Biomedical subjects
Publications and source records attributed to G Battisti.
The authors suggest to treat the stenosis of the posterior urethra with a technique able to prevent relapses as much as possible. For this reason they recommend the improved technique of Sachse as the more suitable, avoiding, though, irritative stimuli (resections and indwelling catheters).
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A case of benign prostatic hyperplasia with lateral lobes large involvement is reported. On the basis of their own experience and a review of the literature the role of hormonal synergism in the development of the condition is outlined.
The Authors evaluate cystourethrography with and without chain as a method to study urethral diseases. Indications and complications are considered positively, because they allow an easy and safe control of the cases operated.
This study, carried out in 62 patients undergoing surgery under general anaesthesia, has evaluated the nestigmine effects on tone and motility of the muscular rectal wall, by recording compliance and manometric values. An increase of intrarectal pressure values in patients antagonized with neostigmine has been evidenced. This finding is related to contracture and increased motility of muscular rectal wall, induced by anticholinesterase agent. In patients eligible for intestinal anastomoses, rapidly eliminated myoneural blocker such as atracurium besylate or vecuronium, should be preferred. These agents allow a spontaneous reversal of the myoneural block, without pharmacologic antagonism.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The authors describes a case of ischemic chronic stenosis of colon after aneurysmectomy. They consider eziopatogenesis, clinical aspects and differential diagnosis with other causes of large bowel stenosis. They illustrate on therapeutic sequence after examination of recent literature.
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The Authors review the results of more than 2000 cases of lower extremity revascularization, treated from 1969 to 1991 and reported in the literature. They evaluate indications, contraindications and results at 12 and 24 months from operation performed with saphenous vein "in situ" and reversed. Finally they stress the greater reliability of by-passes performed with "in situ" saphenous vein graft.
Adjuvant chemotherapy is one of the latest and more promising modality of cancer treatment within the multidisciplinary approach to neoplasms. This paper illustrates the biological rationale as well as preliminary evaluation of its effectiveness for bladder carcinoma.
The paraplegia caused by an aortic clamping just below the Renal artery is a rare but very complication in aortic surgery. Such a complication is even rarer if we consider the few cases reported in literature following a reconstructive surgery for occlusive chronic diseases of aortiliac axes. The authors have studied the case of a patient bearing the syndrome of Leriche; this one had an aortic clamping below the kidney and soon after developed an acute ischaemic syndrome below the spinal medulla with flaccid paraparesis, anal and vesical sphincteric diseases and persistence of deep tactile sensibility. After a reconstruction of vascular anatomy of the medulla they emphasize the importance, in such a disease, of the "arteria radicularis magna" of Adamkievicz and its place of origin. After they discuss the severe physioopathologic moments that are connected: with the direct ischaemia following aortic clamping in the cases where the arteria radicularis magna rises at a level lower than the clamping itself; with the embolism or thrombosis caused by surgical manipulation peroperatively (it might be the cause of paraplegia more frequent in aneurysmectomia surgery); with the severe hypotension per- and post operatively for the existence of arteriosclerotic disease of the lumbar arteries. Finally they analyses preoperatively diagnostic possibilities and per operatively methods used in preventing this sort of complication.
The Omniflow biosynthetic prosthesis is made by a polyester net set on a silicon mandrel and planted on the sheep's back in order to from a tube of collagen that is fixed by glutaraldehyde at the moment of removing. This idea comes from the experience made in using glutaraldehyde as biologic fixative employed for the first time in the fixation of the cardiac valves by Carpentier in 1976 and in using nets of synthetic material set on a mandrel in man by Sparks in 1986, to form a tube of collagen to be used as a vascular prosthesis. Such a prosthesis has the advantage of the natural collagen deprived of its immunogenicity and also the increased resistance due to the polyester net. The authors report their experience in three arteriopathic patients employing Omniflow prosthesis used for the manufacturing of femoropopliteal bypass, a femoro-femoral bypass and for the substitution of an infected branch of axillobifemoral bypass. They describe the handling and the technique for the right application to avoid immediate complications, among which the most dangerous is the acute obstruction. Then they discuss the results which are encouraging even if the fellow up is too short. For such a reason they report the casuistic with long distance results obtained by the use of the same prosthesis by Raithel et Al., one of the largest experience in literature.
Obesity, its complications and its treatment have a great importance for the anesthesiologist. The pathophysiological consequences of obesity involve great part of the organs so that the perioperative management of these subjects may affect surgical outcome. For this reason care should be taken to the peroperative evaluation of the obese patient regarding his pulmonary, metabolic and cardiac function. The anesthesiologist also needs to be aware of intraoperative problems caused by obesity. Recovery in ICU for a short time could be required for the prevention and treatment of post-operative complications.