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Biomedical subjects

M A Giacomoni

Publications and source records attributed to M A Giacomoni.

At least 19 recordsLinked to original sources
PubMed2001

Circular myotomy of the distal esophageal stump for long gap esophageal atresia.

PURPOSE: The aim of this work is to report the utility of the distal esophageal stump's circular myotomy in case of a long gap esophageal atresia repair. METHODS: Between 1972 and 1999 the authors treated 192 patients who had esophageal atresia (EA). Among them, 6 patients with EA long gap underwent both a distal and proximal stump circular myotomy. Five cases were Gross type C, and 1 case was Gross type A. The gap (average 4.5 cm) did not permit a simple and direct end-to-end anastomosis. RESULTS: One patient died 6 days after the operation because of a cardiac malformation. There was no mucosal tear during the myotomies or any anastomotic stricture later. Five patients survived. Three of them needed an antireflux procedure (60% of surviving patients). None of the 5 patients showed any mucosal outpouching, and their esophageal motility and swallowing were not different clinically compared with the patients who underwent an EA repair without a myotomy. CONCLUSIONS: Distal circular myotomy is a very useful, however, delicate, procedure that can help solve the problem given by long gap EA. It is mandatory not to tear the mucosa during the myotomy to avoid the shortening of the stump caused by its repair, which would lead to an increase in the size of the gap. J Pediatr Surg 36:855-857.

Anastomosis, Surgical↗
PubMed1982

Prune-belly syndrome: report of three siblings.

The "Prune-Belly" syndrome is rare and sporadic. The authors describe three siblings of both sexes with the syndrome. Good results in two of the patients arouse new interest in surgery for this syndrome. The possibility of prenatal diagnosis is discussed.

Child, Preschool↗
PubMed1979

[Rare case of intestinal malrotation: duodenal-jejunal stenosis caused by ileal hyperrotation (180 degrees) in a newborn (author's transl)].

The authors present a case of intestinal malrotation characterized by a hyperotation of ileal loops (180 degrees) causing a stenosis of the duodenal-jejunal junction. Some ileal loops were situated, through a defect of the ascendent mesocolon, behind the ascendent colon. The difference between the ileal volvulus and this malformation is: 1. There was no vascular sufference of hyperrotated ileum. 2. The ileal loops were fixed in that hyperrotated position. 3. Some loops were located behind the colon ascendent. 4. After the derotation of ileal loops the stenosis at the duodenal-jejunal level persisted and we proceded to surgery of the stenotic point.

Duodenal Obstruction↗
PubMed1977

[Gastroschisis].

Explore the source record for details and available documents.

Abdominal Muscles↗
PubMed1976

Three years of bacteriological monitoring in the Department of Paediatric Surgery.

The results of three years of bacteriological monitoring in the Department of Paediatric Surgery at the Ospedale Maggiore Ca'Granda in Milan are reported. The tests carried out involved the patients (faeces, urine, and pus cultures), the environment (operating theatre, incubators), and healthy carriers (upper respiratory tract of nursing and paramedical staff). The aetiopathogenesis of the post-operative infectious complications that occurred in 1974-1975 was investigated with the aid of surveys of the causative pathogens, the type of the surgical interventions, the atmospheric pollution in the operating theatre (mean indicative values), the number of operations per month, and the frequency of positive findings among the carriers. As a parallel investigation, between 1971 and the time of writing of this report the authors monitored the resistance to gentamicin of bacteria belonging to the family Pseudomonadaceae isolated from patients, in view of the constant threat posed by the vicinity of the burns department.

Bacterial Infections↗