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M Caputo

Publications and source records attributed to M Caputo.

135 records · Page 8Linked to original sources
PubMedDate not supplied

[Imaging technics in the indications for laparoscopic cholecystectomy. Echotomography and cholangiography compared].

March 1991 through October 1992, in the Clinica Chirurgica II of the Bologna University, 59 patients were submitted to laparoscopic cholecystectomy; the age range was 25 to 76 years and the mean 50 years. In no patient stones bigger than 35 mm were observed and 31% of the subjects were treated with litholysis before surgery. Fifty-eight patients were affected with single or multiple cholelithiasis, 1 had adenomyomatosis and 4 patients had associated choledocholithiasis treated with preoperative ERCP. Both US and cholangiography were performed to detect absolute contraindications--e.g., acute cholecystitis, cholangitis, peritonitis and cirrhosis--or relative contraindications--e.g., choledocholithiasis, > 5 mm stones and short cystic duct. US proved to be more sensitive than cholangiography to assess the number of stones and gallbladder wall thickness and to diagnose acute cholecystitis or scleroatrophic gallbladder, but it appeared to be less reliable in case of choledocholithiasis, where cholangiography was the technique of choice, and in possible anatomical variations--e.g., short cystic duct--which must be detected before laparoscopic cholecystectomy. Cholangiography appeared to be rather inadequate to study cholelithiasis when associated with functional gallbladder exclusion (as it happened in 17% of our patients). Intraoperative cholangiography was performed on 2 patients only, because their obesity hindered the preoperative study. In conclusion, the need is stressed of combining US and cholangiography for the accurate preoperative evaluation of gallbladder stones patients.

Adult↗
PubMedDate not supplied

[Anomalies of the subrenal inferior vena cava in the surgery of non-specific and inflammatory abdominal aortic aneurysms].

The sub-renal abnormalities of the lower vena cava (LVC) (left LVC, double LVC) are determined by a deterioration of the alteration process of supra-cardinal veins. Though they are rare, it is necessary to look for them during surgery of abdominal aorta in order to lower the risk of iatrogenic venous injuries. You will find below the description of six cases of sub-renal lower vena cava abnormality (3 double LVC, 3 left LVC) associated with an abdominal aorta aneurism (4 non specific aneurisms, 2 inflammations ones) as well as the diagnostic aspects and the technical issues they cause during the reconstruction of a non specific and inflammation aneurism of the abdominal aorta.

Aortic Aneurysm, Abdominal↗
PubMedDate not supplied

[Specific IgE in the cord blood of infants from allergic parents].

We evaluated the cord blood level of specific IgE in newborn having first grade relatives affected by allergic disease. We aimed: a) to look for a significant threshold (if any) of sp. IgE predictive of atopy; b) to verify the clinical reliability of the CAP System by Pharmacia. 9 out of 60 patients with positive family history had sp. IgE > 0.35 KU/L; 7 out of these 9 children were symptomatic to a clinical follow-up at 18 months. Moreover 65% of children with positive history but no sp. IgE and 100% of patients with both a negative history and no sp. IgE were completely free of allergic symptoms in the same period. We conclude that a careful history and cord blood sp. IgE measurement might be of value in early diagnosis of atopy.

Antibody Specificity↗
PubMedDate not supplied

[Chronic pain in the hindfoot: computed tomography as a complement in clinico-radiographic evaluation. A study of 38 cases].

A series of 38 patients affected with a chronically painful hindfoot underwent CT as a complement to conventional radiography and/or clinics for suspected bone and joint disorders. In all, CT depicted 20 bone abnormalities, i.e., 7 talar osteochondrites, 1 talar osteoid osteoma, 3 subtalar coalitions, 1 calcaneal bone lipoma, 5 posttraumatic talar deformities and 3 posttraumatic calcaneal deformities. Conventional radiography missed 6 of these abnormalities, i.e., 3 talar osteochondrites and 3 subtalar coalitions. In 5 cases CT gave additional information, useful both for the diagnosis (demonstration of fat in the bone lipoma) and to clarify the painful symptoms (2 patients with subtalar osteoarthrosis and 2 with peroneal tendon impingement). Twelve of 15 clinically suspected soft tissue abnormalities were also demonstrated, namely, 2 tibiotalar ligament injuries, 1 sprain of the interosseous ligament of tarsal sinus, 2 cases of accessory soleus muscle, 4 peroneal tendon injuries, 2 posterior tibial tendon injuries and 1 long flexor tendon injury. In the extant 3 patients with suspected bone disorders, both radiography and CT found nothing to confirm the clinical suspicion. To conclude, the authors believe CT to play a major diagnostic role, thanks to its capabilities in demonstrating the abnormal changes underlying chronically painful hindfoot conditions.

Calcaneus↗
PubMedDate not supplied

Carotid endarterectomy and myocardial revascularization. A single stage procedure.

Carotid endarterectomy (CEA) and myocardial revascularization can be performed in a single procedure, performing CEA before or during cardio-pulmonary by-pass (CPB), or using a double stage approach. Over a 4 year period, 17 patients underwent CEA and coronary artery by-pass (CAB) with a single stage procedure. Fourteen patients (82.3%) were male, 3 (17.6%) were female. The mean age was 66.3 +/- 7.07. One patient (5.8%) had a previous neurological event (stroke); 5 patients (29.4%) had a previous transient ischemic attacks (TIA). The indications for the combined operations were CAD associated to unilateral internal carotid stenosis greater than 70% or 50% when symptomatic. In all patients CEA was performed after median sternotomy and heparinization, during CPB, with moderate hypotermia (30%C), performing CEA successively. One patient (5.8%) died of acute heart failure secondary to mediastinits. Minor neurological complications were present in 2 patients (11.7%) with signs of cerebral oedema. Myocardial infarction and late neurological deficit did not occur in any patient. We conclude that it is important, in the preoperative assessment of every patients with CAD, the screening for concomitant carotid vascular diseases, in order to avoid neurological complications during CPB, treating the two different diseases with a single stage approach, if carotid stenosis is greater than 70% or greater than 50% when symptomatic.

Aged↗
PubMedDate not supplied

Management of postinfarction ventricular septal defect.

Postinfarction ventricular septal defect is an acute emergency which carries a very high mortality. Appropriate early intervention, however, can significantly increase the survival rate. This article discusses how to approach and manage this condition.

Aged↗