[Methods of reconstruction of the alimentary tract after total gastrectomy: personal experience].
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Biomedical subjects
Publications and source records attributed to S Re.
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On the basis of our experience from 1981 to 1989, advantages of staplers in digestive surgery are reported. Complications such as bleeding and stenosis are not clinically important, however, in most cases, they can be avoided if the instruments are properly used.
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A case of mixed tumour in an island of ectopic salivary glandular tissue at the right nostril and surrounding labial skin is reported. An anatomopathological classification of salivary neoplasias is provided and the histological picture of mixed tumours described. Stress is laid on the rarity of the finding. An extensive tissue area was removed because the neoplasia was a recurrence of a previous intervention (done by others) not followed up by histological examination.
A clinical case of bezoar of the stomach accompanied by peptic and gastric ulcer is presented. The different types of bezoar and the reasons for their formation are described, and the clinical, laparotomic and anatomopathological picture is illustrated.
An unusual case of spontaneous detachment of the sigmoid epiploic appendix is described. The most frequently reported pathologies of these formations are reviewed. The discussion stresses the unusual clinical picture which determined the diagnostic error. Some hypotheses are also formulated on the aetiopathogenesis of ischaemia of epiploic appendices.
A series of 354 patients suffering from gall bladder and/or bile way conditions and who had undergone operation in the acute phase has been reviewed. The usefulness of early operation over more wait-and-see tactics is confirmed. Shortening of mean hospitalization is particularly significant. The difference in hospital mortality is insignificant. The only complication reported is the higher frequency of suppurative accidents in the surgical wound.
Reference is made to the relevant literature in a description of cases of non-appendicular primary diseases of the large intestine necessitating emergency surgery at the Tradate District Hospital over the last five years. Emphasis is placed on the wide aetiological variety of these cases, their different clinical pictures, the types of operation performed, the possible complications, and the causes of death prior to discharge.
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A brief account of abnormalities arising from absent teeth is followed by the description of three cases of hypodontia in the same family. The mother lacked 12 teeth, her first daughter (age 14 yr) lacked 20 permanent teeth (oligoblastodontia), and her 12-yr-old son lacked 14 permanent teeth (ateleblastodontia).
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The examination after fifteen years of five cases of mandibular adamantinoma treated with an operation performed in two stages (graft of metallic prosthesis and osseous autograft) has confirmed the success of this surgical method. In particular from the clinical and radiological examination it turns out that the essential requisites for a therapeutical success have been respected: the anatomical restoration and the aesthetical and function rehabilitation.