Biomedical subjects

M Carnali

Publications and source records attributed to M Carnali.

3 recordsLinked to original sources

PubMed1994

[Extra-anatomic bypass].

The authors describe their experience on extra-anatomic bypass effected in five years at their Hospital. This note assesses indications relative to rebuilding operations of this kind (in particular distal revascularization in patients at high risk, or as secondary operations at prosthesis infections), the complications that can derive and finally the series in our Hospital in the years between 1986 and 1991. In our experience axillo-mono, bi-femoral and femoro-femoral bypass have been effected getting excellent results, so we believe that these operating techniques should also be extended to younger patients and to patients with arteriopathies to the late second stage of Leriche-Fontaine.

Age Factors↗

PubMed1990

[Cancer of the anus. Current role of surgery].

70 cases of carcinoma of the anus are described in a retrospective study. All patients had been operated, since surgical treatment was regarded as the method of choice at that time. Our work therefore consists in assessing the role of surgery in the treatment of such carcinomas. In the initial forms, extended sphincter saving exeresis allowed excellent results (100% survival over a 1- to 10-year follow-up). In more advanced lesions, treated with abdominoperineal resection, the survival rate was 50% after 5 years. The same figure was obtained in case of extension to the female genital organs (the invasion of which is not a pejorative sign), while the prognosis was considerably worsened for the patients who had had lymph node resection due to invasion of inguinal nodes (20% survived after 5 years). Local surgical exeresis currently is as valuable as radiation therapy, but the latter is clearly indicated for advanced carcinomas, for which mutilating surgery has not demonstrated its superiority.

Adenocarcinoma↗

PubMedDate not supplied

[Surgical treatment of gallstone ileus. Our experience].

The authors relate seven cases of gallstones-ileus observed in a period of 20 years in the surgical division of Fabriano Hospital. The incidence of disease in connection with cholelithiasis and intestinal mechanic occlusion is pointed out. The diagnostic methodologies used don't anticipate radiographic contrast tests and they only consist in a direct abdominal radiological examination and in a hepatobiliary echography. The surgical treatment always consists in a enterolithotomy associated with an efficacious treatment of the hydro-electrolytic lack of balance. The resolution of the intestinal occlusion was performed in 71% of cases.

Aged↗