Biomedical subjects

P Burelli

Publications and source records attributed to P Burelli.

5 recordsLinked to original sources

PubMed2004

Seroma prevention following axillary dissection in patients with breast cancer by using ultrasound scissors: a prospective clinical study.

AIMS: Seroma formation following axillary dissection is a common complication of breast surgery. The aims of this study were (1) to analyse the risk factors of seroma formation, and (2) to evaluate the role of ultrasound scissors in performing axillary dissection in patients with primary breast cancer undergoing mastectomy and breast-conserving surgery. METHODS: Ninety-two women (median age 55 years, range 33-73 years) requiring surgery for known unilateral primary breast cancer (pT1a=1, pT1b=20, pT1c=43, pT2=25, pT3=3) were prospectively randomised to undergo axillary dissection by either using (Group A, 45 patients) or not using (Group B, 47 patients) ultrasound scissors (US). Thirty-eight (41.3%) patients underwent modified radical mastectomy, while 54 (58.7%) underwent breast-conserving surgery. RESULTS: Twenty-eight (30.4%) patients (Group A=9 out of 45, 20%; Group B=19 out of 47, 42%; P=NS) developed a wound seroma. Multivariate analysis using a logistic regression model showed that surgical procedure (RR=8.9; 95% CI: 3.2-25.3), total amount of drainage (RR=7.8; 95% CI: 2.8-22.0), and size of the tumour (RR=6.0; 95% CI: 2.2-16.5) independently correlated with seroma formation. The logistic regression function (RR=19.4; 95% CI: 6-62) correctly allocated 75 out of 92 (81.5%) patients. CONCLUSIONS: Size of the tumour, and total amount of drainage represent the principal factors of seroma formation following axillary dissection in patients undergoing surgery for breast cancer. Although the use of ultrasound cutting devices may reduce the risk of seroma formation, further studies are need to verify the real impact on long-term morbidity of such technique.

Adult↗

PubMed1994

[Pulmonary carcinosarcoma].

Sarcomatoid carcinomas of the lung are uncommon neoplasms; the concurrent presence of malignant epithelial and sarcomatoid spindle cell components show a high malignancy. Lymph node metastases at presentation is an important prognostic factor, on the other way the most patients with sarcomatoid carcinoma of the lung usually presented at an advanced stage that needed a complementary therapy. The Authors report about one surgical case of pulmonary carcinosarcoma recently observed without lymph node metastases; the literature is reviewed and the histogenesis is discussed.

Carcinosarcoma↗

PubMed1991

[Volvulus of the gallbladder].

Volvulus of the gallbladder is an uncommon process that is usually found at the time of exploration for an acute surgical abdomen. It results from congenital or acquired anatomical anomalies of the gallbladder. It may be complete or partial. This entity appears most often in the elderly with acute symptoms that may mimic a number of other more common abdominal emergencies. One case is report to help define the clinical and pathological features of this process.

Abdomen, Acute↗

PubMed1989

[Leiomyosarcoma of the spermatic cord].

The case of leiomyosarcoma of the spermatic cord in a 54 year old man is reported. The patient was treated by surgical orchiepididymectomy and funnilectomy. After a review of the literature, the clinical and anatomopathological feature of this rare tumour and the surgical approach to it are discussed. The patient has had no recurrences and is still alive 16 months after surgery.

Follow-Up Studies↗

PubMedDate not supplied

[Retroperitoneal leiomyosarcoma (case report)].

After a short introduction about the retroperitoneal tumors classification the Authors write on the management of this tumor. They present their case report: surgical treatment of retroperitoneal leiomyosarcoma. Actually the role of surgical strategy in the management of resectable retroperitoneal tumors is the most important than adjuvant therapy, even if the surgery must be very demolitive.

Aged↗