Abstract：
:We report on a case of early portal vein thrombosis occurring after liver transplantation in a patient with alcoholic cirrhosis. Although this complication is usually accompanied by acute graft failure and/or gastroesophageal bleeding, in this patient the portal thrombosis occurred with the appearance of general dropsy and encephalopathy, serum protein deficiency and a slight rise in liver function test values. Echo-Doppler and arteriography showed portal thrombosis, arterial hyperflow and the persistence of a large spontaneous spleno-renal shunt, identified before the transplant had taken place. Endoscopy did not reveal gastroesophageal varices. Since there was no sign of serious ischemic damage or of a serious deterioration of liver function, the patient was treated non-operatively. Some particular hemodynamic aspects implicated in the appearance of portal thrombosis in our case are discussed. However, the authors consider that spontaneous portal-systemic shunt, in the presence of advanced cirrhosis, inverted portal flow, without gastroesophageal varices, can be considered as a surgical total diverting shunt and should be taken as a risk for portal thrombosis after transplantation.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Recordare A,Bellusci R,Gaiani S,Cavallari A,Gozzetti Gsubject
Has Abstractpub_date
1993-04-30 00:00:00pages
425-30issue
8eissn
0026-4733issn
1827-1626journal_volume
48pub_type
杂志文章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：: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：:A case of endothoracic goitre with crossed, left-right, retrovascular, retro-tracheo-oesophageal migration is used as the basis for pathogenetic and diagnostic discussion and for stressing the surgical importance of correct topographic and migratory classification of each form. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-02-28 00:00:00
abstract：:Angina-like chest pain, caused by alterations of esophageal function, is an increasingly common occurrence confronting cardiologists: advances in pathogenetic knowledge and in diagnostic possibilities in this field have in fact shed light on the prevalence of esophageal angina, which is present in approximately 60% of...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-15 00:00:00
abstract：:A series of 234 patients who underwent Billroth I gastric resection for gastric and duodenal ulcerous lesions is reported. Special attention is paid to the immediate postoperative complications whose incidence was 5.5%. Particularly serious is the dehiscence of gastroduodenal anastomosis which requires emergency recon...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-02-15 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：: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：:Nowadays the laparoscopic cholecystectomy has become the main surgical therapy in the treatment of cholecysto-lithiasis. At the beginning the treatment of cholecysto-choledochal lithiasis was the sequential endoscopic-laparoscopic therapy. In fact, the endoscopic sphincterotomy allows transpapillary ablation of Common...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:The Authors perform a retrospective study on the incidence of postoperative jaundice in a selected group of 2060 patients, who underwent operations of general or vascular surgery. The incidence of jaundice in the postoperative period appears to be quite high in vascular surgery: out of 96 patients became jaundiced, 78...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-06-30 00:00:00
abstract：:Carotid-jugular arteriovenous fistulas (AVF) are extremely rare with only 20 cases reported in the literature up to December 1996. The case of a 74-year-old man (the oldest reported in the literature) with abnormal communications between the external carotid artery and the internal jugular vein is reported. The condit...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-10-01 00:00:00
abstract：:A small contribution is made to the work of widening the knowledge of the main principles followed in the emergency management of injuries to the face and jaws. The topic is rendered easily comprehensible by the nonspecialist through the use of many pictures. A short compendium of emergency therapies and personal expe...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-10-15 00:00:00
abstract：:The length of stay (LOS) is one of the major determinants of rising costs in surgical patient care. We studied the timing of the diagnostic procedures performed in 323 surgical patients admitted to 8 surgical departments of a large hospital. Of these: 50 underwent gastrectomy, 28 colectomy, 90 biliary tract (BT) opera...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-10-15 00:00:00
abstract：:The A. studied the behaviour of gastric acid secretion, of gastrinemia and of the parietal cell mass in 14 patients with duodenal ulcer (in active state and then in quiescent state) and in 20 symptom free control subjects, in absence of circumscribed gastroduodenal lesions. The analysis of the results demonstrates the...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-12-15 00:00:00
abstract：:A series of 100 patients suffering from deep venous thrombosis with prior episodes of pulmonary embolism or ilio-caval floating thrombi, submitted to surgery for the prevention of new embolic episodes, is analysed. Indications are discussed together with the various prevention techniques adopted over the past 5 years....
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-10-15 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：:The relationship between hyperthyroidism due to Graves' disease or toxic nodular goiters and carcinoma of the thyroid remains uncertain. The incidence of thyroid carcinoma varies considerably from as low as 0.3% to as high as 16.6% with a higher rate in toxic nodular goiters than in diffuse goiters and in endemic goit...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1994-06-01 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:The aims of this study were to evaluate the performance and effectiveness of an antibedsore overlay in 3D structure of new conception towards an overlay of common use. Evaluation parameters: wound area reduction, healing, safety and comfort. METHODS:Open randomized multicenter study comparing the two overlays for ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,多中心研究,随机对照试验
doi：
更新日期：2013-02-01 00:00:00
abstract：:Resection and thermal ablation procedures are frequently used for the treatment of primary and secondary liver tumors. Various tools for the virtual planning of liver resections and ablation are available and some of them are already used clinically. Resection planes and ablation volumes can be optimized for sufficien...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2011-10-01 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：: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：:One-hundred seventy four consecutive patients who underwent curative resection for gastric and colorectal cancer between 1983 and 1985, were studied prospectively to evaluate the roles of sequential CEA, TPA and GICA determinations and independent clinical examinations, in the early diagnosis of resectable recurrences...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:A case of emergency revascularisation of the hepatic artery for liver necrosis following its forced ligature during corpo-caudal pancreatectomy for cancer of the pancreas in referred. Necrosis protection mechanisms, namely higher portal flow, increase in O2 extraction and collateral circulation are analysed. The thera...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-03-15 00:00:00
abstract：:Personal experience with papillotomy and papillosphincterotomy in calculosis of the PBD is reported. The indications and results obtained are discussed. The techniques employed are described and an assessment is made of the extent to which these operations can be performed without causing unnecessary damage to the sph...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-06-30 00:00:00
abstract：AIM:Facial blushing represents the peculiar symptom in social phobia and is defined as the ''hallmark of embarrassment''. At present, endoscopic thoracic sympathectomy (ETS) is the technique only able to guarantee long-term results in the treatment of sympathetic disorders. The aim of our study was to evaluate results,...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-10-01 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：INTRODUCTION:Laparoscopic cholecystectomy now represents a valid alternative to traditional surgery in the treatment of gallstone diseases. For the past twenty years laparotomic cholecystectomy has represented the golden standard of gallstone treatment given its extremely low mortality rate (0.5%) and equally acceptabl...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-03-01 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：:Anaplastic carcinoma of the thyroid is a highly aggressive neoplasm with quickly total course. It is characterized by an average survival of 4-12 months. It infiltrates precociously into the windpipe, oesophagus, vessels of the neck and gives distant metastases in 10-48% of cases. In 30.8 to 80% of cases, this carcino...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1993-11-01 00:00:00
abstract：:The authors report their personal experience of the "excision and primary suture" operating technique in the surgical treatment of pilonidal sinus. A rapid recovery by postoperative day 10 was achieved in 58 out of 60 cases treated (96.7%). Dehiscence of the surgical wound was observed in 2 cases (3.3%) following isch...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1995-09-01 00:00:00
