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Biomedical subjects

C D'Urbano

Publications and source records attributed to C D'Urbano.

12 recordsLinked to original sources
PubMed1997

[The treatment of bronchopleural fistulae due to bronchial dehiscence by chest wall interventions. The authors' personal experience].

The authors present their personal experience of three cases of bronchial fistulae post pneumonectomy or lobectomy. Surgical treatment was not done directly on the bronchial stump but by thoracoplasty. This approach to the thoracic chest gets good results on condition that stabilization in reexpansion of residual parenchyma and drainage of bronchial secretions is carried out.

Bronchial Fistula↗
PubMed1996

[Gasless laparoscopic cholecystectomy using retractor of the abdominal wall].

The Authors present a new gasless laparoscopic cholecystectomy method using an abdominal wall elevator with subcutaneous traction ("laparotenser"). Fifty patients between May 1994 and March 1995 were operated by videolaparoscopy using this new gasless method. Twenty of them were operated with Nagai's method while the laparotenser was used in the remaining thirty. The results obtained are similar to those using pneumoperitoneum. It has been observed a global reduction of costs, less postoperative pain, no influence in cardiovascular and metabolic indexes. No complications were reported during the postoperative period but two cases of conversion to laparotomy not related to the method used were needed. Laparoscopic cholecystectomy without pneumoperitoneum using the subcutaneous elevator of the abdominal wall ("laparotenser") has demonstrated that it's possible to operate in a working space similar to that created by the pneumoperitoneum. After an initial period of distrust towards the laparoscopic methods without pneumoperitoneum it has been accepted that gasless methods multiply the indications to minimally invasive surgery in patients with cardiorespiratory problems considered no ideal candidates to laparoscopic cholecystectomy with pneumoperitoneum.

Adult↗
PubMed1996

[Imaging-guided therapy of primary tumors of the liver].

Primitive tumor of the liver, associated with cirrhosis with 40-80% of incidence, isn't one of the most common malignant neoplasms in the western area but it holds low survival and diminished possibilities of radical exeresis. A few years ago it has enrolled several non-invasive imaging-guided techniques, alternative or complementary to surgery, for the treatment of hepatic carcinoma. The authors carried out a review of the literature of the past years referring to no invasive imaging guided techniques for the treatment of liver neoplasms and they describe the therapeutical indications, advantages and disadvantages of their application and the complications reported. Although this is a controversial subject, with several lines of actuation, the present report demonstrate that the intraoperative echography, chemoembolization, radiochemoembolization and percutaneous alcoholization are more feasible because definite indications and acceptable results.

Antineoplastic Agents↗
PubMed1995

[The reappearance of gastrointestinal tuberculosis in general surgery].

Gastro-intestinal tuberculosis (TB) continues to give rise to diagnostic and therapeutic challenges. Its increasing incidence and multiple and non-specificity of symptoms and signs require special attention to establish a prompt diagnosis and not to delay treatment. The authors describe on case of colonic TB presenting with multiple episodes of subocclusion suggesting a stenosing neoplasm of the caecum.

Aged↗
PubMed1993

[Idiopathic hepatic adenoma in the adult].

Hepatic adenoma is an infrequent evenience, not wellknown till oral contraceptive diffusion in the 60s. The lesion may also be associated to the use of androgenic steroids, and to both type I and type III glycogen storage disease. Hepatic adenoma may be single or, more rarely, multiple. Recently the term of multiple adenomatosis has been adopted for the cases in which ten hepatic adenomas or more are found in a single liver. In this report, a case of hepatic adenoma involving a patient with no risk factors for such lesion as well as diagnosis and therapy are illustrated.

Adenoma↗
PubMed1991

[Recurrent hepatic echinococcosis. A case report and review of the literature].

The paper report a case of postoperative recurrent hydatid disease in a fifty-year-old man. The scarcity of published works on the etiological causes of this pathology and the lack of an uniform treatment protocol necessitate a correct and radical surgical approach. The patient underwent cystopericystectomy and after three months follow-up is still free of disease.

Echinococcosis, Hepatic↗
PubMed1984

[A case of lingual thyroid].

A case of thyroid lingual ectopy is reported. Medical therapy was at first sufficient to control the progressive increase in thyroid volume, but adolescence and pregnancies induced a further increment in the volume of the lingual goiter, accompanied by an impairment of swallowing and respiration. Such obstructive symptoms were resolved by surgical intervention followed by continued substitutive medical therapy.

Adult↗
PubMedDate not supplied

Pneumomediastinum: physiopathological considerations and report of six cases treated in an emergency surgery division.

Pneumomediastinum indicates the presence of air in the mediastinal space. It may be classified in three categories, based on the main causes of air dissection into the mediastinal structures: spontaneous pneumomediastinum (pnm), the most frequently encountered, post traumatic pnm and pnm secondary to non-traumatic rupture of an abdominal hollow viscus. This paper reports the experience of a major regional emergency surgery division in the management of pnm during a five years period. Physiopathologic correlations are discussed together with diagnostic and therapeutic options.

Adult↗