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Biomedical subjects

G Gucciardo

Publications and source records attributed to G Gucciardo.

At least 19 recordsLinked to original sources
PubMed1990

[Definite colostomy using a circular stapler: a technique to be reconsidered].

Personal experience on a particular utilization of circular stapler is reported. At the beginning the fast and easy execution emphasized its use. However, the constant appearance of a late complication was observed, i.e. the progressive stenosis of the stoma. This event occurred even when maximal size of the instrument was used and it reappeared after repeated procedures of instrumental or surgical dilatation. The effective validity of this technique was evaluated by the Authors. On the other hand, the Burk alternative technique, with a second purse-string on the cutaneous ring seems to prevent the stenosis. However, it is slow and difficult as traditional procedure. The causes of the neostoma stenosis performed by circular stapler, reported by the Authors in 100% of cases, are easily explained with the absence of biological barrier of colonic mucosa that normally prevents excessive tissue growth.

Colostomy↗
PubMed1990

[Critical considerations on circular staplers].

After a careful review of the literature and a critical evaluation of personal experience on stapling technics in visceral anastomoses, some critical considerations on circular devices are reported. The Authors emphasize the well known qualities of staplers which brought to their routine use in digestive surgery. Some complications exclusively due to an "imperfect" firing of the instrument are then reported. Personal experience on a particular utilization of circular stapler for definitive colostomy is also reported. The Authors finally suggest some simple technical improvements.

Anastomosis, Surgical↗
PubMed1980

[A case of leiomyosarcoma of the small intestine].

This paper concerns a case of leiomyosarcoma of the first jejunal loop both bleeding and perforated. Authors do outline the rarity of this associated complication and hence how correct diagnosis of the disease is difficult. According to their experience, the relative early onset of complications allows a surgical approach on the malignancy in an early stage.

Adult↗
PubMed1979

[Clinical considerations on the surgical treatment of perforated gastroduodenal ulcer: experience in 479 cases].

In this work, the authors support the therapeutic validity of gastric-duodenal resection in urgency surgery. This study has been made on 479 cases observed during the last 21 years (1957-78). In 58 of them we have made a sinking of ulcer, in 421 patients we have made, immediatly, a gastric-duodenal resection with B II technique. On the base of the good obtained results, the authors conclude that the contro-indications to this operation (age, general conditions of patient, old pierce, etc.) that were accepted by the most surgeons up to few years ago, must considered of secondary importance.

Adolescent↗
PubMed1979

[Penetrating heart wounds: four cases (author's transl)].

The authors describe four cases of penetrating heart wounds: two from slash and puncture injuries and two from gunshot. Hearth lesions involved the left ventricle and pericardium in two cases, the right ventricle in one case, and only the diaphragmatic pericardium in one case. After a review of the literature, the authors discuss clinical and diagnostic problems relative to penetrating chest wounds and particularly those of the heart, stressing the need for very prompt diagnosis; as for actual treatment, they conclude that this can be carried out without any special problems in any Department of general emergency surgery.

Adolescent↗