Search PubMed⌕ Search

Biomedical subjects

A Faldini

Publications and source records attributed to A Faldini.

At least 19 recordsLinked to original sources
PubMed2001

Minimally invasive approach to the cervical spine: a proposal.

BACKGROUND AND PURPOSE: During the last 3 years, a minimally invasive video-assisted approach for parathyroidectomy and thyroidectomy has been developed. Because of the good exposure of the cervical spine during these procedures, the authors decided to perform an anatomic-radiologic study in order to evaluate which cervical vertebrae could be reached by this minimally invasive approach. PATIENTS AND METHODS: Three consenting patients, two undergoing minimally invasive parathyroidectomy and one a conventional operation for C4-C5 disc herniation, were selected for this study. The procedure was carried out through a single 1.5-cm central skin incision above the sternal notch. After opening of the cervical linea alba, dissection was performed under endoscopic vision, without using any CO2 insufflation or trocar. After exposure of the prevertebral fascia, an operative tube was introduced through the cervical incision in order to maintain the operative space without using conventional retractors. RESULTS: Through this operative tube, it was possible to introduce both a 5-mm (or 3-mm) endoscope and the surgical instruments. In our patients, we inserted a 1-mm metal probe to exactly localize during fluoroscopy the vertebrae reached by the dissection (C2-C7). CONCLUSIONS: This study shows the feasibility of an anterior minimally invasive approach to the cervical spine. Although the exact indications have to be verified, a video-assisted approach could add some advantages to the well-known benefits coming from the anterior approaches to the cervical spine, especially in terms of cosmetic results and postoperative course and recovery.

Cervical Vertebrae↗
PubMed1989

[Osteocartilaginous neoplasms of the small trochanter: observations on 4 cases].

The necessity of a surgical approach to the lesser trochanter is fairly rare event that occurs more frequently in the treatment of tumours situated in this anatomical area. The authors described four cases of osteocartilaginous neoplasms situated in proximity of the lesser trochanter. In two cases the mass was removed through a medial surgical approach (Ludloff); in one case through a postcolateral approach (Gibson), in one case through an anterior approach (Smith-Petersen). Each of the used approaches gives a good light on the lesser trochanter, therefore the choice of surgical approach is essentially determined by the prevalent spatial situation of neoplasm. Among the instrumental examinations available the Authors remark the importance of T.A.C. in the spatial visualization of neoformation.

Adult↗
PubMed1984

Comparative neurophysiological assessments of nerve sutures performed by microsurgical methods and with fibrin glue: experimental study.

The authors carried out an experimental study to compare the regeneration of nerves repaired with human fibrin glue and those sutured with nylon. The experiments were performed on rat peroneal nerves; the degree of regeneration was assessed by the neurophysiological strain gauge method, which involved recording the intensity of isometric contraction of the extensor digitorum longus muscle, which is innervated by the peroneal nerve. The results showed that the nerves "glued" with fibrin exhibited better regeneration than those repaired by suture.

Animals↗
PubMedDate not supplied

[Italian consensus on EULAR recommendations 2005 for the management of hip osteoarthritis].

The recommendations for the management of osteoarthritis (OA) of the hip were proposed by EULAR in 2005. Among the most important objectives of the expert charged to provide these recommendations were their wide dissemination and implementation. Thus, the information generated can be used by each individual country to produce their own set of management guidelines and algorithms for treatment in primary care. According with that previously executed for the EU-LAR recommendation 2003 for the knee, the Italian Society of Rheumatology (SIR) has organised a Consensus on the EULAR recommendations 2005 for the management of hip OA. To obtain an acceptability as large as possible, the group of experts was composed by many physicians interested in the management of hip OA, including Orthopaedics, Rheumatologists, Physiatrists, and General Practitioners. Main aim of the Consensus was to analyse the acceptability and applicability of the recommendations according to own experience and local situations in the Italy. The results of this Consensus have demonstrated that a large majority of the EULAR recommendations are endorsed by the Italian experts. Furthermore, the final document of the Italian Consensus clearly indicated the need that the specialists involved in the management of hip OA strongly encourage the dissemination of the EULAR 2005 recommendations also in Italy.

European Union↗