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Biomedical subjects

P Fabiani

Publications and source records attributed to P Fabiani.

90 records · Page 5Linked to original sources
PubMed1958

[Ammonemia].

Explore the source record for details and available documents.

Ammonia↗
PubMedDate not supplied

Inferior vena cava hypoplasia with intrahepatic venous continuation: sonographic, angiographic and MR features including MR angiography.

In cases of inborn or acquired obstacles on the inferior vena cava (IVC), the derived blood flow usually goes through collaterals in the azygos or the hemiazygos venous systems. Exceptionally, a collateral pathway through the portal system or through an anastomosis in between hepatic veins, shunting the IVC interruption, is encountered. In the present paper, the authors describe the fortuitous discovery of a IVC hypoplasia in its retrohepatic segment. MR venography, correlated with fluoroscopic angiography, clearly depicted an intrahepatic collateral circulation consisting of a double aneurysmal communication between an inferior right hepatic vein and the main right hepatic vein.

Aged↗
PubMedDate not supplied

[Acute poisoning of an infant by cutaneous application of a local counterirritant and pulmonary antiseptic salve].

The case of acute poisoning reported here raises the question of the harmlessness of preparations destined for cutaneous application in infants. After describing the method perfected for the identification and estimation of camphor, menthol and thymol in biological material, the authors present the toxicological, clinical and biological arguments in favour of the notion that the cutaneous resorption of these substances was responsible for this acute intoxication in an infant. Particular attention should be paid to poisoning which may result, in the newborn and infant, from the cutaneous application of active substances.

Administration, Topical↗
PubMedDate not supplied

Traumatic neuroma of the cystic duct with biliary obstruction. Report of a case.

A case of amputation neuroma of the biliary tract occurring 12 years after a cholecystectomy is reported. The patient, a 81 year-old man, presented with obstructive jaundice due to a stricture of the extrahepatic biliary tract. The stricture was resected and biliary reconstruction was achieved with a Roux-en-Y jejunal loop. The diagnosis of neuroma was obtained only at histology that showed hyperplastic nerve bundles, positive for protein S 100. The patient is well one year and six months after surgery without signs of recurrence of the stricture. Although the amputation neuroma of the biliary tract has already been reported, it seems worthwhile to emphasise this further report. This lesion is an unusual cause of benign stricture of the biliary tract that may pose difficult diagnostic problems.

Aged↗
PubMedDate not supplied

[Endoscopic internal urethrotomy. Retrospective studies of 132 cases].

The authors report a series of 132 patients with urethral stricture all treated by the same surgical technique between 1979 and 1984: direct vision internal urethrotomy. 62% of good results were obtained after a single operation with a follow-up ranging between 18 months and 5 years. There was no mortality and the morbidity was considered to be 5%. The authors indicate that the results were more favourable when the operation was performed in a solitary, short (less than 2 cm) non-infected stricture of the proximal urethra. The duration of postoperative catheterization was 10 days; catheterization for a longer period did not provide any significant advantage. The poor results (38%) were reported in cases of extensive strictures situated in the distal urethra or in patients with a history of urethral surgery. These cases were treated by repeated internal urethrotomy; 32% were cured after a second urethrotomy, while the others required maintenance sessions of urethral dilatation or even a urethroplasty procedure.

Adolescent↗
PubMedDate not supplied

[The "diagnostic day hospital." A proposal for functional support by hospital services and primary care].

The general lack of nurses and the attention due to the purposes of efficiency, effectiveness and economy of hospital services oblige to better the cooperation between attending and family physicians, to improve the resources, the productiveness of clinicopathology, the use of daily hospital services (such as ambulatories, daily hospitalization and treatments) and emergencies. For this end the authors propose the realization of a day hospital which mainly aim is the diagnostic (D.H.D.) of internal medicine. The admission will be acted by a doctor of the emergency department and of the reception. The day hospital will be functionally linked up with the services of emergency dpt. and reception and with the outpatients' department. Therefore useful both for the attending and family physicians. This kind of day hospital shouldn't substitute the specialities (such as hematology, oncology, psychiatry, dialysis, rehabilitation, etc.) which finalities are principally the therapy and check-up of known patients who follow a treatment by a specialistic department. The D.H.D. should grant the following functions: --Diagnosis or provable orientation in case the doctor of the emergency dpt. or the specialist in ambulatory shouldn't be able to perform them immediately; --Clinical control of cases coming from the emergency dpt.; --Planning of therapeutic program and carrying out of ambulatory therapies that cannot be deferred, of cases coming from the emergency dpt. or reception. Then, is attributable to the D.H.D. the hospital statistics that: --requires clinical observation that cannot be deferred; --requires unerring, prompt and complex diagnostic orientation in order to decide the kind of ward where the hospitalization should be done; --if needed, hospital therapeutic intervention that cannot be deferred, incompatible with the operative possibilities of the D.H.D. The authors also deal with operative relations between D.H.D. and other hospital services, the staff organization, the location, dimension and functional attribution of the head office, the purchases and availability of sanitary fittings and furnishings. Finally, the authors estimate the effectiveness of D.H.D. as far as the reduction of continuative hospitalization is concerned.

