Abstract：
:The early surgical reexploration to check the viability of intestinal loops in patients operated on for acute mesenteric ischaemia (the so called "second-look"), has contributed in improving the prognosis of this disease. However, since there are no certain predictive criteria for the progression of ischaemia, and not all patients are reoperated for a "second-look", some patients will undergo an unnecessary surgical and anaesthesiological procedure (negative second-look), and others, for which a surgical "second-look" might be beneficial, will not be operated on. In order to find a method which allows an effective early exploration of all patients operated for acute intestinal ischaemia, we performed a "laparoscopic second-look" on the last two patients we have operated on. They were admitted in our institution (Dipartimento di Scienze Chirurgiche e Trapianti d'organo--Divisione Chirurgia d'urgenza--Ospedale "S. Michele"--Cagliari) and had an intestinal resection for acute mesenteric ischaemia. Both had an early laparoscopic second-look under local anaesthesia, and the pneumoperitoneum was obtained with nitrous oxide insufflated through the drainage tube positioned during the surgical procedure. The exam showed normally healing anastomosis and viable intestinal loops. The consistent reduction of anaesthesiological and surgical trauma makes the "laparoscopic second-look" a routine substitute of the "surgical second-look" in all patients operated for acute mesenteric ischaemia.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Tola M,Portoghese A,Maniga AMsubject
Has Abstractpub_date
1997-05-01 00:00:00pages
527-30issue
5eissn
0026-4733issn
1827-1626journal_volume
52pub_type
杂志文章,评审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：BACKGROUND:The metastasis of laryngeal nerve lymph node is mostly found in the upper-and middle esophageal cancer, the ratio of esophageal length from the upper incisors to the position where the esophageal tumor began to appear as proven via endoscopy to the height (LH) is likely to affect the possibility of detection...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.20.08246-2
更新日期：2020-08-01 00:00:00
abstract：:The literature methods for cranioplasty in the repair of losses of bone substance are described. Autologous bone grafts from the iliac ala or the ribs are used at the Turin University Reconstructive Plastic Surgery Department. A method using solid silicone is also employed and will be discussed in greater detail in a ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-06-15 00:00:00
abstract：:A typical case of spontaneous rupture of the oesophagus (Boerhaave's syndrome) successfully operated at the Surgery Division of the Lodi Greater Hospital is presented. An account of the aetiopathogenetic, anatomopathological and clinical problems involved is followed by an examination of the possibilities of diagnosis...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-10-15 00:00:00
abstract：:The authors report a rare case of gastric carcinoma metastasis localised in the anterior abdominal wall which was an isolated and primary sign of disease. After having underlined the rarity of the case, there is a brief discussion of aspects related to the spread of primary tumours in relation to other cases reported ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-09-15 00:00:00
abstract：:Solitary fibrous tumors of the pleura represent a rare clinicopathological entity: 456 cases only have been reported since 1991. A interesting case of solitary fibrous tumor of the pleura is described here, because it turned up in a female patient followed up for a bilateral breast cancer and so with the exact determi...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1996-06-01 00:00:00
abstract：AIM:Ischemic gastritis is poorly known by physicians and is often fatal if not correctly diagnosed. Here, we report on the clinical, endoscopic and imaging features and treatment outcomes for five ischemic gastritis patients. METHODS:This was a retrospective, single-centre study of patients treated for ischemic gastri...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2012-10-01 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：AIM:Acute postoperative pancreatitis is a rare event, but, at the same time, it represents one of the most frightening complications, because it is associated with high mortality risk. METHODS:From January 1985 to December 2005, we observed 30 cases (12 males, 18 females) of acute postoperative pancreatitis. Twenty ca...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2007-02-01 00:00:00
abstract：:In the pulmonary emphysema a serious respiratory inadequacy can result from the impossibility of the thoracic cage and of the diaphragm to expand beyond a maximum limit, before that a significnat part of pulmonary parenchyma has been destroyed by the pathogenic process. The resection of part of the lung, selectively i...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1998-04-01 00:00:00
abstract：:The authors analyse the results relating to the use of a technical variation of entero-enteroanastomosis preparation in the reconstruction of the continuity of upper digestive tract with a defunctionalised Roux en Y loop. This variation includes the use of a circular Proximate ILS mechanical stapler. The series examin...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：:Solid pseudopapillary pancreatic tumour is an uncommon disease including 2.7% of exocrine malignancies of the pancreas. Its low incidence is associated with an uncertain prognosis and with difficult diagnostic and therapeutic problems, despite routine use of ultrasonography, TC and RMN. A case of solid pseudopapillary...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2003-12-01 00:00:00
