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D Cossavella

Publications and source records attributed to D Cossavella.

14 recordsLinked to original sources
PubMed2006

[Stapled versus hand sewn anastomosis in elective and emergency colorectal surgery].

We studied the incidence of anastomotic leakage in colorectal surgery with the alternative use of stapled anastomosis, hand sewn anastomosis and stapled/hand sewn anastomosis. 477 consecutive patients admitted for elective or emergency colon surgery were divided in: Group I? 337 elective patients submitted to mechanical bowel preparation; Group II - 140 emergency patients operated without mechanical bowel preparation. We analyzed surgical complications in the two group considering the different anastomosis made (stapled, hand sewn and stapled/hand sewn). Anastomotic leakages were 11 (3.3%) in Group I: 7 in stapled (3,4%), 2 in hand sewn (2,1%) and 2 in stapled/hand sewn anastomosis (5,3%); 10 patients (91%) with peritonitis or intra-abdominal abscess required re-intervention and there was a correlated death. In Group II there were 6 anastomotic leakages (4,2%): 1 in stapled (1,4%), 3 in hand sewn (8,3%) and 2 in stapled/hand sewn anastomosis (5,7%); four patients required re-intervention and there were no correlated deaths. Mean postoperative stays were similar among the different techniques of suture in the two groups. No statistically significant differences in surgical complications were noted among stapled, hand sewn and stapled/hand sewn anastomosis. The choice should be based on personal preference and surgeon experience, considering costs, using hand sewn suture whenever is possible.

Abdominal Abscess↗
PubMed1998

[Surgical treatment of recurrent inguinal hernia using prosthetic materials].

The authors affirm that plastic surgery using graft materials is a feasible technique also in case of recurrent inguinal hernia. They follow with interest the evolution of laparoscopic techniques which are still the cause of some perplexity. The paper reports a series of nine recurrent inguinal hernias out of 447 inguinal hernias operated during the period May 1994-May 1996.

Adult↗
PubMed1998

[Intestinal perforation caused by a toothpick].

Intestinal injuries are pathologies frequently caused by toothpicks. In literature are reported serious damage to the cardiovascular system, lung and systemic fatal sepsis. In literature are also reported some deaths caused by delayed diagnosis. The authors report two cases of intestinal perforation by toothpick. Both patients had accidentally swallowed the toothpick. The clinical state was compatible with acute abdomen in a 59 year old psychopathic patient and acute appendicitis in a 27 year old patient. The aim of this paper is to emphasize the importance of a careful anamnesis for detecting the swallowing of a toothpick.

Abdomen, Acute↗
PubMed1998

[Lipoma of the colon as an unusual cause of recurring partial intestinal occlusion. Clinical case and review of the literature].

A case of a symptomatic colonic lipoma causing recurrent abdominal pain and intestinal obstruction, not treated is reported. Lipomas are the most common mesenchymal benign tumors that can be found in the colon and are second as frequence only to the adenomatous polyps. In 65% of cases the lipomas are located in the large bowel and represent the most common cause of intestinal intussusception in the adult. Lipomas are most frequent in the right colon (40%-68%) an opposite distribution in comparison with adenocarcinomas and adenomatous polyps. When their diameter is more than 3 cm, lipomas become symtomatic. In lipomas less then 2 cm in diameter it is possible an endoscopic removal while for bigger sizes the surgical laparoscopic approach is recommended.

Aged↗
PubMed1998

[Bilateral inguinal hernia. Which treatment?].

The authors present a series of 70 bilateral inguinal hernias selected from a total of 641 inguinal hernias operated from May 1994 to November 1996 using alloplastic surgery. They discuss the most appropriate methods of access for treating this pathology in a single operation, and propose inguinal access as the most preferable method owing to its easy execution and apparently greater safety. Laparoscopic techniques should be reserved for special cases such as pluri-recidivating hernias.

Adult↗
PubMed1983

[Cystic dilatation of the choledochus].

The authors show a case of cystic dilatation of choledochus in a woman patient aged 10. After reporting its nosologic classification, drawn from the world literature, they dissert about the treatment, which should be essentially surgical. The Authors performed a new surgical technique, as an alternative to the suggestion of other Authors. The method adopted consists of the partial resection of the cyst and subsequent reconstruction of choledochus on Kohr's tube.

Child↗