PubMed Health⌕ Search

Biomedical subjects

R Pascotto

Publications and source records attributed to R Pascotto.

7 recordsLinked to original sources

[Cystic lymphangioma of the abdominal wall in childhood: case report].

Intra-abdominal lymphangiomas are rare benign tumours that can cause various symptoms, mainly during childhood. They are diagnosed by ultrasonography, CT scanning or at laparotomy; ultrasonographic examination often shows a voluminous tumoral cystic formation with septa. The location of the cyst may be determined either by ultrasonography alone or by CT scanning. The definitive histological diagnosis is confirmed by immunohistochemical staining techniques. Rarely intra-abdominal lymphangiomas can occur in the abdominal wall. Complete resection is the treatment of choice. The case of a 2-year-old-boy with a large lymphangioma involving the lower half of the abdominal wall is reported. The patient underwent the complete removal of lymphangioma with good cosmetic result.

Abdominal Neoplasms↗

Single-lead VDD-pacing system incorporating high impedance stimulation: a multicentre study.

AIM: The purpose of this study was to evaluate the performance of a new VDD pacing system incorporating a high impedance, single-pass VDD lead. The new lead is a bipolar, steroid-eluting, high impedance lead with a full-ring atrial dipole. METHODS AND RESULTS: The system was implanted in 46 patients with high degree atrioventricular (AV) block. Patients were followed at pre-discharge, 6 weeks, and 3 months. The mean measured P-wave amplitude was stable, with values between 1.18 and 1.43 mV. Atrial sensing was reliable during short-term evaluation at rest and in the sitting position, with AV-synchronous stimulation between 98.79 +/- 6.90% and 99.73 +/- 1.47%. Holter recordings after 6 weeks demonstrated AV-synchronous stimulation in 99.57 1.03% of all P-waves. Lead impedance was stable during follow-up, with mean values between 1000 and 1167 Q. Mean ventricular pacing thresholds (at 0.5 ms) were 0.47 V at implant, 0.49 V at pre-discharge, 0.74 V at 6 weeks, and 0.72 V at 3 months. R-wave amplitude remained stable between 14.9 and 16.7 mV during follow-up. CONCLUSION: This new single-pass VDD lead system provided reliable atrial sensing and stable high impedance stimulation during a 3-month follow-up period.

Aged↗

[The treatment of phimosis in childhood without circumcision: plastic repair of the prepuce].

BACKGROUND: To device a new surgical technique of preputial plasty for the treatment of phimosis, as an alternative to circumcision, easy to perform, which preserves the normal function of the prepuce. METHODS: The new technique consists of three lengthwise incisions of the stenosing wase and their diagonal suture, the triple incision preputial plasty, described by others, modified adding frenulotomy and two more incisions between the previous ones, which are left to heal spontaneously. This technique has been applied on 22 children over a period of 24 months, with a follow-up of six-twenty-four months. RESULTS: The technique is easy to perform. All check-ups show good cosmetic results, no recurrence, normal preputial anatomy and function. It is important to continue "preputial gymnastics" until stabilization. CONCLUSIONS: The devised technique fully succeeds in preserving a normal prepuce, it is easier to perform and safer than other preputial plasties and it may be carried out in all cases of phimosis in pediatrics. The good results achieved encourage us to continue along this path, hoping that the technique will be largely applied.

Anesthesia, General↗

[Verneuil's suppurative hidradenitis. A case report].

The Authors reports a case of Verneuil's disease in a perineal location. They focus on etiopathogenetic aspects and problems of differential diagnosis, before reviewing the various therapeutic options. Surgery is the only effective therapy and takes the form of an extensive excision of the cutaneous zone affected with 2nd intention recovery, or a dermoepidermal auto-graft. A long follow-up is important to monitor the possible recurrence of lesions generally due to the incomplete removal of the area affected by the process.

Adult↗

[Role of splenectomy in Chediak-Higashi syndrome in its accelerated phase].

Chediak-Higashi (C.H.S.) syndrome is a rare immunodeficiency, due to defective granulocyte activity. The syndrome is characterized by large inclusion bodies in the leukocytes, albinism, photophobia, nystagmus, and recurrent infections. Some patients develop hepatosplenomegaly, lymphadenopathy, pancytopenia and widespread organ infiltrates with mononucleated cells. This phase is called "accelerated (or lymphoma-like syndrome) phase". A 5 years old girl with C.H.S. in accelerated phase received initially medical treatment without improvement. A splenectomy was performed to remove the hypersplenism and the mechanical compression of the spleen on the gut. Few days after the splenectomy the fever and the pancytopenia disappeared. The pathological examination of the spleen showed multiple intraparenchymal abscesses. Unfortunately, six months after the operation, she died after an acute episode of pneumonia, with normal hematological pattern. The splenectomy may play a role in the "accelerated phase" of C.H.S., but new treatments (bone marrow transplantation) are necessary to remove the basic disease.

Chediak-Higashi Syndrome↗