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 ischemic lesion caused by decubitus of the cutaneous margins and healing occurred by second intenti. No cases of short- or long-term recidivation were observed. The advantages of this method are the early return to working activities, minor patient discomfort and the reduced risk that the surgical would might become infected. Three basic stages for the successful outcome of this type of surgery have been identified as follows: 1) Although and accurate tricotomy of the sacro-coccigeal region. Antibiotic therapy is started about 2 hours before surgery. 2) The precise execution of the surgical technique. 3) The continuation of antibiotic therapy until postoperative day 7. Compressive medication is removed on postoperative day 4. If these three basic stages are respected, no cases of recidivation will occur.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Calcina G,Setti P,Benati L,Savioli A,Galli Gsubject
Has Abstractpub_date
1995-09-01 00:00:00pages
815-9issue
9eissn
0026-4733issn
1827-1626journal_volume
50pub_type
临床试验,杂志文章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: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::A series of 27 cases of biliary-digestive fistulae is presented. 26 were due to calculi and 1 to ulcer and calculi. 20 led to the duodenum, 6 to the colon, and 1 to the stomach from the gallbladder. The series constituted 1.4% of bile ducts operations. Females (mostly multiparae) formed 66%. The mean age was 64 yr. Di...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1976-12-15 00:00:00
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::The locoregional treatment of breast cancer has rapidly evolved from disfiguring approaches to nipple-sparing mastectomy (NSM) in selected patients. The goal of the nipple-sparing mastectomy procedure is to remove all glandular breast tissue in order to maximize oncologic therapy, while leaving the nipple-areola compl...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2012-06-01 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::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::40 patients with an endoscopic diagnosis of bleeding gastric or duodenal lesions have been examined in a double blind study. The haemorrhages were subdivided into slight and serious on the basis of objective parameters. Cimetidine (1.2 g/die i.v.) or placebo in a preparation indistinguishable from the drug were admini...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:1981-10-15 00:00:00
abstract::Peritoneal dialysis (PD) catheter insertion can be accomplished by any 1 of 3 techniques. These include dissective or surgical, the blind or modified Seldinger, and laparoscopic techniques. The dissective technique solely utilized by surgeons, places the catheter by mini-laparotomy under general anesthesia. In the bli...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND AND AIM:Over the past decade the use of surgical staplers has resulted in a substantial change in both elective and emergency surgery for gastrointestinal pathologies. A large number of studies have now affirmed the safety, reliability, simplicity, rapidity and usefulness of these instruments. They offer man...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract::Following and exhaustive review of the literature on this topic, the paper reports the results of the treatment of 16 patients with male breast cancer. From an analysis of findings, it was observed that diagnosis is frequently delayed (mean 1 year), disease is at a locally advanced stage in the majority of patients, a...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::The Authors report a case of leiomyosarcoma of the small bowel, a rare neoplasm with severe limitations of pre-operative diagnosis. A discussion of the pathological staging, diagnosis and surgical therapy follows. At the moment, better diagnostic techniques and greater awareness of the disease notwithstanding, the pro...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-09-30 00:00:00
abstract::A dorsal formation in a newborn girl proved to have been caused by an intestinal cyst, thus forming part of the rare classification of split notochord malformations. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-07-15 00:00:00
abstract::The efficacy of two methods of orthograde lavage preparation in elective colorectal surgery was tested in 133 consecutive patients: the results obtained with whole gut irrigation (50 patients, group A) were compared with the results of oral lavage solution (83 patients, group B). All patients received a parenteral ass...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-08-01 00:00:00
abstract:BACKGROUND:External hemorrhoidal thrombosis is a common disease with an acute anal pain as the major symptom. It is astonishing the lack of studies which investigates the most effective treatment and there are not guidelines. Furthermore, nobody has ever evaluated this peculiar condition in an elderly population. METH...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.18.07724-6
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION AND METHODS:After reviewing the literature on the subject, the authors analysed the patients suffering from intestinal infarction selected from those examined between 1-1-1985 and 31-12-1995. It was found that out of 11,500 patients only 9 (0.07%) suffered from this pathology. RESULTS:The authors found th...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::The literature concerning accidents and complications of transcutaneous splenoportography is examined and compared with personal experience. The technique used is discussed and some of its advantages with respect to selective arteriography of the coeliac tripod are stressed. It is concluded transcutaneous that splenop...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-09-30 00:00:00
abstract::Even today, traumatic lesions of the popliteal artery mean in a large percentage of cases (from 25% to 45% according to recent reports) loss of the extremity, notwithstanding the considerable advances made by reconstructive vascular surgery. The most important series are reported in relation to events of war in the pa...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-04-30 00:00:00
abstract::Late thrombosis of inserted prosthetic grafts for arterial reconstructive surgery is one of the most frequent late complication. Its incidence is influenced by many factors: hemodynamic conditions, quality of run-in and run-off, technical aspects of the primary repair. Progressive arteriosclerosis in femoral vessels w...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1989-03-31 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::A group of 20 patients underwent plastic surgery for inguinal hernia. In 10 cases the incision was sutured using a traditional technique, whereas in 10 cases the wound was joined using Fasterzip. The cosmetic appearance of the wound in the two groups was compared at 8, 30, 60 and 90 days after surgery. It was found th...
journal_title:Minerva chirurgica
pub_type: 临床试验,杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::The authors report a case in which a PTFE prosthesis, used to treat a voluminous hiatal sliding hernia, dislocated inside the cardial lumen. Within two months the prosthesis had become decubitant and penetrated the cardial lumen, causing dysphagia, inappetence and weight loss. The use of radiological and tomographic i...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract::Non-hypertrophic breast ptosis are common diseases. Various degree of ptosis and different involutions of the breast tissue can condition the surgical treatment. Plastic surgery must provide the best surgical treatment in any case. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1994-11-01 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::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::Personal experience of short-term chemoprophylaxis with piperacillin in 261 consecutive "clean" and "non-contaminating" operations is reported. Piperacillin was employed in a dose of 2 g i.m. every 8 hours for a total of 48 hours, the first administration being carried out at the same time as pre-anaesthesia. Results ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Gastroduodenal obstruction is a preterminal event in patients with advanced and recurrent malignancies of the stomach, pancreas, and duodenum. It severely limits the quality of life in affected patients due to constant vomiting and associated malnutrition. Gastroduodenal stent placement is a very safe and ef...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.16.06457-9
更新日期:2017-06-01 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::Carcinoma of the gastric stump in patients who have undergone resection for duodenal and gastric ulcer represents a rare event which poses considerable diagnostic and therapeutic problems. 7 personal cases are examined, particular attention being paid to the utility of endoscopy, together with sampling for cytological...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1978-09-30 00:00:00
abstract::The authors underline that, although rarely found, leiomyomas of the gastrointestinal tract are the most frequent benign tumours of the small intestine. On occasions, from being a simple autoptic finding or diagnosed during the course of explorative laparotomy, they may be responsible for emergency abdominal surgery, ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00