Day Care, Medical↗
PubMedDate not supplied

[Intraoperative anterograde lavage of the occluded left colon].

The management of patients presenting with acute organic obstruction of the left colon remains controversial. The traditional three stages procedure (transverse colostomy, resection and anastomosis, closure of colostomy) leads to a long and expensive postoperative hospital stay and to additional risks due to the multiple surgical treatments, despite involving a minor operation at the first stage. In selected patients, requiring emergency colonic resection, intraoperative antegrade colon lavage with primary anastomosis, as described by Dudley in 1983, represents a safe alternative to the stage procedure, achieving an excellent mechanical bowel toilette that allows a safe anastomosis and avoids the disadvantages associated with the multiple stages operations. During a 5 years period 13 large bowel resections with antegrade colonic irrigation and primary anastomosis were performed for acute left sided colonic obstruction requiring emergency surgery. The postoperative mortality rate was 0%; anastomosis leakage rate was 7.6% and would infections occurred in 7.6% of patients. The mean hospital stay was 15 days. Our results confirm that selected patients can be safely submitted to emergency colonic resection, on table lavage and primary anastomosis for acute left colonic obstruction without preoperative bowel preparation.

Aged↗
PubMedDate not supplied

[Emergencies in cancer of the colorectum].

The 20% of the case of Large bowel neoplasia needs an emergency surgical act because of its complications. The most frequent is large bowel occlusion followed by perforation, fistula and haemorrhage. The different possibilities of surgical treatment depend either on the type and the site of the complication but mostly on the general conditions of the patients and on his associated pathology. A careful evaluation of all these factors is the only way to determine which surgical treatment to practise and which is the risk the patient will undergo. In the last years, thanks to a deeper acknowledgment on pathophysiology and a better surgical technique, resection anastomosis surgery has taken more and more place decreasing dramatically mortality and morbidity of this surgery.

Age Factors↗
PubMedDate not supplied

[Emergency surgical treatment of ulcerative rectocolitis and Crohn's disease of the colon].

We examine the indications and the operative options for proceeding to emergency surgery in patients with inflammatory bowel disease. Emergency surgery is absolutely mandatory in case of generalized peritonitis due to bowel perforation. Other life-treating complications are acute disease not responding to medical treatment, toxic megacolon, bowel obstruction and massive hemorrhage. Early medical treatment of these conditions often prevents most severe clinical expressions and improves the prognosis. However surgery should be performed immediately if there is no improvement within 5 days of medical management in case of acute colitis, within 24-48 hours in case of toxic megacolon, within 48-72 hours in patients with intestinal obstruction or severe bleeding, or if the patient deteriorates during this period. In such circumstances, subtotal colectomy with ileostomy and mucous fistula of distal sigmoid colon is the best procedure. That is because it is relatively easy to perform and consents a simpler restorative operation than other procedures preserving the rectum. Moreover it leads to lower morbidity and mortality than the total proctocolectomy that should be reserved to patients with severe rectal disease or sphincter lesion. The most important factors influencing outcome of complicated or severe inflammatory bowel disease are the choice of the appropriate timing for surgery and the procedure performed.

Colectomy↗
PubMedDate not supplied

[Role of the laboratory in the diagnosis and treatment of lead poisoning].

A case of therapeutic lead poisoning in a six-week old child is reported, this aetiology being very common in paediatrics. The role of the laboratory in treatment is described, the latter having involved the addition of disodium calcitetracemate to the peritoneal dialysis fluid.

Aminolevulinic Acid↗