Biomedical subjects

G Pugliano

Publications and source records attributed to G Pugliano.

3 recordsLinked to original sources

PubMed1997

[Prosthetic hernia surgery. Our experience].

795 cases of inguinal and femoral hernia repair, utilizing polypropylene meshes, were performed during the period 1/1/91-31/3/97. The Trabucco repair was performed in 301 cases (37.8%), while the Lichtenstein technique in 494 (62.2%). In the last two years the Lichtenstein technique was preferred to homogenize the results. Local anesthesia was used in 89% and follow-up, in 69% cases, has ranged from two months to six years. The most important complications were 12 hematomas (1.6%) and 4 infections (0.5%). There were two recurrences (0.3%), due to a technical error.

Adult↗

PubMed1996

Hepatic hydrothorax without diaphragmatic defect. An original surgical treatment.

A 58-year-old woman with a long history of well-compensated postnecrotic cirrhosis with acute massive ascites and right-sided pleural effusion was admitted. The injection of colorant and radioactive material into the peritoneal cavity didn't show up any passage through the diaphragm. After resuscitation therapy and insertion of abdominal and chest tube, effusions rapidly and massively re-accumulated. A LeVeen peritoneovenous shunt was inserted as an emergency measure owing to hepatorenal syndrome. Ascites completely resolved but pleural effosion was continuously and severely recharged. A Denver inverted shunt was subcutaneously inserted from pleural to peritoneal cavity. After operation CPAP was applied and pump device activated; pleural effusion gradually disappeared clearing completely the pleural space. The patient was discharged on the 10th postoperative day; her general condition and laboratory test have remained satisfactory up to one year without ascites and pleural effusion.

Ascites↗

PubMed1995

[Preliminary experience in prosthetic hernia surgery].

We reviewed 410 cases, 365 males and 45 females, mean age 64 years, of inguinal and femoral hernia, from 1/1/1991 to 31/12/1994, repaired with Lichtenstein and Trabucco techniques. Recurrent hernias repaired were 36 (8,8%). Local anesthesia was used in 82% and follow-up has ranged from 6 months to 4 years. The meshes used are made with a single layer of polipropylene and the Trabucco plugs T1 were made by hand at the operating table. In our experience these two techniques are simple, but is very important, before application of the mesh, a correct dissection of inguinal region. We made a complete excision of cremasteric fibers preservig, if possible, the genital branch of the genitofemoral nerve. The transversalis fascia is introflected and sutured in direct hernia repair or when there are a loss of tissues. The preliminary results obtained with the "tension free" hernioplasty are satisfying. The most important complications were 9 hematomas and an important and persistent inguinal neuralgia in 1 case. There were no recurrences, but we must considered the short follow-up period.

Adult↗