[Primary non-Hodgkin's lymphoma of the ileum: the role of surgery].
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Biomedical subjects
Publications and source records attributed to M Tempesti.
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A case of biliary ileus in association with successfully operated cholecystoduodenal fistula is reported. The importance for prognosis of preoperative diagnosis of the condition is emphasised. The diagnostic importance of echotomography in cases where there is a history of cholelithiasis is underlined.
After focusing the high surgical morbidity and mortality of icteric patients, the Authors describe their technique of insertion of percutaneous bile drainage after percutaneous transhepatic cholangiography. They insert drainage via the epigastric region, usually in the left hepatic duct. One case is described where the Authors associated percutaneous transhepatic drainage to regional chemotherapy through the catheter used for bile drainage. After for cycles of chemotherapy with 5-FU both intravenously and in the catheter, the Authors obtained the patency of the main bile duct which was previously obstructed by a methastases of stomach cancer.
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The medical treatment of gastric ulcers is essentially based on the administration of H2 antagonists such as cimetidine and ranitidine and antacids. A case of gastric bezoar which developed forty-five days after medical treatment for gastric ulcer of the smaller curvature is described.
The video laparoscopic cholecystectomy, a new technique recently introduced in surgical surgery, includes, among other complications, also the dimension of stones. Our intention in the present work is to remove this limitation using an ultrasound lithotripter to reduce the dimension of lithiasic formations, avoiding, after all, to resort to minilaparotomy or to the use of dilators which are in contrast at least with two of the principles of methodology, the aesthetic and functional one for the patient.
The Authors report a case of endometriosis of the surgical scar following caesarean section. The patient, arrived at surgical observation for a doubtful foreign body granuloma, underwent a diagnostic biopsy of the lesion. Histological examination confirmed the endometriosis nature of the lesion. Before surgical removal, adjuvant therapy based on GnRH analog was performed with the aim to reduce the volume of the lesion. After removal a cycle of therapy with GnRH analog was performed in oder to exclude possible residual pathologic microscopic lesions.