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 air intake with a sealed opening above the suction holes; the other, used for washing, opens freely at the level of the closed proximal end of the large section tube. After a short review of the drama and disappointments in lung surgery concerning the treatment of postoperative septic complications, the authors briefly describe the advantages of the use of two-way suction drainage tubes: using air suction (Saratoga's and Shirley's model), and above all water suction, with irrigation-washing (Luizy's and Vankemmel's models). Compared to the two-way tubes, the paper then emphasises the advantages of the three-way model: using the flow of the lavage solution for the top, it is possible to obtain an improved, continuous and rapid washing and sterilisation of the pleural cavity, while suction from below serves to avoid stasis and in the event of bronchial fistula it is therefore easy to prevent broncho-pulmonary inundation. The three-way tube was used in two cases of post-pneumonectomy pyothorax, one of which was complicated by a bronchial fistula, and in a case of sub-phrenic abscess. In the treatment of pyothorax, the three-way tube must be divided into two parts: the large suction tube and the small air-intake tube, the two-way tube, and the small washing tube. The two-way tube must be positioned on the posterior axillary line in contact or nearly with the diaphragm, the small washing tube in the 1st anterior intercostal space and the patient must change decubitus with a certain rolling rhythm. Simple pyothorax may be resolved in 48 hours; bronchial fistula in 25 days and sub-phrenic abscess in 9. These are undoubtedly exceptional results, but require further confirmation.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Gullino D,Giordano O,Cesari M,Gullino Esubject
Has Abstractpub_date
1998-04-01 00:00:00pages
323-9issue
4eissn
0026-4733issn
1827-1626journal_volume
53pub_type
杂志文章abstract：INTRODUCTION:Surgical management of external rectal prolapse (ERP) remains a challenge with the breadth of choices available and varies on the international, national, regional and locoregional level. Significant innovation has led to new techniques to manage ERP including changes to both abdominal and perineal approac...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：10.23736/S0026-4733.16.07205-9
更新日期：2017-02-01 00:00:00
abstract：:The use of an external oblique muscle-cutaneous flap in the reconstruction of large chest wall defects after mastectomy is described. The flap is drown as a V-Y advancement-rotation flap, laterally based, on the ipsilateral abdominal wall. The flap extends from the posterior axillary line to the linea alba, vascular s...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2002-04-01 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：:Cholecystolithotomy and cholecystojejunostomy has been carried out on 11 patients with severe hypertension from cirrhosis. The indications were frequently recurring attacks of biliary cholic or acute cholecystitis at onset. There was 1 postoperative death from cardiac infarction and only minor in-hospital morbidity. N...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1995-03-01 00:00:00
abstract：:Mean daily doses of 4-800,000 units iant. Cal. Trasylol administered i.v. for about 7 days prevented oedema and improved circulation after revascularisation surgery of the lower extremities involving the femoropopliteal axis in a large number of clinical cases. ...
journal_title：Minerva chirurgica
pub_type： 临床试验,杂志文章
doi：
更新日期：1975-02-15 00:00:00
abstract：:Cholangiography carried out in laparoscopic surgery is a diagnostic exam considered by many authors to be very important for the anatomy and the research pre-existent pathologies of the biliary tree. Such are the effective advantages that many Schools suggest it be carried out any case as the risks, the costs and the ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:Among 94 cases of pulmonary metastases treated by the exeresis of one or more nodules, 28 cases produced metastasis located in the lung only. Radical metastasectomy was performed on 250. Analysis of survival, also assessed in relation to every prognostic factor reveals the efficacy of surgical therapy even in iterativ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-09-30 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：:Operations and follow-up examinations were conducted on 106 patients with ulcerative colitis, 33 with colitis Crohn, and 163 with diverticulitis, at the University Clinics of Cologne and Munich. Overall mortality rates were 24.5% (n = 26), 6.1% (n = 2) and 16% (n = 26), respectively. In the surgical treatment of ulcer...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-06-15 00:00:00
abstract：:Cystic breast disease is a relatively widespread pathological condition in the female sex, it has an incidence of around 7% and predominantly affects women aged between 40 and 50 years old. The authors report their experience based on the observation of 1046 cases taken from a series consisting of over 30,000 examinat...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：:Meckel's diverticulum occurs in approximately 2 percent of the population and may present at any age. Although Meckel's diverticulum may produce an intestinal obstruction or perforation, simulating an appendicitis, hemorrhage is its most important clinical presentation. From 1989 to 1994, Meckel's diverticulum was dis...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
