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Biomedical subjects

G Lombardo

Publications and source records attributed to G Lombardo.

113 records · Page 7Linked to original sources
PubMedDate not supplied

[Indications for laparoscopy in the diagnosis and treatment of abdominal trauma].

The use of laparoscopy as a diagnostic method dates back to the first decades of this century. Laparoscopic surgical techniques were first used by gynecologists and later, in 1989, Dubois performed the first cholecystectomy using a laparoscopic approach. Since then, in the space of a few years, there has been an overwhelming spread of videolaparoscopic operating methods, extending the therapeutic possibilities to gastroenterological surgery, as well as to thoracic, oncological, urological, and of course, gynecological surgery. The use of the laparoscope as a diagnostic method in abdominal trauma was proposed in the 70s by a number of authors, but only now, due to technological progress and the constant use of elective laparoscopic surgery, have surgeons been able to use this method for the diagnosis and treatment of patients with blunt or penetrating abdominal trauma. The experience accumulated to date includes a restricted number of cases, but preliminary results are encouraging and it is expected that this method will also be extended to emergency traumatology. The authors' preliminary experience consists of 7 laparoscopic examinations in subjects with abdominal trauma and hemoperitoneum. In 6 patients the examination confirmed hemoperitoneum caused by splenic lesion in 5 cases and hepatic lesion in 1 case. A hematoma of the left mesocolon was observed in one patient and the authors refrained from other treatment. In one subject with a splenic rupture at the ileum it was necessary to convert the operation into splenectomy. In a further 5 cases repeated washing and aspiration were used, using biological necks when necessary, until bleeding had completely ceased.(ABSTRACT TRUNCATED AT 250 WORDS)

Abdominal Injuries↗
PubMedDate not supplied

[Specific complications in laparoscopic cholecystectomy: 610 cases].

The authors report their experience of 610 cases of laparoscopic cholecystectomy (VLC) and focus attention on the specific complications of this operation, in other words those not linked to the access phase (pneumoperitoneum and introduction of the trocars). The total percentage of complications reported was 1.3%. The most frequent complication was hemorrhage (0.6%), a finding which is in line with international literature. It is emphasised that complications almost always occur postoperatively, sometimes after the early discharge of patients and for this reason they may be more severe. The importance of an accurate dissection of the cholecystic ileum is underlined as being the only real guarantee against lesions to the common bile duct. In overall terms, however, after appropriate training and under the guidance of an expert surgeon, VLC may be considered as the new "gold standard" for treatment of cholelithiasis.

Adolescent↗
PubMedDate not supplied

[Insulin resistance: related clinical syndromes].

The authors, after having defined and listed the pathogenetic mechanisms of insulin resistance, describe the main, more or less frequent, syndromes with accompany this condition, classified on the basis of the prevalent etiology (dismetabolic, disendocrine, genetic, mixed), identifying of each one, when possible, the modes of determining the same insulin resistance. The more frequent diseases, whose common feature is the insulin resistance (obesity, non insulin dependent diabetes mellitus, acanthosis nigricans, polycystic ovarian syndrome) are particularly considered on the basis of recent literature and of personal data.

Diabetes Mellitus↗