Abstract:
:Will I actually be ready to face my first surgical on call night? It is the question that haunts every young specialist when, once he has completed his surgical training, he is alone, often by night to face the unpredictable. It is a question of ethical and intellectual honesty to understand that learning curve is something quite different from being transformed from a surgeon by day into a superhero by night. The training gap in Italy and at the same time the typology of patients (obesity, age, gunshot wounds, and stab wounds) who come to our Emergency Departments have exasperated the need to acquire specific skills among Surgeons. KEY WORDS: Cadaver lab, Emergency surgery, Training. :Sarò effettivamente pronto ad affrontare la mia prima notte di guardia chirurgica? È la domanda che assilla ogni giovane specialista quando, una volta completato il proprio training chirurgico si trova solo e spesso di notte ad affrontare l’imprevedibile. È una questione di etica ed onestà intellettuale comprendere che la learning curve è cosa ben diversa dal trasformarsi da chirurgo di giorno in supereroe di notte. La lacuna formativa in Italia e al contempo la tipologia di pazienti (obesità, età, ferite da arma da fuoco, da arma bianca) che afferiscono ai nostri Pronto Soccorso hanno esasperato nei professionisti la necessità di acquisire competenze specifiche.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Fogato Lsubject
Has Abstractpub_date
2019-01-01 00:00:00pages
389-391eissn
0003-469Xissn
2239-253Xpii
S0003469X19000010journal_volume
90pub_type
杂志文章abstract::Gynaecomastia is a disease with a high incidence (approximately 65% of adult males between 15 and 40 Ys.). In this paper the authors present their experience about the medical and surgical treatment comparing different surgical techniques: adenomammectomy, liposuction and liposuction associated with adenomammectomy. 6...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract::This case report describes an acute colonic diverticular perforation occurred to a multiple myeloma patient, taking corticosteroid and morphine therapy, revealed by a subcutaneous emphysema of upper chest and right abdomen as initial presentation. Sigmoid diverticulitis with perforation and generalized peritonitis is ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:INTRODUCTION:Lichtenstein hernia repair made revolutionary progress in hernia treatment. Since that a lot of modifications have been proposed. In a few of them attention is drawn to spermatic cord isolation from a mesh for prevention of spermatic cord involvement into inflammatory process which may lead to disturbances...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Cervical carotid dissection is more common in extracranical vessel: internal carotid artery dissection (ICAD) is typical, vertebral artery dissection is uncommon, common carotid artery dissection (CCAD) is rare and even a more rare cause of ischemic stroke. Cervical artery dissections account up to 20-25% of...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2014-09-18 00:00:00
abstract:AIM:We report our experience of carotid artery stenting (CAS) for the endovascular treatment of significant carotid stenosis over 16 years. MATERIALS AND METHODS:Data of all consecutive patients who came for a significant carotid artery stenosis from January 1st 1999 to August 31st 2015 were retrospectively collected ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2016-01-01 00:00:00
abstract::Thirty youngs and children were submitted to surgical reconstruction of excavated chest. To prevent risk of infections (by Staphylococcus and mixed gram-negative flora) preoperative 100 mg/Kg body weight of cefotaxime was given. In all patients the operative wounds healed regularly. To evaluate cefotaxime level and th...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::"Forgotten" goiter is an extremely rare disease which is defined as a mediastinal thyroid mass found after total thyroidectomy. The authors report their experience of 7 cases of residual mediastinal goiter after total thyroidectomy for substernal goiter. Six patients were female and one male with a median age of 56 ye...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2012-11-01 00:00:00
abstract::A case of non-functioning parathyroid cyst is reported, in which the preoperative diagnosis was missed. A careful review of the pertinent literature allows to outline the correct approach to this rare pathology as for the diagnosis and the treatment; as well, to enlight the current controversies about the physiopathol...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1999-07-01 00:00:00
abstract:AIM:This study aimed to compare the frequency and risk factors of de novo urinary incontinence (UI) following abdominal and vaginal hysterectomies for benign disease. METHODS:The study included patients without incontinence history who underwent abdominal or vaginal hysterectomy for benign indications. Incontinence st...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2019-01-01 00:00:00
abstract::Intracranial epidermoid cysts are estimated to constitute 0.2 to 1.8% of brain tumours (4) and they can be divided into four categories describing their anatomic origin and frequent primary location: retro-sellar-cerebellopontine angle, parasellar-sylvian fissure, suprasellar-chiasmatic and basilar-posterior fossa. We...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:The authors report their experience about the endoscopic treatment of upper gastrointestinal bleeding from Dieulatoy's ulcer (non variceal bleeding). DESIGN:Report of 5 cases; evaluation of mortality and effectiveness of the treatment. SETTING:Operative Unit of General and Thoracic Surgery, Department of Su...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND AND AIMS:The mortality in severe episodes of ulcerative colitis (UC) has been reduced from 31-61% in the 1950 to 1-3%. Nevertheless it remains high in non specialist centers. Simple criteria are necessary to predict the outcome of severe ulcerative colitis. METHODS:14 patients hospitalized for severe diseas...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVE:Hyperthyroidism is a group of diseases with many different etiologies and clinical manifestations. The most common causes include toxic multi-nodular goiter, Graves' disease and toxic adenoma. The prevalence of thyroid cancer developing in patients with hyperthyroidism has gradually increased in recent years....
