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 approach. Then after a review of evolving surgical techniques, it is suggested , again on the basis of personal experience, that the surgical approach should be neither excessively aggressive (total proctocolectomy with permanent ileostomy) nor excessively conservative (multistoma decompression). According to this report, the operation of choice is currently subtotal colectomy plus ileostomy and sigmoidostomy which combine modest morbidity and mortality with the possibility of future reconstruction.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Falco E,Nardini A,Celoria G,Battistini M,Gadducci G,Stefani R,Zappia F,Rollandi R,Montrucchio E,Stefanini Tsubject
Has Abstractpub_date
1993-07-01 00:00:00pages
755-8issue
13-14eissn
0026-4733issn
1827-1626journal_volume
48pub_type
杂志文章abstract：:5 cases of pulmonary embolism are reported. 3 of these were subjected to pulmonary embolectomy with complete success; repeated controls bear witness to the good long-term cardiorespiratory condition. Two patients died, one following angiography, the other at anaesthetic induction; this fact shows the desirability of s...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-04-15 00:00:00
abstract：:An increased risk of colorectal cancer has been reported in first-degree relatives of affected patients, and following cholecystectomy or partial gastrectomy for benign peptic ulcer disease. The aim of this study was to examine the incidence of these potential risk factors in 197 patients (127 males, 70 females, mean ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-12-01 00:00:00
abstract：:Personal experience in the aggression of the CNS for various purposes is considered. It is thought that the internal trans-jugular route is the easiest approach and procedures the fewest complications with appropriate techniques. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-03-31 00:00:00
abstract：BACKGROUND:Intraperitoneal adhesions seem to be a possible cause of chronic abdominal pain, but reports of their etiological role are controversial. Laparoscopic adhesiolysis has been proposed as treatment of choice, even tough reports of success are contradictory. The aim of our prospective study, was to determine whe...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-10-01 00:00:00
abstract：:Boerhaave's syndrome or postemetic rupture of the esophagus, carries a high morbidity and mortality. The authors report a delayed Boerhaave's syndrome diagnosis (3 days), successfully treated by right thoracoscopic debridement in prone position. Thanks to gravity the cardiopulmonary bloc drops back and the access to t...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2008-06-01 00:00:00
abstract：:The management of patients with cervical injuries is highly controversial. Some authorities advocate mandatory exploration for all such injuries, while others advocate selective exploration. This paper will objectively review the evidence supporting each approach. The non-operative approach may be pursued through a va...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2004-12-01 00:00:00
abstract：INTRODUCTION:Bronchogenic carcinomas involving the carina or the tracheo-bronchial angle represents a challenging surgical procedure because of difficult surgical techniques and complex ventilation procedures. Even though surgical outcomes for this type of procedure has improved over time, the need for surgical managem...
journal_title：Minerva chirurgica
pub_type： 杂志文章,meta分析
doi：10.23736/S0026-4733.17.07382-5
更新日期：2018-10-01 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：: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：BACKGROUND:To evaluate multiple osteochondral autografts for the treatment of traumatic chondral lesions of the knee. METHODS:Twenty-four (19 male and 5 female) patients underwent multiple osteochondral transplantation from 1995 to1999, the age ranging from 19 and 47 years old. Osteochondral lesion was localized on th...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2002-06-01 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：: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：: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...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,评审
doi：
更新日期：1995-01-01 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：:Primitive tumor of the liver, associated with cirrhosis with 40-80% of incidence, isn't one of the most common malignant neoplasms in the western area but it holds low survival and diminished possibilities of radical exeresis. A few years ago it has enrolled several non-invasive imaging-guided techniques, alternative ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1996-05-01 00:00:00
abstract：:This report describes 51 vascular patients with peripheral vascular disease treated intraoperatively by means of the autotransfusion apparatus with a minimum of 750 cc of reinfused blood. An early decrease of Hct, Hb, RBC, fibrinogen and Plt count was observed without any significant coagulation disorder. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-11-01 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：UNLABELLED:Congenital lobar emphysema (CLE) is a rare congenital lung disease consisting in overinflation of a pulmonary lobe. Adult onset of CLE is therefore unusual, often presented with mild symptoms. The authors report a very uncommon case of congenital segmental emphysema diagnosed in a 21-year-old non-smoking man...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2009-02-01 00:00:00
abstract：:(Gullino's) three-way tube consists of a large 30-35 cm long suction tube, with a diameter of 10 x 14 mm, closed at the proximal end close to which 6-8 holes have been made for suction along a 5 cm stretch. Two small tubes of equal length and with a diameter of 4-6 mm are glued or bound to the tube: one represents an ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-04-01 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：AIM:The primary objective of the study was to compare the effect of laparoscopic-assisted (LPS) versus open surgery (LPT) for colorectal cancer on postoperative morbidity. The secondary objectives were to evaluate immune response and intestinal wall oxygen perfusion. METHODS:A total of 610 patients with colorectal can...
journal_title：Minerva chirurgica
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2006-08-01 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：: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：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：: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 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：: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：:Between April 1992 and May 1994, 45 patients with recurrent spontaneous pneumothorax underwent videoassisted thoracoscopy (group I). The mean chest tube duration, the length of hospital stay, the use of parenteral narcotics, the complications and the follow-up were analyzed and compared to the same data of a group of ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:Nine years experience of anorectal surgery for Crohn-related lesion have been analysed. The series regards only 14 cases with pathology including ragade, abscesses and anocutaneous and retrovaginal fistulas. Treatment was as conservative as possible except for cases in which fistulizations led to sepsis as a result of...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-06-30 00:00:00
abstract：:Cystic fibrolymphangioma of the mesentery as an unusual cause of acute abdomen in infancy is described. This form is one of the many mesenteric cysts whose pathogenesis has not yet been established. Preoperative diagnosis of such cysts is very difficult, and there are very few cases in which a close study has been pos...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-02-15 00:00:00
