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Biomedical subjects

G Romano

Publications and source records attributed to G Romano.

At least 253 records · Page 14Linked to original sources

[Laparoscopic cholecystectomy in uremic patients].

The aim of this study was to evaluate the effectiveness of the laparoscopic cholecystectomy performed in two uremic patients with gallstones. From January to July 2004, 15 patients with gallstones underwent to laparoscopic cholecystectomy (LC). Two patients had chronic renal failure on haemodyalisis: a symptomatic fourty-two old woman, which had primitive hyperparathyroidism and primitive hyperaldosteronism, and asymptomatic transplant candidate fifty-five old man. No minor and major complications occurred and both patients were discharged 4 days after LC. Even in uremic patients the L. C. must be the gold standard for the treatment of gallstones both symptomatic and asymptomatic.

Adult↗

Surgical treatment of haemorrhoidal disease: a survey of the regional area of Campania in Italy.

INTRODUCTION: In order to monitor the common practice regarding the surgical treatment of haemorrhoidal disease in Campania, a region in the South of Italy, a survey amongst one hundred specialists in general surgery and members of the Neapolitan Surgery Association (S.Na.C.) was carried out. MATERIALS AND METHODS: The survey was carried out through a 13-items questionnaire sent to 100 General Surgeons working in Campania. The survey sample was chosen randomly from the S.Na.C. members. Participants were given two weeks to fill in and return the questionnaire. RESULTS: The survey, was developed to obtain a "picture" of the current situation and revealed some interesting results: the procedure preferred was the Milligan and Morgan Haemorrhoidectomy (MMH) being used in 41% of the cases, whilst stapled haemorrhoidopexy (SH) was carried out only in 19% of the cases and 44.4% of the surgeons never carried even one. With regard to postoperative complications, bleeding was the most common after SH which occurred in 10 out of 260 cases (3.8%), whereas anal pain was the most common after MMH (179%). DISCUSSION: In keeping with the literature the analysis shows that, although fairly good results with low complication rates are reported with SH, it is still not widely accepted and is performed in only 19% of the patients in our Regional area.

Digestive System Surgical Procedures↗

[Plasmatic value curves of mepivacaine in plexal anesthesia of the upper jaw, the spine of Spix and intraligamentary].

To extend previous, studies, the authors analyzed plasmatic values of mepivacaine 5, 15, 30, 60, and 90 minutes following administration of the drug. Three routes of administration were used: intraligamentary, plexal, at the supramaxillary level and troncular, into the Spix spine. The results of the present study suggest that absorption of mepivacaine varies from patient to patient, depending on individual factors as hepatic metabolism of the drug.

Adult↗