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Biomedical subjects

A Buffone

Publications and source records attributed to A Buffone.

10 recordsLinked to original sources

[Acute thyroiditis].

Acute suppurating thyroiditis is now an uncommon pathology which is rarely found, although it was frequent before the introduction of antibiotics. Having observed a case, the Authors were prompted to study the subject in greater depth, in particular to assess whether the disease is easier to diagnose using modern techniques diagnosis, and whether there are changes in the therapy. In conclusion, the paper affirms that in spite of the fact that the diagnostic evolution has thrown further light on the clinical aspects of the disease, biopsy still remains the most reliable instrument of diagnosis, whereas surgery is the most effective form of therapy.

Acute Disease

[The diabetic foot].

The rise in the mean age and the increase in diabetes have frawn the surgeon's attention to gangrene of the lower limb which requires a multidisciplinary approach (doctor, surgeon, prosthesis specialist). Contrary to the concept of high thigh amputation, the possibility of carrying out a lumbar sympathectomy has encouraged the idea of a more distal amputation with conservation of physiological joints and an early recovery of function thus enabling patients who would otherwise have been condemned to permanent invalidity to return to social life.

Diabetic Angiopathies

[Mucocele of the appendix. Presentation of a case and review of the literature].

The Authors report a case of benign mucocele which was brought to their attention for emergency treatment. Following a review of the literature, they examine the clinical, anatomopathological, pathogenetic and therapeutic problems related to this rare disease. In conclusion, it is important to assess the benign nature or otherwise of the pathology before proceeding to the most suitable and radical form surgery.

Aged

[Felder's intervention in the posphlebitic syndrome of the lower limbs].

Postphlebitic syndrome of the lower limbs is a consequence of chronic varices or the outcome of TVP leading to edema, eczema, stasis ulcers, etc. In these cases surgical treatment takes the form of ligating the perforating varices using a subfascial route according to Linton's technique, together with stripping the great and small saphenous vein. There are cases, however, in which the extent of cutaneous involvement does not allow a "safety incision" to be made. Felder's operation, using posterior surgical aggression in that area of the skin which generally remains healthy, therefore allows an easier ligation of the perforating varices and quicker cutaneous healing.

Adult

[Ganglioneuroma of the neck].

Ganglioneuroma represents a benign neoplasia based on the sympathetic system, which should be assessed in the differential diagnosis of cervical tumefactions. The paper discusses the epidemiology and clinical aspects of this pathology and stresses the importance of taking these factors into account whenever a neoformation of the neck is diagnosed in children.

Child

[Our experience in the treatment of gastroduodenal hemorrhage with somatostatin].

Somatostatin, a pituitary hormone with an inhibitory action on gastric secretion, has improved the therapeutic approach to the treatment of the hemorrhagic complications accompanying gastroduodenal ulcer. The authors report on their experience "in doppio cieco" with 84 patients, 53 of whom treated with somatostatin and 31 with cimetidine, the respective success rates being 96.6% and 90.32% in the two treatment groups. It was also noted that the somatostatin-treated group showed earlier arrest of hemorrhage and a lower blood transfusion requirement.

Cimetidine

[A case of echinococcal cyst in the round ligament of the liver. Preliminary note].

Hydatidosis is an endemic condition in many countries. The parasite may infect any tissues but the most commonly affected are the liver (70%), lungs (10%), muscles (4.7%), spleen (2.1%) and brain (1.4%) with bone, thyroid, breast and pancreas infections rarely encountered. An observed case of hydatid cyst of the round ligament of the liver is described. The aetiology, physiopathology and diagnosis of the case are briefly reviewed with emphasis on the fact that laparoscopy was better able to clarify the diagnosis than scintigraphy or echography.

Echinococcosis, Hepatic