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Biomedical subjects

M Muzi

Publications and source records attributed to M Muzi.

56 records · Page 4Linked to original sources

Radionuclide venography and the surgical treatment of chronic venous disease of the lower extremity.

PURPOSE: The purpose of this study was to describe the use of radionuclide venography in detecting the site and the functional value of blood reflux through incompetent perforating veins of the leg of patients with chronic venous disease. METHODS: In this study we evaluated the management of 29 patients (34 lower limbs) who were admitted with chronic venous disease of the lower limbs (in 7 with ulcers refractory to conservative management), surgically treated between 1991 and 1994 on the basis of physical examination and scintigraphic detection of pathological venous refluxes. RESULTS: In 26/29 patients (31/34 legs = 91%) there was a good result with no recurrence and complete alleviation of symptoms. All the ulcers healed but in two cases recurred after 2 and 6 months respectively. Amelioration of leg tropism was achieved in all patients with a good "cosmetic" result in 27/34 legs (79%). A complete deconnection of the incompetent perforating veins was confirmed with radionuclide venography in 31/34 legs (91%). CONCLUSIONS: The authors conclude that radionuclide venography is useful in the pre-operative evaluation of patients with chronic venous disease of lower extremity.

Chronic Disease↗

From Bassini to tension-free mesh hernia repair. Review of 1409 consecutive cases.

The short and long-term results of traditional and tension-free inguinal hernia repairs have been assessed in three surgical units. In order to standardise the results, hernias were classified according with Nyhus. There were 109 type I, 311 type II, 854 type III, and 125 type IV hernias. Follow-up was possible in 1201 patients (1249 hernia repairs). Postoperative course, postoperative pain, and recurrences were analysed. Recurrences ranged from 0.7% up to 9.3%. The tension-free methods of repair provided the most important advantages in term of low recurrence rate and early return to work even if, in our series, recurrences resulted mainly related to the type of hernia than to the type of repair. The Authors conclude that any hernia repair should be sized to the type of hernia defect in order to avoid over-treatment and abusive placing of a foreign body such as polypropylene mesh.

Evaluation Studies as Topic↗