abstract：:The authors describe their experience of the aneurysm popliteal artery. They analyze the symptomatology, the diagnostic way and the therapy of such disease. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1995-09-01 00:00:00
abstract：:The Authors report a case of right diaphragmatic hernia due to road-traffic accident. They discuss the problems of early diagnosis because it is delayed for multiple associated lesions or a low index of suspicion. The ratio of laceration of the left side to that of the right is twenty to one. The clinical and diagnost...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:In a double blind, controlled clinical study, 40 patients, 20 of whom were subjected to mastectomy or quadrantectomy and 20 to inguinal hernioplasty, were randomly assigned to two treatment groups of 20 subjects each, balanced by type of operation. Treatment lasted 3 days and involved the administration of 3 supposito...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1990-12-01 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：: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...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：:A 54 year-old man, without any remarkable medical history, was examined for recurrent episodes of colicky abdominal pain, over a period of nine months, with positive faecal occult blood test. Three months earlier he had undergone an extensive evaluation for a single episode of melaena, including upper gastrointestinal...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-12-01 00:00:00
abstract：BACKGROUND:The present paper considers the technique of CT scan maps of pulmonary isodensity, examining lung density differences as a function of the type of disease and considering their significance for the purposes of refined, useful diagnosis in a surgical context. METHODS. The method is used to examine 3 groups of...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2002-04-01 00:00:00
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 drops...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-04-30 00:00:00
abstract：:A case of entero-vesical fistula in Crohn's disease is presented. Clinical manifestations, diagnostic means and surgical treatment of the lesion are discussed. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-07-01 00:00:00
abstract：:Forty-nine consecutive patients with early gastric cancer (EGC), observed from January 1978 to December 1992 in the Surgery Department of our Institute, were included in a retrospective study. The EGC prevalence in the overall cases of gastric cancer was 11%. This frequency was 8% in the period 1978-1985 and 15% in th...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-12-01 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:In this study all patients observed between January 1993 and October 1997 with malignant pleural mesothelioma (MPM) have been analyzed in order to describe the impact of treatment modality on survival. METHODS:Medical records of 56 patients with MPM (44 male, 12 female, median age = 59 yrs) were reviewed. I...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2001-06-01 00:00:00
abstract：BACKGROUND:The past years have seen the development of outpatient treatment and surgical procedures for the treatment of hemorrhoid disease in an attempt to reduce postoperative pain on the one hand and execution and hospitalisation times on the other. METHODS:This retrospective study compares the results obtained in ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2001-02-01 00:00:00
abstract：:Immediate and long-term results in 250 PSP operations associated with WSP in 116 cases are reported. Complications and failures are described and evaluated, while their causes and possible connection with the type of operation employed are explained. Examinations carried out in the assessment of long-term results are ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1976-03-15 00:00:00
abstract：AIM:Splenic injuries, like other blunt traumatic injuries, are very frequent, especially in case of traffic accident. The purpose of this study was to present the authors' experience of blunt splenic trauma and to compare it with the studies described in literature. METHODS:Over a 5-year period 512 injured patients we...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2009-08-01 00:00:00
abstract：:The Authors analyse 121 cases of patients affected by abdominal malignant tumors, who underwent a palliative operation. Although the number of the examinated cases is small, it appears clear that the longest survival requires, when possible, the removal of most of the malignant tissue. This seems to be in accordance w...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-02-15 00:00:00
abstract：:We evaluated the effectiveness of sulbactam/ampicillin (S/A) as a perioperative prophylaxis regimen in elective colic surgery (procedures lasting less than 4 hours). We studied 18 patients (11 males, 7 females; mean age 46 yrs, range 21-72), by an open, non-comparative trial: S/A was given soon before anesthesia (1 g ...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1990-04-15 00:00:00
abstract：:Authors personal experience during ten years in surgery Oddi's sphincter is reported. Indications and technique of papillosphincteroplasty and wirsungsphincteroplasty are described; results obtained in 504 surgical treatment of PSP (combined with WSP in 121 cases) are referred; failures and complications are described...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1981-10-15 00:00:00
