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Biomedical subjects

L Cardino

Publications and source records attributed to L Cardino.

At least 19 recordsLinked to original sources
PubMed1999

[Tension-free hernioplasty. Our experience].

BACKGROUND: In recent years the "tension-free" techniques have been progressively replacing conventional hernioplasty by Bassini and Shouldice. Personal experience in the application of various techniques using a prosthesis to make the back wall of the inguinal canal stronger is described. METHODS: From January 1995 to February 1996, 119 non-selected patients were examined; they were operated by Trabucco's (100 cases), Lichtenstein's (16 cases), Gilbert's (13 cases) and Rives's (1 case) techniques, using polypropylene prostheses. Patients were followed for ten months (range 4-18) after surgery with Day-hospital checks at 1 month, 4 months, 1 year and 18 months. RESULTS: Mortality was not observed. Morbility presented in 12 cases: 2 suppurating wounds, 3 seromas, 2 hematomas, 2 temporary neuralgias of the genito-femoral nerve and 2 scrotal edemas. There was a recurrence (0.8%). CONCLUSIONS: The cases presented confirm the validity of the "tension-free" techniques, both for reduced incidence of complications and recurrences, and for a better compliance of the patient, compared with conventional techniques.

Adolescent↗
PubMed1995

[Retroperitoneal leiomyosarcoma originating from the inferior vena cava. A case report].

After a brief review of the literature, the authors report a rare case primitive retroperitoneal leiomyosarcoma originating from the inferior vena cava. The tumor was diagnosed very early thanks to its early symptoms and signs (abdominal pain and palpability), which appeared when the tumor size was only 5 cm. Therefore it was possible a macroscopically radical surgical exeresis even if the anatomical situation was particularly delicate. The low grading and staging of the tumor allowed to express a positive prognosis in spite of the malignant nature of this sarcoma.

Abdominal Neoplasms↗
PubMed1994

[Laparoscopic cholecystectomy. Personal experience].

The authors present their experience (136 cases) in the treatment of cholelithiasis with coelioscopic cholecystecomy. After a comparison of this modern technique with the traditional laparotomic approach, they underline the several advantages of coelioscopy (short hospitalization and early return to patient's work, reduced post-operative abdominal pain, avoidance of laparocele, better aesthetic results). Then the authors describe the present treatment of combined cholecysto-choledochic lithiasis with the help fo ERCP (their hope is for further improvement in surgical instruments to allow a single laparoscopic solutions.

Adolescent↗
PubMed1994

[Gastric leiomyosarcoma. Three clinical cases in emergency].

The authors describe three cases of gastric leiomyosarcoma that required surgical treatment in emergency. Myogenic gastric tumors are extremely rare (1-3% of primitive gastric neoplasias) and little is known about their biological evolution, even if they seem to have scarce power of spreading and of local invasion. Echoendoscopy appears to be the best screening method for the evaluation of staging and DT (doubling time). In the authors' opinion, when neoplasms have a diameter less than 5 cm, subtotal or total gastrectomies don't offer better results in the follow-up than simple minimal excision of the gastric tumor.

Aged↗
PubMed1994

[Acute abdomen caused by eosinophilic gastritis].

The authors describe a case of acute abdomen operated in emergency for obstruction in a patient with eosinophilic gastritis. This is very unusual pathology characterized by eosinophilic infiltration of the gastric antral wall combined with peripheric eosinophilia. This particular case was operated for a small bowel obstruction but in those rare cases, when we can reach a diagnosis with endoscopic biopsy, a prudential attitude becomes inevitable as this pathology is very responsive to medical treatment with corticosteroids.

Abdomen, Acute↗
PubMed1993

[Intestinal occlusion caused by internal hernia of the retrocaecal recess. Description of a case].

The authors describe an acute intestinal occlusion due to a rare case of strangulated intra-abdominal hernia of the retrocaecal peritoneal recess. They underline the rarity of this pathology which is often treated in emergency without any possibility of preoperative diagnosis. Therefore, in order to carry out surgical therapy with good results, a correct knowledge of the anatomical features of these hernias is necessary.

Acute Disease↗
PubMed1993

[Splenectomy versus splenic salvage. Our experience].

The authors describe their experience in the surgical treatment of splenic lesions, mostly traumatic. In recent years a resolutely conservative attitude has been turned to splenic salvage, thanks to late findings on its immunological and haematological functions. Against 59 splenectomies for III-V degree lesions, the authors report a case of splenic trauma (II degree) without surgical treatment, monitored with clinical, haematological and instrumental (echography) test.

