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Biomedical subjects

Luigi Boni

Publications and source records attributed to Luigi Boni.

25 records · Page 2Linked to original sources
PubMed2005

Antibiotic prophylaxis in colorectal surgery.

Nosocomial infections are the most frequent complications observed in surgical patients. In colorectal surgery, the opening of the viscera causes the dissemination into the operative field of microorganisms originating from endogenous sources, increasing the chance of developing postoperative complications. It is reported that without antibiotic prophylaxis, wound infection after colorectal surgery develops in approximately 40% of patients. This percentage decreases to approximately 11% after antibiotic prophylaxis. Specific criteria in the choice of correct antibiotic prophylaxis have to be respected, on the basis of the microorganisms usually found in the surgical site, and on the specific hospital microbiologic epidemiology.

Anti-Bacterial Agents↗
PubMed2005

Influence of new technologies on thyroid surgery: state of the art.

The history of thyroid surgery starts with Billroth, Kocher and Halsted, who developed the technique for thyroidectomy between 1873 and 1910. In general, the essential objectives for thyroidectomy are conservation of the parathyroid glands, avoidance of injury to the recurrent laryngeal nerve, an accurate hemostasis and an excellent cosmesis. In the last 20 years, major improvements and new technologies have been proposed and applied in thyroid surgery; among these are mini-invasive thyroidectomy, new devices for achieving hemostasis and dissection, regional anesthesia and intraoperative neuro-monitoring.

Biotechnology↗
PubMedDate not supplied

Tubular adenoma of the breast in an 84-year-old woman: report of a case simulating breast cancer.

Tubular adenomas of the breast are rare and they mainly occur in young women. They must be differentiated from other benign lesions and from malignant breast cancer. Preoperative diagnosis is difficult because both radiologic and cytohistologic examinations performed before surgery are often not diagnostic; therefore, in most cases, surgical excision is the only way to reach a precise diagnosis and a definitive treatment. This article describes a case of an 84-year-old woman suffering from tubular adenoma of the breast. The authors underline the difficulty in preoperative differentiation between benign and malignant breast lesions.

Adenoma↗
PubMedDate not supplied

Idiopathic sclerosing encapsulating peritonitis: a case report.

Sclerosing encapsulating peritonitis is an uncommon but potentially lethal condition, which can lead to severe complications such as bowel obstruction, enterocutaneous fistualas and necrosis. The treatment is debated because of the high morbidity and mortality of the surgical approach. The aim of this study was to contribute to achieving a better approach to surgical treatment of sclerosing encapsulating peritonitis. This report describes an even rarer case of idiopathic sclerosing encapsulating peritonitis diagnosed intraoperatively, observed in the Insubria University Department of Surgery in Varese, Italy, where surgery was mandatory due to the sudden onset of the disease and lack of a definitive diagnosis. Temporary ileostomy and partial resection of the peritoneum were performed. At present (December 2002) the patient is alive and well. Management of sclerosing encapsulating peritonitis is controversial, but the surgical treatment should be as conservative as possible. Guidelines for the treatment of sclerosing encapsulating peritonitis are needed.

Humans↗
PubMedDate not supplied

The surgeon's approach to preoperative evaluation of esophageal cancer: recent developments.

Esophageal resection for cancer is still associated with high morbidity and mortality. Postoperative complications may be either patient- or surgeon-related. Patient-related factors include age, malnutrition, immunodepression and associated diseases. Surgeon-related factors are surgical experience, hospital volume and multidisciplinary approach. In the last 20 years major improvements and new technologies have been proposed and applied in esophageal surgery: its evolution depended on a thorough knowledge of surgical anatomy and technique, as well as on important developments in pre- and postoperative care. Preoperative evaluation is defined as the process of clinical assessment that precedes the induction of anesthesia. The principle is to gain information about the patient that could lead to modify his/her management, and improve outcome.

Colon↗