abstract：:In the present study the A. try to assess the usefulness of ultrasound in detecting blending risk in portal hypertension. Endoscopic and sonographic findings of 35 cirrhotic patients with esophageal varices were compared to a control group of 27 hepatopathy patients without portal hypertension, observed in the same de...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-01-01 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 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：:Insulinoma is the most common endocrine tumor of the pancreas. It arises from the beta-islet cells of Langerhans. Insulinomas synthesize and secrete insulin autonomously in the presence of low blood glucose levels, causing spontaneous hypoglycemia and characteristic clinical symptoms. The authors examined data the fro...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-03-01 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：:Age and survival data in a series of 178 patients operated for malignant breast tumour during the period 1957-67 are statistically assessed. The mean survival period was 9 yr. Young subjects had a greater chance of survival, while their mortality rate was the lowest after the fifth year. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1975-11-30 00:00:00
abstract：:Patients with cirrhosis have reduced life expectancy. Surgery is often associated with clinical decompensation in this group of patients. The purpose of this paper is to study the surgical risk in cirrhotic patients undergoing nonderivative operations. Unfortunately, most of the studies in the literature about this pr...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2000-11-01 00:00:00
abstract：:The authors report a case of severe revascularization syndrome which occurred following traumatic vascular lesion to a lower limb. They focus attention on the mechanisms which make this syndrome more frequent and more severe in traumatic lesions as opposed to that observed following acute arterial obstruction secondar...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：:The authors analyzed the data obtained from their experiences in extensive head and neck resections, and, reconstructive treatments using myocutaneous and conventional flaps. They tried to evaluate comparatively the reconstructive approach, in terms of morbidity and functional results. The 145 cases of advanced had an...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：:Despite many guidelines issued by national and professional societies, a detailed literature survey between the late 1940s and 2010 clearly demonstrates that several aspects of pneumothorax pathogenesis and treatment still remain controversial. Related to pathogenesis of primary pneumothorax, the current manuscript hi...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2011-08-01 00:00:00
abstract：:Reference is made to a personal case in an examination of the more controversial aspects of segmentary necrosis of the main bile pathway. Attention is drawn to the leading features of the pathogenetic evolution of this lesion. Bearing in mind the almost insurmountable difficulty of formulating a preoperative diagnosis...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-05-31 00:00:00
abstract：BACKGROUND:The authors report the gynaecological pathology of surgical interest occurring in an Emergency Department in the first half of 2000 and occasionally found during an operation in women who presented a pelvic mass or abdominal pain. METHODS:Six women, average age of 50 years, reached the Emergency Department:...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2002-10-01 00:00:00
abstract：:The jejunal free flap is a standard technique in the reconstruction of hypopharyngeal and cervical esophageal defects. Conventional harvesting of the jejunal segment is performed with midline open laparotomy, which is associated with complications including prolonged ileus, abdominal pain, wound infection or dehiscenc...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2006-04-01 00:00:00
abstract：:Stomitis due to non absorbable sutures is an increasingly common endoscopic finding. Personal experience has shown that this complication is not encountered when catgut sutures are employed in stomach operations. It is therefore recommmended that this or other absorbable material be used in gastric surgery. Stress is ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1978-10-15 00:00:00
abstract：:The haemodynamic premises for extra-anatomical by-pass in the treatment of stenosis and obstructions of the subclavian and vertebral arteries are discussed with a report on a surgically treated series. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1989-03-15 00:00:00
abstract：AIM:Differentiated thyroid carcinomas (DTC) have a favourable outlook overall. Cornerstone of treatment is total thyroidectomy (TT), followed, if needed, by radiometabolic therapy. Such lesions however show a definite tendency to recur (about 35% of cases), generally in the first decade of follow-up: in 70% of patients...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2008-08-01 00:00:00
abstract：:The factors underlying late thrombosis of aortobifemoral by-pass are analysed on the basis of personal experience and reported data. They are considered to be due to progressive degradation of the prosthesic tissue and, particularly, to the lack of an adequate back flow route, apart from any faults in the actual const...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-02-28 00:00:00
abstract：:The authors report a case of gastric leiomyoblastoma, a rare benign neoplasm that can sometimes undergo a malignant course. The main clinical an pathological issues are reviewed, in order to offer guidance as to the best suited surgical approach. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1992-11-01 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
