primary end-to- end repairs to treat fecal incontinence due to sphincteric injury, long-term failure rates may reach as high as 50%. This disadvantage associated with tension repairs may be overcome by utilizing ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2008-08-01 00:00:00
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：
更新日期：1994-12-01 00:00:00
abstract：:The authors report a case of popliteal artery adventitial cystic disease. They discuss diagnosis and treatment. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：AIM:Systematic surveys with advanced non-invasive imaging techniques have revealed that hepatic cysts are quite common in the general population. Therefore, we retrospectively examined our case series and compared it with the literature. METHODS:Between January 1990 and December 2000, 228 patients with non-parasitic l...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2004-08-01 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：:From October 1997 until March 1999, we performed this procedure in three patients suffering from suppurated echinococcal liver cyst. Trocar sites are approximately the same to those already known for laparoscopic cholecystectomy. A thoracostomy tube is inserted through the abdominal wall and under direct vision is for...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:The bacterial infections constitute a serious problem for the surgeon: the choice of antibiotic drugs is really important and, as often as possible, should be guided by antibiotic sensitivity tests. In this study we used sulbactam-ampicillin (Unasyn) who is an antibiotic combination between sulbactam, inhibitor of bet...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1992-10-31 00:00:00
