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Biomedical subjects

F Sciannameo

Publications and source records attributed to F Sciannameo.

48 records · Page 3Linked to original sources
PubMedDate not supplied

[Saphenous vein stripping in an outpatient service. 800 cases].

During the period from January to June 1991, 800 patients with varicose veins of the legs underwent, without hospitalisation, stripping of the saphenous vein, multiple phlebectomies by micro-incisions using the Muller technique and elastic compression. Careful patient selection, thorough pre-operative evaluation and perfect surgical technique made it possible to perform the procedure on an out-patient basis and in addition to obtain a good functional result and a very good esthetic result.

Adult↗
PubMedDate not supplied

[Chilaiditi's syndrome: a rare cause of abdominal pain in the differential diagnosis of the abdominal perforation. Case report].

A case of a 92-years-old patient with abdominal pain and constipation is presented. He reported a recent traumatic fracture of the upper limb. Traditional diagnostic work-up for patient with abdominal pain was started up. He was submitted to abdominal film that demonstrated air underneath the diaphragm suggestive for perforation. This hallmark is opposed to clinical condition of patient, so differential diagnosis for rare Chilaiditi's syndrome was considered, because this syndrome is frequent in old patient. Diagnostic work-up was completed with upper abdominal CT that excluded intestinal perforation and confirmed the diagnosis of Chilaiditi's syndrome showing hepatodiaphragmatic interposition of the dilated colon. Therefore it was decided in favour of medical therapy. In the our case, in spite of negative clinical examination, the uncertain radiological hallmark obliged us to exclude diagnosis of abdominal perforative syndrome that needs emergency operation. Although the Chilaiditi's syndrome is rare, it must be considerated in differential diagnosis of perforative abdominal syndrome, when there are doubts about the subdiaphragmatic air in abdominal film.

Abdominal Pain↗
PubMedDate not supplied

[Evaluation of the Doppler-pulse volume recorder in Raynaud's phenomenon].

A study was made of 15 patients (10 female and 5 male), between the age of 18 and 65 years, in order to assess the diagnostic efficacy of the combined Doppler-P.V.R. (Pulse Volume Recorder) technique when examining Raynaud's phenomenon. The patients in the study had suffered for at least a year from recurrent episodes of Raynaud's phenomenon and were compared with 15 normal non-smokers. The patients were given a Doppler and plethysmograph exam with P.V.R. in basal conditions and following heat stimulus. It can be said that while the Doppler exam supplies data that is compatible with the variations in peripheral resistance encountered in Raynaud's phenomenon, P.V.R., although able to give useful information on the general condition of the segment examined, does not yet provide exact data on account of the difficulty in interpreting the graph obtained. Interpreting P.V.R. data can be facilitated by combining P.V.R. with heat test.

Adolescent↗
PubMedDate not supplied

[Doppler diagnosis in the localization of incompetent perforating veins].

If persistent or recurring varicosis is to be avoided, it is vital to locate the incontinent perforating veins in patients with venous insufficiency of the lower extremities. This is the case wherever surgery, sclerotherapy or the use of elastic support is required and especially in the absence of the normal signs of diseased deep veins, such as stasis, dermatitis or ulcerations. The inadequacy of clinical examination or certain instrumental techniques in evidencing the largest possible number of incontinent perforating veins is demonstrated. Personal experience of Doppler testing at a Phlebology Clinic is then presented and it is pointed out that the accuracy of this technique depends essentially on the examiner's experience. Correctly performed the technique gives over 90% accuracy in the preoperative diagnosis of incontinent perforating veins.

Humans↗
PubMedDate not supplied

[The role of video-laparoscopy in the management of ovarian swellings].

METHODS: Personal experience in videolaparoscopic treatment of 42 ovarian masses during the period September 1991-December 1995 is reported. Seven patients have been operated in emergency, 35 in election. Resection of the masses has been performed by two methods: dissection and electrocoagulation, generally preferred in benign functional cysts; resection by stapler (endo GIA). RESULTS: In 5 of the patients operated in emergency an hemoperitoneum was found because of the rupture of ovarian cyst; in the other two cases, respectively, a necrotic benign cyst twisted on the adnexal axis and a dermoid cyst twisted and necrotic too were found. In the 35 patients operated in election, 33 benign cysts, 1 serous cystoadenoma 1 granulosa tumour were observed. Postoperative course was always excellent, with no painful symptomatology and hospital-stay and convalescence extremely reduced (dismission from hospital approx two days after the operation). CONCLUSIONS: The different aspects which must be evaluated before choosing mini-invasive treatment are discussed. An accurate preoperative study especially by sonography and serous hormonal dosage (in particular CA 125), besides good surgical experience of the operator, are fundamental requisites in order to minimize risks of this procedure and guarantee excellent results.

Adolescent↗