Biomedical subjects
Publications and source records attributed to E Bertolotto.
The Authors present a rare case of stenosing primary adenocarcinoma of the duodenum, excluding the papilla of Vater, for its rarity. They report the diagnostic methods and the surgical procedure (D.C.P. resection).
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Personally observed signs of venous thrombosis arising in 19 patients given ascending phlebography are described with reference to certain clinical signs and a surgical investigation.
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In an experimental and then clinical investigation, the intention has been to demonstrate that tissue adhesive (Histoacryl Braun) is a useful safety factor in a wide variety of difficult intestinal sutures, in both emergency surgery and in that of choice. Experiments were carried out on about a hundred rabbits which received colic anastomosis, after clean, complete section, anastomosis of the viscera, with four cardinal sutures in 000 silk and the remaining suture of a diameter of about 3 cm with adhesive. This stage having been surmounted with excellent results, work continued with the experiment in emergency surgery and surgery of choice, on the basis of the criterion of greater safety as a complement of the traditional high dehiscence risk suture technique. The clinical results obtained thus far have been encouraging enough to suggest its experiments.
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The authors report the own experience about the experimental use of tissue adhesive in the colonic surgery, on 14 rabbits, with quite satisfactory result. Therefore they evince that this tissue adhesive, althought it can't replace the surgical suture, yet it can help the surgeon out of a hard colonic anastomosis.
As part of a study on i.v. drugs that have recently entered clinical practice, the association of a hypnotic, althesin and an analgesic, ketamine is reproposed. To boost the respective pharmacological actions, the low doses employed revealed none of the negative effects attributable to the drugs taken singly, while anaesthesiological treatment was quite satisfactory.
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