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Biomedical subjects

A Bottero

Publications and source records attributed to A Bottero.

At least 19 recordsLinked to original sources

[Ovarian tumefactions: the advantages and limits of echo-guided needle aspiration. Our experience].

One-hundred-seventy-five patients with a probably benign ovarian cyst were submitted to transvaginal ultrasound-guided needle aspiration (TVUSGA) for diagnostic and therapeutic purpose. Recovery was obtained in 68% of serous cysts (130 patients). In 34 endometriotic cysts transvaginal ultrasound guided needle aspiration has been an important diagnostic tool and it made possible a better therapeutic approach. The cytologic examination of aspirated benign and malignant cyst fluid didn't give a satisfactory result every time. In conclusion, the transvaginal ultrasound guided needle aspiration has been a good tool in the treatment of serous cysts and a diagnostic aid for endometriotic pathology.

Biopsy, Needle

[Postoperative infections and antibiotic prophylaxis in radical hysterectomy. Retrospective study].

Radical hysterectomy is associated with a high risk of postoperative infectious morbidity. A series of 73 patients who underwent abdominal radical hysterectomy with pelvic lymphadenectomy is presented. Hospital charts were reviewed to determine the influence of surgical characteristics and of different antibiotic prophylaxis regimens on postoperative septic complications. The overall incidence of postoperative infections was 31.5%; in 13 patients had urinary tract infections (17.7%), 3 surgical site-related infections (4.1%) and 6 febrile morbidity (8.2%). There were also 3 cases of phlebitis and 3 infectious events at distant sites. No interaction was observed between the examined risk factors and the overall infectious morbidity. Time of surgical procedure and average blood transfusion show a trend toward increased values in patients with complications compared to patients with regular postoperative course. The most important current controversy about the use of prophylaxis in radical hysterectomy concerns the duration of postoperative treatment. In this series the major part of the subjects received a long-term antibiotic prophylaxis regimen (greater than 72 hours), and only 18% received a perioperative prophylaxis. Women without postoperative complications were more frequently treated with a long-term antibiotic prophylaxis (82%) compared to women with infectious morbidity (65%). Moreover, in patients with complications, the proportion of cases who needed an additional antibiotic therapy was lower in the group receiving long-term prophylaxis (20%) compared to the short-term group (83%).

Anti-Bacterial Agents

[Vittorio Corbetta].

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History, 20th Century