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Biomedical subjects

M Simonazzi

Publications and source records attributed to M Simonazzi.

23 records · Page 2Linked to original sources

[Omentoplasty and a temporary internal stent in the treatment of recurrent peri-pyelo-ureteritis. Surgical technic. Apropos of a case].

Repetitive surgery on the upper urinary tract calls for extensive and sometimes difficult dissection, therapy exposes to the risk of vascular and nervous injury, as far as tissue trophism is concerned, moreover to secondary severe perivisceral fibrosis. The ureter is particularly liable to such early or late damages. The use of a self-retaining stent, even for a long period of time, and of a pedicle omental graft wrapping ensures a better recovery and the prevention of fistulae or strictures from secondary retroperitoneal fibrosis.

Female↗

[Transurethral prostatic adenomectomy].

On the ground of the clinical experience of transurethral resection of the benign hypertrophy of the prostate performed in the Division of Urology during the last ten years, the technical aspects and problems of the procedure are discussed, chiefly the low-pressure irrigation of the operative field for the prevention of vesical damages and of the water-syndrome. The choice of the transurethral technique is dependent chiefly on the weight of the adenoma, on the duration of its removal and the related problems; it is also dependent on the availability of both proper instrumentation and operators. The lesser all-over surgical traumatism and blood loss, the precocious getting out of bed, the shortening of hospitalisation make T.U.R. particularly suitable for high risk patients. To conclude with, the clinical, personal and social advantages of this procedure depend on the correctness of its choice following the criteria which have been referred to.

Anesthesia, Epidural↗

[Postoperative uretero-vaginal fistula in a duplicated excretory system].

A case is presented of uretero-vaginal fistula following hysterectomy for multiple fibromatosis. Duplicity of the left urinary tract, with caudal ectopy of ureteral opening of the branch draining the upper renal pole, could explain "a posteriori" some singularities of the clinical behaviour, i.e. combination of both controlled micturitions and continuous urinary loss "per vaginam" with seemingly normal urography. Postoperative chromocystoscopy afforded the correct diagnosis and surgical repair was followed by uneventful recovery. Preoperative assessment by urography and cystoscopy is therefore recommended prior to undertaking pelvic surgery, in order to promptly recognise complications to urinary tract, should they occur.

Female↗

[Current trend in the medical treatment of oxalic calculosis].

On the basis of to-day knowledge about metabolism and excretion of oxalic acid, the rationale of therapy of stone pathology is revieved. The problems of both primary and secondary oxaluria and of inhibiting factors of cristalisation are particolarly discussed.

Humans↗