Adolescent↗
PubMed1989

[Biliary ileus. Our experience].

Personal surgical experience of 7 cases of typical gallstone ileus and 2 cases of Bouveret's syndrome secondary to spontaneous bilio-digestive fistula of lithiasic aetiology are reported. After analysing the problems inherent in the clinical picture and the diagnostic protocol, stress is laid on the therapeutic strategies employable in the event of typical gallstone ileus. It is concluded that single stage correction of the bilio-digestive occlusion and fistula is always preferable except in patients whose general condition is very poor. Patients should initially be submitted to treatment of intestinal occlusion alone.

Aged↗
PubMed1978

[Unusual case of urogenital anomaly].

A case of associated malformation of the urogenital apparatus, right renal aplasia associated with uterus unicornis with the second uterine duct being independent of the first and located in the corner of the right iliac vessels, in reported in a woman of 41. Three pregnancies had all terminated regularly with live foetus born from eutocic delivery. The unusual nature of the case is insisted on and it would not seem possible to include it in any of the five classes established by Musset et al.

Adult↗
PubMed1978

[Intraoperative peritoneal lavage in generalized acute peritonitis. Experience with 61 cases].

After wide preface about peritoneal anatomy, pathological, physiology and physiopatology and about the physiopatology of general acute peritonitis, a case records of 61 patients is produced. All the patients were shocked and urgently operated for general acute septic peritonitis and were abundantly washed with a polisaline solution during the operation. That washing technique is described and the authors remark its abundancy (at least 10-12 litres) and its systematicity. They also remark that the washing is the true and main moment of the reanimation and it is the most important salvage action in the general acute peritonitis. The antibiotical therapy, especially the topical one, and the drainage are only complementary elements in the treatment. Among 61 patients, with an average of 54 years, there were eight deaths (13%) in old patients, with an average of 71 years and they were all caused by cardiac and circulatory disease. No patient died for peritonitis or for toxic-infections causes. The postoperative morbility (eight patients-13%) was mainly caused by the infection of the laparotomy and it only prolonged some days the stay in hospital.

Adolescent↗
PubMed1977

[Complication of spontaneous internal biliary fistulae (experiences in 46 cases)].

Spontaneous internal biliary fistulas are complications of biliary disease and may themselves be the source of further complications. Instances of the latter observed in a series of 28 bilio-digestive and 18 bilio-biliary forms are described: angiocolitis, biliary peritonitis, cholangitic cirrhosis, diarrhoea and malabsorption syndrome, haemorrhage, biliary ileus and Bouveret syndrome. Stress is laid on the need for early diagnosis and early surgery. It is pointed out that there is no such thing as an innocuous biliary calculus.

Aged↗
PubMed1977

[Spontaneous bilio-biliary fistulae. Experience in 18 cases].

Six cholecyst-hepatic, nine cholecyst-hepatic-choledochic, and three cholecyst-choledochic spontaneous fistulae were observed in subjects (89% females) aged 28-76 (average 52) yr, forming 0.9% of a series of bile duct operands. Lithiasis is seen as the origin of these forms. A large calculus wedged in the gallbladder basis leads, due to decubitus, to symphysis between the basis and the main bile duct. Later, infection results in necrosis of the walls and gives rise to the fistula. The symptoms are not pathognomonic. Clinical diagnosis is virtually impossible and the condition is usually an unexpected surgical discovery. The only sound management consists of elimination of the fistula and calculus and reestablishment of free bilio-enteric transit. Anterograde cholecystectomy (including section of the organ in nearly every case) may or may not be accompanied by papillotomy. The fistulae is sutured or a bilio-enteric diversion is provided. Personal experience suggests that Y-diversion to the jejunal loop according to Roux is preferable to choledocho- or hepatico-duodenostomy. Very good results are usually obtained and mortality is low at 5-9%.

Adult↗
PubMed1977

[Trans-sheath laparotomy of the rectus muscle in appendectomy].

Reference to personal experience covering 2035 appendicectomies is referred to in an account of the technique of transvaginal laparotomy of the rectus muscle. Here the sheath of the rectus and the peritoneum are incised at different levels and in different directions. The outside border of the sheath is not touched and the muscle is displaced medially, without section or displacement of the muscle fibres. If required, the operation can be extended upwards or downwards into a pararectal incision without departing from the context of the sheath. The technique is easy and gives ample vision. Closure is simple, rapid and cosmetically satisfying. The resulting solidity of the wall means that laparocele does not occur.

Appendectomy↗