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F Scintu

Publications and source records attributed to F Scintu.

8 recordsLinked to original sources
PubMed1992

[Mechanical and antibiotic preparation and infections in colorectal surgery. Comparison of 2 methods of orthograde lavage].

The efficacy of two methods of orthograde lavage preparation in elective colorectal surgery was tested in 133 consecutive patients: the results obtained with whole gut irrigation (50 patients, group A) were compared with the results of oral lavage solution (83 patients, group B). All patients received a parenteral association of antibodies (clindamycin in combination with a broad spectrum antibiotic, mainly II or III generation cephalosporins). Bacterial cultures were carried out at the end of the lavage in the rectal effluent (no statistically significant differences between the two groups) and in the intraoperative aspirate from the colon (the bacterial concentration was higher in group B). The total number of infections was 12 (9%), with 6 (12%) in group A and 6 (7.2%) in group B. The infectious complications involved perineal wound in 9 cases (in 2 patients in combination with abdominal wound infection), abdominal drainage in 2 and abdominal wound in 1. The type of broad spectrum antibiotic did not affect the infection rate significantly. Perioperative and infection site bacteriological cultures grew the same type of organism only in one case. The surgeons' judgement of the adequacy of the cleansing favored whole gut irrigation, although the results of the study revealed that both methods were safe and provided equally adequate bowel cleansing.

Adult↗
PubMed1991

[Splenic metastases of pulmonary carcinoma. Apropos of a clinical case].

A case of single splenic metastasis from large cell anaplastic carcinoma of the lung is described. The patient first underwent pulmonary lobectomy and then splenectomy. He is still alive 42 months after the first operation and 41 after the second. The case herein described is rather uncommon, due to the rarity of single splenic metastases, and the long survival of the patient. The latter point strongly suggests an aggressive surgical approach to single metastases, even if primary tumor has extremely poor prognosis.

Carcinoma, Non-Small-Cell Lung↗
PubMed1986

Inflow and outflow disease in aortofemoral grafting.

During a 16-year period 88 aorto-ilio-femoral grafts were performed, with an overall mortality rate of 3.4%. Two major amputations were required (2.3%). Immediate patency was accomplished in 93.2% of cases, while 1-year, 3-year, 5-year and 7-year patency rate was respectively of 90.7%, 87.3%, 81.6%, 71.9%. Preoperative outflow disease was the most important factor responsible for early thrombosis and for late occlusion. No relation, on the contrary, could be identified between preoperative inflow disease and immediate and late patency. In the present series proximal anastomosis of aortofemoral bifurcation grafts was end-to-side in almost every instance, ensuring aortic endarterectomy through an aortotomy proximal to the inferior mesenteric artery, with a digital and instrumental closure of the aorta just below the renal arteries. Simple lateral clamping was restricted to the few cases without inflow impairment. Such a technique proved to be safe and effective in avoiding distal embolization of debris and in ensuring satisfactory results.

Aorta, Abdominal↗
PubMed1985

[Arteriosclerosis and aneurysms of the abdominal aorta].

To substantiate the hypothesis of a non atherosclerotic origin of abdominal aortic aneurysms, the author compares 40 patients operated on for abdominal aneurysm vs 50 patients operated on for atherosclerotic aorto-iliac occlusive disease at the 1st Surgical Clinic of the University of Cagliari. The mean age of the aneurysm patients was greater than that of the patients with occlusive disease and symptoms of arterial insufficiency of the lower limbs were uncommon. The more statistically significant feature was the difference in the site of lesions: in the aneurysm group, in fact, iliac arteries were uninvolved in 30% of patients, while in the occlusive group lesion involved the iliac tree in all but one case. Furthermore the majority of aneurysm patients showed an undamaged distal vascular bed, in sharp contrast with the occlusive group. Despite of these differences, however, the present series is too small to allow firm conclusions: in consideration of the equality of associate diseases and of lipoprotein patterns between the two groups of patients, abdominal aortic aneurysm and aortoiliac occlusive disease seem to be rather different manifestations of atherosclerosis than really dissimilar diseases.

Age Factors↗
PubMedDate not supplied

[Computers and teaching].

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Computer-Assisted Instruction↗