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Biomedical subjects

P Campanelli

Publications and source records attributed to P Campanelli.

3 recordsLinked to original sources

[New polypropylene hernia prosthesis].

Since the first true hernioplasty performed by Edoardo Bassini more than 100 years ago (1884) all surgical reconstruction techniques have shared a common defect i.e. tension on suture line. This is the first etiologic factor of recurrent hernia. On the contrary by the use of modern prosthetic materials (mesh and plug) it is now possible to marriage all hernia repairs without distorting normal body anatomy and avoid undesirable tensions. The technique proposed is simple, efficient, characterized by a rapid performing procedure, giving way to an excellent clinical outcome: postoperative pain relief permitting the patient to resume in a short time his normal physical activities. In this paper the authors present their experience in wall defects reconstruction by means of outpatient surgery and in general anesthesia in the period spanning from 1994 to 1996. Five different types of hernia mesh in hernioplasty procedures were evaluated and used.

Ambulatory Surgical Procedures↗

[Localization of preclinical nonpalpable lesions of the breast].

The discovery of mammary neoplastic node in a preclinical stage, most of all not yet palpable, represents the best chance for the surgeon to obtain a real curative exeresis therapy retaining also gland's aesthetics. This kind of situation is more frequent today, because the increased utilization of mammography, ultrasonography and their matched use with the aim to investigate into a population of women with a specific risk. In fact, their sequential use offers the best possibilities of a real earlier diagnosis. In this event the conservative surgical treatment ranks its best curative and aesthetic result. The author's target, based on their own experience, outcomes the comparison between mammography and ultrasonography, pointing out a reliability of the latter similar to the mammography's one upon a specific target at least. The other aspect considered is the possibility of a preoperative localization of the neoplasm using different kind of marks to get the radical tumour exeresis centred on the suspect mass and conservative at its best. The experience suggests more usefulness of metallic marks strung down mammography control, even without using radio-stereotaxic that permits a higher precision but needs adequate facilities with unavoidable more elevated costs. It is finally layed emphasis on the importance of identifying a population at risk to logically utilize, and not indiscriminately, the most modern diagnostic resources.

Adult↗

[Scleronodular retrosternal Hodgkin's disease with cervical protrusion].

The case of a retrosternal localization of Hodgkin disease is a very infrequent one, and its presentation as an inflammatory tumor is exceptional indeed. This case report of a young woman affected by a cervical tumour projecting in front of the sternal bone, both with fever and tenderness, gave a mistaken address toward a diagnosis of suppurative thyroiditis. But the rare evenience of this thyroidal affection made the diagnosis very improbable and the patient was treated by partial exeresis of the cervical mass and drainage of its apparently suppurative content. At the pathologic study the mass revealed its true nature, also if very unusual: the appearance of the specimen, studied also with immuno-chemical methods, revealed its true nature of scleronodular Hodgkin disease probably born on a thymic cyst remnant. Also the possibility of a suppurative evolution from a pyriform laryngeal sinus is discussed, but simply on a differential diagnostic basis for the original hypothesis of an inflammatory mass. The correct diagnosis instead offered the patient the possibility of the correct chemo-radio-therapeutic treatment and of final cure.

Adult↗