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Biomedical subjects

G Boero

Publications and source records attributed to G Boero.

At least 19 recordsLinked to original sources

Bilateral extensive skin necrosis of the lower limbs following prolonged epidural blockade.

Skin necrosis has not been described as a complication following epidural sympathetic blockade. We report a case of bilateral extensive skin necrosis of the lower limbs after a 48-hour lumbar epidural blockade in a 71-year-old patient with right hemiplegia and mitral valve regurgitation, without any preoperative clinical evidence of peripheral vascular disease or diabetes, who underwent transurethral prostatectomy.

Aged

[Synovectomy].

The synovial membrane--the articular district of the s.i.--responds to pathogenic stimuli by cell hyperplasia, giving rise to the so-called pannus. This together with regression and haemorrhage, may lead to self-maintenance of the condition, over and above the persistence of the original insult, resulting in chronicity and degeneration. If performed when the disease is still limited to histiocyte hyperplasia, synovectomy is effective in both single-joint forms and systemic conditions, such as rheumatoid arthritis. These conclusions (already evident in the literature) emerged from a review of a series of 67 synovectomies and 29 tenosynovectomies performed between 1969 and 1978 for various joint and tendon afflictions (not including T.B.) marked by synovial hyperplasia.

Arthritis, Rheumatoid

[A case of sacral neurinoma].

A case of sacral neurinoma diagnosed in a 67-year-old woman whose clinical symptomatology consisted for fully 54 years of faint but persistent episodes of lumbo- and sacralgia is reported. Only at the terminal moment of observation did the patient present motor and sensitivity disturbances in the lower extremities, paralysis of the sphincters and sacral decubitus. The mass was identified radiologically and submitted to biopsy. It was localized in the left wing of the sacrum and on the corresponding side of the iliac bone, and presented a diameter of 6 X 9 cm. The slow, practically asymptomatic course, the exclusively intra-osseous site, the histological report and late onset of a cauda syndrome, suggest that the origin of the neoplasia lies in the sacral nerves.

Aged

[Acrylic cement in the osteosynthesis of pathological fractures].

After outlining the problem of pathological fractures in patients suffering from malignant tumours, a recent acrylic cement osteosynthesis technique is presented. This makes immediate immobilization of the fracture possible, alleviation of pain and so early use of the fractured extremity. The personal series is illustrated and it is concluded that the technique also offers suitable prophylaxis when radiography of the skeleton points to osteolytic areas in which pathological fracture can be foreseen.

Acrylates