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Biomedical subjects

Diego Celi

Publications and source records attributed to Diego Celi.

7 recordsLinked to original sources
PubMedDate not supplied

[Diverticulosis of the colon: complications of surgical interest].

Diverticular disease is prevalently only of medical interest. Repeated episodes of diverticulitis, particularly in younger patients, and serious complications such as perforation, stenosis, fistula and haemorrhage demand surgical treatment. The timing and type of surgical operation are conditioned by the pathological picture and by the patient's general condition and age. The authors present a series of 586 patients admitted for diverticular disease, 84 of whom presented complicated diverticulosis. Nineteen cases (22.6%) underwent elective surgery in the form of an anterior rectal resection, while 65 of them underwent urgent surgery for complicated diverticulosis variously consisting in total colectomy, a Hartman's resection, a simple rectal resection or a left or right hemicolectomy.

Adult↗
PubMedDate not supplied

[Acute vascular abdomen: personal experience and review of the literature].

Acute vascular abdomen presents an incidence of 1% of all cases of acute abdomen, but the mortality rate is high, ranging from 50 to 80%. Acute mesenteric ischaemia and rupture of abdominal aorta aneurysms are the most frequent causes. Prevention of causal agents and early diagnosis are the only elements capable of improving patient survival. The authors report their personal experience over the period from 1996 to June 2002, analysing different clinical cases of acute vascular abdomen and their diagnostic and therapeutic management and comparing their experience with the relevant literature data.

Abdomen, Acute↗
PubMedDate not supplied

[Palliative endoscopic treatment of pancreatic cancer].

Pancreatic cancer has a very poor chance of being radically resected (20-25%) at the time of diagnosis. Palliation has thus proved to be the mode of treatment adopted in the majority of cases. When a radical surgical resection is not feasible, the endoscopic approach is one of the most common options among the therapeutic methods available. Endoscopic palliation for the treatment of jaundice is regarded as the best choice. It is associated with very low morbidity and no mortality. Hospitalization is short and the treatment is also inexpensive compared to other procedures. The authors report on their experience with endoscopic palliation for the treatment of inoperable pancreatic cancer.

Endoscopy, Gastrointestinal↗
PubMedDate not supplied

[Abdominal wall hernia surgery: prosthetic materials].

Treatment of abdominal hernia has been revolutionised by using new prostheses. Reduction of tissue tension, elimination of wall defects and lowering of recurrences are the key aspects of the success of these devices. In Italy, prostheses are widely used. Marketing enquires show percentages of prosthesis use of over 80% for the treatment of primitive hernias and as much as 100% for recurrences. It is strongly recommended that randomised prospective studies be carried out in order to establish the advantages and disadvantages of the various techniques. Moreover, an international classification should be considered so that all surgeons can use the same language and compare their results.

Biocompatible Materials↗
PubMedDate not supplied

[Complex anal fistula with a recess above the levator ani muscles: report of a case complicated by haemorrhagic colitis].

Anal fistula surgery offers very little in the way of new developments. As early as the 14th century John of Arden defined the rules for surgical therapy. The numerous classifications adopted are often contradictory and unclear, and no clearly defined pathogenesis of the condition has been established. Complex anal fistula with a recess above the elevator ani muscles requires very careful and meticulous therapeutic treatment because of the risk of damaging the sphincter. In the case reported here the patient presented a very complex fistula which was followed by onset of severe haemorrhagic colitis without any clinical, endoscopic, radiological, or histological evidence of inflammatory bowel disease prior to surgical treatment.

Anal Canal↗
PubMedDate not supplied

[Inguinal endometriosis: a case report and review of the literature].

Inguinal endometriosis is a relatively rare clinical condition, accounting for 1% of extra-uterine locations. Owing to the particular anatomical area affected, the diagnosis in the asymptomatic forms proves difficult. Imaging fails to yield a reliable diagnosis, which is only possible on the basis of histological findings. Rare cases of neoplastic transformation have been reported. The case described here may be emblematic in terms of the migratory pathogenesis of the lesion. Endometriosis is seldom of interest to the general surgeon, since it is generally an exclusively gynaecological condition. Atypical locations, however, do fall within the domain of general surgery, which is what prompted us to review the relevant literature.

Adult↗