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Biomedical subjects

E Zitti

Publications and source records attributed to E Zitti.

8 recordsLinked to original sources
PubMedDate not supplied

[Surgical treatment of empyema (with or without bronchial fistula) after pneumonectomy].

The therapeutical possibilities are discussed in the most severe of the complications of pneumectomy : empyema, with or without bronchial fistula. The value was demonstrated of the thoraco-mediastinal plicature in the solution of 21 cases of empyema (of which 6 had bronchial fistula) occuring after pneumectomies performed for bronchopulmonary cancers (10 patients), pulmonary tuberculosis (8 patients) and broncho-pulmonary suppurations (3 patients). The results obtained were very satisfactory in 19 cases while in the other two cases the cure of the empyema was achieved although the patients died as a result of the evolution of the basal disease (bronchopulmonary cancer).

Bronchial Fistula↗
PubMedDate not supplied

[Details concerning a surgical technic in a case of esophagotracheal fistula].

The authors present a surgical technique for the treatment of oeso-tracheal fistula located in the left supra-hylar fossa, by mobilization of the aorta and ligature of the first intercostal arteries, which provide sufficient light for the surgical procedures. The technique described is illustrated by a personal observation demonstrating its value by the simplicity of the post-operative evolution and the complete recovery. Stressing the difficulty encountered in the pre- and intraoperative localization of the fistula, the authors consider that the technique proposed by them is the type of the necessity technique, the only one allowing to perform a direct surgical approach of the fistula at this level.

Adult↗
PubMedDate not supplied

[Postoperative digestive complications of thoracic surgery].

The authors investigated the pathologic digestive manifestations that have developed after 2000 surgical interventions in the thoracic-pulmonary field. Four categories of digestive disturbances have been considered: paresis (dynamic ileus), including acute gastric dilation; haemorrhage; mechanical ileus, and digestive perforation. The digestive pathology developed either autonomously or in association with other symptoms of shock. A total of 788 digestive complications have been recorded (39%), of which: 654 cases of dynamic ileus, 118 cases of haemorrhage, 2 cases of mechanical ileus, 4 cases of perforation and 10 cases of mixed complications. In fact haemorrhage is more frequent, haemorrhagic gastritis being found in most of the deceased patients, following prolonged postoperative evolution. The simultaneous or succesive development was noted of digestive complication and respiratory failure in a total of 126 patients (6,3% of the total number of cases investigated). Pulmonary failure became more severe after the onset of dynamic ileus, especially after acute gastric dilatation. The development of any digestive complication represented in all cases an aggravation factor, especially when accompanying respiratory failure. The decrease with time of the incidence of digestive complications, from 57% to 21,8%, is due to changes that have occured in anesthesy techniques, of which NLA appears to play the most important role.

Gastrointestinal Diseases↗
PubMedDate not supplied

[Posterior (retrovascular) mediastinocervical goiters].

Three cases are presented of endo-thoracic goiters with posterior, retro-vascular developement, a very rare variety of the mediastino-cervical goiter. The anatomic pathways are described, along which this variety of goiter can migrate inside the thorax, as well as the radiologic signs which allow to make a diagnosis. In view of making a choice of the access route the importance of the diagnosis is particularly stressed, before surgery is attempted. It is also demonstrated that the best route is the vertical cervicosternotomy of the partial type (the Welti technique), completed by antero-lateral thoracotomy in the III-rd right intercostal space.

Adult↗