Search PubMed⌕ Search

Biomedical subjects

G G Delaini

Publications and source records attributed to G G Delaini.

At least 37 records · Page 2Linked to original sources
PubMed1986

[Nd-YAG laser disobstruction of esophageal endoprostheses occluded by neoplastic development in the palliative treatment of esophageal cancer].

Since August 1984 18 patients suffering from inoperable esophageal cancer have been treated by Nd. Yag Laser therapy under endoscopic control in the Verona University Institute of Clinical Surgery. Three patients, all males ranging in age from 68 to 80 years, had endo-esophageal prostheses which were occluded as a result of the neoplasms. Occlusion of the prostheses had been ascertained by both x-rays and endoscopy. The symptoms consisted of severe dysphagia of solid foods in 2 cases and of solids and liquids in 1 case. The original sites of the tumors were the lower 3rd in two cases and the mid 3rd in 1 case. Histologically, the tumors were identified as 2 squamous-cell carcinomas and 1 adenocarcinoma. Laser treatment was given on average once every 7 days. Patients were admitted to the day hospital, thus avoiding negative repercussions in terms of quality of life or length of hospital stay. In 2 cases there was an improvement in symptoms with the possibility of semi-solid nutrition after a single treatment with 6000-5032 Joules. In the third case, to obtain the same result, 2 treatments were necessary at an interval of 7 days with a total of 9396 J. One patient died of cardiorespiratory failure 24 days after the first treatment. A second patient was treated a further 3 times with a total of 12356 J and is now on a liquid and solid diet 5 months after the first treatment. The third patient was treated 4 times with a total of 15769 J; this patient was on a liquid and solid diet, but died of cardiorespiratory failure 3 months after the first treatment. In the light of our experience, Nd. Yag Laser disocclusion of endo-esophageal prostheses occluded by neoplasms presented no complications and was an appropriate indication in these cases with satisfactory long-term results.

Adenocarcinoma↗
PubMed1985

[Surgical treatment of pulmonary metastases of colorectal cancer].

The pulmonary metastatic locations due to colorectal cancer were considered, in not remote times, not worthy of surgical treatment. At present, according to our experience and some other Authors' one, the surgical removal of metachronal pulmonary metastases should be considered suitable to improve the period of life free from symptoms and the survival. The surgical treatment has improved the survival in the single or double pulmonary locations, whereas the monolaterality of multiple pulmonary lesions, in respect of the bilaterality, was not significantly bettered the prognosis (Hiroshi Takita, Francis Edgerton). The survival, moreover, seems to be affected by the interval free from illness and by the doubling time of the metastatic location. The surgical indication to the pulmonary metastasectomy is done on condition of the absence of any metastases in other organs. In our experience, out of 742 interventions with radical purposes for colorectal cancer, we documented 15 cases where lung appeared as the first and sole metastatic filter (many patients were lost for their non-cooperation in the follow-up). In 7 cases pulmonary resections were performed, in patients selected and free from secondary locations in other organs, with a satisfactory result. Casuistry and personal results are reported.

Adult↗
PubMed1985

[Pregnancy and enterostomy].

The authors describe the difficulties and possible complications of pregnancy in colonostomized women. In the neoplastic forms, generally appearing in advanced age, the knowledge of the basic disease discourages any possible attempt at pregnancy. In the chronic inflammatory diseases (ulcerous rectocolitis and Crohn's disease), typical of young age, pregnancy, if opportunely followed and programmed, can get an absolutely favourable course. The authors report their own experiences and some other authors' ones.

Colitis, Ulcerative↗
PubMed1984

[Mechanical and chemotherapeutic preparation of the colon for surgical intervention].

The authors maintain the opportunity of a mechanical and chemotherapeutical preparation of colon for the surgical operation, and illustrate the methods thereof. They report their clinical experience about the preoperative and peroperative cleaning, and confirm the importance of decompressive transversostomy as a protection of colorectal anastomoses.

Administration, Oral↗
PubMed1984

[Surgical treatment of colovesical fistulas (our experience)].

