[The use of propofol in suspension microlaryngoscopy].
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Biomedical subjects
Publications and source records attributed to A Tassi.
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The authors on the basis of their series evaluate the accuracy of ultrasonography (US) in the diagnosis of intraperitoneal as well as hepatic and splenic intraparenchymal blood collections. Because of its reliability, lack of contraindications, feasibility at the patient's bed, easy remaking, US examination is the first choice approach to the patient with blunt abdominal trauma.
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The authors confirm the validity of the scintigraphy scansion in the early diagnosis of failure of a total hip replacement and they specify the indications and the use's possibilities relating to their experience. Then they propose a clinical case of difficult differential diagnosis which confirms its importance and clearness of interpretation.
The Authors, after shortly summarizing the evolution in the treatment of knee post-traumatic stiffness , punctualize its indications, and remember Judet's operative technique. Then they show a casuistry of 26 patients checked again at an average interval of 7 years after operation, from which one can understand the goodness of the results obtained, and, above all, their duration through the time.
The authors showed a method of treatment of the fractures of femur-neck under head, being persuaded of its validity, for the good remote results in the 38 cases shown, the lighter trauma caused to this type of patients, and the lower risk and operative care required.
The authors showed 32 cases of resection of radial capital, inspected 2 years after operation, the results of which, as compared with those obtained through other methods, revealed a good remote validity. This is true in cases where no other important lesions, especially in the periarticular soft parts, were present.
The authors illustrated the principles of dynamic osteosynthesis applied to olecranon, showed the good results obtained in 40 cases, and pointed out the importance of the early mobilization on a stabilized fracture focus.
The authors show two cases of dissecting osteochondritis of elbow, confirming the frequent absence of a clinical symptomatology in the initial stages of such disease and the benignancy of its course. From a careful study of the casuistries present in literature, what emerges is the rareness of this location, together with a prudent therapeutical trend with periodic clinical and radiographical checkings, reserving the surgical solution to the cases of articular free body with episodes of block.
The Authors report their experience about totally mechanical coloanal anastomoses. Seven patients affected by rectal cancer and submitted to proctosigmoidectomy and, following totally mechanical coloanal anastomoses as described by Goligher are taken in consideration. The distance of the neoplasm from the anal verge goes from 5 to 7 cm. Using Dukes classification 6 patients were classified in B stage, only 1 in A stage and nobody in C stage. No patient received adjuvant radiotherapy. In the patients in B stage has been performed an extended ilio-pelvic lynfoadenectomy. Particular attention was put on the complete remotion of the mesorectum. In no case has been provided with a creation of a diverting colostomy. No mortality in the post-operative period nor anastomotic leakages haven't been recorded. The follow-up goes from a minimum of 8 months to a maximum of 7 years. Have been reported 2 cases of recurrence, at pelvic level after 18 months and at empathic level after 8 months from intervention. In 6 of the 7 patients have been valued the functional results that have put in evidence a satisfying gas and fecal continence. Only during the first months following the intervention has been recorded an increasing of the number of defecation that have reduced in the long term.
The authors discuss a case of nephro-colic fistula recently observed. The patient, treated by radical cystectomy for diffuse bladder carcinoma, had a nephrostomic drainage. Clinical and diagnostic considerations are reported.