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L Cardino

Publications and source records attributed to L Cardino.

26 records · Page 2Linked to original sources
PubMedDate not supplied

[Spontaneous bilio-digestive fistulas. Experience with 27 cases].

A series of 27 cases of biliary-digestive fistulae is presented. 26 were due to calculi and 1 to ulcer and calculi. 20 led to the duodenum, 6 to the colon, and 1 to the stomach from the gallbladder. The series constituted 1.4% of bile ducts operations. Females (mostly multiparae) formed 66%. The mean age was 64 yr. Direct fistulae (66%) had the appearance of surgical openings, whereas the indirect forms (34%) included a fistulous connection between the mucosae of the two organs. There was no distinctive symptomatology. In most cases, the fistula was formed during a serious exacerbation episode of the underlying diseases, whose symptoms, if occasional, tended to become continuous. Pre-operative diagnosis was difficult, though suspicion was present in 44% of cases. Radiological examination is essential for this purpose. Pneumoangiocholia observed during direct examination of the abdomen is virtually pathognomonic. Examination of the bile ducts with contrast medium given venously or per os proved less useful, since the fistula was very difficult to detect; at best, pneumocholecyst between the main duct and the opposing duodenum could be seen. Detection was, on the other hand, possible in over 50% of cases on examination of the digestive apparatus with contrast medium per os or rectally. Treatment consists of removal of the fistula and the disease responsible for it. Very good results were obtained, with a mortality of 3%.

Aged↗
PubMedDate not supplied

[Carcinoma of the ileo-cecal appendix].

A structurally impaired appendix observed during laparotomy in a woman of 62, suffering from gall stones with stenosis of the papilla, was removed. Histological examination showed carcinoma. Right hemicolectomy was performed later.

Adenocarcinoma, Mucinous↗
PubMedDate not supplied

[Enteropexy (the Reymond procedure) in the treatment of small-intestine obstruction. The experience of 133 cases].

The indication for a pexis operation is entirely dependent on the condition of the intestinal peritoneum. If detachment of peritoneum is absent or very superficial then pexis is not indicated (prophylactic pexis). If, however, multiple regions of peritoneal detachment extending to the subperitoneal layer exist then curative pexis is justified, and must extend to the whole or almost the whole of the small intestine, and be performed using absorbable suture thread.

Humans↗
PubMedDate not supplied

[Surgery in the prevention and treatment of intestinal occlusion caused by adhesions. Reymond's method of enteropexy. (Experience with 69 cases)].

The state of the art with regard to surgical management in the prevention and treatment of intestinal occlusion caused by adhesions is described and the various operations proposed are examined. Noble's operation (folding and overcast suture of the intestinal loops)-the first to be proposed requires too much time for its execution. In addition, it restricts loop mobility and thus predisposes to recurrences and complications. The operation of Childs & Philips (folding of the intestine by accordion attachment of the mesentery with transfixing, looped wires) is quicker, but its wires result in a certain degree of vascular and enteric affection. Folding via intubation of the whole of the small intestine with a long catheter, using a nasogastric, gastrostomic or jejunostomic route, is both simple and rapid. It is particularly advisable in non-peritonitic obstruction in children and as a prophylactic measure. Reymond's operation (enteropexy with two simple and fundamental, lateral "virage" sutures) may be segmentary or total, or confined to a few loops. It is very simple and quick. It can always be used and is adaptable to the objective situation in each case. Personal experience with this operation in 69 cases (54 "therapeutic" and 15 "prophylactic") is presented. Two instances of recurrence due to poor technique were noted. It is felt that the operation is extremely satisfactory.

Adolescent↗