[Combined therapy in cancer of the rectum].
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Biomedical subjects
Publications and source records attributed to L Corbellini.
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Eight cases of hyperthyroidism and thyroid cancer, representing 0.96% of overall hyperfunctioning thyroid diseases (835), surgically treated are reported. Clinical and pathological data, and type of treatment are summarized. The etiopathogenic hypotheses about possible relations between thyrotoxicosis and thyroid cancer are discussed. In the presence of thyrotoxicosis, preoperative diagnosis of thyroid cancer is rather difficult, but awareness of the potential association and careful examination of any suspect nodularity make it possible to recognize minimal malignant foci and adequately treat them with total thyroidectomy and, when required, modified neck dissection.
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Stress is laid on the importance of the cellulo-lympho-thymic tissue of the anterior-superior mediastinum in demolition surgery for thyroid cancer. For this reason, a straightforward, reliable technique for removing the thyrothymic lamina by the cervical route has been prepared. Experimented on cadavers, this method has been used for superior mediastinic lymphnode exeresis in all cases where it was indicated.
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The synthetic and biological nerve guide regeneration gives interesting perspective of use in making artificial conduits for peripheral nerve reconstruction. In sixty Wistar rats, under general anesthesia and with microsurgical technique, the ischiatic nerve was isolated. On the right side a segment of the nerve was removed in order to create a 10 mm gap. The defect then repaired using the conduit. Control were performed at 20, 90, 180 days and consisted in histological microscopy and electromyography investigation. The regeneration of the nerve fibers in the lumen of the conduit was not significantly different on the contralateral nerve limb.
BACKGROUND/AIMS: Surgery remains the first choice for achalasia of the esophagus with good results in 90% of cases. METHODOLOGY: We studied the cause of failure for surgical treatment and the results of a second operation in 20 patients that were followed up for at least three years. RESULTS: The results were good in 70% of the cases. CONCLUSIONS: To improve this procedure, according to the authors, it is essential for a careful presurgery evaluation, an early reoperation in case of failure and a careful surgical technique in order to avoid periesophageal sclerosis.
The appearance of acute cholecystitis can make to complicate a natural history of cholelitiasis or post-operating time of patients that have concomitant predisposition factors. The best therapy is the cholecystectomy but somewhere for the critical general conditions is too much dangerous to make a surgical procedure. However we need to stabilize patients conditions, also for a short time. Our experience suggest us that percutaneous transhepatic cholecystostomy is a simple method without any complications, efficacious to resolve the acute sepsis in patients with cholecystitis that not be able to tolerate a surgical procedure.
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The authors report a case of Kimura's disease recently observed. Diagnostic problems related to this rare pathologic condition as well as current and most reliable etiopathogenetic hypothesis are emphasized. Histopathological and clinical features are described in detail.
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