Search PubMedSearch

Biomedical subjects

P Rinella

Publications and source records attributed to P Rinella.

10 recordsLinked to original sources

[Acute thyroiditis].

Acute suppurating thyroiditis is now an uncommon pathology which is rarely found, although it was frequent before the introduction of antibiotics. Having observed a case, the Authors were prompted to study the subject in greater depth, in particular to assess whether the disease is easier to diagnose using modern techniques diagnosis, and whether there are changes in the therapy. In conclusion, the paper affirms that in spite of the fact that the diagnostic evolution has thrown further light on the clinical aspects of the disease, biopsy still remains the most reliable instrument of diagnosis, whereas surgery is the most effective form of therapy.

Acute Disease

[Popliteal artery entrapment syndrome].

Trapped popliteal artery syndrome is relatively uncommon: the literature reports some 60 cases. The clinical picture is linked to compression of the popliteal artery by the gastrocnemius as it contracts, thus distorting the arterial route. The result is an interruption in the blood flow distally to the area involved due to stenosis of the blood vessel that is at first functional but becomes organic.

Adult

[The diaphragmatic relaxatio (author's transl)].

The Authors briefly describe two cases of diaphragmatic relaxatio that they have seen and studied; then they make a revision of the literature about this uncommon disease. They speak about embryogenesis of the diaphragm and about nosology, etiopathogenesis, frequency (ages and sex) and phatological anatomy of this disease. In conclusion the Authors discuss in detail signs and symptoms, diagnosis and surgical treatment of diaphragmatic relaxatio.

Adolescent

[Peripheral vascular trauma (author's transl)].

The authors review several existing classifications of traumatic events affecting the peripheral blood vessels; after discussing the symptoms of such events and diagnostic guidelines, they outline therapeutic approaches and emphasize above all the need for prompt surgery with the least possible delay after the injury. They review of cases of their own observation, and conclude by highlighting the basic concepts of modern surgery in this field of pathology.

Accidents, Traffic

[The post-cholecystectomy cystic-stump syndrome].

A study was made of five patients, all of female sex, suffering from cystic stump syndrome, occurring among a total of 726 operations on the biliary ducts performed from January 1959 to June 1975, and hence with the incidence of 0.7%. The diseases which brought the patients to the operating table consisted of two cases of long cystic stump, two cases of neuroma of the cystic stump, and one case of asymptomatic long cystic stump with the presence of a serous cyst of the head of the pancreas. The surgical operation always consisted in the removal of the long cystic stump or the neuroma and led to the patient's cure in each case. It is asserted that the cystic stump syndrome must be considered as a nosological entity in itself, affecting patients operated on the bile ducts with a by no means negligible frequency. After considering the various pathogenetic hypotheses covering this syndrome, the Authors finally conclude by reiterating the necessity of careful isolation of the cystic duct during a cholecystectomy operation and of its resection very close to the hepatocholedochus, and then to carry out reliable and effective prophylaxis of the often considerable disturbances which may threaten the results of the operation. Once the syndrome has established itself, however, removal of the cystic stump becomes essential to cure of these patients.

Acute Disease

[Value and limitations of telethermography in the diagnosis of peripheral arterial diseases (clinical contribution)].

Using a diagnostic technique allowing thermal variations of the body surface to be translated into pictures by remote recordings (telethermography), the Authors studied a group of patients suffering from peripheral arteriopathies. The patients were also subjected to other tests (oscillography, pletysmography, electrothermometry, arteriography). The diagnostic reliability of the telethermographic procedure in the cases studied was 80% (8 cases out of 10), with 20% of false negatives. Even in the two falsely negative cases, however, the investigation proved useful, since it allowed the improvement obtained with medical and surgical therapy to be evaluated. The Authors therefore conclude by asserting that telethermography is an effective diagnostic means because of the reliability of the results and its simplicity in use, as well as being non-traumatic and hence easily repeatable.

Adult

[Study of the behavior of gastric secretory function after proximal selective vagotomy for duodenal ulcer].

In 60 patients with duodenal ulcer subjected to S.P.V. operation, a study of gastric secretion (quantity of gastric juice, B.A.O., M.A.O., P.A.O., Hollander's test) and of gastrinemia before the operation, after one month and after one year was made. The results supplied by this study are: a marked reduction (over 50%) in the basal values and those after stimulation of the quantity of gastric juice and of acid secretion, with persistence of such reductions a long time after the operation. The finding of three cases with positive Hollander's test, which was negativised after administration of a beta-blocking drug, induced the Authors to a critical revision of the literature on the relations between sympathetic and parasympathetic innervation of the stomach in relation to gastric secretion.

Adolescent