Thalassemia major: evaluation of the hypothalamic-pituitary-thyroid axis.
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Adolescent↗
Biomedical subjects
G Pisano
Publications and source records attributed to G Pisano.
[Primary acute acalculous cholecystitis].
Acute acalculous cholecystitis (AAC) is a life-threatening condition whose incidence is steadily increasing although still lower than the corresponding lithiasic forms: AAC represents around 5-10% of all cases of acute cholecystitis. The severity of the disease is due to the rapid evolution towards gallbladder necrosis and biliary peritonitis. AAC is more frequently a disease of the critically ill patient arising in postoperative courses or in stressing conditions. Not rarely, however, it may occur with no evident predisposing factors and it seems related, in such cases, to elderly ages and to atheromatous vascular conditions. The authors report two cases of idiopathic AAC in elderly patients: pathogenic and clinical features as well as therapeutic options are analyzed and discussed.
Acute Disease↗
[Morgagni-Larrey hernia. A case report].
The authors report a case of Morgagni-Larrey hernia. It is anuncommon diaphragmatic hernia, often asymtomatic and occasionally found. The authors point out the disease's clinical, diagnostic and therapeutic aspects. The hernia's repair can be done both abdominal and thoracic via. The operation is always advisable as well as in asymptomatic pazients.
Follow-Up Studies↗
[Ambulatory surgery: current status and prospects].
Ambulatory Surgery (AS) was born some 20 years ago in USA pushed by economic requirements and rapidly spread over the European countries as one of the main factors of progress in health care. The Authors, after evaluating the actual situation of AS in the international literature, report their personal experience from January 1991 to December 1994. The series includes 810 surgical operations performed as outpatients procedures with immediate discharge. The following types of anaesthesia were used: local infiltration (86.6%), monolateral ultraselective spinal (10%), blended or general (3.4%). Hernias of the abdominal wall, varicose veins and anorectal diseases were the more frequent pathologies operated on. Results of surgery are satisfactory supporting the advantage of AS such as the absence of complications due to anaesthesia and hospital stay, the better relationship between patient and surgeon, the short return to working activities. AS proves its value on the clinical and socio-economic grounds provided that a well organised program and careful selection of patients are adopted. No extemporary organisation are advisable.
Adolescent↗
[Results of a cytological study of needle aspiration in 85 cases of nodular pathology of the thyroid gland, surgically controlled].
UNLABELLED: The present retrospective study is related to 85 patients with nodular thyroid pathology submitted to surgical therapy. In these patients preoperative cytology, through fine needle biopsy aspiration (FNBA), has been compared with histological examination performed on the surgical specimen. Malignant lesions were detected in 30 cases (35.3%). True positives cases were 14, true negative 48, false positive and false negative (FN) were 2 and 3 respectively. Due to the high number of FN, sensibility of FNBA was only 51.8%, specificity was 96% and accuracy 80.5%. Positive and negative predictive value were 87.5% and 78.6% respectively. CONCLUSIONS: Evaluation of the several sources of error comes to a conclusion that FNBA is certainly the main diagnostic tool in nodular thyroid pathology. Its employment should undergo to a centralized diagnostic evaluation in such a way that cytology is analysed together with clinical and other instrumental data.
Adolescent↗
[A case of nodular lymphoid hyperplasia of the small bowel in a patient with intestinal obstruction].
Nodular lymphoid hyperplasia (NLH) represents an uncommon lesion usually related to humoral immunodeficiency conditions. A case of NLH of the small bowel discovered by chance during an emergency laparotomy for an intestinal obstruction is herein reported. Discussion is focused on the main features of NLH which as in the reported case, is likely to be the initial manifestation of an intestinal disease not yet clinically defined.
Adult↗
[Micro-tympanoscopy in the diagnosis and follow-up of acute otitis media in infants aged 0-12 months]].
The Authors present an experience of fifteen years, in Merate's Hospital, with the microtimpanoscopy in the infant's otitis. The close collaboration between the pediatrician and the otologist have resolved doubtful diagnosis and have suggested a correct medical or surgical therapy.
Female↗