Biomedical subjects

Angelo Forte

Publications and source records attributed to Angelo Forte.

3 recordsLinked to original sources

PubMedDate not supplied

[Lung resection: predictive value of respiratory function].

The most important preoperative cardiopulmonary variables for identifying patients at increased risk prior to lung resection are: FEV1, FEV1-ppo, DLCO, MVO2, and SO2. The aim of this study was to evaluate the ability and usefulness of predictive postoperative FEV1 (FEV1-ppo) in 80 patients undergoing lung resection. Spirometry was performed before and 6 months after operation; residual respiratory function was calculated using Nakahara's formula, and data analysis calculations were performed using the chi 2 test. It was observed that the resulting predictive values were almost comparable to the values observed 6 months postoperatively in 63.75% of patients and the correlation proved statistically significant (P < 0.005). In view of its simple and rapid execution, we conclude that Nakahara's formula, compared with the others, remains a reliable standard method of assessing high-risk patients and planning appropriate surgery.

Aged↗

PubMedDate not supplied

[Current indications for the surgical treatment of pulmonary tuberculosis].

A marked worldwide increase in the prevalence of pulmonary tuberculosis has occurred over the past 15 years. The reasons for this change include the worldwide epidemic of AIDS, poverty and the unprecedented extent of migration. We selected 47 patients with pulmonary tuberculosis or its sequelae for 51 surgical operations, with a high prevalence of subjects under 50 years of age (48.9%). There were three major non-fatal complications, and three minor complications. One patient died on postoperative day 1 as a result of unrelated causes. At present, surgery for tuberculosis of the lungs is mainly indicated when all medical treatments have proved ineffective or in circumstances where complete control of complications or disease sequelae is necessary, provided there is a correct indication and a flawless execution.

Adolescent↗

PubMedDate not supplied

[Emergency surgical treatment of complicated acute diverticulitis].

Twenty-five percent of patients undergoing surgery for acute complicated diverticulitis represent emergencies. This condition is currently treated by colonic resection with primary anastomosis with or without colostomy, or by a Hartmann operation. We report on our experience with 52 consecutive patients with generalized peritonitis (8 cases), peri- and paracolonic abscesses (19 cases), severe pelvic abscesses (12 cases) and multiple abscesses with visceral fistulas (13 cases). All patients had emergency surgery. In 50/52 patients (96.2%) we performed a colonic resection with primary anastomosis using a mechanical stapler and in 2/52 a Hartmann operation. The overall mortality rate was 5.8%. The morbidity rate was 22% with 9 anastomotic leakages. A diverting colostomy was constructed in 16 patients and opened in only 8 patients. In 4 cases a parastomal hernia occurred after late closure and reduction of the colostomy. This data suggest that colonic resection with primary anastomosis, even without colostomy, is a safe procedure for the emergency treatment of acute complicated diverticulitis.

Acute Disease↗