Abstract:
:The records of patients treated for vulvar carcinoma at the University of Milan from January 1967 through December 1991 have been studied retrospectively, making an analysis of the results of surgical staging in terms of prognosis, morbidity and long-term survival. All cases have been reevaluated and restaged according to the 1988 FIGO classification of vulvar cancer, considering 196 cases of primary invasive vulvar squamous carcinoma. Surgical treatments have been divided according to radicality. Ninety-five per cent of patients underwent radical vulvectomy with different degrees of lymphadenectomy. Surgical mortality rate amounted to 2%. Surgical staging has not been related to increased early or late morbidity. Overall recurrence rate amounted to 19.9% without significant differences among FIGO stages. Five-year survivals amounted to 100%, 86.2%, 59.4%, 29.8%, and 20% for stages I, II, III, IVA and IVB respectively. Accurate surgical staging of vulvar carcinoma enables a precise prognosis and does not increase morbidity.
journal_name
Int Surgjournal_title
International surgeryauthors
Origoni M,Dindelli M,Ferrari D,Frigerio L,Rossi M,Ferrari Asubject
Has Abstractpub_date
1996-01-01 00:00:00pages
67-70issue
1eissn
0020-8868issn
2520-2456journal_volume
81pub_type
杂志文章abstract::Synchronous primary anorectal melanoma and colorectal adenocarcinoma is extremely rare, with only 5 cases reported in the literature. Here, a case is reported and the currently available literature is summarized. A 72-year-old white male presented with changes in his bowel habits and unintentional weight loss. Colonos...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-14-00243
更新日期:2015-05-01 00:00:00
abstract::Crohn disease is a chronic, transmural, inflammatory disease of the gastrointestinal tract with unknown etiology. It can affect any part of the gastrointestinal tract and may cause fistula, stricture, or abscess formation with disease progression. The preoperative diagnosis and definite management of this rare complic...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00038.1
更新日期:2014-03-01 00:00:00
abstract::We prove the safety and feasibility of single-incision plus 1 port (SILS+1) laparoscopic total mesorectal excision (TME) + lateral pelvic lymph node dissection (LPLD) via a medial umbilical approach for rectal cancer. Only a few reports have been published about single-incision multiport laparoscopic low anterior rese...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00091.1
更新日期:2015-03-01 00:00:00
abstract::A retrospective study of 46 patients who received bupivacaine local injections after hemorrhoidectomy were compared to a matching group of 46 patients of similar age and sex distribution who underwent the same operation. Pain medications requirement on the same day of operation and on subsequent days were measured and...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:PROBLEM:The function of hepatic allograft from non-heartbeating donors (NHBD) is significantly affected by warm ischemic injury before harvesting. MATERIALS AND METHODS:The effects of the endothelin (ET) antagonist TAK-044 and the platelet activating factor (PAF) antagonist E5880 on the function of grafts from NHBD we...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::This paper presents thermography as a useful method for the determination of regional thermal variations, during the pre- and postoperative periods, in the surgery and pathology of the hand. This method can give, directly or indirectly, very valuable information for both diagnosis and prognosis, and at times, can give...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::Small liver metastasis of rectal carcinoma is mostly solid and rarely accompanied by necrosis. Microscopic invasion of the hepatic vein is rare in colorectal metastasis. A 53-year-old man, 2 years after rectal carcinoma resection, was noted to have a 15-mm liver tumor. On imaging, it was difficult to determine if the ...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:2005-11-01 00:00:00
abstract::Two hundred and forty-one hip fracture patients over 70 years of age still living at home at the moment of the accident were followed prospectively until three months postoperatively. The patients were admitted to the department over a five year period (1978-1983). One hundred and forty-four patients returned home. In...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1988-07-01 00:00:00
abstract::The spleen in newborns, infants, and children is rarely involved in a variety of pathological processes. These processes may involve an isolated splenic disease or may be a part of a systemic illness. Renal vein thrombosis in infants of diabetic mothers has been reported. We report a case of a newborn with intestinal ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract::Laparoscopic Heller myotomy with antireflux procedure seems the procedure of choice in the treatment of patients with esophageal achalasia. Persistent or recurrent symptoms occur in 10% to 20% of patients. Few reports on reoperation after failed Heller myotomy have been published. No author has reported the realizatio...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:2009-10-01 00:00:00
abstract::Two rare cases of carcinosarcoma of the esophagus are presented. In the first case the decision to operate was based on an initial diagnosis of leiomyosarcoma made by endoscopic biopsy. In the second, a diagnosis of carcinosarcoma was also obtained by endoscopic biopsy. The pathology is commented on. The authors discu...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1980-09-01 00:00:00
abstract::Persistent descending mesocolon is an uncommon developmental anomaly which results from failure of fusion of the descending mesocolon with the posterior parietal peritoneum. It is asymptomatic in most cases and rarely causes intestinal obstruction. We report here a case of primary intestinal obstruction complicated by...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::Central bisegmentectomy (CBS) of the liver is an en bloc hepatic resection of Couiaud segments 4, 5, and 8. The indications for CBS include benign and malignant tumors occupying both the left medial and right anterior segments. However, CBS has rarely been reported. Here, we investigate CBS in patients with suboptimal...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00163.1
更新日期:2014-09-01 00:00:00
