Management of perforation following stricture dilation.
Authors: Skinner MJ, Thompson CC
Abstract
Strictures can occur along any portions of the gastrointestinal tract for a variety of reasons and are commonly complicated by partial or complete obstruction. Endoscopic management of strictures is common, and generally safe. The most dreaded complication of stricture dilation is perforation due to high morbidity and mortality. The treatment of perforation following stricture dilation is commonly multidisciplinary and should involve gastrointestinal, surgical, and interventional radiology teams. A variety of devices and techniques are available to the endoscopist ...
Source: Minerva Chirurgica - May 13, 2017 Category: Surgery Tags: Minerva Chir Source Type: research
Obesity and perioperative noninvasive ventilation in bariatric surgery.
Authors: Carron M, Zarantonello F, Ieppariello G, Ori C
Abstract
The incidence and prevalence of obesity continues to increase globally. Physicians will therefore provide care for an increasing number of obese patients in their clinical practice. Optimal management of these patients is required to minimize the risk of perioperative complications that increase morbidity and mortality. Obesity affects the respiratory function. It is generally associated with reduced lung volume with increased atelectasis, decreased lung and chest wall compliance, increased airway resistance, and moderate to severe hypoxemia....
Source: Minerva Chirurgica - May 11, 2017 Category: Surgery Tags: Minerva Chir Source Type: research
Fibrin glue mesh fixation under local anesthesia for the treatment of inguinal hernia in elderly patients.
Authors: Lionetti R, Neola B, DI Marino L, DE Luca M, Blasi E, Ferulano GP
PMID: 28482651 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 11, 2017 Category: Surgery Tags: Minerva Chir Source Type: research
Posterior perforated peptic ulcer: troublesome condition to diagnose and treat.
Authors: Varcus F, Goldis D, Tarta C
PMID: 28482652 [PubMed - in process] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 11, 2017 Category: Surgery Tags: Minerva Chir Source Type: research
Preoperative localization of parathyroid adenoma in video-assisted era: is better cervical ultrasound or 99mTC Sesta MIBI scintigraphy?
CONCLUSIONS: C-US and MIBI-S are the best diagnostic tools for preoperative localization of SA, but both have decreased sensitivity in the presence of a concomitant thyroid diseases. In our experience c-US showed high sensitivity in the identification of inferior SA and MIBI-S showed a decreased sensitivity in the identification of superior SA. Discordant results in the identification of SA didn't contraindicate MIVAP. Intra-operative parathormone dosage is fundamental to guide the endocrine surgeon and to verify the completeness of surgical resection.
PMID: 28465501 [PubMed - as supplied by publisher] (Source: Minerva Chirurgica)
Source: Minerva Chirurgica - May 4, 2017 Category: Surgery Tags: Minerva Chir Source Type: research
