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Biomedical subjects

R Sampietro

Publications and source records attributed to R Sampietro.

At least 19 recordsLinked to original sources
PubMed1997

[The treatment of bronchopleural fistulae due to bronchial dehiscence by chest wall interventions. The authors' personal experience].

The authors present their personal experience of three cases of bronchial fistulae post pneumonectomy or lobectomy. Surgical treatment was not done directly on the bronchial stump but by thoracoplasty. This approach to the thoracic chest gets good results on condition that stabilization in reexpansion of residual parenchyma and drainage of bronchial secretions is carried out.

Bronchial Fistula↗
PubMed1996

[Gasless laparoscopic cholecystectomy using retractor of the abdominal wall].

The Authors present a new gasless laparoscopic cholecystectomy method using an abdominal wall elevator with subcutaneous traction ("laparotenser"). Fifty patients between May 1994 and March 1995 were operated by videolaparoscopy using this new gasless method. Twenty of them were operated with Nagai's method while the laparotenser was used in the remaining thirty. The results obtained are similar to those using pneumoperitoneum. It has been observed a global reduction of costs, less postoperative pain, no influence in cardiovascular and metabolic indexes. No complications were reported during the postoperative period but two cases of conversion to laparotomy not related to the method used were needed. Laparoscopic cholecystectomy without pneumoperitoneum using the subcutaneous elevator of the abdominal wall ("laparotenser") has demonstrated that it's possible to operate in a working space similar to that created by the pneumoperitoneum. After an initial period of distrust towards the laparoscopic methods without pneumoperitoneum it has been accepted that gasless methods multiply the indications to minimally invasive surgery in patients with cardiorespiratory problems considered no ideal candidates to laparoscopic cholecystectomy with pneumoperitoneum.

Adult↗
PubMed1994

[The minimally invasive treatment of bullous pneumopathy. The anatomicopathological and pneumological findings in 18 months of experience].

The authors present 18-month experience in the minimally invasive treatment of bullous pneumopathy and review of the relative literature. Results of pneumologic and pathologic studies are correlated with the advantages of the technique. Tobacco smoking, positive family history, associated disease and long standing treatments have been considered. Special attention is drawn to macro and microscopic findings. The authors concluded that: (a) There is a positive correlation between surgical technique of pleural cavity exploration and recidival pneumopathy. (b) There is no correlation between family history and pneumological and pathological findings. (c) A wider experience on bullous pneumopathy may offer new interesting pneumological knowledge.

Adolescent↗
PubMed1993

[Middle lobe syndrome].

The authors, based on their actual experience with four cases and using previously published articles, state the pathological and clinical features of the middle lobe syndrome. Considering the physio-pathological processes, the authors determine the therapeutic program: the first approach would be pharmacological, second, if necessary, surgical-seeking to be as conservative as possible.

Adolescent↗
PubMed1992

[Drainage of the pleural cavity].

The authors, from their personal experience, demonstrate the goals, the indications, the techniques and complications of performing a drain of the pleural cavity (DCP). DCP has an important role as a single operation or at the end of every thoracic operation. For this reason it is mandatory to respect the principles and the concepts reported by the authors.

Contraindications↗
PubMed1991

[Risk factors in the surgical patient over 80].

Authors present the experience about 266 elderly patients treated by surgery since 1985 to 1990. The range of the patient's age is comprised between 74 and 89. 113 patients (42%) have been treated in emergency, with 12% mortality. Authors report the different experiences in relation to various kinds of operations: thorax, vascular, digestive surgery, and to their level of trauma to the patients; "major surgery" distinguished from "little surgery". Elderly age is not considered as an inhibiting limit to major surgery. Only the emergency treatment leads to different situations with more risks. Absolutely necessary in the knowledge of the physiopathological modification of the elderly, and his nutritional and performance status.

Age Factors↗
PubMed1991

[Recurrent hepatic echinococcosis. A case report and review of the literature].

The paper report a case of postoperative recurrent hydatid disease in a fifty-year-old man. The scarcity of published works on the etiological causes of this pathology and the lack of an uniform treatment protocol necessitate a correct and radical surgical approach. The patient underwent cystopericystectomy and after three months follow-up is still free of disease.

Echinococcosis, Hepatic↗
PubMedDate not supplied

Pneumomediastinum: physiopathological considerations and report of six cases treated in an emergency surgery division.

Pneumomediastinum indicates the presence of air in the mediastinal space. It may be classified in three categories, based on the main causes of air dissection into the mediastinal structures: spontaneous pneumomediastinum (pnm), the most frequently encountered, post traumatic pnm and pnm secondary to non-traumatic rupture of an abdominal hollow viscus. This paper reports the experience of a major regional emergency surgery division in the management of pnm during a five years period. Physiopathologic correlations are discussed together with diagnostic and therapeutic options.

Adult↗