abstract::Over a one year period (June 1992-June 1993), 260 patients (208 females and 52 males) with mean age of 37 years (range 13-80), underwent laparoscopic cholecystectomy (LC) for symptomatic gallstones. Thirty patients were admitted as emergency (20 acute cholecystitis, 10 acute pancreatitis). The procedure was performed ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::Breast conserving treatment (BCT) is an alternative to mastectomy, and prospective randomized trials have demonstrated that BCT and radical mastectomy result in similar actuarial survival rates. BCT should fulfil two criteria: (1) it should afford the same local control of disease as radical mastectomy, and (2) it sho...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-04-01 00:00:00
abstract::Fracture of the penis is a rare injury, only 135 patients having been reported by 1985. Our recent experience with six patients who underwent emergency surgery, has been documented. The results of treatment were excellent with complete recovery of function. The study recommends operative management as the treatment of...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:1988-01-01 00:00:00
abstract::Carotid endarterectomy is a method of prophylaxis. A total of 367 carotid endarterectomies in 335 patients were performed during the period of 1989-1997: 222 (66.3%) were symptomatic and 113 (33.7%) asymptomatic patients. In all, 262 (78.2%) had unilateral, 41 (12.2%) contralateral occlusion and 32 (9.6%) bilateral ar...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
abstract::The prognosis of pancreatic duct carcinoma is determined mainly by the degree of local invasion, particularly of the portal system and/or associated arteries supplying the carcinoma. Intraoperative (25-36.5 Gy of betatron) and/or external (14.4-25.6 Gy, preoperatively, and 24-61.2 Gy, postoperatively, using lineac pho...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1988-07-01 00:00:00
abstract::Fecoflowmetry (FFM) has been introduced to simulate natural anorectal evacuation. So far, few reports have described the effect of the herbal medicine Daikenchuto (DKT) on impaired anorectal motor function. The aim of this pilot study was to assess anorectal motor function by FFM in postoperatively impaired patients w...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract::It has been reported that avoidance of recurrences after laparoscopic ventral hernia repair (LVHR) depends on using sutures to secure the mesh. We developed a successful sutureless LVHR. The "Double Crown" LVHR using ePTFE mesh (overlap, 23 cm) was done in 140 cases. Tacks were placed 1 cm apart at the edge of the mes...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2005-07-01 00:00:00
abstract::The history of inguinal herniorrhaphy certainly presents some peculiar aspects. Until the 18th century this disease was studied with interest and found a place in the books of several important authors, but in practice it was treated by empiricists and barbers. We must recognize however that some of their surgical met...
journal_title:International surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract::Postoperative complications, such as pancreatic fistulae, after pancreaticoduodenectomy for pancreatic cancers are associated with surgical outcomes of patients with pancreatic cancers. A total of 160 patients with pancreatic cancers undergoing pancreaticoduodenectomy were retrospectively analyzed. Patients were group...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/cc17.1
更新日期:2011-07-01 00:00:00
abstract::Experimentally produced angulatory deformities of rat tibia with and without physeal injury were observed at two to three-week intervals for an eight-week period by x-ray studies, in order to estimate the spontaneous correctability of tibial deformity in growing rats. The results obtained were as follows: 1) In the re...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1980-07-01 00:00:00
abstract::A rare case of wandering spleen herniating through a defect in transverse mesocolon, which was managed electively by splenopexy using polyglycolic acid mesh is reported. An enlarged wandering spleen is at constant risk of trauma, torsion and infarction. Internal herniation seems to increase the above risks. Early reco...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract::From 1979 to 1987, 1103 thoracotomies were performed in patients with lung cancer: 824 (74.7%) radical resections, 141 (12.7%) palliative resections and 138 (12.5%) exploratory thoracotomies. Among the 965 patients who underwent resection, 539 patients were N0, 190 patients N1 and 236 patients N2. Among patients with ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::This is a 1 year study on the use of a culdoscopic sterilization technique on 250 patients aged 25 or more with at least 4 children and at least 6 weeks Postpartum. Clinical examination was made to exclude tumors, infections, or endometriosis. The laparoscope was used for transvaginal female sterilization employing ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1973-01-01 00:00:00
abstract::Simultaneous pancreas and kidney transplantation (SPK) is considered an extremely effective and well-established therapeutic option for selected patients with end-stage renal disease (ESRD), secondary to type 1 diabetes. Vascular complications in pancreas transplantation are more common than in any other solid organ t...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract::We aimed to investigate whether tolerogenic dendritic cells (DCs) were induced in the tolerant recipients with the blockade of CD40-CD40L costimulation. Mouse heterotopic heart transplantation was performed. DCs were sorted from rejected and tolerant recipients using magnetic-activated cell sorting. Their expression o...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2010-04-01 00:00:00
abstract::About half of 361 patients with intrahepatic stones had recurrent stone(s) requiring additional surgery in the past 10 years. In order to cope with this problem, a new tube referred to as the KMC (Kaohsiung Medical College) tube was developed to allow the removal of stones without additional surgery. This tube was imp...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1986-04-01 00:00:00
abstract:BACKGROUND:The surgical treatment of cancer of the cardia is controversial and results are often disappointing. Concern exists not only with regards to the surgical approach but also to the extent of the resection. The authors analyze their experience over a 20-year period adopting almost exclusively a "limited" esopha...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1997-04-01 00:00:00