The Authors study the statistics of the Verona Surgical Centre, concerning 5 cases of colovesical fistula. They support the two-time operation, that is, the colon resection with colo-colic anastomosis sheltered by a decompressive transversostomy and stitching of the vesical breach. They affirm the usefulness of the operation according to Hartmann in patients facing a greater operative risk.

Colonic Diseases↗
PubMed1984

[Surgical treatment of anorectal melanoma (presentation of 2 cases)].

The Authors describe 2 cases of anorectal melanoma, which underwent operation in the Surgical Clinic of Verona in the years 1981-83. They review the literature confirming the high malignancy of this neoplasm, the poor prognosis forecasting a demolishing surgical treatment only. They, at last, once again affirm the principle whereby the results of such surgery are proportional to the stage of evolution the neoplasm is caught in, and the difficulty to reach a precocious diagnosis is therefore one of the main reasons for the scanty remote results of such surgery.

Adult↗
PubMed1984

[Cutaneous urostomies: indications, technics, treatments].

The authors study the outer urinary derivations; place the indications to perform urostomies on the basis of the possible pathological situations; describe the technical modalities for every outer derivative operation concerning kidneys, ureters, vesica and urethra, respectively. They, at last, consider the eventual complications of such operations, and report about the therapeutical and prophylactic measures to be taken, with particular attention to the urine collecting devices.

Drainage↗
PubMed1984

[Appendectomy and Crohn disease].

The Authors, on the basis of the casuistry of the Verona Surgical Centre, concerning the interventions for Crohn's disease from 1973 up to 1983, and comparing the data of literature, study the problem of appendicectomy in Crohn's disease. They suggest the operation of appendicectomy both when there are signs of appendicopathy in course, joined to a pathology of the last ileum ansa, and in presence of apparently sound appendix and clear signs of ileum Crohn's disease. They think it opportune to avoid appendicectomy only in presence of clear signs of involvement of caecum by the morbid process.

Appendectomy↗
PubMed1983

[Carcinoid tumor of the rectum].

The Authors show a case of rectal ampulla carcinoid, and review the literature thereabout. They suggest the removal through sphincter according to Mason, which technique, in their opinion, can ensure a satisfying radicalness when the diameter of carcinoid is shorter than 2 cm.

Carcinoid Tumor↗
PubMed1982

[Perforations in neoplasms of the colon].

The authors show their experience about the surgical treatment of colonic perforations in course of neoplastic disease. Their casuistry is compared with those of other centres.

Cecal Diseases↗
PubMed1980

[Major hepatic resections for carcinoma of the biliary tract].

The Authors report their experience regarding two primitive tumours of the confluent and one tumour of the gall bladder involving the biliary confluent, all treated by major hepatic demolitions--one left hemihepatectomy and two extended right hemihepatectomies--with removal of the biliary tree en bloc and appropriate reconstruction. These highly demolitionary operations were performed with the aim of achieving greater radicality. The indications for such type of operation, dictated by notions of tumoral biology and reasons of surgical technique, are discussed. The Authors make a comparison of their experience with the data obtained from literature, which up to now reports only twenty-two; no statistical judgment on the effectiveness of the method is therefore possible, even if the results obtained and the theoretical presuppositions would seem to confirm its validity.

Bile Duct Neoplasms↗
PubMed1980

[The role of decompressive transversotomy in surgery of the left colon and rectum (personal experience)].

Personal experience of 135 operations on the left colon and the rectum, with simultaneous formation of decompressive transversotomy, is presented. According to the Authors, decompressive transversotomy is the sole method capable not of avoiding anastomotic dehiscences, but of ensuring that they do not become clinically manifest, and hence of reducing the mortality connected therewith. The doubts sometimes raised with regard to the method seem in the Authors' opinion to be linked to technical shortcomings in performance of the transversotomy itself.

Adult↗
PubMed1980

[Decompressive transversotomy. Technic of performance and closure].

The routine technique used by the Authors for performance of decompressive transversotomy in operations on the left colon and the rectum is described. The technique for extraperitoneal closure of the stoma is described in detail: the method is easy to perform and does not involve any noteworthy postoperative complications. Long-term follow-ups demonstrate that there are no functional disorders connected with adhesion of the organ to the abdominal wall.

Colon↗