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2020-01-01 00:00:00
abstract::The word "adenomatous hyperplasia of rete testis" (AHRT) was used by M. Nistal et Al. for the first time in an article about the cystic dysplasia of the testis (1976). AHRT is a benign lesion of the testis. The patient who came to our attention was studied with a testicular echo color Doppler that identified a solid, ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2013-12-06 00:00:00
abstract:AIM OF THE STUDY:The Authors intend to guide the choice of surgical treatment for mammary asymmetry, according to specific form of asymmetry. MATERIAL AND METHODS:Possible types of symmetryzation surgery are listed. First Author's personal technique is described and some clinical cases are presented. DISCUSSION:Regar...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2007-05-01 00:00:00
abstract:AIM:The aim of our study was to determine how many and what subtypes of breast cancer could be treated with breast-conserving surgery after NACT. Another outcome was to determine the applicability of MD Anderson Cancer Center nomogram to predict it. MATERIAL OF STUDY:We reviewed the histological examinations of 86 per...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2018-01-01 00:00:00
abstract:AIM:Health-status of elderly patients with hepatocellular carcinoma (HCC) may limit surgical approach; other options are thus auspicable. METHODS:The authors reviewed 98 selected patients, aged 65 to 90 years, with 149 HCC treated between 2002 and 2011. According to the extent of malignancy, health status and treatmen...
journal_title:Annali italiani di chirurgia
pub_type: 临床试验,杂志文章
doi:
更新日期:2014-03-01 00:00:00
abstract::Hepatic surgery has been undergoing progressive modifications in surgical approach to liver, passing through tohraco-phrenolaparotomy to bilateral subcostal incision and current Makuuchi's. Laparoscopic liver surgery should not be considered a new surgery, but simply a new surgical approach, with difficulties but adva...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1997-11-01 00:00:00
abstract::In this study the authors examined the influence of 71, beta-estradiol on cutaneous fibroblasts taken off either from healthy patients with no family history for cancer, or from patients with breast cancer. Fibroblasts were taken from the subcutaneous tissue of the mammary gland by a biopsy carried out in each patient...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
abstract::Personal experience in the treatment of acute cholecystitis with percutaneous cholecystostomy in high risk patients and in elderly patients is reported. Between January 1989 and November 1990, 28 patients affected by acute cholecystitis were treated with percutaneous cholecystostomy at Emergency Surgery Department, Ve...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract::Hepatic metastases are a major cause of death in patients with colorectal carcinoma. Traditional intravenous chemotherapy produces responses in 10% to 30% of patients and surgical resection is feasible in approximately 20% of patients. Infusion of cytotoxic agents into the hepatic artery is the most promising form of ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:1996-11-01 00:00:00
abstract::Chronic pancreatitis is a dynamic disease characterized on one side by a progressive destruction of the pancreatic parenchyma and change in the architecture of the gland and on the other by the impairment of its function. Diagnosis of chronic pancreatitis may be a quite easy or a very difficult attempt according to th...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
doi:
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Acute appendicitis is one of the most common surgical emergencies. An early and accurate diagnosis of acute appendicitis is vital. Evidence for a link between platelets indices and inflammation disease comes from recent studies. We aimed to evaluate preoperative diagnostic values of platelet indices (Mean pl...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The AA. compared the preliminary results of two different methods of inguinal hernioplasty: one using only the mesh (Lichtenstein) and the other one using both mesh and plug (Rutkow-Robbins). PATIENTS AND METHODS:Seventy consecutive patients were randomly allocated into two groups, 35 patients each one, to ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2006-01-01 00:00:00
abstract:AIM:We propose our experience in soft tissue reconstruction in Hemifacial microsomia using a free fascioadiposal flap. MATERIAL OF STUDY:Hemifacial microsomia (HFM) is a congenital disorder characterized by craniofacial malformation of one or both sides of the lower face. A 18-year-old female presented with hemifacial...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2017-01-01 00:00:00
abstract::The Authors report on an extremely rare case of anal Masson's tumour and has described clinical and histological considerations. Is important the surgical resection of the lesion because this tumour is similar to angiosarcoma. ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2011-05-01 00:00:00
abstract::Cathartic colon is a rare pathology which hits old people and is radiologically characterized by dolichocolon and megarectum. It is nearly sure that the unusual length of the whole colon might be the first source of the cathartic disease. Rectal ampulla dilatation (megarectum) is due to the extended use of laxatives w...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::Variations from normal anatomy of extrahepatic biliary tract, especially if on the basis of a congenital defect, are often dangerous for the surgeon, as hidden cause of a possible injury during surgery. During a cholecystectomy performed for lithiasis in non functioning gallbladder, whose preoperative cholangiogram re...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::Gastric hyperplastic polyps are often asymptomatic and are found incidentally at upper endoscopy performed for unrelated reasons. Although they are considered a benign lesion, all symptomatic polyps should be removed for a more reliable histological diagnosis, resolution of symptoms and to prevent potential malignant ...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00
abstract::From the beginning of the 60s, Japanese Lung Cancer Society (JLCS) proposed an original TNM classification of lung cancer based on a database of resected cases. The final step was the UICC classification edited in 1973. Complete hilar-mediastinal lymph node dissection was started in the same era and the concept of sta...
journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00